This is a phase II, single arm, open-label, multicenter study to evaluate the efficacy and safety of Surufatinib single agent or Surufatinib combined with Toripalimab in patients with advanced solid tumors.
The study population is about 260 patients with advanced solid tumors, who fails or can not tolerate standard therapies, or for whom no effective standard therapy is available, or who refuses standard therapies. This study includes two arms. One is that Surufatinib single agent 300mg once a day (QD) will be orally administrated in patients with advanced neuroendocrine carcinoma (NEC). In another arm Surufatinib 250 mg QD will be orally administrated and Toripalimab 240mg will be intravenously administered every 3 weeks up to documented disease progression, development of unacceptable toxicity, participant request, or withdrawal of consent. For Toripalimab, the upper time limit for treatment is 2 years. The primary objective is safety of safety run-in (about 6 patients) and objective response rate (ORR) of Surufatinib single agent in patients with advanced NEC or Surufatinib combined with Toripalimab in patients with advanced solid tumors.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
248
Surufatinib is a tablet in the form of 50mg, oral, once a day.
Toripalimab is an injection in the form of 240mg, intravenous, once three weeks.
Beijing Cancer Hospital
Beijing, Beijing Municipality, China
Fudan University Shanghai Cancer Center
Shanghai, Shanghai Municipality, China
Adverse events (AEs) of safety run-in part
The AEs of the first 6 patients were evaluated by the possibly occurs Dose Limited Toxicity (DLT).
Time frame: From Cycle 1 Day 1 to the end of Cycle 2 Day 7 (each cycle is 21 days)
Objective response rate (ORR)
The incidence of confirmed complete response or partial response (RECIST1.1).
Time frame: From date of first dose of study drug until disease progression, withdrawal of consent, death, new anti-cancer therapy(up to approximately 2 years)
Objective Response Rate (ORR)
The incidence of confirmed complete response or partial response (irRECIST).
Time frame: From date of first dose of study drug until disease progression, withdrawal of consent, death, new anti-cancer therapy(up to approximately 2 years)
Duration of Response (DoR) (RECIST1.1 and irRECIST)
Duration from the first time reported partial response or complete response to the first time of disease progression or death.
Time frame: From date of first dose of study drug until disease progression, withdrawal of consent, death, new anti-cancer therapy (up to approximately 2 years)
Progression-free Survival (PFS) (RECIST1.1 and irRECIST)
A duration from the date of initial treatment with Surufatinib combined with Toripalimab to disease progression or death of any cause.
Time frame: From date of first dose of study drug until disease progression, withdrawal of consent, death, new anti-cancer therapy (up to approximately 2 years)
Disease Control Rate (DCR) (RECIST1.1 and irRECIST)
Proportion of patients whose tumor volume control (reduced or enlarged) reaches a predetermined value and can maintain a minimum time limit.
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Time frame: From date of first dose of study drug until disease progression, withdrawal of consent, death, new anti-cancer therapy (up to approximately 2 years)
Overall Survival (OS)
Duration from the date of initial treatment with Surufatinib plus toripalimab to the date of death due to any cause.
Time frame: From date of first dose of study drug until withdrawal of consent or death (up to approximately 2 years)
The AEs of all population
An AE is any untoward medical occurrence in a patient or clinical investigation participant administered an investigational product.Safety and tolerance evaluated by incidence, severity and outcomes of AEs
Time frame: For each participant, from the first participant first dose until 30 days after the last dose (up to approximately 2 years)
Anti-drug Antibody (ADA) of Toripalimab
Blood samples will be collected and analyzed. Serum ADA will be detected by using validated methods.
Time frame: half of hour predose of Toripalimab for Cycle 1, 2, 3, 4, 5 (each cycle is 21 days) and 30 days after the last dose
Plasma maximum Concentration (Cmax)
Blood samples will be collected at the designated time points.Cmax is the highest concentration of drug in the blood that is measured after a dose.
Time frame: Surufatinib (Cycle 1 and 3): Day 1: predose;1, 2, 4, 8,12 and 24 hours postdose. Toripalimab (Cycle 1 and 3): predose; 0.5, 2, 6, 12,24,48,96,168,336 and 504 hours postdose
The drug concentration-time curve (AUC)
Plasma samples will be collected at the designated time points. AUC represents the overall amount of drug in the bloodstream after dosing.
Time frame: Surufatinib (Cycle 1 and 3): Day 1: predose;1, 2, 4, 8,12 and 24 hours postdose. Toripalimab (Cycle 1 and 3): predose; 0.5, 2, 6, 12,24,48,96,168,336 and 504 hours postdose