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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03995472
Registration number
NCT03995472
Ethics application status
Date submitted
9/05/2019
Date registered
24/06/2019
Titles & IDs
Public title
A Study of SHR-1501 Combined With SHR-1316 in Patients With Advanced Tumors
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Scientific title
A Phase I Clinical Study to Evaluate the Tolerability, Safety, Pharmacokinetics and Efficacy of SHR-1501 in Combination With SHR-1316 in Patients With Advanced Malignancies
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Secondary ID [1]
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SHR-1501-I-101
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Advanced Malignancies
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - SHR-1501
Treatment: Drugs - SHR-1316
Experimental: SHR-1501 and SHR-1316 dose escalation - SHR-1501 given subcutaneously with different doses. SHR-1316 given intravenously.
Experimental: SHR-1501 and SHR-1316 dose expansion - SHR-1501 given subcutaneously with different doses. SHR-1316 given intravenously.
Experimental: SHR-1501 and SHR-1316 Indication expansion - SHR-1501 given subcutaneously with a recommended dose. SHR-1316 given intravenously.
Treatment: Drugs: SHR-1501
Administered subcutaneously
Treatment: Drugs: SHR-1316
Administered intravenously
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Dose-limiting toxicity and Maximum tolerated dose
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Assessment method [1]
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Dose-limiting toxicity and Maximum tolerated dose in patients with advanced tumors treated by SHR-1501 combined with SHR-1316.
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Timepoint [1]
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Approximately 42 Days.
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Primary outcome [2]
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Recommended Phase 2 dose (RP2D)
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Assessment method [2]
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Recommended Phase 2 dose (RP2D) based on comprehensive evaluation
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Timepoint [2]
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Approximately 2 years
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Primary outcome [3]
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Adverse event/Serious adverse event
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Assessment method [3]
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Incidence/severity of adverse events/serious adverse events (rated based on CTC AE v5.0)
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Timepoint [3]
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Approximately 2 years
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Secondary outcome [1]
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Pharmacokinetic (PK)
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Assessment method [1]
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Single dose: maximum concentration (Cmax)
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Timepoint [1]
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Approximately 2 years
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Secondary outcome [2]
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Pharmacokinetic (PK)
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Assessment method [2]
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Single dose: time to maximum concentration (Tmax)
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Timepoint [2]
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Approximately 2 years
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Secondary outcome [3]
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Pharmacokinetic (PK)
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Assessment method [3]
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Single dose: areas under the concentration-time curve (AUClast and AUCinf)
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Timepoint [3]
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Approximately 2 years
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Secondary outcome [4]
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Pharmacokinetic (PK)
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Assessment method [4]
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Single dose: half-life (t1/2)
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Timepoint [4]
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Approximately 2 years
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Secondary outcome [5]
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Pharmacokinetic (PK)
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Assessment method [5]
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Single dose: clearance (CL)
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Timepoint [5]
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Approximately 2 years
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Secondary outcome [6]
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Pharmacokinetic (PK)
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Assessment method [6]
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Single dose: mean residence time (MRT)
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Timepoint [6]
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Approximately 2 years
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Secondary outcome [7]
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Pharmacokinetic (PK)
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Assessment method [7]
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Single dose: volume at steady state (Vss)
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Timepoint [7]
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Approximately 2 years
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Secondary outcome [8]
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Pharmacokinetic (PK)
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Assessment method [8]
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Multiple doses (at steady state, if applicable): maximum concentration at steady state (Css_max)
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Timepoint [8]
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Approximately 2 years
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Secondary outcome [9]
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Pharmacokinetic (PK)
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Assessment method [9]
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Multiple doses (at steady state, if applicable): time to maximum concentration (Tss_max)
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Timepoint [9]
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Approximately 2 years
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Secondary outcome [10]
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Pharmacokinetic (PK)
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Assessment method [10]
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Multiple doses (at steady state, if applicable): area under the concentration-time curve at steady state (AUCss)
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Timepoint [10]
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Approximately 2 years
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Secondary outcome [11]
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Pharmacokinetic (PK)
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Assessment method [11]
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Multiple doses (at steady state, if applicable): t1/2
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Timepoint [11]
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Approximately 2 years
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Secondary outcome [12]
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Pharmacokinetic (PK)
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Assessment method [12]
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Multiple doses (at steady state, if applicable):steady-state minimum concentration at steady state (Css_min)
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Timepoint [12]
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Approximately 2 years
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Secondary outcome [13]
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Pharmacokinetic (PK)
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Assessment method [13]
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Multiple doses (at steady state, if applicable): average concentration at steady state(Css_av)
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Timepoint [13]
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Approximately 2 years
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Secondary outcome [14]
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Pharmacokinetic (PK)
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Assessment method [14]
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Multiple doses (at steady state, if applicable): accumulation ratio (Rac)
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Timepoint [14]
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Approximately 2 years
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Secondary outcome [15]
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Immune related features
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Assessment method [15]
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indicated by the count of CD8+ T-lymphocytes in peripheral blood at scheduled post-dose time points.
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Timepoint [15]
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Approximately 2 years
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Secondary outcome [16]
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Immune related features
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Assessment method [16]
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indicated by the percentage of CD8+ T-lymphocytes in peripheral blood at scheduled post-dose time points.
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Timepoint [16]
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Approximately 2 years
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Secondary outcome [17]
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Immune related features
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Assessment method [17]
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indicated by the count of natural killer (NK) cells in peripheral blood at scheduled post-dose time points.
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Timepoint [17]
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Approximately 2 years
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Secondary outcome [18]
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Immune related features
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Assessment method [18]
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indicated by the percentage of natural killer (NK) cells in peripheral blood at scheduled post-dose time points.
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Timepoint [18]
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Approximately 2 years
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Secondary outcome [19]
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Objective response rate
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Assessment method [19]
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Percentage of participants with CR or PR.
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Timepoint [19]
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Approximately 2 years
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Secondary outcome [20]
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Disease control rate
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Assessment method [20]
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Percentage of participants with CR or PR or SD.
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Timepoint [20]
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Approximately 2 years
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Secondary outcome [21]
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Duration of response
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Assessment method [21]
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Duration of time of tumor remission.
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Timepoint [21]
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Approximately 2 years
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Secondary outcome [22]
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progression-free survival
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Assessment method [22]
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Progression-free survival time.
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Timepoint [22]
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Approximately 2 years
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Secondary outcome [23]
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12 months overall survival
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Assessment method [23]
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12-month survival rate.
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Timepoint [23]
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Approximately 2 years
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Secondary outcome [24]
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Durable clinical benefit rate at 6 month
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Assessment method [24]
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Percentage of participants with CR or PR or SD lasts over six months.
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Timepoint [24]
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Approximately 2 years
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Secondary outcome [25]
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Immunogenicity
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Assessment method [25]
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The immunogenicity of SHR-1501 single drug and the immunogenicity of SHR-1316 combined with SHR-1501. The indicator includes number of participants with anti-drug antibody positive or neutralizing antibody positive.
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Timepoint [25]
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Approximately 2 years
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Eligibility
Key inclusion criteria
• All Patients All patients must meet all the following criteria to be eligible to participate:
1. Voluntarily participate in this clinical study, understand the research procedure and be able to sign informed consent in writing;
2. Subjects must be willing and able to follow the research protocol;
3. Aged 18-75 years old when the informed consent form is signed;
4. Have a histologically or cytologically confirmed diagnosis of advanced or metastatic tumor malignancy;
5. Patients' malignancies must be relapsed or refractory to standard treatment, or patients cannot tolerate standard treatment, or patients have actively refused standard therapy;
6. FFPE tumor tissue or unstained slides of tumor sample must be obtained from patients enrolled in the dose expansion or indication expansion stage, both preserved samples collected within 6 months before the first dose (or up to 12 months prior to the first dose) and fresh samples (preferred) are acceptable;
7. Eastern Cooperative Oncology Group ECOG PS score of 0-1;
8. Have a life expectancy of = 12 weeks;
9. Adequate organ function defined according to the protocol, These results should be completed within 14 days prior to the first study treatment:
10. Non-surgically sterilized women of childbearing age or male subjects are required to consent to the use of at least one medically approved contraceptive (eg intrauterine devices, contraceptives or condoms) is performed during the study treatment period and within 3 months of the end of the study treatment period.
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Minimum age
18
Years
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Maximum age
75
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Patients with cancerous meningitis (ie meningeal metastasis);
2. Patients with active central nervous system (CNS) metastasis.
3. Spinal cord compression that cannot be radically treated with surgery and/or radiotherapy cannot be enrolled.
4. Patients with double cancer or more serious cancer;
5. Patients with a history of autoimmune diseases;
6. Significant clinical significance in the history of cardiovascular disease;
7. Arterial/venous thrombosis events such as cerebrovascular accidents deep vein thrombosis and pulmonary embolism within 6 months prior to first administration;
8. Have a history of immunodeficiency including HIV infection;
9. Active hepatitis B or hepatitis C patients;
10. Any disease or symptom that is not appropriate for inclusion in this study determined by the investigator.;
11. Patients have undergone major surgery within 28 days prior to the first dose (except for diagnostics);
12. Those who used a live attenuated vaccine within 4 weeks prior to the first dose or expect a live attenuated vaccine during the study period;
13. Those who received other clinical trials within 4 weeks prior to the first study;
14. Those who received systemic immunosuppressive therapy within 2 weeks prior to the first study dose;
15. Patients who have previously received allogeneic bone marrow transplantation or solid organ transplantation;
16. A history of severe allergic reactions to other monoclonal antibody/fusion protein drugs;
17. Mental illness, alcohol abuse, drug abuse or substance abuse;
18. Any disease or condition that causes reasonable suspicion to prohibit the use of the study drug or affect the interpretation of the study results or the patient is at high risk of treatment complications (any other disease, metabolic disorder, physical examination results or laboratory tests abnormalities);
19. Pregnant or lactating women or women planning to become pregnant during the study.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Other
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
14/02/2020
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
12/01/2023
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Sample size
Target
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Accrual to date
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Final
14
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Recruitment in Australia
Recruitment state(s)
NSW,QLD
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Recruitment hospital [1]
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Sydney Southwest Private Hospital - Liverpool
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Recruitment hospital [2]
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Scientia Clinical Research - Randwick
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Recruitment hospital [3]
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Icon Cancer Centre South Brisbane - South Brisbane
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Recruitment hospital [4]
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John Flynn Private Hospital - Tugun
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Recruitment postcode(s) [1]
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2170 - Liverpool
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Recruitment postcode(s) [2]
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2031 - Randwick
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Recruitment postcode(s) [3]
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4101 - South Brisbane
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Recruitment postcode(s) [4]
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4224 - Tugun
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Recruitment outside Australia
Country [1]
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China
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State/province [1]
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Guangdong
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Jiangsu HengRui Medicine Co., Ltd.
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to evaluate the safety and tolerability of SHR-1501 in combination with SHR-1316 in patients with advanced malignancies and to provide a recommended dose (RP2D) for subsequent clinical studies.
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Trial website
https://clinicaltrials.gov/study/NCT03995472
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Yilong Wu, MD
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Address
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Guangdong General Hospital & Guangdong Academy of Medical Sciences
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Undecided
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03995472