This is a single arm, open label, phase 2 study aimed to evaluate the efficacy and safety of the combination recombinant anti-PD-1 humanized monoclonal antibody injection (609A) and doxorubicin hydrochloride in the treatment of metastatic/unresectable non-specific soft tissue sarcoma
This is a single-arm, open, multi-center phase 2 study aimed at evaluating the efficacy and safety of 609A combined with doxorubicin hydrochloride in patients with metastatic/unresectable non-specified soft tissue sarcoma. This study is divided into the first part (safety introduction period) and the second part (phase II). Part 1: Security lead-in period The safety lead-in period adopts a single-arm, open design to evaluate the safety, tolerability and preliminary effectiveness of 609A combined with doxorubicin hydrochloride. Which aimed to explore the Recommended phase II dose (RP2D). Part 2: Phase 2 This part adopts a single-arm, open, Simon two-stage design to further evaluate the anti-tumor efficacy and safety of 609A combined with doxorubicin hydrochloride.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
70
609A 200mg,IV, Day 1of each treatment cycle, up to disease progression or intolerable toxicity, death, early withdrawal from the study or loss to follow-up, withdrawal of consent, or the end of the treatment period, whichever occurs first. Every 3 weeks a treatment cycle.
60mg/m2 or 75mg/m2, IV, Day1of the1-6th treatment cycles only. Every 3 weeks a treatment cycle.
Beijing ji shui tan Hospital
Beijing, Beijing Municipality, China
Recommended phase II dose (RP2D) (Part 1)
RP2D of the combination 609A and doxorubicin hydrochloride.
Time frame: At the end of Cycle 2 (each cycle is 21 days)
Adverse events (Part 1)
Evaluate the safety of the combinations According to the National Cancer Institute (NCI) Common Terminology for Adverse Events (CTCAE) .
Time frame: up to 2 years.
Objective Response Rate (ORR) (part 2)
Evaluated per Response Evaluation Criteria in Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by CT. Complete Response (CR) is a complete elimination of the tumor; Partial Response (PR) is 30% reduction. If a subject experienced a PR, this was required to be confirmed with a second scan at the next appropriate cycle.
Time frame: Up to 2 years .
Objective Response Rate (ORR) (part 1)
Evaluated per Response Evaluation Criteria in Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by CT. Complete Response (CR) is a complete elimination of the tumor; Partial Response (PR) is 30% reduction. If a subject experienced a PR, this was required to be confirmed with a second scan at the next appropriate cycle.
Time frame: Up to 2 years.
Adverse events (Part 2)
Evaluate the safety of the combinations According to the National Cancer Institute (NCI) Common Terminology for Adverse Events (CTCAE).
Time frame: Up to 2 years.
Maximum Plasma Concentration (Cmax) (Part 2)
the Cmax of 609A in patients with long-term medication.
Time frame: Up to 2 years.
Area Under the Curve (AUC) (Part 2)
the AUC of 609A in patients with long-term medication.
Time frame: Up to 2 years.
Median Progression-free Survival (PFS) (Part 1+2)
The Kaplan-Meier method will be used to estimate median PFS.
Time frame: Up to 2 years .
Duration of Response(Part 1+2)
Duration of response is the mean time to progression for all subjects who responded.
Time frame: Up to 2 years.
Overall Survival (OS) (Part 1+2)
The Kaplan-Meier method will be used to estimate median OS.
Time frame: Up to 2 years .
incidence of anti-609A antibodies(Part 1+2)
incidence of anti-609A antibodies
Time frame: Up to 2 years.
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