A Study of Anlotinib Combined With AK105 Injection in Subjects With Microsatellite Instability-High (MSI-H) or Mismatch Repair Deficient (dMMR) Advanced Solid Tumor

NCT ID: NCT04291248

Last Updated: 2020-03-02

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

138 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-03-31

Study Completion Date

2022-12-31

Brief Summary

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This study is designed to evaluate the efficacy and safety of Anlotinib combined with AK105 injection or AK105 monotherapy in subjects with MSI-H or dMMR advanced solid tumors. In this study, 138 subjects will be enrolled, and those who met the admission criteria will divide into cohort 1 (anlotinib combined with AK105) and cohort 2 (AK105 ). The first phase of this study is a randomized, open-label, parallel-controlled, multicenter design, in which 30 subjects are randomly enrolled in two cohorts. The second phase is to continue enrollment of cohort 1 or cohort 2 when which cohort has the better clinical benefit than the other one.

Detailed Description

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Conditions

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MSI-H or dMMR Advanced Solid Tumors

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Anlotinib+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.

AK105 injection

AK105 200mg intravenously (IV) on day 1 of each 21-day cycle.

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.

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\. Histopathologically confirmed MSI-H or dMMR advanced malignant solid tumors. 2. Has provided previously achieved tumor tissue samples or fresh samples. 3. 18 years and older; Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1; Life expectancy ≥ 3 months.

4\. At least one measurable lesion. 5. The main organs function are normally. 6.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.

7.Understood and signed an informed consent form.

Exclusion Criteria

* 1.Has used against PD-1, PD-L1 and other related immunotherapeutic drugs. 2. Has received chemotherapy, radiotherapy or other treatments within 4 weeks prior to the first dose.

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

4\. Has diagnosed and/or treated additional malignancy within 3 years prior to the first dose.

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

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

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

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

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

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

17\. Has active autoimmune diseases requiring systemic treatment occurred within 2 years before the first administration.

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\. Has a history of active TB. 20. Has participated in other anticancer drug clinical trials within 4 weeks. 20. 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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Beijing Hospital

Beijing, Beijing Municipality, China

Site Status

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

Beijing, Beijing Municipality, China

Site Status

Chinese Academy of Medical Sciences, Peking Union Medical College Hospital

Beijing, Beijing Municipality, China

Site Status

Peking University International Hospital

Beijing, Beijing Municipality, China

Site Status

The Third Affiliated Hospital of Harbin Medical University

Harbin, Heilongjiang, China

Site Status

Jiangsu Cancer Hospital

Nanjing, Jiangsu, China

Site Status

The Second Affiliated Hospital of The PLA Air Force Medical University

Xi’an, Shanxi, China

Site Status

Shanxi Cancer Hospital

Xi’an, Shanxi, China

Site Status

Tianjin Cancer Hospital

Tianjin, Tianjin Municipality, China

Site Status

Countries

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China

Central Contacts

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Aiping Zhou, Doctor

Role: CONTACT

010-87788800

Facility Contacts

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Yunbo Zhao, Doctor

Role: primary

010-85136715

Aiping Zhou, Doctor

Role: primary

010-87788800

Jianfeng Zhou, Doctor

Role: primary

010-69158750

Jun Liang, Doctor

Role: primary

Yanqiao Zhang, Doctor

Role: primary

0451-86298278

Jifeng Feng, Doctor

Role: primary

025-83283415

Haichuan Su, Doctor

Role: primary

029-84777455

Zijun Liao, Doctor

Role: primary

029-85276142

Ting Deng, Doctor

Role: primary

022-23340123

Other Identifiers

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ALTN-AK105-II-03

Identifier Type: -

Identifier Source: org_study_id

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