Neoadjuvant TherapyPhase 2NCT04588987
Neoadjuvant Carilizumab and Apatinib for Recurrent High-Grade Glioma
A Phase 2 study testing PD-1 in people with Neoadjuvant Therapy and Carilizumab, run by Sun Yat-sen University at 1 site in China.
Trial summary
GBM is the most common intracranial tumor in adults, accounting for about 40% of all primary intracranial tumors.Although surgery, radiotherapy and chemotherapy have been used, the prognosis of glioma patients is still very poor. Read more about this study
- Who is it for?
- Ages 18 to 70 years
- Conditions the study is for
- Neoadjuvant Therapy, Carilizumab, Apatinib
- What is being tested?
- PD-1
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 60 participants
- Where
- 1 siteChina
- Study dates
- Oct 2020to May 2024
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 70 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Written informed consent.
- Age 18-70 years old, both male and female.
- After biopsy or surgery, the postoperative pathological diagnosis was WHO III-IV glioma.
- Patients in whom surgery can be safely delayed for a minimum period of 2 weeks following the administration of the first dose of nivolumab, in the opinion of the investigator.
- KPS score ≥60;
- Life expectancy >12 weeks.
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- Adequate organ function defined by:
- HGB≥110g/L;
- WBC≥3.0×109/L;NEUT≥1.5×109/L;
- PLT ≥75×109/L;
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- BIL≤1.5ULN;
- ALT and AST≤2.0×ULN;
- creatinine < 1.5 x ULN or estimated creatinine clearance≥50ml/min(using the Cockcroft-Gault formula)
Who cannot join
- Presence of extracranial disease.
- Previous treatment with a PD-1, PDL-1 or CTLA-4,VEGFR targeted therapy.
- Pregnant or breastfeeding patients.
- Known history of testing positive for human immunodeficiency virus (HIV) or known acquired immunodeficiency syndrome (AIDS). Routine testing is not required.
- Positive tests for hepatitis B virus surface antigen (HBV sAg) or hepatitis C virus ribonucleic acid (HCV RNA) indicating active or chronic infection.
- History of allergy to study drug components or of severe hypersensitivity reactions to any monoclonal antibodies.
- Known drug or alcohol abuse.
Trial locations and contacts
1 site in 1 country.
Ke Chao, PHD contact
China1 site, 1 recruiting
- Recruiting
Cancer center of Sun Yat sen University
Guangzhou, Guangdong
Ke Chao, PHD, kechao@sysucc.org.cn
Ju xue, PHD, yangqy@sysucc.org.cn
About this study
Official title: A Study to Evaluate the Safety and Efficiency of Using the Neoadjuvant Therapy With Carilizumab and Apatinib in Patients With Recurrent High-Grade Glioma :A Prospective, Randomized Study
GBM is the most common intracranial tumor in adults, accounting for about 40% of all primary intracranial tumors.Although surgery, radiotherapy and chemotherapy have been used, the prognosis of glioma patients is still very poor. The study aim to Evaluate the Safety and efficiency of Using the neoadjuvant therapy with Carilizumab and Apatinib in patients with Recurrent High-Grade Glioma.
- Being tested
- PD-1
- Medical subject headings
- Glioma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PD-1Biological
Also called apatinib
Neoadjuvant PD-1 and Apatinib for rHGG. Adjuvant PD-1 and Apatinib for rHGG
| Study group | Role | What they receive |
|---|---|---|
| Neoadjuvant group | Experimental | Patients need to treat with PD-1 and apatinib before surgery. Sequential therapy with PD-1 and apatinib when patients accepted surgery. Receives: Biological: PD-1 |
| Adjuvant group | Experimental | Before surgery, patients no need to treat with PD-1 and apatinib. Sequential therapy with PD-1 and apatinib when patients accepted surgery. Receives: Biological: PD-1 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall survival (OS)
Time from enrollment to the dates of death from any cause or last follow up reported between date of first patient enrollment
Measured: 3 years
Secondary outcomes (1)
Progression-free survival(PFS)
Time from enrollment to the dates of disease progression,death from any cause or last tumor assessment reported between date of first patient enrollment
Measured: 18 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Oct 2020
- Study startOct 2020 (estimated)
- Primary completionOct 2023 (estimated)
- Study completionMay 2024 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Neoadjuvant TherapyStudies of the same condition, open and under way.
- More trials run by Sun Yat-sen UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 60 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Sun Yat-sen University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Zhongping Chen, Sun Yat-sen University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04588987
- Sponsor's protocol ID
- MA-GBM-II-001
- Status last verified
- Oct 2020
- First submitted
- 6 Sep 2020
- Last updated
- 19 Oct 2020
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 19 Oct 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Study to Evaluate the Safety and Efficiency of Using the Neoadjuvant Therapy With Carilizumab and Apatinib in Patients With Recurrent High-Grade Glioma :A Prospective, Randomized Study
- ClinicalTrials.gov ID
- NCT04588987
- Acronym / sponsor ID
- MA-GBM-II-001
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 60 participants (estimated)
- Lead sponsor
- Sun Yat-sen UniversityUniversity, hospital or other
- Study start
- Oct 2020 (estimated)
- Primary completion
- Oct 2023 (estimated)
- Study completion
- May 2024 (estimated)
- First posted
- 19 Oct 2020 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
GBM is the most common intracranial tumor in adults, accounting for about 40% of all primary intracranial tumors.Although surgery, radiotherapy and chemotherapy have been used, the prognosis of glioma patients is still very poor. The study aim to Evaluate the Safety and efficiency of Using the neoadjuvant therapy with Carilizumab and Apatinib in patients with Recurrent High-Grade Glioma.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Neoadjuvant group | Experimental | Biological: PD-1Patients need to treat with PD-1 and apatinib before surgery. Sequential therapy with PD-1 and apatinib when patients accepted surgery. |
| Adjuvant group | Experimental | Biological: PD-1Before surgery, patients no need to treat with PD-1 and apatinib. Sequential therapy with PD-1 and apatinib when patients accepted surgery. |
Who may qualify
- Ages
- 18 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (14 listed)
- Written informed consent.
- Age 18-70 years old, both male and female.
- After biopsy or surgery, the postoperative pathological diagnosis was WHO III-IV glioma.
- Patients in whom surgery can be safely delayed for a minimum period of 2 weeks following the administration of the first dose of nivolumab, in the opinion of the investigator.
- KPS score ≥60;
Key exclusion criteria (7 listed)
- Presence of extracranial disease.
- Previous treatment with a PD-1, PDL-1 or CTLA-4,VEGFR targeted therapy.
- Pregnant or breastfeeding patients.
- Known history of testing positive for human immunodeficiency virus (HIV) or known acquired immunodeficiency syndrome (AIDS). Routine testing is not required.
- Positive tests for hepatitis B virus surface antigen (HBV sAg) or hepatitis C virus ribonucleic acid (HCV RNA) indicating active or chronic infection.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| PD-1Also: apatinibNeoadjuvant PD-1 and Apatinib for rHGG. Adjuvant PD-1 and Apatinib for rHGG | Biological | Adjuvant group, Neoadjuvant group |
Primary outcome
Overall survival (OS)
Time frame: 3 years
Time from enrollment to the dates of death from any cause or last follow up reported between date of first patient enrollment
1 secondary outcome
Progression-free survival(PFS)
Time frame: 18 months
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Oct 2020.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Ke Chao, PHD contact
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing PD-1 in people with Neoadjuvant Therapy and Carilizumab, run by Sun Yat-sen University at 1 site in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 14 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 19 Oct 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Chen Zhong ping, PHD (020-8734009, chenzhp@sysucc.org.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Overall survival (OS) (time frame: 3 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Oct 2020.