A Randomized, Double-blind, Placebo Controlled Phase III Study to Investigate Efficacy and Safety of First-Line Treatment With HLX10 + Chemotherapy (Carboplatin-Nanoparticle Albumin Bound (Nab) Paclitaxel) in Patients With Stage IIIB/IIIC or IV NSCLC

NCT ID: NCT04033354

Last Updated: 2023-08-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

537 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-08-14

Study Completion Date

2023-12-30

Brief Summary

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This study is a randomized, double-blind, multicenter, phase III clinical study to compare the clinical efficacy and safety of HLX10 + chemotherapy vs chemotherapy in subjects with locally advanced or metastatic squamous NSCLC who have not previously received systemic treatment.

Eligible subjects in this study will be randomized to Arm A or Arm B at 2:1 ratio as follows:

Arm A (HLX10 arm): HLX10 + chemotherapy (carboplatin nab paclitaxel) Arm B (placebo arm): Placebo + chemotherapy (carboplatin nab paclitaxel) The three stratification factors for randomization include: PD-L1 expression level (Tumor Proportion Scores \[TPS\]≥50%, 50%\>TPS≥1%, TPS\<1%), Asian population (yes or no), NSCLC stage (stage IIIB/IIIC or stage IV), and carboplatin AUC (5 or 6).

Detailed Description

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Conditions

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Squamous Non Small Cell Lung Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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A

HLX10 + chemotherapy (carboplatin nab paclitaxel)

Group Type EXPERIMENTAL

HLX10

Intervention Type DRUG

HLX10 is an innovative monoclonal antibody targeting PD-1,developed by Shanghai Henlius Biotech, Inc.

carboplatin and nab paclitaxel

Intervention Type DRUG

chemotherapeutics

B

Placebo + chemotherapy (carboplatin nab paclitaxel), After 1st PD, the subject will be unblinded by the investigator and be continued with HLX10 monotherapy

Group Type PLACEBO_COMPARATOR

carboplatin and nab paclitaxel

Intervention Type DRUG

chemotherapeutics

Placebo

Intervention Type DRUG

Placebo

Interventions

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HLX10

HLX10 is an innovative monoclonal antibody targeting PD-1,developed by Shanghai Henlius Biotech, Inc.

Intervention Type DRUG

carboplatin and nab paclitaxel

chemotherapeutics

Intervention Type DRUG

Placebo

Placebo

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Patients with histologically or cytologically confirmed stage IIIB/IIIC and stage IV (AJCC Edition 8) squamous NSCLC where surgery or radiotherapy cannot be performed.
2. No known sensitizing EGFR mutations or ALK, ROS1 gene rearrangements.
3. Major organs are functioning well
4. Participant must keep contraception
5. Patients with prior denosumab use who can agree to switch to bisphosphonate therapy for bone metastases in the study.

Exclusion Criteria

1. Patients with histologically non-squamous NSCLC. Mixed tumors will be classified according to the primary cell type. Patients do not meet the requirements for enrollment if small cell components and neuroendocrine carcinoma components are present. For non-small cell histology, patients meet the requirements for enrollment if squamous components (e.g., adenosquamous) are present.
2. Patients with known history of severe hypersensitivity to any monoclonal antibody.
3. Patients with known hypersensitivity to any compositions of carboplatin or nab-paclitaxel.
4. Pregnant or breastfeeding females.
5. Patients with a known history of psychotropic drug abuse or drug addiction; or a history of alcohol abuse.
6. Patients who have other factors that could lead to the early termination of this study based on the investigator's judgment.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shanghai Henlius Biotech

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Oncology and Hematology Associates of Southwest Virginia

Roanoke, Virginia, United States

Site Status

Anhui Medical University - The Second Hospital

Hefei, Anhui, China

Site Status

Anhui Provincial Hospital

Hefei, Anhui, China

Site Status

The First Affiliated Hospital Of Anhui Medical University

Hefei, Anhui, China

Site Status

The Second Affiliated Hospital of Anhui Medical University

Hefei, Anhui, China

Site Status

Beijing Chaoyang Hospital

Beijing, Beijing Municipality, China

Site Status

Beijing Friendship Hospital

Beijing, Beijing Municipality, China

Site Status

Peking University First Hospital

Beijing, Beijing Municipality, China

Site Status

Daping Hospital

Chongqing, Chongqing Municipality, China

Site Status

The Second Affiliated Hospital of Army Medical University,PLA

Chongqing, Chongqing Municipality, China

Site Status

Fujian Medical University Union Hospital

Fuzhou, Fujian, China

Site Status

Fujian Provincial Cancer Hospital

Fuzhou, Fujian, China

Site Status

Fuzhou Pulmonary hospital of Fujian

Fuzhou, Fujian, China

Site Status

Gansu Wuwei Tumour Hospital

Wuwei, Gansu, China

Site Status

The First Affiliated Hospital of Guangzhou Medical University

Guangzhou, Guangdong, China

Site Status

The Fifth Affiliared Hospital Sun Yat-Sen University

Zhuhai, Guangdong, China

Site Status

Liuzhou People's Hospital

Liuzhou, Guangxi, China

Site Status

Liuzhou Worker's Hospital

Liuzhou, Guangxi, China

Site Status

Guangxi Medical University Affiliated Tumor Hospital

Nanning, Guangxi, China

Site Status

The People's Hospital of Guangxi Zhuang Autonomous Region

Nanning, Guangxi, China

Site Status

The Second Affiliated Hospital of Hainan Medical University

Haikou, Hainan, China

Site Status

Affiliated Hospital of Hebei University

Baoding, Hebei, China

Site Status

Cangzhou People's Hospital

Cangzhou, Hebei, China

Site Status

Tangshan People's Hospital

Tangshan, Hebei, China

Site Status

Harbin Medical University - Tumor Hospital (The Third Affiliated Hospital)

Harbin, Heilongjiang, China

Site Status

The fourth affiliated hospital of Harbin medical university

Harbin, Heilongjiang, China

Site Status

Jiamusi Cancer Hospital

Jiamusi, Heilongjiang, China

Site Status

The Third Affiliated Hospital of Qiqihar Medical University

Qiqihar, Heilongjiang, China

Site Status

The First Affiliated Hospital of Xinxiang Medical University

Xinxiang, Henan, China

Site Status

Henan Cancer Hospital

Zhengzhou, Henan, China

Site Status

Hubei Cancer Hospital

Wuhan, Hubei, China

Site Status

Hunan Cancer Hospital

Changsha, Hunan, China

Site Status

The Third Xiangya Hospital of Central South University

Changsha, Hunan, China

Site Status

Xuzhou Central Hospital

Xuzhou, Jiangsu, China

Site Status

the First Affiliated Hospital of Nanchang University

Nanchang, Jiangxi, China

Site Status

China-japan union hospital of jilin university

Changchun, Jilin, China

Site Status

Jilin Province Cancer Hospital

Changchun, Jilin, China

Site Status

Jilin Province People's Hospital

Changchun, Jilin, China

Site Status

The first hospital of Jilin University

Changchun, Jilin, China

Site Status

The second Hospital of Jilin University

Changchun, Jilin, China

Site Status

Chifeng Municipal Hospital

Chifeng, Neimenggu, China

Site Status

General Hospital of Ningxia Medical University

Yinchuan, Ningxia, China

Site Status

Shandong Cancer Hospital - Internal Medicine

Jinan, Shandong, China

Site Status

Linyi City People Hospital

Linyi, Shandong, China

Site Status

Shandong Linyi Tumor Hospital

Linyi, Shandong, China

Site Status

Shanghai Eastern Hospital /Affliated Eastern Hospital of Ton

Shanghai, Shanghai Municipality, China

Site Status

Shanghai Pulmonary Hospital

Shanghai, Shanghai Municipality, China

Site Status

West China Hospital, Sichuan University

Chengdu, Sichuan, China

Site Status

Tianjin Medical University Cancer Hospital

Tianjin, Tianjin Municipality, China

Site Status

Tianjin Medical University General Hospital

Tianjin, Tianjin Municipality, China

Site Status

Yunnan cancer hospital

Kunming, Yunnan, China

Site Status

Sir Run Run Shaw Hospital, Zhejiang University

Hangzhou, Zhejiang, China

Site Status

The First Affiliated Hospital of Zhejiang University

Hangzhou, Zhejiang, China

Site Status

The Second Affiliated Hospital of Zhejiang University

Hangzhou, Zhejiang, China

Site Status

High Technology Hospital MedCenter LTD

Batumi, , Georgia

Site Status

JSC Evex Clinics, St.Nikolozi Medical Centre

Kutaisi, , Georgia

Site Status

Acad.F.Todua Medical Center - Research Institute of Clinical Medicine LTD

Tbilisi, , Georgia

Site Status

Institute of Clinical Oncology LTD

Tbilisi, , Georgia

Site Status

LTD Israeli-Georgian Medical Research Clinic HELSICORE

Tbilisi, , Georgia

Site Status

Multiprofile Clinic Consilium Medula LTD

Tbilisi, , Georgia

Site Status

New Hospitals LTD

Tbilisi, , Georgia

Site Status

Scientific Research Center of Oncology LTD

Tbilisi, , Georgia

Site Status

Uniwersytecki Szpital Kliniczny w Białymstoku

Bialystok, , Poland

Site Status

Wojew. Wielospecjalistyczne Centrum Onkologii i Traumatologi

Lodz, , Poland

Site Status

LLC "VitaMed "

Moscow, , Russia

Site Status

University Clinic of Headaches

Moscow, , Russia

Site Status

Budgetary Healthcare Institution of Omsk Region "C

Omsk, , Russia

Site Status

GBUZ Orenburg Regional Clinical Oncology Dispensar

Orenburg, , Russia

Site Status

First St. Petersburg State Medical University n. a. Pavlov

Saint Petersburg, , Russia

Site Status

Limited Liability Company "AV Medical Group"

Saint Petersburg, , Russia

Site Status

LLC - Strategic Medical systems - Oncology - Oncology

Saint Petersburg, , Russia

Site Status

PMI "Evromedservice"

Saint Petersburg, , Russia

Site Status

Volgograd Regional Clinical Oncology Dispensary

Volgograd, , Russia

Site Status

Ankara University Medical Faculty - Oncology

Ankara, , Turkey (Türkiye)

Site Status

Hacettepe University Medical Faculty - Medical Oncology

Ankara, , Turkey (Türkiye)

Site Status

Trakya University Medical Faculty

Edirne, , Turkey (Türkiye)

Site Status

Istanbul University Cerrahpasa Medical Faculty

Istanbul, , Turkey (Türkiye)

Site Status

Medipol Mega Hospital

Istanbul, , Turkey (Türkiye)

Site Status

Ege University Medical Faculty

Izmir, , Turkey (Türkiye)

Site Status

Izmir Medical Park Hospital - Medical Oncology

Izmir, , Turkey (Türkiye)

Site Status

Kocaeli University Research and Practice Hospital

Kocaeli, , Turkey (Türkiye)

Site Status

Necmettin Erbakan University Meram Medical Faculty

Konya, , Turkey (Türkiye)

Site Status

Inonu University Turgut Ozal Medical Center

Malatya, , Turkey (Türkiye)

Site Status

Komunalna ustanova "Chernivets

Chernivtsi, , Ukraine

Site Status

Komunalnyi zaklad Miska bahato

Dnipro, , Ukraine

Site Status

Komunalne nekomertsiine pidpry

Kharkiv, , Ukraine

Site Status

PE PMC "Acinus"

Kirovohrad, , Ukraine

Site Status

Medychnyi tsentr "Mriya Med-Servis"

Kryvyi Rih, , Ukraine

Site Status

Limited Liability Company "Medical Center "Verum"

Kyiv, , Ukraine

Site Status

Komunalne pidpryiemstvo "Volynskyi oblasnyi medychnyi tsentr onkolohii" Volynskoyi oblasnoyi rady

Lutsk, , Ukraine

Site Status

Medychnyi tsentr "Onkolaif" LL

Zaporizhzhia, , Ukraine

Site Status

Zaporozhye Regional Clinical O

Zaporizhzhia, , Ukraine

Site Status

Countries

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United States China Georgia Poland Russia Turkey (Türkiye) Ukraine

References

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Zhou C, Hu Y, Arkania E, Kilickap S, Ying K, Xu F, Wu L, Wang X, Viguro M, Makharadze T, Sun H, Luo F, Shi J, Zang A, Pan Y, Chen Z, Jia Z, Kuchava V, Lu P, Zhang L, Cheng Y, Kang W, Wang Q, Yu H, Li J, Zhu J; ASTRUM-004 Investigators. A global phase 3 study of serplulimab plus chemotherapy as first-line treatment for advanced squamous non-small-cell lung cancer (ASTRUM-004). Cancer Cell. 2024 Feb 12;42(2):198-208.e3. doi: 10.1016/j.ccell.2023.12.004. Epub 2024 Jan 4.

Reference Type DERIVED
PMID: 38181795 (View on PubMed)

Other Identifiers

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HLX10-004-NSCLC303

Identifier Type: -

Identifier Source: org_study_id

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