A Study of Anlotinib and AK105 Injection in Subjects With Gastrointestinal Tumors, Urinary System Tumors, Neuroendocrine Tumors

NCT ID: NCT04207463

Last Updated: 2020-06-17

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

PHASE2

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-06-03

Study Completion Date

2021-05-30

Brief Summary

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AK105 is a humanized monoclonal antibody that specially binds to PD-1. Anlotinib is a small molecule tyrosine kinase inhibitor. Based on the mechanism study, tumor vascular abnormalities promote tissue hypoxia and increase lactic acid, thereby activating immunosuppression and inhibiting T cell function. Anti-angiogenic drugs enhance the infiltration of effector immune cells by inducing normalization of blood vessels and reducing immunosuppression.

Detailed Description

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Conditions

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Gastrointestinal Tumors, Urinary System Tumors, Neuroendocrine Tumors

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Anlotinib and AK105 injection

AK105 200mg intravenously (IV) on day 1 of each 21-day cycle plus Anlotinib capsules given orally in fasting conditions , once daily in 21-day cycle (14 days on treatment from Day 1-14, 7 days off treatment from Day 15-21)

Group Type EXPERIMENTAL

AK105

Intervention Type DRUG

AK105 is a humanized monoclonal antibody that specifically binds to PD-1. AK105 has a typical antibody structure and is composed of two lgG1 subtype heavy chains and two kappa subtypes light chains covalently linked by disulfide bonds.

Anlotinib

Intervention Type DRUG

a multi-target receptor tyrosine kinase inhibitor

Interventions

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AK105

AK105 is a humanized monoclonal antibody that specifically binds to PD-1. AK105 has a typical antibody structure and is composed of two lgG1 subtype heavy chains and two kappa subtypes light chains covalently linked by disulfide bonds.

Intervention Type DRUG

Anlotinib

a multi-target receptor tyrosine kinase inhibitor

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* 1\. Cohort 1:Histopathologically confirmed metastatic or inoperable cholangiocarcinoma failed with first-line or above chemotherapy.

Cohort 2: Histopathologically confirmed recurrent or metastatic colorectal cancer that is not suitable for surgery with MSI-H or dMMR.

Cohort 3: Histopathologically confirmed metastatic or recurrent gastric or gastroesophageal junction (GEJ) adenocarcinoma.

Cohort 4:Histopathologically confirmed local progression or metastatic urothelial carcinoma that is not suitable for surgery.

Cohort 5:Low- and medium-grade (G1 or G2) late gastrointestinal pancreatic neuroendocrine tumor (NET) subjects diagnosed by pathology." 2.18 years and older; Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1; Life expectancy ≥ 3 months.

3.At least one measurable lesion. 4.The main organs function are normally. 5. Male or female subjects should agree to use an adequate method of contraception starting with the first dose of study therapy through 6 months after the last dose of study (such as intrauterine devices , contraceptives or condoms) ;No pregnant or breastfeeding women, and a negative pregnancy test are received within 7 days before the randomization.

6\. Understood and signed an informed consent form.

Exclusion Criteria

* 1.Has used anti-angiogenic drugs such as bevacizumab, erlotinib, apatinib, sorafenib, sunitinib, and endothelium or against PD-1, PD-L1 and other related immunotherapeutic drugs.

2\. HER2 positive in cohort 3. 3. Has received chemotherapy, radiotherapy or other treatments within 4 weeks prior to the first dose.

4.Has brain metastases with symptoms or symptoms control for less than 2 months.

5.Has diagnosed and/or treated additional malignancy within 5 years prior to the first dose.

6.Has multiple factors affecting oral medication. 7.Has uncontrolled pleural effusion, pericardial effusion, or ascites requiring repeated drainage.

8.Has unrelieved spinal cord compression. 9.Imaging shows that tumors invade large blood vessels. 10.Has hemoptysis within 1 month prior to the first dose and maximum daily hemoptysis ≥2.5 mL.

11.Has adverse events caused by previous therapy except alopecia that did not recover to ≤grade 1.

12.Has received surgery, or unhealed wounds within 4 weeks before the first dose.

13\. Has artery/venous thrombosis prior to the first dose within 6 months. 14. Has drug abuse history that unable to abstain from or mental disorders 15. Has any serious and / or uncontrolled disease. 16. Has received vaccination or attenuated vaccine within 4 weeks prior to the first dose.

17.Hypersensitivity to recombinant humanized anti-PD-1 monoclonal or its components.

18\. Immunosuppressive therapy with immunosuppressive agents or systemic or absorbable local hormones (dosage \> 10 mg/day prednisone or other therapeutic hormones) is required for the purpose of immunosuppression, and is still in use for 2 weeks after the first dose.

19.Diagnosed as immunodeficiency or receiving systemic glucocorticoid therapy or any other form of immunosuppressive therapy (dose \>10 mg/day of prednisone or other therapeutic hormones) and continued to be used for 2 weeks prior to the first dose 20. Has participated in other anticancer drug clinical trials within 4 weeks. 21. According to the judgement of the researchers, there are other factors that subjects are not suitable for the study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chia Tai Tianqing Pharmaceutical Group Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College

Beijing, Beijing Municipality, China

Site Status RECRUITING

Beijing Hospital

Beijing, Beijing Municipality, China

Site Status NOT_YET_RECRUITING

Peking Union Medical College Hospital

Beijing, Beijing Municipality, China

Site Status NOT_YET_RECRUITING

Jiangsu Cancer Hospital

Nanjing, Jiangsu, China

Site Status RECRUITING

Harbin Medical University Cancer Hospital

Harbin, Jilin, China

Site Status NOT_YET_RECRUITING

Jinan Central Hospital

Jinan, Shandong, China

Site Status RECRUITING

Shanxi Provincial Cancer Hospital

Xi’an, Shanxi, China

Site Status NOT_YET_RECRUITING

Countries

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China

Facility Contacts

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Aiping Zhou, Doctor

Role: primary

021-38804518

Yunbo Zhao, Doctor

Role: primary

010-85136715

Jianfeng Zhou, Doctor

Role: primary

010-69158750

Jifeng Feng, Doctor

Role: primary

025-83283415

Yanqiao Zhang, Doctor

Role: primary

0451-86298278

Yuping Sun, Doctor

Role: primary

0531-68623306

Zijun Liao, Doctor

Role: primary

029-85276142

Other Identifiers

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ALTN-AK105-II-02

Identifier Type: -

Identifier Source: org_study_id

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