CarcinomaPhase 2NCT05115500
ADC Combined With Hypofractionated Radiotherapy, PD-1/PD-L1 Sequential GM-CSF and IL-2 for Treatment of HER-2 Positive Advanced Solid Tumors(PRaG3.0)
A Phase 2 study testing ADC Combined With Radiotherapy, PD-1/PD-L1 Sequential GM-CSF and IL-2 in people with Carcinoma and Solid Tumor, run by Second Affiliated Hospital of Soochow University at 19 sites in China.
Trial summary
This is an open-label, single-arm, Phase II investigator-initiated trial of antibody-drug conjugate combined with hypofractionated radiotherapy, PD-1/PD-L1 inhibitor sequential GM-CSF and IL-2 for treatment of advanced refractory solid tumors with HER-2 positive Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Carcinoma, Solid Tumor
- What is being tested?
- ADC Combined With Radiotherapy, PD-1/PD-L1 Sequential GM-CSF and IL-2
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 55 participants
- Where
- 19 sitesChina
- Study dates
- 1 Nov 2021to 30 Apr 2025
- 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Aged 18 years and above;
- Diagnosed with histologically or cytologically-confirmed, HER2-positive(IHC 1+, 2+ or 3+), standard treatment is ineffective (disease progresses after treatment) or locally advanced or metastatic malignant solid tumor patients who cannot tolerate standard therapy, cannot receive or do not have standard therapy;
- ECOG(Eastern Cooperative Oncology Group) performance is 0-3;
- Life expectancy greater than 3 months;
- T lymphocyte absolute value ≥0.5 upper limit of normal (ULN), absolute neutrophil count(ANC)≥1.0 x 10(9)/L;serum aspartate transaminase (AST) and serum alanine transaminase (ALT) ≤3.0*ULN, or AST and ALT≤5*ULN with hepatic metastasis; Total serum creatinine ≤1.5*ULN;
- Signed informed consent form;
Who cannot join
- Current pregnancy or lactation;
- History of other malignant tumors within 5 years prior to dose administration, expect for:malignancies that can be cured after treatment (including but not limited to adequately treated thyroid cancer, cervical carcinoma in situ, basal or squamous cell skin cancer);
- Uncontrolled epilepsy, central nervous system diseases or mental illness;
- Currently active clinically significant cardiovascular disease such as uncontrolled arrhythmia, congestive heart failure, or greater than or equal to Class 2 congestive heart failure as defined by the New York Heart Association Functional Classification, or history of myocardial infarction unstable angina, or acute coronary syndrome within 6 months prior to enrollment in the study;
- Received allogeneic hematopoietic stem cell transplantation or solid organ transplantation;
- Other serious, uncontrolled concomitant diseases that may affect protocol compliance or interpretation of outcomes, including active opportunistic infections or advanced (severe) infections, uncontrolled diabetes;
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- Allergic to any of the ingredients used in the study;
- A history of immunodeficiency, including HIV positive or other acquired or congenital immunodeficiency disease, or a history of organ transplantation, or other immune-related disease requiring long-term oral hormone therapy;
- Acute and chronic tuberculosis infection;
- Other disorders with clinical significance according to the researcher's judgment.
Trial locations and contacts
19 sites in 1 country.
19 sites in 1 country
China19 sites
The First Bethune Hospital of Jilin University
Changchun
Xin Jiang
The First People's Hospital of Changzhou
Changzhou
Wendong Gu
Harbin Medical University Cancer Hospital
Harbin
Lili Yu
Jiangyin Peoples Hospital
Jiangyin
Jian Wang
Qilu Hospital of Shangdong University
Jinan
Bingxu Tan
Shandong Cancer Hospital
Jinan
Dali Han
The First People's Hospital of Kunshan
Kunshan
Minbin Chen
Jiangsu Cancer Hospital
Nanjing
Li Yin
Jiangsu Province Hospital of Chinese Medicine
Nanjing
Dahai Yu
Jiangsu Province Hospital
Nanjing
Yuandong Cao
Nanjing Drum Tower Hospital
Nanjing
Jing Yan
Affiliated Hospital of Nantong University
Nantong
Xiancheng Liu
The First Hospital of China Medical University
Shenyang
Qiao Qiao
Second Affiliated Hospital of Soochow University
Suzhou
Liyuan zhang
Suzhou Municipal Hospital
Suzhou
Jundong Zhou
The First Affiliated Hospital of Soochow University
Suzhou
songbing Qin
Weihai Municipal Hospital
Weihai
Fujun Yang
Affiliated Hospital of Jiangnan University
Wuxi
Ke Gu
The Affiliated Hospital of Xuzhou Medical University
Xuzhou
Jianshe Wang
About this study
Official title: Antibody-Drug Conjugate Combined With Hypofractionated Radiotherapy, PD-1/PD-L1 Inhibitor Sequential GM-CSF and IL-2 for the Treatment Advanced Refractory Solid Tumors With HER-2 Positive(PRaG3.0)
This is an open-label, single-arm, Phase II investigator-initiated trial of antibody-drug conjugate combined with hypofractionated radiotherapy, PD-1/PD-L1 inhibitor sequential GM-CSF and IL-2 for treatment of advanced refractory solid tumors with HER-2 positive
- Conditions
- Carcinoma, Solid Tumor
- Being tested
- ADC Combined With Radiotherapy, PD-1/PD-L1 Sequential GM-CSF and IL-2
- Medical subject headings
- Carcinoma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ADC Combined With Radiotherapy, PD-1/PD-L1 Sequential GM-CSF and IL-2Drug
RC48-ADC combined with hypofractionated radiotherapy, PD-1/PD-L1 inhibitor sequential GM-CSF and IL-2
| Study group | Role | What they receive |
|---|---|---|
| ADC Combined With Radiotherapy, PD-1/PD-L1 Sequential GM-CSF and IL-2 | Experimental | Not described Receives: Drug: ADC Combined With Radiotherapy, PD-1/PD-L1 Sequential GM-CSF and IL-2 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Objective Response Rate (ORR)
Objective Response Rate was defined as the percentage of participants with a complete response (CR) or partial response (PR).
Measured: 24 months
Secondary outcomes (4)
Progression-free Survival (PFS)
PFS was defined as the time from the first administration of study treatment to the first occurrence of disease progression as determined by investigator using RECIST v1.1 or death from any cause, whichever comes first.
Measured: 24 months
Disease control rate (DCR)
DCR was defined as the percentage of participants with a complete response (CR), partial response (PR), or stable disease (SD)
Measured: 24 months
Overall survival (OS)
OS was defined as the time from the first administration of study treatment to death from any cause.
Measured: 24 months
Adverse event
rate of adverse events
Measured: 24 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Nov 2021
- Study start1 Nov 2021 (estimated)
- Primary completion31 Oct 2024 (estimated)
- Study completion30 Apr 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for CarcinomaStudies of the same condition, open and under way.
- 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
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 55 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Second Affiliated Hospital of Soochow University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05115500
- Sponsor's protocol ID
- JD-LK-2021-121-01
- Status last verified
- Nov 2021
- First submitted
- 4 Nov 2021
- Last updated
- 10 Nov 2021
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 10 Nov 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Antibody-Drug Conjugate Combined With Hypofractionated Radiotherapy, PD-1/PD-L1 Inhibitor Sequential GM-CSF and IL-2 for the Treatment Advanced Refractory Solid Tumors With HER-2 Positive(PRaG3.0)
- ClinicalTrials.gov ID
- NCT05115500
- Acronym / sponsor ID
- JD-LK-2021-121-01
- Conditions
- Carcinoma, Solid Tumor
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 55 participants (estimated)
- Lead sponsor
- Second Affiliated Hospital of Soochow UniversityUniversity, hospital or other
- Study start
- 1 Nov 2021 (estimated)
- Primary completion
- 31 Oct 2024 (estimated)
- Study completion
- 30 Apr 2025 (estimated)
- First posted
- 10 Nov 2021 (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.
This is an open-label, single-arm, Phase II investigator-initiated trial of antibody-drug conjugate combined with hypofractionated radiotherapy, PD-1/PD-L1 inhibitor sequential GM-CSF and IL-2 for treatment of advanced refractory solid tumors with HER-2 positive
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| ADC Combined With Radiotherapy, PD-1/PD-L1 Sequential GM-CSF and IL-2 | Experimental | Drug: ADC Combined With Radiotherapy, PD-1/PD-L1 Sequential GM-CSF and IL-2 |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Aged 18 years and above;
- Diagnosed with histologically or cytologically-confirmed, HER2-positive(IHC 1+, 2+ or 3+), standard treatment is ineffective (disease progresses after treatment) or locally advanced or metastatic malignant solid tumor patients who cannot tolerate standard therapy, cannot receive or do not have standard therapy;
- ECOG(Eastern Cooperative Oncology Group) performance is 0-3;
- Life expectancy greater than 3 months;
- T lymphocyte absolute value ≥0.5 upper limit of normal (ULN), absolute neutrophil count(ANC)≥1.0 x 10(9)/L;serum aspartate transaminase (AST) and serum alanine transaminase (ALT) ≤3.0*ULN, or AST and ALT≤5*ULN with hepatic metastasis; Total serum creatinine ≤1.5*ULN;
Key exclusion criteria (10 listed)
- Current pregnancy or lactation;
- History of other malignant tumors within 5 years prior to dose administration, expect for:malignancies that can be cured after treatment (including but not limited to adequately treated thyroid cancer, cervical carcinoma in situ, basal or squamous cell skin cancer);
- Uncontrolled epilepsy, central nervous system diseases or mental illness;
- Currently active clinically significant cardiovascular disease such as uncontrolled arrhythmia, congestive heart failure, or greater than or equal to Class 2 congestive heart failure as defined by the New York Heart Association Functional Classification, or history of myocardial infarction unstable angina, or acute coronary syndrome within 6 months prior to enrollment in the study;
- Received allogeneic hematopoietic stem cell transplantation or solid organ transplantation;
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 |
|---|---|---|
| ADC Combined With Radiotherapy, PD-1/PD-L1 Sequential GM-CSF and IL-2RC48-ADC combined with hypofractionated radiotherapy, PD-1/PD-L1 inhibitor sequential GM-CSF and IL-2 | Drug | ADC Combined With Radiotherapy, PD-1/PD-L1 Sequential GM-CSF and IL-2 |
Primary outcome
Objective Response Rate (ORR)
Time frame: 24 months
Objective Response Rate was defined as the percentage of participants with a complete response (CR) or partial response (PR).
4 secondary outcomes
Progression-free Survival (PFS)
Time frame: 24 months
Disease control rate (DCR)
Time frame: 24 months
Overall survival (OS)
Time frame: 24 months
Adverse event
Time frame: 24 months
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Nov 2021.
- Individual participant dataSharing planned: No
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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.
19 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing ADC Combined With Radiotherapy, PD-1/PD-L1 Sequential GM-CSF and IL-2 in people with Carcinoma and Solid Tumor, run by Second Affiliated Hospital of Soochow University at 19 sites 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 6 inclusion and 10 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 10 Nov 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 19 sites 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 Liyuan Zhang, doctor (0512-67784829, zhangliyuan126@126.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Objective Response Rate (ORR) (time frame: 24 months). 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 10 Nov 2021.