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Completed

NCT Number: NCT04945421

IBI310 in Combination With Siltilimab in Subjects With Anti-PD-1/PD-L1 Resistance R/M NPC

This is a phase 1b/II, open label, multicenter study of IBI310 (Anti-CTLA4 mAb) in combination with Sintilimab in patients with recurrent/metastatic Nasopharyngeal Carcinoma that failed prior Anti-PD-1/PD-L1 therapy

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Key information

Conditions

NPC

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Sun Yat-sen University Cancer Center

Guangzhou, Guangdong, 510060, China

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Aged ≥18 years;
  • ECOG 0 ~ 1;
  • Histologically/cytologically confirmed R/M NPC;
  • Failed to prior Anti-PD-1 resistance;
  • Adequate organ and bone marrow function;
  • Expected survival ≥12 weeks;
  • Female subjects of childbearing age or male patients whose sex partners are women of childbearing age should take effective contraceptive measures throughout the treatment period and within 6 months after the last administration;
  • Subjects who sign the written informed consent form, and can abide by the visits and related procedures specified in the protocol.
  • At least 1 measurable lesion according to the Response Evaluation Criteria in Solid Tumors Version 1.1(RECIST V1.1).

Exclusion criteria

  • Had tumors other than NPC within the past 5 years.
  • Had allogeneic organ or stem cell transplantation.
  • The presence of uncontrolled life-threatening illness
  • Women of child-bearing potential who are pregnant or breastfeeding because of the potentially dangerous effects of the preparative chemotherapy on the fetus or infant.
  • Patients who have used large doses of glucocorticoids, anti-cancer monoclonal antibodies, and other immunosuppressive agents within 4 weeks.
  • HIV positive.
  • Patients with significantly lower heart, liver, lung, kidney and bone marrow function.
  • Severe, uncontrolled medical conditions and infections.
  • At the same time using other test drugs or in other clinical trials.
  • Refusal or inability to sign informed consent to participate in the trial.
  • Other treatment contraindications.
  • Emotional disturbance or mental illness, no civil capacity or limited capacity for civil conduct.
  • Hepatitis B surface antigen (HBsAg) positive and HBVDNA ≥1000cps/ml.
  • Patients with positive HCV antibody test results can only be included in the study when the polymerase chain reaction of HCV RNA is negative.

Treatment and study plan

Sintilimab

Drug

(IBI310 3 mg/kg IV d1, Q3W combined with sintilimab 100 mg IV d1, Q3W) or( IBI310 1 mg/kg IV d1, Q3W combined with sintilimab 200 mg IV d1, Q3W) for up to 4 cycles, and then sintilimab 200 mg IV d1, Q3W until progressive disease, intolerable toxicity, start of a new antitumor treatment, withdrawal of informed consent, loss to follow-up, death or other situations requiring termination of treatment specified in the protocol, whichever occurs first.

IBI310

Drug

(IBI310 3 mg/kg IV d1, Q3W combined with sintilimab 100 mg IV d1, Q3W) or( IBI310 1 mg/kg IV d1, Q3W combined with sintilimab 200 mg IV d1, Q3W) for up to 4 cycles, and then sintilimab 200 mg IV d1, Q3W until progressive disease, intolerable toxicity, start of a new antitumor treatment, withdrawal of informed consent, loss to follow-up, death or other situations requiring termination of treatment specified in the protocol, whichever occurs first.

Primary outcomes

  1. ORR(Objective response rate)

    Time frame: Up to 2 years

    Investigator evaluated ORR per RECIST V1.1

Secondary outcomes

  1. DOR(Duration of Response)

    Time frame: Up to 2 years

    defined as the time from the first documented objective response to the first documented progressive disease or death of any cause, whichever occurs first;

  2. PFS (Progress Free Survival)

    Time frame: Up to 2 years

    defined as the time from randomization to the first documented progressive disease or death of any cause, whichever occurs first;

  3. OS (Overall Survival)

    Time frame: Up to 2 years

    defined as the time from randomization to death of any cause in subjects without receiving any immunotherapy outside the study protocol for first-line treatment of advanced HCC;

  4. DCR(Disease control rate)

    Time frame: Up to 2 years

    defined as the proportion of patients whose best response is CR, PR, and stable disease (SD) non-CR/non-PD

  5. TTR(Time to progress)

    Time frame: Up to 2 years

    defined as the time from randomization to the first documented and confirmed objective response (CR or PR)

  6. TEAE(Treatment Emergent Adverse Event)/SAE(Serious Adverse Event)

    Time frame: Up to 2 years

    Incidence and severity of treatment-emergent: which is evaluated according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE, v5.0, 2017) grade;

  7. Changes of Quality of life, according to EORTC QLQ-C30

    Time frame: Up to 2 years

    According to EORTC QLQ-C30

  8. Changes of Quality of life, according to EORTC QLQ-H&N35

    Time frame: Up to 2 years

    According to EORTC QLQ-H&N35

  9. ADAs

    Time frame: Up to 2 years

    The immunogenicity of IBI310 will be assessed by summarizing the number of subjects who develop detectable anti-drug antibodies (ADAs)

Sponsors and collaborators

Lead sponsor

Innovent Biologics (Suzhou) Co. Ltd.

Industry

Registry information

Official study title

The Phase Ib/II, Open-label, Multicenter Study of IBI310 (Anti-CTLA4 mAb) in Combination With Sintilimab in Patients With Recurrent/Metastatic Nasopharyngeal Carcinoma That Failed Prior Anti-PD-1/PD-L1 Therapy

Important dates

Study start
2021
Primary completion
2022
Study completion
2023
First posted
Jun 30, 2021
Registry last updated
Feb 23, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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