Description:
This is a single-arm phase II clinical trial to evaluate the initial efficacy and safety of
Sintilimab injection combined with Inlyta in fumarate hydratase-deficient renal cell
carcinoma.
Title
- Brief Title: Sintilimab Injection Combined With Inlyta in Fumarate Hydratase- Deficient Renal Cell Carcinoma
- Official Title: Single-arm Phase II Clinical Trial to Evaluate the Initial Efficacy and Safety of Sintilimab Injection Combined With Inlyta in Fumarate Hydratase- Deficient Renal Cell Carcinoma
Clinical Trial IDs
- ORG STUDY ID:
20190813
- NCT ID:
NCT04387500
Conditions
- Carcinoma, Renal Cell
- Fumarate Hydratase Deficiency
- Immunotherapy
Interventions
Drug | Synonyms | Arms |
---|
Sintilimab injection plus Inlyta treatment | | Sintilimab injection combined with Inlyta |
Purpose
This is a single-arm phase II clinical trial to evaluate the initial efficacy and safety of
Sintilimab injection combined with Inlyta in fumarate hydratase-deficient renal cell
carcinoma.
Detailed Description
Our previous genetic research as well as other published data indicated the possible well
response to combination of immunotherapy with targeted therapy in FH-deficient renal cell
carcinoma, therefore the investigators intented to perform this single-arm phase II clinical
trial to evaluate the initial efficacy and safety of Sintilimab injection combined with
Inlyta in FH-deficient renal cell carcinoma.
Trial Arms
Name | Type | Description | Interventions |
---|
Sintilimab injection combined with Inlyta | Experimental | Sintilimab injection 10ml: 100mg, 200mg intravenously, once every three weeks. Course of treatment: discontinue medication when the disease progresses clinically or radiologically.
Inlyta 5mg orally, twice a day. Course of treatment: continue treatment as long as a clinical benefit is observed, or until an unacceptable toxicity is present that cannot be controlled by combination or dose adjustment.
In the whole research process, if the disease progresses, the attending doctor has the right to carefully choose other anti-tumor methods, including radiotherapy, chemotherapy and other targeted drugs. | - Sintilimab injection plus Inlyta treatment
|
Eligibility Criteria
Inclusion Criteria:
1. age ≥ 18;
2. histology characteristics accord with FH-deficient RCC;
3. gene testing confirms germline and/or somatic FH gene mutation ;
4. ECOG (Eastern Cooperative Oncology Group)≤2;
5. expected survival >3 months;
6. blood routine indexes: neutrophils ≥1.5*109, platelets ≥100*109, hemoglobin ≥90g/L;
7. liver function: bilirubin ≤ normal upper limit 1.5 times, AST≤ normal upper limit 2.5
times;Serum creatinine ≤ 1.5 times of normal upper limit;Serum calcium concentration:
≤12.0 mg/dL;
8. coagulation function: PT≤ 1.5 times of normal upper limit;
9. the following diseases did not appear within 12 months: myocardial infarction, severe
or unstable angina pectoris, asymptomatic heart failure, cardiovascular and
cerebrovascular accident or transient ischemic attack, etc.
10. all patients signed informed consent.
Exclusion Criteria:
1. other malignancies previously or at the same time that are different from the primary
site or histology of the tumor assessed in this study, except cervical carcinoma in
situ, basal-cell carcinoma that has been fully treated, superficial bladder tumor (Ta,
Tis, T1) or other malignancies that occurred before the enrollment and have been cured
for more than 3 years;
2. renal decompensation requires hemodialysis or peritoneal dialysis;
3. arrhythmia need anti-arrhythmic treatment, symptomatic coronary artery disease or
myocardial ischemia (myocardial infarction), nearly six months, or congestive heart
failure than NYHA Ⅱ level; Hypertension (systolic blood pressure >160 mmHg or
diastolic blood pressure >100 mmHg) that has been treated with 2 or more
antihypertensive treatments and still cannot be controlled;
4. severe active clinical infection;
5. patients with coagulation disorder or bleeding constitution;
6. major surgery or severe trauma was performed within 4 weeks before enrollment;
7. a history of allogeneic organ transplantation or bone marrow transplantation;
8. drug abuse and medical, psychological or social conditions that may interfere with
patients' participation in research or affect the evaluation of results;
9. known or suspected allergy to the study drug;
10. those who received treatment other than this study within 4 weeks prior to and during
the study period.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | PFS |
Time Frame: | 3 years |
Safety Issue: | |
Description: | progression-free survival |
Secondary Outcome Measures
Measure: | OS |
Time Frame: | 3 years |
Safety Issue: | |
Description: | overall survival |
Measure: | life quality |
Time Frame: | Up to 36 months |
Safety Issue: | |
Description: | evaluate life quality using EuroQol-5D utility score (EQ-5D index) and the EQ-5D visual analogue scale (EQ-VAS) responses. Higher scores indicate poorer health. |
Details
Phase: | Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | West China Hospital |
Trial Keywords
Last Updated
July 16, 2021