Status:

RECRUITING

Combination of AK104 and Neoadjuvant Chemoradiotherapy in pMMR/MSS Locally Advanced Rectal Cancer

Lead Sponsor:

Sun Yat-sen University

Collaborating Sponsors:

Akeso

Haplox Biotechnology Co., Ltd.

Conditions:

Locally Advanced Rectal Cancer

Eligibility:

All Genders

18-75 years

Phase:

PHASE2

Brief Summary

This is an open-label, single-arm study to investigate the efficacy and safety of AK104 (an Anti-PD1 and Anti-CTLA4 Bispecific Antibody) and neoadjuvant chemoradiotherapy in patients with pMMR/MSS loc...

Detailed Description

The study evaluates the addition of AK104(an Anti-PD1 and Anti-CTLA4 Bispecific Antibody) in neoadjuvant chemoradiotherapy in proficient Mismatch Repair (pMMR) /Microsatellite Stable (MSS) locally adv...

Eligibility Criteria

Inclusion

  • Age 18-75
  • ECOG 0-1
  • Rectal adenocarcinoma
  • cT3-4aNany or cT1-4aN+
  • No distant metastasis
  • Location ≤12 cm from the anal verge
  • Positive PD-L1 expression (PD-L1 TPS≥1% or PD-L1 CPS ≥1)
  • the MSI status is MSS and pMMR
  • Sufficient bone marrow, kidney and liver function
  • No previous surgery of the rectum, no previous chemotherapy, no previous pelvic radiation, no previous biotherapy, no immunotherapy

Exclusion

  • bowel obstruction
  • Distant metastasis
  • Severe arrhythmia, cardiac dysfunction (NYHA grade III or IV )
  • Uncontrollable severe hypertesion
  • Active severe infection
  • Cachexia, organ dysfunction
  • Previous pelvic radiotherapy or chemotherapy
  • Multiple primary cancers
  • Epileptic seizures
  • Malignant history within 5 years, except cervical carcinoma in situ or cutaneous basal cell carcinoma
  • Persons deprived of liberty or under guardianship
  • Impossibility for compliance to follow-up
  • Certain or suspicious allergy to research drug
  • Pregnant or breast-feeding woman

Key Trial Info

Start Date :

October 24 2023

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

January 31 2025

Estimated Enrollment :

33 Patients enrolled

Trial Details

Trial ID

NCT05980689

Start Date

October 24 2023

End Date

January 31 2025

Last Update

February 7 2024

Active Locations (1)

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1

Sun Yat-sen University Cancer Center

Guangzhou, Guangdong, China, 510060