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Completed

NCT Number: NCT03691090

Study of SHR-1210 in Combination With Chemotherapy in Advanced Esophageal Cancer

This is a randomised, double-blinded, placebo-controlled, multi-center phase III trial, comparing the efficacy and safety of SHR-1210 + paclitaxel + cisplatin vs placebo+paclitaxel +cisplatin as 1L therapy for advanced esophageal cancer patients in China. SHR-1210 is a humanized anti-PD1 IgG4 monoclonal antibody.

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Cancer Center of Sun-Yat Sen University (CCSYSU)

Guangzhou, Guangdong, 510060, China

About this study

In this study, eligible subjects will be randomized into study arm or control arm. Treatment cycles of chemotherapy will be at most 6 cycles which would be decided by the investigators. Progression-free survival (PFS) assessed by the Independent Review Committee (IRC) and overall survival (OS) will be the primary outcomes.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Histologically or cytologically confirmed unresectable local advanced/recurrent or metastasis esophageal squamous cell carcinoma;
  • No previous systemic anti-tumor treatment;
  • Subjects must have at least one measurable tumor lesion per RECIST 1.1;
  • Tissue samples should be provided for biomarkers (such as PD-L1) analysis;
  • ECOG: 0-1;
  • Adequate organ and bone marrow function;

Exclusion criteria

  • Allergic to monoclonal antibodies, any SHR-1210 components, paclitaxel, cisplatin and other platinum drugs;
  • Prior therapy as follow:
  • Anti-PD-1 or anti-PD-L1;
  • Any experimental drugs within 4 weeks of the first dose of study medication;
  • Received major operations or serious injuries within 4 weeks of the first dose of study medication;
  • Received last dose of anticancer therapy (including chemotherapy, radiotherapy, targeted therapy, etc.) within 4 weeks of the first dose of study medication;
  • Not recovered to ≤CTCAE 1 from adverse events (except for hair loss) due to a previously anti-tumor treatment;
  • Subjects with any active autoimmune disease or history of autoimmune disease;
  • Pregnancy or breast feeding;

Treatment and study plan

SHR-1210

Drug

SHR-1210 200mg

Other names: camrelizumab

Placebo

Drug

Placebo

paclitaxel

Drug

paclitaxel 175mg/m2

Cisplatin

Drug

cisplatin 75mg/m2

Primary outcomes

  1. PFS assessed by IRC

    Time frame: approximately 22 months

    based on response evaluation criteria in solid tumors 1.1 (RECIST 1.1)

  2. OS

    Time frame: approximately 22 months

    OS is defined as the time from registration to death due to any cause, or censored at date last known alive. Measured by the method of Kaplan and Meier.

Secondary outcomes

  1. PFS assessed by investigators

    Time frame: approximately 22 months

    based on response evaluation criteria in solid tumors 1.1 (RECIST 1.1)

  2. 6 and 9 month OS rate

    Time frame: approximately 6 and 9 months

    OS is defined as the time from registration to death due to any cause, or censored at date last known alive. Measured by the method of Kaplan and Meier.

  3. ORR

    Time frame: approximately 22 months

    based on response evaluation criteria in solid tumors 1.1 (RECIST 1.1)

  4. DCR

    Time frame: approximately 22 months

    based on response evaluation criteria in solid tumors 1.1 (RECIST 1.1)

  5. DoR

    Time frame: approximately 22 months

    based on response evaluation criteria in solid tumors 1.1 (RECIST 1.1)

  6. AE

    Time frame: approximately 22 months

    adverse events

Other outcomes

  1. Antidrug Antibodies (ADAs)

    Time frame: approximately 22 months

    To evaluate the incidence of ADAs against SHR-1210

Sponsors and collaborators

Lead sponsor

Jiangsu HengRui Medicine Co., Ltd.

Industry

Registry information

Official study title

PD-1 Antibody SHR-1210 Combined With Paclitaxel and Cisplatin Versus Placebo Combined With Paclitaxel and Cisplatin as First-line Therapy for Advanced Esophageal Cancer: a Randomized, Double-blinded, Controlled, Multi-center Phase III Trial

Important dates

Study start
2018
Primary completion
2020
Study completion
2022
First posted
Oct 1, 2018
Registry last updated
Dec 7, 2022

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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