Status:

UNKNOWN

PD-1 Inhibitor and Nab-paclitaxel and Bevacizumab in CUP

Lead Sponsor:

Fudan University

Conditions:

Cancer of Unknown Primary

Eligibility:

All Genders

18-75 years

Phase:

PHASE2

Brief Summary

This trial is a single-center, prospective, single-arm Phase II clinical study. The purpose is to evaluate the efficacy and safety of recombinant humanized anti-PD-1 monoclonal antibody combined with ...

Detailed Description

Recombinant humanized anti-PD-1 monoclonal antibody combined with albumin paclitaxel and bevacizumab treatment, once every 3 weeks, treatment until disease progression, intolerable adverse reactions, ...

Eligibility Criteria

Inclusion

  • The histopathologically confirmed metastasis is adenocarcinoma, squamous cell carcinoma, poorly differentiated carcinoma, poorly differentiated malignant tumor or neuroendocrine carcinoma;
  • Patients whose primary lesions cannot be found after standard evaluation prior to treatment: detailed history, physical examination, blood test, chest and pelvic CT, PET/CT (optional), endoscopy of symptomatic sites, and pathological examination;
  • Measurable lesions (RECIST 1.1 criteria);
  • Patients who have progressed after receiving first-line treatment for Carcinoma of Unknown Primary. For example, those who have received paclitaxel or docetaxel in the first-line treatment and progressed more than three months after the end of last treatment;
  • ECOG of 0-2;
  • Life expectancy\>3 months;
  • Within 7 days (including 7 days) before screening, the laboratory test data requirements: neutrophil count ≥1.5×10\^9/L, platelet count ≥90×10\^9/L, hemoglobin ≥90g/L (No blood transfusion in 14 days), serum total bilirubin ≤1.25 times the upper limit of normal (ULN); ALT and AST≤2.5 x ULN (patients with liver metastases ≤5x ULN); serum creatinine ≤1.25 x ULN

Exclusion

  • Patients who have previously been treated with albumin paclitaxel or bevacizumab or PD-1 monoclonal antibody;
  • Received any experimental drugs or anti-tumor drugs within 4 weeks prior to enrollment;
  • A history of other tumors in the past 5 years, except for cervix or basal cell carcinoma of the skin that has been cured;
  • Symptomatic brain or meningeal metastases (unless the patient receives treatment for\> 6 months, the imaging results are negative within 4 weeks before entering the study, and the clinical symptoms related to the tumor are stable at the time of entering the study).
  • NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Key Trial Info

Start Date :

May 13 2021

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

May 3 2023

Estimated Enrollment :

48 Patients enrolled

Trial Details

Trial ID

NCT04848597

Start Date

May 13 2021

End Date

May 3 2023

Last Update

April 20 2022

Active Locations (1)

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1

Fudan University Shanghai Cancer Center

Shanghai, China, 200032