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Trial Title: Anlotinib Hydrochloride Capsules Combined With TQB2450 in the Treatment of Endometrial Cancer

NCT ID: NCT06475599

Condition: Endometrial Cancer

Conditions: Official terms:
Endometrial Neoplasms

Study type: Interventional

Study phase: Phase 3

Overall status: Not yet recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: Anlotinib hydrochloride capsule + TQB2450 injection
Description: Anlotinib hydrochloride capsule is a multi-target tyrosine kinase inhibitor, which targets VEGFR (VEGFR-1, VEGFR-2 and VEGFR-3), PDGFR, FGFR and c-Kit, etc. It can inhibit tumor progression by inhibiting angiogenesis and tumor growth at the same time. TQB2450 injection is a humanized monoclonal antibody targeting programmed death ligand 1 (PD-L1) that prevents the binding of PD-L1 to the PD-1 and B7.1 receptors on the T-cell surface, allowing T-cell reactivation and thus enhancing the immune response.
Arm group label: Anlotinib hydrochloride capsules + TQB2450 injection

Intervention type: Drug
Intervention name: Chemotherapy drug
Description: Based on each patient's condition and previous treatment history, the investigator will select one of the chemotherapy drugs (including Paclitaxel, Albumin, Doxorubicin and Doxorubicin hydrochloride) for treatment.
Arm group label: Chemotherapy drug

Summary: To demonstrate that anlotinib hydrochloride capsules combined with TQB2450 injection can significantly prolong progression-free survival (PFS) compared with chemotherapy in patients with recurrent or metastatic endometrial cancer that is non- microsatellite instability high (non-MSI-H) or DNA mismatch repair deficient (non-dMMR).

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Recurrent or metastatic advanced endometrial cancer confirmed by histopathology; - Patients failed to respond to 1-2 lines of platinum-based doublet-based therapy; - Provide a traceable MMR/MSI status report or provide biological samples for DNA mismatch repair/microsatellite instability (MMR/MSI) status testing with non-MSI-high (non-MSI-H) or non-dMMR; - Patients who cannot undergo radical surgery/radiotherapy; - Age: ≥18 years old (when signing the informed consent); Eastern Cooperative Oncology Group (ECOG) performance status (PS) score: 0-1; The expected survival time is more than 3 months; - At least one measurable lesion (RECIST 1.1); - Good function of the major organs; - Women of childbearing age should agree that they must use a contraceptive method (e.g. Intra-uterine device (IUD), contraceptive pill, or condom) during the study and for 6 months after the study; A negative serum pregnancy test within 7 days before study entry and must be non-lactating; - Subjects voluntarily joined this study, signed informed consent, and had good compliance; Exclusion Criteria: - Previous use of bevacizumab, endostar, anlotinib, apatinib, lenvatinib, sorafenib, sunitinib, regorafenib, fruquintinib and other anti-angiogenic drugs or immunotherapy drugs targeting programmed cell death protein 1 (PD-1), PD-L1 and other related cells; - Patients received anti-tumor indications of Chinese patent medicine approved by National Medical Products Administration (NMPA) within 2 weeks before the study treatment; - Pathology suggested carcinosarcoma (malignant mullerian mixed tumor), endometrial leiomyosarcoma or other high-grade sarcoma, or endometrial stromal sarcoma; - Hormone therapy for endometrial cancer had been received within 1 week before the first dose of trial medication; - Surgery, chemotherapy, radiation therapy, or other anticancer therapy had been received within 4 weeks before the initiation of study treatment (the washout period was calculated from the end of the last treatment). The half-life of oral targeted drugs was less than 5 drugs; - Subjects with known central nervous system metastases and/or carcinomatous meningitis; The patients were not asymptomatic or were treated and stable, had no radiographic evidence of new or expanding brain metastases for at least 2 weeks after treatment for brain metastases, and had discontinued steroids or anticonvulsant therapy for at least 14 days before the initiation of study treatment; - The patient had developed or had concurrent malignant tumors within the past 3 years; - Multiple factors that affect the oral administration of anlotinib (e.g., inability to swallow, post-gastrointestinal resection, chronic diarrhea, and intestinal obstruction) may affect the oral absorption of anlotinib; - Uncontrolled pleural, pericardial, or ascites requiring repeated drainage (investigator judgment); Severe bone injury caused by tumor bone metastasis may occur or occur after enrollment; - Patients whose imaging (CT or MRI) showed that the tumor had invaded the important blood vessels or the investigators judged that the tumor was likely to invade the important blood vessels and cause fatal hemorrhage during the follow-up study; - Unmitigated toxic effects higher than CTCAE grade 1 due to any previous antineoplastic therapy, excluding alopecia; - Major surgical treatment, open biopsy, or significant traumatic injury within 28 days before the first dose; - A wound or fracture that has not healed for a long time; - Patients with a history of arterial/venous thrombosis/cancer thrombosis within 6 months before the first dose of drug, such as cerebrovascular accident (including transient ischemic attack, cerebral hemorrhage, cerebral infarction), deep vein thrombosis and pulmonary embolism; - People who have a history of psychotropic drug abuse and cannot abstain from it or have mental disorders; - Subjects with any severe and/or uncontrolled illness; - A history of vaccination with live attenuated vaccine within 28 days before the initiation of study treatment or a planned vaccination with live attenuated vaccine during the study; - Patients with severe allergic disease, history of severe drug allergy, and known allergic to any component of the trial drug prescription;; - Active autoimmune disease requiring systemic therapy (e.g., disease-modifying agents, corticosteroids, or immunosuppressive agents) had developed within 2 years before the initiation of study treatment; - Patients who are diagnosed with immunodeficiency or who are receiving systemic glucocorticoid therapy or any other form of immunosuppressive therapy (at a dose of >10mg/ day of prednisone or other equivalent efficacy hormone) and continue to do so within 2 weeks before the first dose; Major surgical treatment or significant traumatic injury within 4 weeks before the first dose in this study; - Participated in other clinical trials of antineoplastic drugs within 4 weeks before the first dose; - Subjects with concomitant diseases that seriously endanger the safety of the subjects or interfere with the completion of the study, or those who were considered to be unsuitable for enrollment for other reasons according to the investigator's judgment.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Anhui Provincial Hospital

Address:
City: Hefei
Zip: 230001
Country: China

Contact:
Last name: Ying Zhou, Doctor

Phone: 13865901025
Email: 13865901025@139.com

Facility:
Name: Fujian Cancer Hospital

Address:
City: Fuzhou
Zip: 350014
Country: China

Contact:
Last name: Yang Sun, Doctor

Phone: 15959028989
Email: doctorsunyang@sina.com

Facility:
Name: First Hospital of Lanzhou University

Address:
City: Lanzhou
Zip: 730000
Country: China

Contact:
Last name: Chang Liu, Doctor

Phone: 13893479248
Email: 44025660@qq.com

Facility:
Name: Gansu Provincial Cancer Hospital

Address:
City: Lanzhou
Zip: 730050
Country: China

Contact:
Last name: Qingming Zhang, Bachelor

Phone: 13321339133
Email: 1043536297@qq.com

Facility:
Name: Sun Yat-sen Memorial Hospital

Address:
City: Guangzhou
Zip: 510289
Country: China

Contact:
Last name: Bingzhong Zhang, Doctor

Phone: 13925063030
Email: 13925063030@163.com

Facility:
Name: The First Affiliated Hospital of Jinan University

Address:
City: Guangzhou
Zip: 510630
Country: China

Contact:
Last name: Yuan Shen, Doctor

Phone: 18102606438
Email: missyy@126.com

Facility:
Name: Huizhou Central People's Hospital

Address:
City: Huizhou
Zip: 516008
Country: China

Contact:
Last name: Hailin Xiong, Doctor

Phone: 15976198371
Email: Xiong0752@hotmail.com

Facility:
Name: Jiangmen Central Hospital

Address:
City: Jiangmen
Zip: 529030
Country: China

Contact:
Last name: Xiaohong Ruan, Doctor

Phone: 139 2468 0902
Email: ruanxiaohong@jmszxyy.com.cn

Facility:
Name: Meizhou People's Hospital

Address:
City: Meizhou
Zip: 514031
Country: China

Contact:
Last name: Jingna Wu, Bachelor

Phone: 13431819838
Email: wujingna@mzrmyy.com

Facility:
Name: Guigang City People's Hospital

Address:
City: Guigang
Zip: 537100
Country: China

Contact:
Last name: Yan Wei, Bachelor

Phone: 13321686622
Email: wyan184@163.com

Facility:
Name: Nanxishan Hospital of Guangxi Zhuang Autonomous Region

Address:
City: Guilin
Zip: 541000
Country: China

Contact:
Last name: Yufei Pan, Master

Phone: 13737740520
Email: 23865934@qq.com

Facility:
Name: Liuzhou People's Hospital

Address:
City: Liuzhou
Zip: 545006
Country: China

Contact:
Last name: Chanjuan He, Master

Phone: 18077226717
Email: 114457843@qq.com

Facility:
Name: Liuzhou Municipal Liutie Central Hospital

Address:
City: Liuzhou
Zip: 545007
Country: China

Contact:
Last name: Guiping Lai, Bachelor

Phone: 13768875556
Email: 562795946@qq.com

Facility:
Name: Guangxi Medical University Cancer Hospital

Address:
City: Nanning
Zip: 530021
Country: China

Contact:
Last name: Qingjie Zhang, Doctor

Phone: 15278015900
Email: 1583825050@qq.com

Facility:
Name: Hainan Ceneral Hospital

Address:
City: Haikou
Zip: 570311
Country: China

Contact:
Last name: Genhai Zhu, Doctor

Phone: 13876082272
Email: genhaizhu@163.com

Facility:
Name: Tangshan People's Hospital

Address:
City: Tangshan
Zip: 063000
Country: China

Contact:
Last name: Ping Wang, Doctor

Phone: 18931505881
Email: wangshjzh@163.com

Facility:
Name: Harbin Medical University Cancer Hospital

Address:
City: Harbin
Zip: 150081
Country: China

Contact:
Last name: Yunyan Zhang, Postdoctor

Phone: 13604843878
Email: zhangyunyan-1972@163.com

Facility:
Name: The First Affiliated Hospital of Henan University of Science and Technology

Address:
City: Luoyang
Zip: 450018
Country: China

Contact:
Last name: Xinshuai Wang, Doctor

Phone: 13837986128
Email: xshuaiw@126.com

Facility:
Name: Nanyang first People's Hospital National Third Class A Hospital

Address:
City: Nanyang
Zip: 473000
Country: China

Contact:
Last name: Zhen Zhang, Master

Phone: 13663997000
Email: zhangzhen1771@163.com

Facility:
Name: The First Affiliated Hospital of Zhengzhou University

Address:
City: Zhengzhou
Zip: 450052
Country: China

Contact:
Last name: Liping Han, Doctor

Phone: 13619845906
Email: hanliping0825@163.com

Facility:
Name: Hubei Cancer Hospital

Address:
City: Wuhan
Zip: 430079
Country: China

Contact:
Last name: Huifeng Zhang, Master

Phone: 13871012421
Email: Zhf20081217@126.com

Facility:
Name: Hunan Cancer Hospital

Address:
City: Changsha
Zip: 410031
Country: China

Contact:
Last name: Keqiang Zhang, Doctor

Phone: 13054196067
Email: zhangkeqiang@hnca.org.cn

Facility:
Name: The Central Hospital Of Shaoyang

Address:
City: Shaoyang
Zip: 422000
Country: China

Contact:
Last name: Xinfu Liu, Doctor

Phone: 15807397520
Email: 4194478@qq.com

Facility:
Name: Inner Mongolia Autonomous Region People's Hospital

Address:
City: Hohhot
Zip: 010017
Country: China

Contact:
Last name: Liying Xue, Master

Phone: 18047192517
Email: xuelyup@126.com

Facility:
Name: Changchun Tumor Hospital

Address:
City: Changchun
Zip: 130012
Country: China

Contact:
Last name: Yigai Ma, Bachelor

Phone: 13910286029
Email: 18686660731@163.com

Facility:
Name: The first hospital of Jilin University

Address:
City: Changchun
Zip: 130021
Country: China

Contact:
Last name: Ziling Liu, Doctor

Phone: 13943001600
Email: drzilingliu@163.com

Facility:
Name: Liaoning Cancer Hospital

Address:
City: Shenyang
Zip: 110000
Country: China

Contact:
Last name: Danbo Wang, Doctor

Phone: 18940251157
Email: danbo_wang@126.com

Facility:
Name: Shengjing Hospital Of China Medical University

Address:
City: Shenyang
Zip: 110000
Country: China

Contact:
Last name: Song Gao, Doctor

Phone: 18940251511
Email: gaos@sj-hospital.org

Facility:
Name: General Hospital Of Ningxia Medical University

Address:
City: Yinchuan
Zip: 750001
Country: China

Contact:
Last name: Yunxia Li, Bachelor

Phone: 13895071809
Email: lyx1170@163.com

Facility:
Name: Qinghai Red Cross Hospital

Address:
City: Xining
Zip: 810000
Country: China

Contact:
Last name: Kuan Zhang, Bachelor

Phone: 18997081048
Email: 875424616@qq.com

Facility:
Name: The Second Affiliated Hospital of Air Force Medical University

Address:
City: Xi'an
Zip: 710038
Country: China

Contact:
Last name: Haichuan Su, Doctor

Phone: 18629190366
Email: cntdgcp@163.com

Facility:
Name: The First Affiliated Hospital of Xi 'an Jiaotong University

Address:
City: Xi'an
Zip: 710061
Country: China

Contact:
Last name: Ruifang An, Doctor

Phone: 189991232090
Email: anruifang@163.com

Facility:
Name: Shaanxi Provincial People's Hospital

Address:
City: Xi'an
Zip: 712038
Country: China

Contact:
Last name: Lihong Chen, Doctor

Phone: 13689280015
Email: lihongchen29@163.com

Facility:
Name: Binzhou Medical University Hospital

Address:
City: Binzhou
Zip: 256600
Country: China

Contact:
Last name: Fangling Ning, Master

Phone: 15254311599
Email: ningfangling@126.com

Facility:
Name: Binzhou People's Hospital

Address:
City: Binzhou
Zip: 256601
Country: China

Contact:
Last name: Huanlian Yang, Master

Phone: 13854358141
Email: 13854358141@163.com

Facility:
Name: Shandong Cancer Hospital

Address:
City: Jinan
Zip: 250117
Country: China

Contact:
Last name: Hao Yu, Doctor

Phone: 15953105039
Email: fishdoctor@yeah.net

Facility:
Name: Affiliated Hospital of Jining Medical University

Address:
City: Jining
Zip: 272001
Country: China

Contact:
Last name: Xiaowei Liu, Bachelor

Phone: 18678766867
Email: jnfylxw@163.com

Facility:
Name: Linyi Cancer Hospital

Address:
City: Linyi
Zip: 276000
Country: China

Contact:
Last name: Xiumin Li, Master

Phone: 13583991399
Email: Lyzlyylxm@163.com

Facility:
Name: Weifang People's Hospital

Address:
City: Weifang
Zip: 261000
Country: China

Contact:
Last name: Guohua Yu, Bachelor

Phone: 13793699977
Email: ghyry@126.com

Facility:
Name: Yidu Central Hospital Of Weifang

Address:
City: Weifang
Zip: 262500
Country: China

Contact:
Last name: Peng Wang, Doctor

Phone: 13562677025
Email: wangpeng1920@sohu.com

Facility:
Name: Yantai Yuhuangding Hospital

Address:
City: Yantai
Zip: 264000
Country: China

Contact:
Last name: Ying Yang, Doctor

Phone: 15966506506
Email: hxdany2004@126.com

Facility:
Name: Tengzhou Central People's Hospital

Address:
City: Zaozhuang
Zip: 277500
Country: China

Contact:
Last name: Kaixian Zhang, Bachelor

Phone: 13563200960
Email: tengzhouzkx@126.com

Facility:
Name: Shanxi Cancer hospital

Address:
City: Taiyuan
Zip: 030000
Country: China

Contact:
Last name: Hongwei Zhao, Doctor

Phone: 13633412660
Email: inmind20060829@126.com

Facility:
Name: Shanxi Bethune Hospital

Address:
City: Taiyuan
Zip: 30000
Country: China

Contact:
Last name: Haixia Shang, Doctor

Phone: 13623678770
Email: shx_mail2004@163.com

Facility:
Name: Affiliated Cancer Hospital of Xinjiang Medical University

Address:
City: Ürümqi
Zip: 830054
Country: China

Contact:
Last name: Guqun Shen, Master

Phone: 18609007670
Email: 382709897@qq.com

Facility:
Name: Yunnan Cancer Hospital

Address:
City: Kunming
Zip: 650118
Country: China

Contact:
Last name: Linlin Yang, Doctor

Phone: 13085369125
Email: yll194900@sina.com

Facility:
Name: Maternal Health School of Medicine Zhejiang University

Address:
City: Hangzhou
Zip: 310006
Country: China

Contact:
Last name: Xiaodong Cheng, Doctor

Phone: 13958039839
Email: chengxd@zju.edu.cn

Facility:
Name: Zhejiang Cancer Hospital

Address:
City: Hangzhou
Zip: 310022
Country: China

Contact:
Last name: Hanmei Lou, Master

Phone: 13456856364
Email: louhm@zjcc.org.cn

Facility:
Name: The Affiliated People's Hospital of Ningbo University

Address:
City: Ningbo
Zip: 315201
Country: China

Contact:
Last name: Jun Chen, Master

Phone: 13777975439
Email: cjcj992@163.com

Facility:
Name: Beijing Obstetrics and Gynecology Hospital, Capital Medical University

Address:
City: Beijing
Zip: 100006
Country: China

Contact:
Last name: Yue He, Doctor

Phone: 13681565788
Email: yueyue870610@ccmu.edu.cn

Facility:
Name: Beijing Chaoyang Hospital, Capital Medical University

Address:
City: Beijing
Zip: 100020
Country: China

Contact:
Last name: Hua Li, Doctor

Phone: 18600878877
Email: hual_gyn@163.com

Facility:
Name: Chongqing University Cancer Hospital

Address:
City: Chongqing
Zip: 400032
Country: China

Contact:
Last name: Dong Wang, Bachelor

Phone: 13708301293
Email: cqwindow120@163.com

Facility:
Name: The Southwest Hospital of Amu

Address:
City: Chongqing
Zip: 400038
Country: China

Contact:
Last name: Yanzhou Wang, Doctor

Phone: 18680893816
Email: wangyanzhou1981@126.com

Facility:
Name: Chongqing University Three Gorges Hospital

Address:
City: Chongqing
Zip: 400040
Country: China

Contact:
Last name: Shichuan Chang, Master

Phone: 17323861001
Email: cshchuan@sina.com

Facility:
Name: The Second Affiliated Hospital of Chongqing Medical University

Address:
City: Chongqing
Zip: 400072
Country: China

Contact:
Last name: Xiaojing Dong, Doctor

Phone: 13648437247
Email: xffdoctor@163.com

Facility:
Name: The Affiliated Hospital of Southwest Medical University

Address:
City: Chongqing
Zip: 646000
Country: China

Contact:
Last name: Dan Li, Doctor

Phone: 15884169140
Email: lidan0918@163.com

Facility:
Name: Fudan University Shanghai Cancer Center

Address:
City: Shanghai
Zip: 200032
Country: China

Contact:
Last name: Xiaohua Wu, Doctor

Phone: 18121299168
Email: wu.xh@fudan.edu.cn

Facility:
Name: Shanghai Tenth People's Hospital

Address:
City: Shanghai
Zip: 200040
Country: China

Contact:
Last name: Xiaojun Chen, Doctor

Phone: 13601680784
Email: cxjlhjj@163.com

Facility:
Name: Obstetrics & Gynecology Hospital of Fudan University

Address:
City: Shanghai
Zip: 200090
Country: China

Contact:
Last name: Xuezhen Luo, Doctor

Phone: 13472887368
Email: xuezhenluo2013@163.com

Facility:
Name: Tianjin Medical University Cancer Institute & Hospital

Address:
City: Tianjin
Zip: 300181
Country: China

Contact:
Last name: Ke Wang, Master

Phone: 18622221098
Email: 18622221098@163.com

Facility:
Name: Tianjin Central Hospital of Gynecology Obstetrics

Address:
City: Tianjin
Zip: 300199
Country: China

Start date: July 2024

Completion date: June 2029

Lead sponsor:
Agency: Chia Tai Tianqing Pharmaceutical Group Co., Ltd.
Agency class: Industry

Source: Chia Tai Tianqing Pharmaceutical Group Co., Ltd.

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06475599

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