Actively Recruiting
Perioperative Toripalimab and Endostatin for Stage II Melanoma: A Phase II Trial
Led by Fudan University · Updated on 2025-05-11
58
Participants Needed
4
Research Sites
221 weeks
Total Duration
On this page
Sponsors
F
Fudan University
Lead Sponsor
S
Shanghai Tong Ren Hospital
Collaborating Sponsor
AI-Summary
What this Trial Is About
This is a Phase II clinical trial to evaluate the efficacy and safety of perioperative toripalimab (anti-PD-1) combined with recombinant human endostatin (Endostar) as postoperative adjuvant therapy in patients with clinical stage II cutaneous or acral malignant melanoma. The study aims to answer: 1. Does this combination improve the 2-year recurrence-free survival (2y-RFS) compared to historical data? 2. Is the treatment safe and tolerable for patients? Participants will: 1. Receive 2 cycles of toripalimab before surgery (neoadjuvant therapy). 2. Undergo surgical removal of the tumor. 3. Post surgery, receive toripalimab every 2 weeks + Endostar (72-hour continuous infusion every 4 weeks) for up to 6 cycles (Endostar) or 11 cycles (toripalimab). 4. Be monitored for tumor recurrence, side effects, and survival for up to 2 years after treatment. This is a single-arm, multicenter study involving 58 patients across several hospitals in China. Results will help determine if this combination could become a new standard adjuvant therapy for stage II melanoma.
CONDITIONS
Official Title
Perioperative Toripalimab and Endostatin for Stage II Melanoma: A Phase II Trial
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Age 18 years or older, any gender
- ECOG performance status 0-1
- Confirmed cutaneous or acral malignant melanoma, excluding mucosal and uveal melanoma
- Available BRAF, CKIT, and NRAS gene test results
- No prior anti-tumor therapy (treatment-naive patients)
- Clinical stage II melanoma by AJCC 8th edition (2017)
- Laboratory values meeting specified hematology, biochemistry, and coagulation criteria
- Left ventricular ejection fraction of 50% or higher by Doppler ultrasound
- Female patients must agree to use contraception during study and for 6 months after, with negative pregnancy test before enrollment; must not be lactating
- Male patients must agree to use contraception during study and for 6 months after
- Voluntary participation with signed informed consent and good compliance
You will not qualify if you...
- History of allergic reactions to biological products
- Prior or concurrent malignancies within 5 years except cured basal cell carcinoma or carcinoma in situ of cervix
- Active autoimmune diseases or history of autoimmune disorders except certain controlled conditions
- Need for immunosuppressive therapy with corticosteroids equivalent to prednisone over 10 mg/day within 2 weeks before first dose
- History or evidence of bleeding disorders or recent significant bleeding events
- Presence of unhealed wounds, fractures, active gastrointestinal ulcers, or tumors with active bleeding
- Severe or uncontrolled medical conditions including poorly controlled hypertension, unstable heart conditions, severe infections, significant liver disease, HIV infection, poorly controlled diabetes, or significant proteinuria
- Receipt of live vaccines within 4 weeks prior to treatment or expected need during study
- Other conditions that may endanger patient safety or affect study participation as judged by investigators
AI-Screening
AI-Powered Screening
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Trial Site Locations
Total: 4 locations
1
Department of Musculoskeletal Oncology, Fudan University Shanghai Cancer Center
Shanghai, Shanghai Municipality, China, 200032
Actively Recruiting
2
Cancer center, Shanghai 411 hospital, China RongTong Medical Healthcare Group Co.Ltd./411 Hospital, Shanghai University
Shanghai, Shanghai Municipality, China, 200081
Actively Recruiting
3
Department of Surgical Oncology, Fudan University Shanghai Cancer Center Minhang Branch Hospital
Shanghai, Shanghai Municipality, China, 200240
Actively Recruiting
4
Department of Oncology, Tongren Hospital, Shanghai Jiao Tong University School of Medicine
Shanghai, Shanghai Municipality, China, 200336
Actively Recruiting
Research Team
C
Chunmeng Wang, Dr.
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1
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