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Trial Title: A Study of RC48-ADC Combined With JS001 For Postoperative Adjuvant Treatment of Upper Tract Urothelial Carcinoma

NCT ID: NCT05917158

Condition: Carcinoma
Upper Tract Urothelial Carcinoma
UTUC

Conditions: Official terms:
Carcinoma
Carcinoma, Transitional Cell

Study type: Interventional

Study phase: Phase 2

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: RC48-ADC and JS001
Description: Patients in group will receive 6 x 2 week cycles of JS001 (Toripalimab) 3mg/kg in combination with RC48-ADC (Disitamab Vedotin) 2mg/kg intravenously.
Arm group label: RC48-ADC and JS001

Summary: This study will evaluate the efficacy and safety of intravenous RC48-ADC combined with JS001 in postoperative adjuvant therapy for HER2-positive upper tract urothelial carcinoma.

Detailed description: This is an open-label, single-arm clinical trial to evaluate the efficacy and safety of RC48-ADC, a recombinant humanized anti-HER2 monoclonal antibody-Monomethyl auristatin E (MMAE) conjugate, in combination with JS001, a PD-1 monoclonal antibody, for the postoperative adjuvant treatment of HER2-positive upper tract urothelial carcinoma after radical nephroureterectomy.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Written informed consent - ≥18 years of age - Post radical nephro-ureterectomy for upper tract tumour with predominant TCC component-squamoid differentiation or mixed TCC/SCC is permitted. - Histologically confirmed TCC staged pT2-pT4 pN0-3 M0 or pTany N1-3 M0 (providing all grossly abnormal nodes are resected). - Pathological tissue immunohistochemistry HER2 2~3+ - Fit and willing to receive adjuvant therapy with first cycle to be commenced within 30 days of radical nephro-ureterectomy if allocated - ECOG(Eastern Cooperative Oncology Group) performance is 0 or 1. - Available for long-term follow-up Exclusion Criteria: - Evidence of distant metastases - Pure adenocarcinoma, squamous cell carcinoma or small cell or other variant histology - Un-resected macroscopic nodal disease - Concurrent muscle invasive bladder cancer (patients with concurrent Non-muscle invasive bladder cancer (NMIBC) will be eligible) - Significant co-morbid conditions that would interfere with administration of protocol treatment - Pregnancy; lactating women or women of childbearing potential unwilling or unable to use adequate non-hormonal contraception (male patients should also use contraception if sexually active); - Previous malignancy in the last 5 years except for previous NMIBC, adequately controlled non melanoma skin tumours, CIS of cervix or LCIS of breast or localised prostate cancer in patients who have a life expectancy of over 5 years upon trial entry.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China

Address:
City: Nanjing
Zip: 210000
Country: China

Status: Recruiting

Contact:
Last name: Le Qu, M.D.

Phone: 15720625951
Email: septsoul@hotmail.com

Start date: November 23, 2022

Completion date: December 2028

Lead sponsor:
Agency: Jinling Hospital, China
Agency class: Other

Source: Jinling Hospital, China

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05917158

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