Phase II Study for Combination of Camrelizumab and SBRT in the First-line Treatment for R/M HNSCC

  • STATUS
    Recruiting
  • participants needed
    34
  • sponsor
    Xingchen Peng
Updated on 19 February 2024
blood transfusion
serum pregnancy test
measurable disease
metastasis
squamous cell carcinoma of head and neck
squamous cell carcinoma
liver metastasis
anticoagulants
carcinoma
aptt
head and neck carcinoma
stereotactic body radiation therapy

Summary

This study is a prospective, single-center, open-label, phase II clinical study for patients with recurrent or metastatics quamous cell carcinoma of the head and neck.

Details
Condition Head and Neck Squamous Cell Carcinoma
Age 18years - 100years
Treatment Camrelizumab and SBRT
Clinical Study IdentifierNCT04399785
SponsorXingchen Peng
Last Modified on19 February 2024

Eligibility

Yes No Not Sure

Inclusion Criteria

Histologically confirmed squamous cell carcinoma of the head and neck
Patients with untreated recurrent or metastatic disease
Combined positive Score>=1
Aged >=18 years
Eastern Cooperative Oncology Group (ECOG) performance status 0-1
At least one measurable lesion, according to RECIST 1.1
Major organ functions within 28 days prior to treatment meet the following criteria(14 days without transfusion)
HB>=80g/L, ANC>=1.5x10^9/L, PLT >=80x10^9/L
TBIL<=1.5 ULN, ALT and AST <=2.5 ULN, if there exists hepatic metastases, ALT and AST <=5 ULN, Cr <=1.5 ULN or CCr >=60ml/min
INR or PT <= 1.5 ULN, APTT <=1.5 ULN (if the patient is receiving anticoagulant therapy, PT and APTT should be within the expected treatment range)
BNP <=ULN
T3 <=ULN and T4 <=ULN after treatment
Appropriate contraception should be used from the start of treatment to 120 days after the end of treatment; For female subjects with reproductive potential: a negative serum pregnancy test
Have signed consent form

Exclusion Criteria

Have other malignant tumors in the past 5 years, except for cured in cured basal cell carcinoma, situ cervical carcinoma and thyroid papillary carcinoma
Known allergic reactions to the components of PD-1 monoclonal antibody
Central nervous system metastasis with symptoms
Treatment with a strong CYP3A4 inhibitor within 1 week or a strong inducer of CYP3A4 within 2 weeks
Congestive heart failure of New York Heart Association (NYHA) Class III or IV
Ischemic cardiovascular events occurred within 1 year prior to the start of treatment
ECG QT interval >500ms
Patients are receiving immunosuppressive therapy
Treatment with an immunotherapy, including anti-PD-1, anti-PD-L1 and anti-CTLA-4
Treatment with an investigational agent within 4 weeks
Treatment with oral or parenteral corticosteroids (>10mg per day) within 2 weeks or a requirement for chronic systemic immunosuppressive therapy
Treatment with anti-tumor vaccine or live vaccines within 4 weeks
Surgery or severe trauma within 4 weeks
Active infection
Active autoimmune disease
History of immunodeficiency, including HIV antibody positive, primary immunodeficiency, or the allogeneic organ transplantation and allogeneic hematopoietic stem cell transplantation
History of noninfectious pneumonia
Active tuberculosis within 1 year, or had a history of active tuberculosis infection one year ago but did not receive standard treatment
Active hepatitis, including HBV DNA 2000IU/ml or 10 copies / ml or HCV antibody and HCV-RNA positive
History of alcoholism and drug abuse
Patients with symptoms of gastrointestinal bleeding or risk of bleeding
Patients are pregnant or breast-feeding
Any other condition or circumstance that could interfere with adherence to the study's procedures or requirements, or otherwise compromise the study's objectives
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