Status:

UNKNOWN

Phase II Study for Combination of Camrelizumab and SBRT in the First-line Treatment for R/M HNSCC

Lead Sponsor:

Xingchen Peng

Collaborating Sponsors:

Jiangsu HengRui Medicine Co., Ltd.

Conditions:

Head and Neck Squamous Cell Carcinoma

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

This study is a prospective, single-center, open-label, phase II clinical study for patients with recurrent or metastatics quamous cell carcinoma of the head and neck.

Eligibility Criteria

Inclusion

  • Histologically confirmed squamous cell carcinoma of the head and neck;
  • Patients with untreated recurrent or metastatic disease;
  • Combined positive Score\>=1;
  • Aged \>=18 years;
  • Eastern Cooperative Oncology Group (ECOG) performance status 0-1;
  • At least one measurable lesion, according to RECIST 1.1;
  • Major organ functions within 28 days prior to treatment meet the following criteria(14 days without transfusion):
  • HB\>=80g/L, ANC\>=1.5x10\^9/L, PLT \>=80x10\^9/L;
  • TBIL\<=1.5 ULN, ALT and AST \<=2.5 ULN, if there exists hepatic metastases, ALT and AST \<=5 ULN, Cr \<=1.5 ULN or CCr \>=60ml/min;
  • INR or PT \<= 1.5 ULN, APTT \<=1.5 ULN (if the patient is receiving anticoagulant therapy, PT and APTT should be within the expected treatment range);
  • BNP \<=ULN;
  • T3 \<=ULN and T4 \<=ULN after treatment;
  • Appropriate contraception should be used from the start of treatment to 120 days after the end of treatment; For female subjects with reproductive potential: a negative serum pregnancy test;
  • Have signed consent form.

Exclusion

  • Have other malignant tumors in the past 5 years, except for cured in cured basal cell carcinoma, situ cervical carcinoma and thyroid papillary carcinoma ;
  • Known allergic reactions to the components of PD-1 monoclonal antibody;
  • Central nervous system metastasis with symptoms;
  • Treatment with a strong CYP3A4 inhibitor within 1 week or a strong inducer of CYP3A4 within 2 weeks.
  • Congestive heart failure of New York Heart Association (NYHA) Class III or IV;
  • Ischemic cardiovascular events occurred within 1 year prior to the start of treatment;
  • ECG QT interval \>500ms;
  • Patients are receiving immunosuppressive therapy;
  • Treatment with an immunotherapy, including anti-PD-1, anti-PD-L1 and anti-CTLA-4;
  • Treatment with an investigational agent within 4 weeks;
  • Treatment with oral or parenteral corticosteroids (\>10mg per day) within 2 weeks or a requirement for chronic systemic immunosuppressive therapy;
  • Treatment with anti-tumor vaccine or live vaccines within 4 weeks
  • Surgery or severe trauma within 4 weeks;
  • Active infection;
  • Active autoimmune disease;
  • History of immunodeficiency, including HIV antibody positive, primary immunodeficiency, or the allogeneic organ transplantation and allogeneic hematopoietic stem cell transplantation;
  • History of noninfectious pneumonia;
  • Active tuberculosis within 1 year, or had a history of active tuberculosis infection one year ago but did not receive standard treatment;
  • Active hepatitis, including HBV DNA ≥ 2000IU/ml or 10 ⁴ copies / ml or HCV antibody and HCV-RNA positive;
  • History of alcoholism and drug abuse;
  • Patients with symptoms of gastrointestinal bleeding or risk of bleeding;
  • Patients are pregnant or breast-feeding;
  • Any other condition or circumstance that could interfere with adherence to the study's procedures or requirements, or otherwise compromise the study's objectives.

Key Trial Info

Start Date :

June 1 2020

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

June 1 2022

Estimated Enrollment :

34 Patients enrolled

Trial Details

Trial ID

NCT04399785

Start Date

June 1 2020

End Date

June 1 2022

Last Update

May 22 2020

Active Locations (1)

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Xingchen Peng

Chengdu, Sichuan, China, 610041