A Study of CS1001 in Subjects With Esophageal Squamous Cell Carcinoma

NCT ID: NCT04187352

Last Updated: 2023-11-24

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

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

540 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-12-19

Study Completion Date

2022-10-07

Brief Summary

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Phase III Study to Investigate the Efficacy and Safety of CS1001 or Placebo in Combination with FP as First-Line Therapy in Subjects with Unresectable Locally Advanced, Recurrent or Metastatic Esophageal Squamous Cell Carcinoma

Detailed Description

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Conditions

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Unresectable Locally Advanced, Recurrent or Metastatic Esophageal Squamous Cell Carcinoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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CS1001+ Fluorouracil+Cisplatin

Group Type EXPERIMENTAL

CS1001+ Fluorouracil+Cisplatin

Intervention Type DRUG

CS1001 1200 mg, intravenous infusion on the first day of each cycle (3 weeks) (Q3W).

Fluorouracil: 800 mg/m2/day, continuous intravenous infusion on Day 1 to Day 4 of each cycle Cisplatin: 80 mg/m2, intravenous infusion on the first day of each cycle.

Placebo+ Fluorouracil+Cisplatin

Group Type ACTIVE_COMPARATOR

Placebo+ Fluorouracil+Cisplatin

Intervention Type DRUG

Placebo 1200 mg, intravenous infusion on the first day of each cycle (3 weeks) (Q3W).

Fluorouracil: 800 mg/m2/day, continuous intravenous infusion on Day 1 to Day 4 of each cycle Cisplatin: 80 mg/m2, intravenous infusion on the first day of each cycle.

Interventions

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CS1001+ Fluorouracil+Cisplatin

CS1001 1200 mg, intravenous infusion on the first day of each cycle (3 weeks) (Q3W).

Fluorouracil: 800 mg/m2/day, continuous intravenous infusion on Day 1 to Day 4 of each cycle Cisplatin: 80 mg/m2, intravenous infusion on the first day of each cycle.

Intervention Type DRUG

Placebo+ Fluorouracil+Cisplatin

Placebo 1200 mg, intravenous infusion on the first day of each cycle (3 weeks) (Q3W).

Fluorouracil: 800 mg/m2/day, continuous intravenous infusion on Day 1 to Day 4 of each cycle Cisplatin: 80 mg/m2, intravenous infusion on the first day of each cycle.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. ≥ 18 years and ≤ 75 years on the day of signing informed consent form (ICF).
2. Fully informed of the study, with good compliance and willing to provide written ICF. The ICF must be signed before performing any protocol-related procedure (that is not a part of subject's routine medical care).
3. Subjects with pathohistologically or cytologically confirmed unresectable locally advanced, relapsed or metastatic ESCC (based on American Joint Committee on Cancer \[AJCC\] Guideline version 8, see Appendix 14.2)
4. Subjects must not be eligible for radical therapy such as radical chemoradiotherapy or surgery.
5. Subjects who have not received any systemic anti-neoplastic therapy as the main regimen for locally advanced or metastatic ESCC. (Subjects who received prior neoadjuvant, adjuvant or radical chemoradiotherapy for ESCC but had relapse or progression of disease 6 months after the completion of these treatments are allowed.)
6. ECOG PS 0 or 1.
7. Life expectancy ≥ 3 months.
8. Subjects have at least one measurable lesion as evaluated by the investigator according to RECIST v1.1, and the baseline imaging assessment must be performed within 28 days prior to the first dose of investigational product. Target lesions in the past radiation fields, if confirmed as radiological progression, are considered as measurable lesions.
9. Palliative treatment (e.g. radiotherapy) for local lesion must be completed ≥ 14 days prior to the first dose of investigational product.
10. Subjects must provide tumor tissue samples (formalin fixed-paraffin embedded \[FFPE\] tissue block or unstained tumor tissue sections) for biomarker analysis, in order to determine the expression of PD-L1.
11. Subjects must have adequate organ function as assessed in the following laboratory tests (subjects must not receive any blood transfusion or any hematopoietic growth factor within 7 days prior to the test)
12. Female subjects with childbearing potential (unless with documentation of sterilization surgery or being post-menopausal) must have negative serum pregnancy test result at screening. Female subject with childbearing potential (unless with documentation of sterilization surgery or being post-menopausal) or male subjects and their partners must agree to use an effective contraceptive measure from the day of signing ICF till at least 6 months after the last dose of investigational product.

Exclusion Criteria

1. Adenocarcinoma, mixture of adenocarcinoma and squamous cell carcinoma, or other pathological type of esophageal cancer.
2. Subjects with active central nervous system (CNS) metastasis and/or carcinomatous meningitis (that is symptomatic, or requires treatment, or no radiological evidence confirming the stability of the lesion within 28 days prior to the first dose of investigational product).
3. With another active primary malignancy in the past 5 years, except local curable cancers that have undergone curative therapy, e.g. basal cell carcinoma of skin, squamous cell carcinoma of skin, superficial bladder cancer, prostate cancer in situ, breast cancer in situ or cervical cancer in situ.
4. Known history of positive human immunodeficiency virus (HIV) test result or acquired immunodeficiency syndrome (AIDS).
5. Any severe or uncontrolled systemic disease, e.g., diabetes mellitus or hypertension, that may increase the risk associated with participation in the study or investigational product administration, or compromise subject's ability to receive investigational product, as per investigator's judgment.
6. Subjects who have previously received any treatment of antibody or drug that targets at T-cell coregulatory pathways or immune checkpoint pathways, e.g., antibodies targeting at programmed death receptor-1 (PD-1), programmed death receptor-ligand 1 (PD-L1), cytotoxic T lymphocyte-associated antigen 4 (CTLA-4), OX-40, CD137, T cell immunoglobulin mucin molecule 3 (TIM-3), lymphocyte activation gene 3 (LAG-3), etc. Subjects who have received cell-based immunotherapy (e.g., cytokine-induced killer cell \[CIK\], chimeric antigen receptor T cell \[CAR-T\] immunotherapy, etc.).
7. All toxicities except for alopecia and fatigue that are caused by the prior anti-neoplastic treatment has recovered to Grade 1 (according to National Cancer Institute Common Toxicity Criteria for Adverse Events \[NCI CTCAE\] v5.0).
8. Subjects with history of allogenic stem cell or solid organ transplantation.
9. Subjects with any condition that in the investigator's opinion are not suitable for participating in this study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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CStone Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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The First Affiliated Hospital of Bengbu Medical College

Bengbu, Anhui, China

Site Status

Anhui Provincial Hospital

Hefei, Anhui, China

Site Status

Hefei Second People's 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 Friendship Hospital, Capital Medical University

Beijing, Beijing Municipality, China

Site Status

Beijing Tsinghua Changgung Hospital

Beijing, Beijing Municipality, China

Site Status

Peaking University International Hospital

Beijing, Beijing Municipality, China

Site Status

Chongqing General Hospital

Chongqing, Chongqing Municipality, China

Site Status

Special Medical Center of The People's Liberation Army of China

Chongqing, Chongqing Municipality, China

Site Status

The First Affiliated Hospital of Chongqing Medical University

Chongqing, Chongqing Municipality, China

Site Status

Fujian Cancer Hospital

Fuzhou, Fujian, China

Site Status

The First Affiliated Hospital of Xiamen University

Xiamen, Fujian, China

Site Status

The First People's Hospital of Foshan

Foshan, Guangdong, China

Site Status

Cancer Center of Guangzhou Medical University

Guangzhou, Guangdong, China

Site Status

Guangdong Provincial Hospital of Traditional Chinese Medicine

Guangzhou, Guangdong, China

Site Status

Guangdong Provincial People's Hospital

Guangzhou, Guangdong, China

Site Status

Jiangmen Central Hospital

Jiangmen, Guangdong, China

Site Status

Jieyang People's Hospital

Jieyang, Guangdong, China

Site Status

Affiliated Tumor Hospital of Shantou University Medical College

Shantou, Guangdong, China

Site Status

The Fifth Affiliated Hospital of Sun Yat sen University

Zhuhai, Guangdong, China

Site Status

Guangxi Medical University Affiliated Tumor Hospital

Nanning, Guangxi, China

Site Status

Hainan General Hospital

Haikou, Hainan, China

Site Status

The Second Affiliated Hospital of Hainan Medical University

Haikou, Hainan, China

Site Status

Affiliated Hospital of Chengde Medical University

Chengde, Hebei, China

Site Status

Handan Central Hospital

Handan, Hebei, China

Site Status

Shijiazhuang People's Hospital

Shijiazhuang, Hebei, China

Site Status

The Affiliated Tumor Hospital of Harbin Meidical University

Haerbin, Heilongjiang, China

Site Status

Anyang Cancer Hospital

Anyang, Henan, China

Site Status

The First Affiliated Hospital of Henan University of Science and Technology

Luoyang, Henan, China

Site Status

Nanyang Central Hospital

Nanyang, Henan, China

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Nanyang First People's Hospital

Nanyang, Henan, China

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Puyang Oilfield General Hospital

Puyang, Henan, China

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Xinxiang First People's Hospital

Xinxiang, Henan, China

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Henan Cancer Hospital

Zhengzhou, Henan, China

Site Status

Henan Provincial People's Hospital

Zhengzhou, Henan, China

Site Status

The First Affiliated Hospital of Zhengzhou University

Zhengzhou, Henan, China

Site Status

Hubei Cancer Hospital

Wuhan, Hubei, China

Site Status

Tongji Medical College of HUST, Tongji Medical College Huazhong University of Science and Technology

Wuhan, Hubei, China

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Wuhan Fifth Hospital

Wuhan, Hubei, China

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Wuhan Union Hospital

Wuhan, Hubei, China

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Hunan Cancer Hospital

Changsha, Hunan, China

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Changzhou Tumor Hospital

Changzhou, Jiangsu, China

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Huai'an First People's Hospital

Huai'an, Jiangsu, China

Site Status

Jiangsu Province Hospital

Nanjing, Jiangsu, China

Site Status

Jiangxi Cancer Hospital

Nanchang, Jiangxi, China

Site Status

The First Affiliated Hospital Of Nanchang University

Nanchang, Jiangxi, China

Site Status

Jilin Cancer Hospital

Changchun, Jilin, China

Site Status

The Second Hospital of Jilin University

Changchun, Jilin, China

Site Status

Tonghua Central Hospital

Tonghua, Jilin, China

Site Status

Liaoning Cancer Hospital and Institute

Shenyang, Liaoning, China

Site Status

Jinan central Hospital

Jinan, Shandong, China

Site Status

Shandong Cancer Hospital

Jinan, Shandong, China

Site Status

Linyi Cancer Hospital

Linyi, Shandong, China

Site Status

The Affiliated Hospital of Qingdao University

Qingdao, Shandong, China

Site Status

Shanghai East Hospital

Shanghai, Shanghai Municipality, China

Site Status

Shanghai Chest Hospital

Shanghai, Shanghai Municipality, China

Site Status

Linfen Central Hospital

Linfen, Shanxi, China

Site Status

Shanxi Provincial Cancer Hospital

Taiyuan, Shanxi, China

Site Status

Chengdu Fifith people's hospital

Chengdu, Sichuan, China

Site Status

Sichuan Provincial People's Hospital

Chengdu, Sichuan, China

Site Status

West China Hospital Sichuan University

Chengdu, Sichuan, China

Site Status

The Affiliated Hospital of Southwest Medical University

Luzhou, Sichuan, China

Site Status

Suining Central Hospital

Suining, Sichuan, China

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Yibin Second People's Hospital

Yibin, Sichuan, China

Site Status

Tianjin Cancer Hospital

Tianjin, Tianjin Municipality, China

Site Status

Tianjin Medical University General Hospital

Tianjin, Tianjin Municipality, China

Site Status

Cancer Hospital Affiliated to Xinjiang Medical University

Ürümqi, Xinjiang, China

Site Status

Yunnan Cancer Hospital

Kunming, Yunnan, China

Site Status

The Second Affiliated Hospital Zhejiang University School of Medicine

Hangzhou, Zhejiang, China

Site Status

Zhejiang Cancer Hospital

Hangzhou, Zhejiang, China

Site Status

Zhejiang Provincial People's Hospital

Hangzhou, Zhejiang, China

Site Status

Countries

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China

References

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Li J, Chen Z, Bai Y, Liu B, Li Q, Zhang J, Zhou J, Deng T, Zhou F, Gao S, Yang S, Ye F, Chen L, Bai W, Yin X, Cang S, Liu L, Pan Y, Luo H, Ji Y, Zhang Z, Wang J, Yang Q, Li N, Huang R, Qu C, Ni J, Wang B, Xu Y, Hu J, Shi Q, Yang J. First-line sugemalimab with chemotherapy for advanced esophageal squamous cell carcinoma: a randomized phase 3 study. Nat Med. 2024 Mar;30(3):740-748. doi: 10.1038/s41591-024-02797-y. Epub 2024 Feb 1.

Reference Type DERIVED
PMID: 38302715 (View on PubMed)

Other Identifiers

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CS1001-304

Identifier Type: -

Identifier Source: org_study_id