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Spots Global Cancer Trial Database for Cadonilimab in Patients (Pts) With Advanced Non-small Cell Lung Cancer (NSCLC)

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Trial Identification

Brief Title: Cadonilimab in Patients (Pts) With Advanced Non-small Cell Lung Cancer (NSCLC)

Official Title: A Phase Ib/II Trial of Cadonilimab (PD-1/CTLA-4 Bispecific Antibody) in Combination With Anlotinib and Docetaxel in Patients (Pts) With Checkpoint Inhibitor (CPI)-Experienced Advanced Non-small Cell Lung Cancer (NSCLC)

Study ID: NCT05816499

Study Description

Brief Summary: This phase Ib/II trial studies how well cadonilimab combined with anlotinib and docetaxel work in treating patients with non-small cell lung cancer that is stage IV or has come back. Cadonilimab, a PD-1/CTLA-4 bispecific antibody, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. Anlotinib can regulate tumor microenvironment. Docetaxel was used in standard of care chemotherapy for non-small cell lung cancer, work to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Giving cadonilimab, anlotinib and docetaxel together may work better in treating patients with non-small lung cancer compared to standard of care.

Detailed Description: PRIMARY OBJECTIVES: 1. Dose discovery stage: evaluate the safety of cadonilimab combined with anlotinib and docetaxel in the treatment of locally advanced and metastatic NSCLC after failure of treatment with PD-L1/1 inhibitors and the recommended dose of anlotinib. 2. Dose expansion stage: evaluate the 6-month PFS rate of patients with locally advanced and metastatic NSCLC after failure of treatment with PD-L1/1 inhibitors by cadonilimab combined with anlotinib and docetaxel, which was evaluated by researchers based on RECIST v1.1. SECONDARY OBJECTIVES: 1. evaluate the objective response rate (ORR), progression-free survival (PFS), disease control rate (DCR), duration of response (DoR), time to response (TTR), and total survival (OS) of patients with locally advanced and metastatic NSCLC after failure of treatment with PD-L1/1 inhibitors with cadonilimab, anlotinib, and docetaxel. 2. evaluate the safety and tolerability of cadonilimab combined with arotinib and docetaxel in the treatment of locally advanced and metastatic NSCLC after failure of treatment with PD-L1/1 inhibitor. OUTLINE: This is a prospective, open, single-arm, multi-center, phase I b/II clinical study. All patients were confirmed Locally advanced (stage IIIB/IIIC) that cannot be resected by radical surgery and cannot accept radical synchronous/sequential radiotherapy and chemotherapy or metastatic (stage IV) NSCLC by histology or cytology. Patients must have progressed on at most a PD-1/L1 inhibitor and a platinum-based chemotherapy (combined or sequential, regardless of sequence), and at least two cycles of PD-1/L1 inhibitor (combined or non-combined chemotherapy) with clinical benefits (PFS ≥ 3 months). The study is divided into two parts. The first part is the dose discovery stage. The patients will receive a 21-day observation period of dose limiting toxicity (DLT). 3-6 subjects will be enrolled in each dose, and finally evaluate the safety and determine the recommended dose (RP2D) for phase II clinical study according to the "3+3" principle. We will continue to recruit 44 patients at the dose expansion stage.

Eligibility

Minimum Age: 18 Years

Eligible Ages: ADULT, OLDER_ADULT

Sex: ALL

Healthy Volunteers: No

Locations

lejie Cao, Hefei, Anhui, China

Jing Wang, Qingdao, Shandong, China

Zhuang Yu, Qingdao, Shandong, China

Shanghai Chest Hospital, Shanghai, Shanghai, China

Jianya Zhou, Hangzhou, Zhejiang, China

Contact Details

Name: Baohui Han, M.D

Affiliation: ShanghaiChest Hospital

Role: STUDY_CHAIR

Name: Jianya Zhou, M.D

Affiliation: Zhejiang University

Role: PRINCIPAL_INVESTIGATOR

Name: Zhuang Yu, M.D

Affiliation: The Affiliated Hospital of Qingdao University

Role: PRINCIPAL_INVESTIGATOR

Name: Jing Wang, M.D

Affiliation: The Affiliated Hospital of Qingdao University

Role: PRINCIPAL_INVESTIGATOR

Name: lejie Cao, M.D

Affiliation: Anhui Provincial Hospital

Role: PRINCIPAL_INVESTIGATOR

Useful links and downloads for this trial

Clinicaltrials.gov

Google Search Results

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