In this study, patients of advanced gastric adenocarcinoma with failed first-line chemotherapy-line or advanced mismatched repair deficient (dMMR) or microsatellite instability-high (MSI-H) advanced solid carcinoma will be treated with HX008 combined with irinotecan and HX008 monotherapy There will be two cohorts in this study: Cohort 1 and Cohort 2. For Cohort 1, advanced gastric adenocarcinoma with failed first-line chemotherapy-line cancer participants, who had failed or were unable to tolerate first line chemotherapy with platinum-based or fluorouracil regimens. For Cohort 2, advanced solid tumor participants, who are required to have been previously treated with at least one line of systemic standard of care therapy.
Cohort 1: Currently, no PD-1 antibody against gastric cancer have been approved in China, and there are many patients with gastric cancer in China, so effective, low-toxicity and affordable treatment is urgently needed. This study aims to investigate the efficacy of combined application of recombinant human anti-PD-1 monoclonal antibody (HX008) and irinotecan in patients with locally advanced or metastatic gastric cancer (including gastric esophageal junction cancer) ,thus providing a better treatment for Chinese patients with gastric cancer.Advanced gastric adenocarcinoma with failed first-line chemotherapy-line cancer participants, who had failed or were unable to tolerate first line chemotherapy with platinum-based or fluorouracil regimens are needed. Cohort 2: Later-line therapies after failure of standard treatments for advanced solid cancer patients are limited. Mismatch repair (MMR) deficiency or microsatellite instability-high (MSI-H) played a role of positive predictive factor, which had been documented after the pembrolizumab and nivolumab trial were reported, for PD-1 blockade monotherapy in patients with advanced solid carcinomas. In this study, patients with previously-treated locally-advanced or metastatic mismatched repair deficient (dMMR) or microsatellite instability-high (MSI-H) advanced solid tumors will be treated with HX008 monotherapy.Advanced solid tumor participants, who are required to have been previously treated with at least one line of systemic standard of care therapy are needed.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
123
HX008 is a monoclonal antibody drug which is intravenous drip at a dose of 200mg.
Cancer Hospital, Chinese Academy of Medical Sciences
Beijing, Beijing Municipality, China
Affiliated Hospital of Hebei University
Baoding, China
Beijing Yuhe Combination of Chinese Traditional and Western Medicine Recovery Hospital
Beijing, China
The First Affiliated Hospital of Bengbu Medical College
Bengbu, China
Hunan Cancer Hospital
Changsha, China
ORR of HX008 combined with irinotecan and HX008 single drug
ORR was assessed according to Response Evaluation Criteria in Solid Tumors v 1.1 (RECIST 1.1)
Time frame: Up to approximately 2 years
HX008 safety and tolerability assessed by monitoring AEs
Percentage of participants with adverse events (AEs), serious adverse events and AEs of special interest
Time frame: From screening to up to 1 months after the last dose of study drug (up to approximately 2 years)
Disease Control Rate (DCR)
per RECIST 1.1 assessed by central imaging vendor and investigator
Time frame: Up to approximately 2 years
Duration of Response (DOR)
per RECIST 1.1 assessed by central imaging vendor and investigator
Time frame: Up to approximately 2 years
Progression-Free Survival (PFS)
per RECIST 1.1 assessed by central imaging vedor and investigator
Time frame: Up to approximately 2 years
Overall Survival (OS)
Calculated by the Kaplan-Meier method.
Time frame: Up to approximately 2 years
Immunogenicity
Measured by MSD electroluminescence detection method
Time frame: From the first dose of study drug (up to approximately 2 years)
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Xiangya Hospital, Central South University
Changsha, China
Heping Hospital Affiliated to Changzhi Medical College
Changzhi, China
Fujian Cancer Hospital
Fuzhou, China
The First Affiliated Hospital, Zhejiang University School of Medicine
Hangzhou, China
Zhejiang Cancer Hospital
Hangzhou, China
...and 20 more locations