About this trial
This is an open-label, randomized, multi-cohort, multi-center, phase Ib/II study to evaluate the safety and efficacy of Adebrelimab plus Irinotecan Liposome (II) with or without Famitinib in patients with extensive-stage small cell lung cancer (ES-SCLC) pre-treated with immune checkpoint inhibitor(s).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Willing to participate and sign the informed consent form.
Age: 18-75 years old, male or female.
ECOG PS: 0-1 points.
Histologically or cytologically confirmed of extensive stage small cell lung cancer (according to the International Association for the Study of Lung Cancer, 8th Edition or VALG II staging system).
Disqualifiers
Non-small cell lung cancer or non-small cell lung cancer admixed with components of small cell lung cancer, as confirmed by histology or cytology.
With > 2 lines of prior chemotherapy.
Patients previously treated with topoisomerase I inhibitors.
With primary resistance, defined as patients who do not respond to first-line treatment or progress within 90 days after the end of treatment.
Trial design
Parallel
Treatments tested in this trial
Adebrelimab, Irinotecan Liposome (II)
DrugAdebrelimab:1200 mg, IV, D1, Q3W Irinotecan Liposome (II): RP2D, IV, D1, Q3W Escalating doses to determine recommended phase 2 dose (RP2D) of Irinotecan Liposome (II). Participants will receive Adebrelimab (1200 mg, IV, D1, Q3W) plus the RP2D of Irinotecan Liposome (II).
Adebrelimab, Irinotecan Liposome (II), Famitinib
DrugAdebrelimab:1200 mg, IV, D1, Q3W Irinotecan Liposome (II): RP2D, IV, D1, Q3W Famitinib: RP2D, QO, QD Escalating doses to determine recommended phase 2 dose (RP2D) of Famitinib. Participants will receive Adebrelimab (1200 mg, IV, D1, Q3W) plus the RP2D of Irinotecan Liposome (II) and Famitinib.
Treatment groups
Trial outcomes
Primary outcomes
6-month progression-free survival
Proportion of disease progression or death from randomization to 6 months of treatment.
Secondary outcomes
Safety
Incidence, nature, and severity of adverse events graded according to the NCI CTCAE v5.0.
Objective response rate
Objective response rate, determined according to RECIST v1.1 criteria.
Progression-free survival
Progression Free Survival, determined according to RECIST v1.1 criteria.
Overall survival
Overall survival is the time from randomization to death due to any reason or loss of follow-up.
Sponsors and contacts
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Baohui Han
Lead sponsor
Shanghai Chest Hospital
Sponsor institution
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