Status:

TERMINATED

Phase II Study of SHR-1210(Anti-PD-1 Antibody) Combination With Apatinib Versus Pemetrexed and Carboplatin in Subjects With KRAS Mutant Stage IV Non-squamous Non-small Cell Lung Cancer

Lead Sponsor:

Jiangsu HengRui Medicine Co., Ltd.

Collaborating Sponsors:

Shanghai Chest Hospital

Conditions:

NSCLC Stage IV

KRAS Gene Mutation

Eligibility:

All Genders

18-70 years

Phase:

PHASE2

Brief Summary

This is a randomized, open-label, multi-center, phase II trial to evaluate the efficacy and safety of SHR-1210 plus apatinib mesylate versus Pemetrexed and Carboplatin in Subjects with KRAS mutant sta...

Eligibility Criteria

Inclusion

  • Subjects with histopathological diagnosis of adenocarcinoma non-small cell lung cancer (NSCLC) and clinical stage IV
  • has not received prior systemic treatment for metastatic NSCLC.
  • Has a performance status of 0 or 1 on the Eastern Cooperative Oncology Group (ECOG) Performance Status
  • confirmes by the central laboratory as KRAS gene mutation
  • Has archived Tumor tissue samples
  • Subject must have a measurable target lesion based on RECIST v1.1 .
  • Women of childbearing age must undergo a serological pregnancy test within 3 days before the first dose with negative results. Female subjects of reproductive age and male subjects whose spouse is a woman of reproductive age must agree to effective contraception within 180 days after the study period and the last dose of the study drug.
  • Subjects should be voluntarily participate in clinical studies and informed consent should be signed.

Exclusion

  • active brain metastases and meningeal metastasis
  • uncontrollable tumor-related pain
  • massive pleural effusion, peritoneal effusion or pericardial effusion which cannot be controlled by repeated drainage;
  • radiotherapy to lung that is \>30 Gy within 24 weeks before the first dose,
  • imaging (CT or MRI) showed that the tumor invading the large vessels
  • Known EGFR/ALK mutation.
  • subjects with any known or suspected autoimmune diseases
  • subjects with known or suspected interstitial pneumonia;
  • Subjects with severe cardiovascular and cerebrovascular diseases
  • arteriovenous thrombosis events, such as deep vein thrombosis and pulmonary embolism, occurred within 3 months;
  • female subjects who are pregnant or lactation or who plan to be pregnant during the study period;
  • positive HIV test;
  • active hepatitis B
  • evidence of active TB infection within 1 year before first dose;
  • severe infection occurred within 4 weeks before the first dose
  • patients with clinically significant bleeding symptoms or with obvious bleeding tendency in the first month
  • subjects who is on systemic immunogenic agents;
  • a history of severe allergic reactions to other monoclonal antibodies/fusion proteins;
  • History of severe allergic reactions to carboplatin or pemetrexed or their preventive drugs;

Key Trial Info

Start Date :

July 11 2019

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

June 29 2023

Estimated Enrollment :

25 Patients enrolled

Trial Details

Trial ID

NCT03777124

Start Date

July 11 2019

End Date

June 29 2023

Last Update

July 4 2025

Active Locations (1)

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1

Shanghai Chest Hospital

Shanghai, Shanghai Municipality, China, 200120