Condition or disease | Intervention/treatment | Phase |
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Advanced Mucosal Melanoma | Biological: JS001(Toripalimab Injection) Drug: Axitinib 1 MG [Inlyta] Other: JS001 and Axitinib | Phase 2 |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 99 participants |
Allocation: | Randomized |
Intervention Model: | Crossover Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | A Randomized, Controlled, Multicenter Phase II Clinical Study to Evaluate the Efficacy and Safety of Toripalimab Injection Combined With Axitinib in the First-Line Treatment of Patients With Advanced Mucosal Melanoma |
Actual Study Start Date : | November 11, 2019 |
Estimated Primary Completion Date : | June 2022 |
Estimated Study Completion Date : | December 2022 |
Arm | Intervention/treatment |
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Experimental: JS001(Toripalimab Injection) Combined With Axitinib |
Other: JS001 and Axitinib
Control Group: Toripalimab (240 mg, IV, Q3W) is administered on the first day until disease progression or intolerable toxicity, the investigator or subject decides to withdraw, lost to follow-up, initiation of other antineoplastic therapy, or death, with a maximum duration of no more than 2 years |
Experimental: JS001 alone |
Biological: JS001(Toripalimab Injection)
Test Group: Toripalimab (240 mg, IV, Q3W) + axitinib (5 mg/tablet, one tablet, twice a day, orally); axitinib is started on the second day of administration of toripalimab until disease progression or intolerable toxicity, the investigator or subject decides to withdraw, lost to follow-up, initiation of other antineoplastic therapy, or death, with a maximum duration of toripalimab use of no more than 2 years. |
Active Comparator: Axitinib alone |
Drug: Axitinib 1 MG [Inlyta]
Axitinib (5 mg/tablet) one tablet, twice a day, orally until disease progression or intolerable toxicity, the investigator or subject decides to withdraw, lost to follow-up, initiation of other antineoplastic therapy, or death
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Ages Eligible for Study: | 18 Years to 80 Years (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria Patients are eligible for the trial if they meet the following criteria:
Organ function must meet the following requirements (within 7 days prior to randomization):
Peripheral blood: absolute neutrophil count (ANC) ≥1.5 × 109/L, platelets (PLT) ≥100 × 109/L, hemoglobin (HB) ≥9 g/dL (no blood transfusion or blood components within 14 days before testing); Liver: Serum bilirubin (TBIL) ≤1.5 x upper limit of normal (ULN),, aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤3 x ULN (≤5 x ULN in case of liver metastases); Serum creatinine ≤1.5 x ULN; International normalized ratio (INR) and activated partial thromboplastin time (APTT) ≤1.5 x ULN (only for patients not receiving anticoagulant therapy; patients receiving anticoagulant therapy should keep the anticoagulant within the therapeutic requirements); Normal cardiac function, i.e., normal or abnormal electrocardiogram without clinical significance, and left ventricular ejection fraction (LVEF) greater than 50% on cardiac ultrasound.
Exclusion Criteria Patients with any of the following conditions will be excluded from the trial:
Patients with active hepatitis B or C:
Have any uncontrollable clinical problems, including but not limited to:
Contact: Jun Guo, MD,PhD | 010-88121122 | Guoj307@126.com | |
Contact: Xinan Sheng, MD |
China, Beijing | |
Beijing Cancer Hospital | Recruiting |
Beijing, Beijing, China, 100142 | |
Contact: Jun Guo, MD,PHD 010-88121122 Guoj307@126.com | |
Principal Investigator: Jun Guo, MD,PHD | |
Sub-Investigator: Xinan Sheng, MD | |
China, Liaoning | |
Baishen First Hospital of Jilin University | Not yet recruiting |
Shengyang, Liaoning, China | |
Contact: Di Wu, Professor 13944888991 wudi888991@163.com |
Principal Investigator: | Jun Guo, MD,PhD | Beijing Cancer Hospital |
Tracking Information | |||||||||
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First Submitted Date ICMJE | May 5, 2019 | ||||||||
First Posted Date ICMJE | May 8, 2019 | ||||||||
Last Update Posted Date | December 6, 2019 | ||||||||
Actual Study Start Date ICMJE | November 11, 2019 | ||||||||
Estimated Primary Completion Date | June 2022 (Final data collection date for primary outcome measure) | ||||||||
Current Primary Outcome Measures ICMJE |
the progression-free survival (PFS) [ Time Frame: 36 months ] Progression-free survival (PFS) per RECIST 1.1 criteria: Time from the date of randomization to the first documented disease progression (per RECIST 1.1 criteria), or death from any cause, whichever occurs first.
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Original Primary Outcome Measures ICMJE |
the progression-free survival (PFS) [ Time Frame: 2 years ] To compare Toripalimab Injection in combination with Axitinib versus Toripalimab Injection alone with regard to independent review committee (IRC) assessed progression-free survival (PFS) in previously untreated, unresectable (stage III) or metastatic (stage IV) mucosal melanoma patients.
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Change History | |||||||||
Current Secondary Outcome Measures ICMJE |
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Original Secondary Outcome Measures ICMJE |
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Current Other Pre-specified Outcome Measures | Not Provided | ||||||||
Original Other Pre-specified Outcome Measures | Not Provided | ||||||||
Descriptive Information | |||||||||
Brief Title ICMJE | Phase II Study in the Treatment of Patients With Advanced Mucinous Melanoma | ||||||||
Official Title ICMJE | A Randomized, Controlled, Multicenter Phase II Clinical Study to Evaluate the Efficacy and Safety of Toripalimab Injection Combined With Axitinib in the First-Line Treatment of Patients With Advanced Mucosal Melanoma | ||||||||
Brief Summary | This is a randomized, controlled, multicenter Phase II clinical study to evaluate the efficacy and safety of toripalimab injection combined with axitinib in the first-line treatment of patients with advanced mucosal melanoma. The target population is the patients with previously untreated, histopathologically confirmed, unresectable or metastatic mucosal melanoma. At the randomization, patients are randomized 1:1:1 into three groups with approximately 33 subjects in each group to receive toripalimab injection plus axitinib, toripalimab injection monotherapy (subjects who meet the criteria after disease progression may cross over to receive toripalimab plus axitinib), or axitinib monotherapy (subjects who meet the criteria after disease progression may cross over to receive toripalimab plus axitinib); when the patient has disease progression or intolerable toxicity, the treatment is terminated, and the survival follow-up will be initiated. | ||||||||
Detailed Description | Not Provided | ||||||||
Study Type ICMJE | Interventional | ||||||||
Study Phase ICMJE | Phase 2 | ||||||||
Study Design ICMJE | Allocation: Randomized Intervention Model: Crossover Assignment Masking: None (Open Label) Primary Purpose: Treatment |
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Condition ICMJE | Advanced Mucosal Melanoma | ||||||||
Intervention ICMJE |
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Study Arms ICMJE |
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Publications * | Not Provided | ||||||||
* Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline. |
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Recruitment Information | |||||||||
Recruitment Status ICMJE | Recruiting | ||||||||
Estimated Enrollment ICMJE |
99 | ||||||||
Original Estimated Enrollment ICMJE |
146 | ||||||||
Estimated Study Completion Date ICMJE | December 2022 | ||||||||
Estimated Primary Completion Date | June 2022 (Final data collection date for primary outcome measure) | ||||||||
Eligibility Criteria ICMJE |
Inclusion Criteria Patients are eligible for the trial if they meet the following criteria:
Exclusion Criteria Patients with any of the following conditions will be excluded from the trial:
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Sex/Gender ICMJE |
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Ages ICMJE | 18 Years to 80 Years (Adult, Older Adult) | ||||||||
Accepts Healthy Volunteers ICMJE | No | ||||||||
Contacts ICMJE |
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Listed Location Countries ICMJE | China | ||||||||
Removed Location Countries | |||||||||
Administrative Information | |||||||||
NCT Number ICMJE | NCT03941795 | ||||||||
Other Study ID Numbers ICMJE | BJCH-MM-0624 | ||||||||
Has Data Monitoring Committee | Not Provided | ||||||||
U.S. FDA-regulated Product |
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IPD Sharing Statement ICMJE | Not Provided | ||||||||
Responsible Party | Jun Guo, Beijing Cancer Hospital | ||||||||
Study Sponsor ICMJE | Beijing Cancer Hospital | ||||||||
Collaborators ICMJE | Not Provided | ||||||||
Investigators ICMJE |
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PRS Account | Beijing Cancer Hospital | ||||||||
Verification Date | December 2019 | ||||||||
ICMJE Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP |