Advanced Solid TumorPhase 2NCT06446388
Study of QLS31905 and/or QL1706 Combination With Chemotherapy in the Advanced Malignant Solid Tumors
A Phase 2 study testing QLS31905, Oxaliplatin and Capecitabine in people with Advanced Solid Tumor, run by Qilu Pharmaceutical Co., Ltd. at 1 site in China.
Trial summary
This study aims to evaluate the efficacy and safety of QLS31905 and/or QL1706 plus chemotherapy in patients with Claudin18.2-positive advanced solid tumors. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Advanced Solid Tumor
- What is being tested?
- QLS31905, Oxaliplatin and Capecitabine
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 360 participants
- Where
- 1 siteChina
- Study dates
- 30 Jun 2024to 1 Dec 2027
- Phase
- Phase 2
- Are there results?
- Not yet: the study is under way
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 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Subjects voluntarily participate in the study and sign the informed consent form;
- Eastern Cooperative Oncology Group (ECOG) performance status score of 0-1;
- Expected survival time ≥ 3 months;
- Histologically or cytologically confirmed locally advanced unresectable or metastatic solid tumors;
- No prior systemic anti-tumor treatment for locally advanced unresectable or metastatic disease;
- Tumor tissue samples determined to be positive for Claudin18.2 by immunohistochemistry (IHC);
- At least one measurable lesion per RECIST v1.1;
- Patients with adequate cardiac, liver, renal function, etc.
Who cannot join
- History of malignancies other than the target cancer within 5 years prior to the first dose of the investigational product ;
- Underwent major organ surgery (excluding needle biopsy) or had significant trauma within 28 days prior to enrollment, or requires elective surgery during the study;
- Known central nervous system metastases;
- Patients with hepatitis B; patients with hepatitis C; patients who test positive for syphilis, or patients with a known history of HIV or positive HIV screening test; Patients with a known history of psychoactive drug abuse, alcohol abuse, or substance abuse;
- Patients with added risks associated with the study or may interfere with the interpretation of study results as determined by the investigator, or deemed unsuitable by the investigator and/or sponsor.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
China1 site
Beijing Cancer Hospital
Beijing, Beijing Municipality, 100142
Lin Shen, M.D, 010-881965671, linshenpku@163.com
About this study
Official title: A Phase II Clinical Study to Evaluate the Efficacy and Safety of QLS31905 and/or QL1706 Combination Chemotherapy for the Treatment of CLDN18.2-Positive Advanced Malignant Solid Tumors
This study aims to evaluate the efficacy and safety of QLS31905 and/or QL1706 plus chemotherapy in patients with Claudin18.2-positive advanced solid tumors.
- Conditions
- Advanced Solid Tumor
- Being tested
- QLS31905, Oxaliplatin, Capecitabine, Gemcitabine, Cisplatin
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
QLS31905Drug
Administered as an intravenous infusion.
OxaliplatinDrug
130 mg/m2, intravenous infusion, D1, up to 8 cycles.
CapecitabineDrug
1000 mg/m2, oral, bid, D1-D14
GemcitabineDrug
1000 mg/m2 administered as IV infusion on D1/D8 of each cycle.
CisplatinDrug
25 mg/m2, intravenous infusion, D1/D8, up to 8 cycles.
QL1706Drug
5 mg/kg, intravenous infusion,D1
Chemotherapy drugDrug
Standard chemotherapy recommended by guidelines.
| Study group | Role | What they receive |
|---|---|---|
| QLS31905 + oxaliplatin + capecitabine | Experimental | Gastric/gastroesophageal junction cancer participants will be treated with QLS31905 at doses determined by the phase I study in combination with oxaliplatin and capecitabine. Receives: Drug: QLS31905; Drug: Oxaliplatin; Drug: Capecitabine |
| QL1706 + oxaliplatin + capecitabine | Experimental | Gastric/gastroesophageal junction cancer participants will be treated with QL1706 in combination with oxaliplatin and capecitabine. Receives: Drug: Oxaliplatin; Drug: Capecitabine; Drug: QL1706 |
| QLS31905 + oxaliplatin + capecitabine + QL1706 | Experimental | Gastric/gastroesophageal junction cancer participants will be treated with QLS31905 at doses determined by the phase I study in combination with oxaliplatin and capecitabine+ QL1706. Receives: Drug: QLS31905; Drug: Oxaliplatin; Drug: Capecitabine; Drug: QL1706 |
| QLS31905 + gemcitabine+cisplatin | Experimental | Biliary tract cancer will be treated with QLS31905 at doses determined by the phase I study in combination with gemcitabine and cisplatin. Receives: Drug: QLS31905; Drug: Gemcitabine; Drug: Cisplatin |
| QL1706 + gemcitabine+cisplatin | Experimental | Biliary tract cancer will be treated with QL1706 in combination with gemcitabine and cisplatin. Receives: Drug: Gemcitabine; Drug: Cisplatin; Drug: QL1706 |
| QLS31905 + gemcitabine+cisplatin+ QL1706 | Experimental | Biliary tract cancer will be treated with QLS31905 at doses determined by the phase I study in combination with gemcitabine and cisplatin+ QL1706. Receives: Drug: QLS31905; Drug: Gemcitabine; Drug: Cisplatin; Drug: QL1706 |
| QLS31905 + standard chemotherapy | Experimental | Other solid tumor participants will be treated with QLS31905 at doses determined by the phase I study in combination with standard chemotherapy recommended by guidelines. Receives: Drug: QLS31905; Drug: Chemotherapy drug |
| QL1706 + standard chemotherapy | Experimental | Other solid tumor participants will be treated with QL1706 in combination with standard chemotherapy recommended by guidelines. Receives: Drug: QL1706; Drug: Chemotherapy drug |
| QLS31905 + standard chemotherapy + QL1706 | Experimental | Other solid tumor participants will be treated with QLS31905 at doses determined by the phase I study in combination with standard chemotherapy and QL1706. Receives: Drug: QLS31905; Drug: QL1706; Drug: Chemotherapy drug |
What is being measured
The primary outcome is the main question the study is designed to answer.
Objective response rate (ORR)
ORR is defined as the proportion of participants who have a best overall response of Complete Response (CR) or Partial Response (PR)
Measured: Approximately 24 months
Secondary outcomes (12)
Safety assessed by Adverse Events (AEs)
An AE is any untoward medical occurrence in a subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom,or disease (new or exacerbated) temporally associated with the use of a medicinal product.
Measured: Approximately 24 months
Safety assessed by incidence of serious adverse events (SAE)
Adverse Event (AE) is considered "serious" if the investigator or sponsor view any of the following outcomes: Death, life-threatening, persistent or significant disability/incapacity, congenital anomaly or birth defect,hospitalization, or medically important event.
Measured: Approximately 24 months
Number of participants with laboratory value abnormalities
Number of participants with potentially clinically significant laboratory values.
Measured: Approximately 24 months
Duration of Response (DOR)
DOR is defined as the time from the date of the first response (CR/PR) until the date of radiological progressive disease or death due to any cause (whichever occurs first).
Measured: Approximately 24 months
Progression Free Survival(PFS)
PFS is defined as the duration from the subject's first dose of the investigational product to the first imaging confirmation of radiological progressive disease or death due to any cause (whichever occurs first).
Measured: Approximately 24 months
Overall Survival (OS)
OS is defined as the duration from the first dose of the investigational product to the time point when death occurs due to any cause.
Measured: Approximately 24 months
Maximum concentration (Cmax)
Cmax will be derived from the PK serum samples collected.
Measured: Approximately 24 months
Time of the maximum concentration (Tmax)
Tmax will be derived from the PK serum samples collected.
Measured: Approximately 24 months
Terminal elimination half-life (T1/2)
T1/2 will be derived from the PK serum samples collected.
Measured: Approximately 24 months
Clearance (CL)
CL will be derived from the PK serum samples collected.
Measured: Approximately 24 months
Apparent volume of distribution during the terminal phase (Vz)
Vz will be derived from the PK serum samples collected.
Measured: Approximately 24 months
Number of anti-drug antibody (ADA) Positive Participants
Immunogenicity will be measured by the number of participants that are ADA positive.
Measured: Approximately 24 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Jun 2024
- Study start30 Jun 2024 (estimated)
- Primary completion30 Jun 2026 (estimated)
- Study completion1 Dec 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Advanced Solid TumorStudies of the same condition, open and under way.
- More trials run by Qilu Pharmaceutical Co., Ltd.The 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
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 360 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Qilu Pharmaceutical Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06446388
- Sponsor's protocol ID
- QLS31905-202
- Status last verified
- May 2024
- First submitted
- 1 Jun 2024
- Last updated
- 6 Jun 2024
- 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 6 Jun 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase II Clinical Study to Evaluate the Efficacy and Safety of QLS31905 and/or QL1706 Combination Chemotherapy for the Treatment of CLDN18.2-Positive Advanced Malignant Solid Tumors
- ClinicalTrials.gov ID
- NCT06446388
- Acronym / sponsor ID
- QLS31905-202
- Conditions
- Advanced Solid Tumor
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 360 participants (estimated)
- Lead sponsor
- Qilu Pharmaceutical Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- 30 Jun 2024 (estimated)
- Primary completion
- 30 Jun 2026 (estimated)
- Study completion
- 1 Dec 2027 (estimated)
- First posted
- 6 Jun 2024 (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 study aims to evaluate the efficacy and safety of QLS31905 and/or QL1706 plus chemotherapy in patients with Claudin18.2-positive advanced solid tumors.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 9
| Arm | Type | Receives |
|---|---|---|
| QLS31905 + oxaliplatin + capecitabine | Experimental | Drug: QLS31905, Drug: Oxaliplatin, Drug: CapecitabineGastric/gastroesophageal junction cancer participants will be treated with QLS31905 at doses determined by the phase I study in combination with oxaliplatin and capecitabine. |
| QL1706 + oxaliplatin + capecitabine | Experimental | Drug: Oxaliplatin, Drug: Capecitabine, Drug: QL1706Gastric/gastroesophageal junction cancer participants will be treated with QL1706 in combination with oxaliplatin and capecitabine. |
| QLS31905 + oxaliplatin + capecitabine + QL1706 | Experimental | Drug: QLS31905, Drug: Oxaliplatin, Drug: Capecitabine, Drug: QL1706Gastric/gastroesophageal junction cancer participants will be treated with QLS31905 at doses determined by the phase I study in combination with oxaliplatin and capecitabine+ QL1706. |
| QLS31905 + gemcitabine+cisplatin | Experimental | Drug: QLS31905, Drug: Gemcitabine, Drug: CisplatinBiliary tract cancer will be treated with QLS31905 at doses determined by the phase I study in combination with gemcitabine and cisplatin. |
| QL1706 + gemcitabine+cisplatin | Experimental | Drug: Gemcitabine, Drug: Cisplatin, Drug: QL1706Biliary tract cancer will be treated with QL1706 in combination with gemcitabine and cisplatin. |
| QLS31905 + gemcitabine+cisplatin+ QL1706 | Experimental | Drug: QLS31905, Drug: Gemcitabine, Drug: Cisplatin, Drug: QL1706Biliary tract cancer will be treated with QLS31905 at doses determined by the phase I study in combination with gemcitabine and cisplatin+ QL1706. |
| QLS31905 + standard chemotherapy | Experimental | Drug: QLS31905, Drug: Chemotherapy drugOther solid tumor participants will be treated with QLS31905 at doses determined by the phase I study in combination with standard chemotherapy recommended by guidelines. |
| QL1706 + standard chemotherapy | Experimental | Drug: QL1706, Drug: Chemotherapy drugOther solid tumor participants will be treated with QL1706 in combination with standard chemotherapy recommended by guidelines. |
| QLS31905 + standard chemotherapy + QL1706 | Experimental | Drug: QLS31905, Drug: QL1706, Drug: Chemotherapy drugOther solid tumor participants will be treated with QLS31905 at doses determined by the phase I study in combination with standard chemotherapy and QL1706. |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Subjects voluntarily participate in the study and sign the informed consent form;
- Eastern Cooperative Oncology Group (ECOG) performance status score of 0-1;
- Expected survival time ≥ 3 months;
- Histologically or cytologically confirmed locally advanced unresectable or metastatic solid tumors;
- No prior systemic anti-tumor treatment for locally advanced unresectable or metastatic disease;
Key exclusion criteria (5 listed)
- History of malignancies other than the target cancer within 5 years prior to the first dose of the investigational product ;
- Underwent major organ surgery (excluding needle biopsy) or had significant trauma within 28 days prior to enrollment, or requires elective surgery during the study;
- Known central nervous system metastases;
- Patients with hepatitis B; patients with hepatitis C; patients who test positive for syphilis, or patients with a known history of HIV or positive HIV screening test; Patients with a known history of psychoactive drug abuse, alcohol abuse, or substance abuse;
- Patients with added risks associated with the study or may interfere with the interpretation of study results as determined by the investigator, or deemed unsuitable by the investigator and/or sponsor.
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 |
|---|---|---|
| QLS31905Administered as an intravenous infusion. | Drug | QLS31905 + gemcitabine+cisplatin, QLS31905 + gemcitabine+cisplatin+ QL1706, QLS31905 + oxaliplatin + capecitabine, QLS31905 + oxaliplatin + capecitabine + QL1706, QLS31905 + standard chemotherapy, QLS31905 + standard chemotherapy + QL1706 |
| Oxaliplatin130 mg/m2, intravenous infusion, D1, up to 8 cycles. | Drug | QL1706 + oxaliplatin + capecitabine, QLS31905 + oxaliplatin + capecitabine, QLS31905 + oxaliplatin + capecitabine + QL1706 |
| Capecitabine1000 mg/m2, oral, bid, D1-D14 | Drug | QL1706 + oxaliplatin + capecitabine, QLS31905 + oxaliplatin + capecitabine, QLS31905 + oxaliplatin + capecitabine + QL1706 |
| Gemcitabine1000 mg/m2 administered as IV infusion on D1/D8 of each cycle. | Drug | QL1706 + gemcitabine+cisplatin, QLS31905 + gemcitabine+cisplatin, QLS31905 + gemcitabine+cisplatin+ QL1706 |
| Cisplatin25 mg/m2, intravenous infusion, D1/D8, up to 8 cycles. | Drug | QL1706 + gemcitabine+cisplatin, QLS31905 + gemcitabine+cisplatin, QLS31905 + gemcitabine+cisplatin+ QL1706 |
| QL17065 mg/kg, intravenous infusion,D1 | Drug | QL1706 + gemcitabine+cisplatin, QL1706 + oxaliplatin + capecitabine, QL1706 + standard chemotherapy, QLS31905 + gemcitabine+cisplatin+ QL1706, QLS31905 + oxaliplatin + capecitabine + QL1706, QLS31905 + standard chemotherapy + QL1706 |
| Chemotherapy drugStandard chemotherapy recommended by guidelines. | Drug | QL1706 + standard chemotherapy, QLS31905 + standard chemotherapy, QLS31905 + standard chemotherapy + QL1706 |
Primary outcome
Objective response rate (ORR)
Time frame: Approximately 24 months
ORR is defined as the proportion of participants who have a best overall response of Complete Response (CR) or Partial Response (PR)
12 secondary outcomes
Safety assessed by Adverse Events (AEs)
Time frame: Approximately 24 months
Safety assessed by incidence of serious adverse events (SAE)
Time frame: Approximately 24 months
Number of participants with laboratory value abnormalities
Time frame: Approximately 24 months
Duration of Response (DOR)
Time frame: Approximately 24 months
Progression Free Survival(PFS)
Time frame: Approximately 24 months
Overall Survival (OS)
Time frame: Approximately 24 months
Maximum concentration (Cmax)
Time frame: Approximately 24 months
Time of the maximum concentration (Tmax)
Time frame: Approximately 24 months
Terminal elimination half-life (T1/2)
Time frame: Approximately 24 months
Clearance (CL)
Time frame: Approximately 24 months
Apparent volume of distribution during the terminal phase (Vz)
Time frame: Approximately 24 months
Number of anti-drug antibody (ADA) Positive Participants
Time frame: Approximately 24 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Jun 2024.
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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.
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 QLS31905, Oxaliplatin and Capecitabine in people with Advanced Solid Tumor, run by Qilu Pharmaceutical Co., Ltd. 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 8 inclusion and 5 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: opening soon, as of the sponsor's last update on 6 Jun 2024. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Objective response rate (ORR) (time frame: Approximately 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 6 Jun 2024.