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A Study of CS1001 in Subjects With Esophageal Squamous Cell Carcinoma | Clinical Trials | Clareo Health

COMPLETEDPHASE3

A Study of CS1001 in Subjects With Esophageal Squamous Cell Carcinoma

A Multi-Center, Double-Blind, Randomized, Phase III Study to Investigate the Efficacy and Safety of CS1001 in Combination With Fluorouracil and Cisplatin (FP) Compared to Placebo in Combination With FP as First-Line Therapy in Subjects With Unresectable Locally Advanced, Recurrent or Metastatic Esophageal Squamous Cell Carcinoma (ESCC)

NCT04187352•CStone Pharmaceuticals

View on ClinicalTrials.gov

Summary

Phase III Study to Investigate the Efficacy and Safety of CS1001 or Placebo in Combination with FP as First-Line Therapy in Subjects with Unresectable Locally Advanced, Recurrent or Metastatic Esophageal Squamous Cell Carcinoma

Eligibility

Age

18 - 75 years

Sex

ALL

Healthy Volunteers

Inclusion Criteria

•1. ≥ 18 years and ≤ 75 years on the day of signing informed consent form (ICF).
•2. Fully informed of the study, with good compliance and willing to provide written ICF. The ICF must be signed before performing any protocol-related procedure (that is not a part of subject's routine medical care).
•3. Subjects with pathohistologically or cytologically confirmed unresectable locally advanced, relapsed or metastatic ESCC (based on American Joint Committee on Cancer \[AJCC\] Guideline version 8, see Appendix 14.2)
•4. Subjects must not be eligible for radical therapy such as radical chemoradiotherapy or surgery.
•5. Subjects who have not received any systemic anti-neoplastic therapy as the main regimen for locally advanced or metastatic ESCC. (Subjects who received prior neoadjuvant, adjuvant or radical chemoradiotherapy for ESCC but had relapse or progression of disease 6 months after the completion of these treatments are allowed.)
•6. ECOG PS 0 or 1.
•7. Life expectancy ≥ 3 months.
•8. Subjects have at least one measurable lesion as evaluated by the investigator according to RECIST v1.1, and the baseline imaging assessment must be performed within 28 days prior to the first dose of investigational product. Target lesions in the past radiation fields, if confirmed as radiological progression, are considered as measurable lesions.
•9. Palliative treatment (e.g. radiotherapy) for local lesion must be completed ≥ 14 days prior to the first dose of investigational product.
•10. Subjects must provide tumor tissue samples (formalin fixed-paraffin embedded \[FFPE\] tissue block or unstained tumor tissue sections) for biomarker analysis, in order to determine the expression of PD-L1.
+2 more criteria

Exclusion Criteria

•1. Adenocarcinoma, mixture of adenocarcinoma and squamous cell carcinoma, or other pathological type of esophageal cancer.
•2. Subjects with active central nervous system (CNS) metastasis and/or carcinomatous meningitis (that is symptomatic, or requires treatment, or no radiological evidence confirming the stability of the lesion within 28 days prior to the first dose of investigational product).
•3. With another active primary malignancy in the past 5 years, except local curable cancers that have undergone curative therapy, e.g. basal cell carcinoma of skin, squamous cell carcinoma of skin, superficial bladder cancer, prostate cancer in situ, breast cancer in situ or cervical cancer in situ.
•4. Known history of positive human immunodeficiency virus (HIV) test result or acquired immunodeficiency syndrome (AIDS).
•5. Any severe or uncontrolled systemic disease, e.g., diabetes mellitus or hypertension, that may increase the risk associated with participation in the study or investigational product administration, or compromise subject's ability to receive investigational product, as per investigator's judgment.
•6. Subjects who have previously received any treatment of antibody or drug that targets at T-cell coregulatory pathways or immune checkpoint pathways, e.g., antibodies targeting at programmed death receptor-1 (PD-1), programmed death receptor-ligand 1 (PD-L1), cytotoxic T lymphocyte-associated antigen 4 (CTLA-4), OX-40, CD137, T cell immunoglobulin mucin molecule 3 (TIM-3), lymphocyte activation gene 3 (LAG-3), etc. Subjects who have received cell-based immunotherapy (e.g., cytokine-induced killer cell \[CIK\], chimeric antigen receptor T cell \[CAR-T\] immunotherapy, etc.).
•7. All toxicities except for alopecia and fatigue that are caused by the prior anti-neoplastic treatment has recovered to Grade 1 (according to National Cancer Institute Common Toxicity Criteria for Adverse Events \[NCI CTCAE\] v5.0).
•8. Subjects with history of allogenic stem cell or solid organ transplantation.
•9. Subjects with any condition that in the investigator's opinion are not suitable for participating in this study.

Locations (72)

The First Affiliated Hospital of Bengbu Medical College

Bengbu, Anhui, China

Anhui Provincial Hospital

Hefei, Anhui, China

Hefei Second People's Hospital

Hefei, Anhui, China

The First Affiliated Hospital of Anhui Medical University

Hefei, Anhui, China

The Second Affiliated Hospital of Anhui Medical University

Hefei, Anhui, China

Beijing Friendship Hospital, Capital Medical University

Beijing, Beijing Municipality, China

Beijing Tsinghua Changgung Hospital

Beijing, Beijing Municipality, China

Peaking University International Hospital

Beijing, Beijing Municipality, China

Chongqing General Hospital

Chongqing, Chongqing Municipality, China

Special Medical Center of The People's Liberation Army of China

Chongqing, Chongqing Municipality, China

Key Dates

Start Date

December 19, 2019

Primary Completion Date

October 7, 2022

Completion Date

October 7, 2022

Last Updated

November 24, 2023

Enrollment

540

ACTUAL participants

Conditions

Unresectable Locally Advanced, Recurrent or Metastatic Esophageal Squamous Cell Carcinoma

Interventions

CS1001+ Fluorouracil+Cisplatin

DRUG

Placebo+ Fluorouracil+Cisplatin

DRUG