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Trial Title: Surufatinib Combined With Serplulimab and Standard Chemotherapy as First-line Treatment in Advanced Solid Tumors With Neuroendocrine Differentiation

NCT ID: NCT06531291

Condition: ESCC
Biliary Tract Cancer
Gastric Cancer
Pancreas Cancer

Conditions: Official terms:
Biliary Tract Neoplasms
Pancreatic Neoplasms

Conditions: Keywords:
surufatinib
Neuroendocrine Differentiation

Study type: Interventional

Study phase: Phase 2

Overall status: Not yet recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: Surufatinib
Description: 250 mg, po, qd, q3w
Arm group label: Surufatinib + serplulimab + standard chemotherapy

Intervention type: Drug
Intervention name: Serplulimab
Description: 200 mg, iv, d1, q3w
Arm group label: Surufatinib + serplulimab + standard chemotherapy

Intervention type: Drug
Intervention name: standard chemotherapy
Description: Decided by PI
Arm group label: Surufatinib + serplulimab + standard chemotherapy

Summary: Currently, there are no standard treatment and relevant exploration for solid tumors patients with NED. The study aims to explore the efficacy and safety of surufatinib combined with serplulimab and standard chemotherapy in the treatment ofadvanced solid tumors with NED, in order to provide a new treatment option for advanced solid tumors patients with NED.

Detailed description: This is a single-arm, multi-cohort, open-label, single-center, prospective, exploratory clinical study. We planned to enroll 80 patients who would receive surufatinib plus tislelizumab until disease progression, intolerance, or withdrawal of consent. The study aims to explore the efficacy and safety of surufatinib combined with serplulimab and standard chemotherapy in the treatment of advanced solid tumors with NED, in order to provide a new treatment option for advanced solid tumors patients with NED.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Histopathologically confirmed locally advanced or metastatic unresectable ESCC, BTC, PC or GC with an abnormal NED or NE phenotype (without neuroendocrine morphologic features and positive immunohistochemical expression of at least one neuroendocrine marker (CgA, Syn)); - Have at least one measurable lesion according to RECIST v1.1; - ECOG performance status: 0-1; - No previous systemic therapy; - Urine protein< ++ . If Urine protein ≥ ++ ,the amount of urine protein in 24 hours ≤1.0g; - Expected survival time > 3 months; Exclusion Criteria: - Have uncontrolled hypertension, defined as systolic blood pressure >150 mmHg or diastolic blood pressure >90 mm Hg, while under anti-hypertension treatment; - With active bleeding or bleeding tendency; - Severe history of cardiovascular and cerebrovascular diseases; - Other malignancies diagnosed within the previous 5 years, except basal cell carcinoma or cervical carcinoma in situ after radical resection.

Gender: All

Minimum age: 18 Years

Maximum age: 75 Years

Healthy volunteers: No

Locations:

Facility:
Name: Renji hospital

Address:
City: Shanghai
Zip: 200127
Country: China

Contact:
Last name: Liwei Wang, Dr

Phone: +86 16621086648
Email: lwwang2013@163.com

Start date: August 10, 2024

Completion date: August 9, 2027

Lead sponsor:
Agency: RenJi Hospital
Agency class: Other

Source: RenJi Hospital

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06531291

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