Carcinoma, Non-Small-Cell LungPhase 3NCT05487391
A Study of QL1706 Combined With Platinum-containing Chemotherapy in Adjuvant Treatment of Stage II-IIIB Non-small Cell Lung Cancer After Complete Surgical Resection.
A Phase 3 study testing QL1706 injection, Vinorelbine Tartrate and Paclitaxel in people with Carcinoma, Non-Small-Cell Lung, run by Qilu Pharmaceutical Co., Ltd. at 1 site in China.
Trial summary
The purpose of this study is to evaluate the efficacy and safety of QL1706 combined with platinum-based chemotherapy versus placebo combined with platinum-based chemotherapy in adjuvant treatment of stage II-IIIB NSCLC without EGFR-sensitizing mutations and ALK fusions after complete surgical resection.The subjects… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Carcinoma, Non-Small-Cell Lung
- What is being tested?
- QL1706 injection, Vinorelbine Tartrate and Paclitaxel
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 632 participants
- Where
- 1 siteChina
- Study dates
- 8 Dec 2022to 22 May 2029
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Subjects voluntarily participated, signed an informed consent form (ICF), and were able to follow the study procedures.
- Histopathologically confirmed squamous or non-squamous non-small cell lung cancer
- Stage II-IIIB according to the 8th edition of the American Joint Committee on Cancer (AJCC) , and had received radical surgical resection (R0) treatment.
- Participants were enrolled to receive adjuvant therapy within 10 weeks after surgery (≤70 days) and had to recover sufficiently from surgery.
- Non-squamous NSCLC subjects without EGFR-sensitizing mutation or ALK fusion gene.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
- Subjects (including women and men) agreed to use effective contraception from the time of signing the informed consent to 180 days after the last use of the study drug.
Who cannot join
- Currently participating in and receiving study treatment or participating in an investigational drug study and receiving study treatment or using an investigational device within 4 weeks prior to the first dose of study treatment.
- Previous treatment with neoadjuvant/adjuvant chemotherapy or immune checkpoint inhibitor therapy.
- Cardiovascular and cerebrovascular diseases with clinical significance.
- Gastrointestinal disease of clinical significance.
- Clinically significant lung damage.
- Human immunodeficiency virus (HIV) antibody positive; Treponema pallidum antibody positive.
Show all 11Show fewer
- Active uncontrolled hepatitis B or active hepatitis C.
- Administer a live vaccine within 30 days prior to the first dose of study treatment.
- Other malignancies occurred within 5 years prior to study enrollment. (Except: Bowen's disease; cured basal cell or squamous cell skin cancer; prostate cancer with a Gleason score of 6; treated cervical carcinoma in situ.)
- Previously allergic to macromolecular protein preparations, or to any component of QL1706 and other investigational drugs; history of severe allergy to chemotherapy drugs (pemetrexed, vinorelbine, paclitaxel, cisplatin, carboplatin) or their preventive drugs, etc.
- History of psychotropic substance abuse, alcohol or drug abuse; prior history of clear neurological or psychiatric disorders, including epilepsy or dementia.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
China1 site, 1 recruiting
- Recruiting
Shanghai Pulmonary Hospital, Shanghai. China
Shanghai
Caicun Zhou
About this study
Official title: QL1706 Combined With Platinum-based Chemotherapy Versus Placebo Combined With Platinum-based Chemotherapy as Adjuvant Therapy for Stage II-IIIB Non-small Cell Lung Cancer After Complete Surgical Resection: a Randomized, Double-blind, Multicenter Phase III Clinical Study.
The purpose of this study is to evaluate the efficacy and safety of QL1706 combined with platinum-based chemotherapy versus placebo combined with platinum-based chemotherapy in adjuvant treatment of stage II-IIIB NSCLC without EGFR-sensitizing mutations and ALK fusions after complete surgical resection.The subjects were randomly divided into two groups according to 1:1, with about 316 subjects in the experimental group and the control group.
- Conditions
- Carcinoma, Non-Small-Cell Lung
- Being tested
- QL1706 injection, Vinorelbine Tartrate, Paclitaxel, Cisplatin, Carboplatin
- Medical subject headings
- Carcinoma, Non-Small-Cell Lung
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
QL1706 injectionDrug
QL1706(5mg/kg Q3W IV) concomitantly with Platinum-based chemotherapy
Vinorelbine TartrateDrug
Vinorelbine 25mg/m2(D1、D8)Q3W IV, 2-4 cycles
PaclitaxelDrug
Paclitaxel 175mg/m2(D1) Q3W IV, 2-4 cycles
CisplatinDrug
Cisplatin 75mg/m2(D1)Q3W IV, 2-4 cycles
CarboplatinDrug
Carboplatin AUC=5(D1) Q3W IV, 2-4 cycles
PemetrexedDrug
Pemetrexed 500mg/m2(D1) Q3W IV, 2-4 cycles
PlaceboDrug
Placebo
| Study group | Role | What they receive |
|---|---|---|
| QL1706 plus Platinum-based chemotherapy | Experimental | QL1706(5mg/kg Q3W IV) plus Platinum-based chemotherapy Receives: Drug: QL1706 injection; Drug: Vinorelbine Tartrate; Drug: Paclitaxel; Drug: Cisplatin; Drug: Carboplatin; Drug: Pemetrexed |
| Placebo plus Platinum-based chemotherapy | Placebo comparator | Placebo(5mg/kg Q3W IV) plus Platinum-based chemotherapy Receives: Drug: Vinorelbine Tartrate; Drug: Paclitaxel; Drug: Cisplatin; Drug: Carboplatin; Drug: Pemetrexed; Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Disease-free Survival (DFS) in the PD-L1 ≥1% Population, Assessed by Investigator.
DFS was defined as the time from randomization to first recurrence of NSCLC, appearance of new primary NSCLC, or death from any cause, whichever occurred first. Tumor recurrence includes local recurrence and distant metastasis.
Measured: Up to approximately 84 months
Disease-free Survival (DFS) in the ITT Population, Assessed by Investigator.
Measured: Up to approximately 84 months
Secondary outcomes (6)
Overall Survival (OS)
OS is defined as the time from random to death from any cause. OS will be measured in the PD-L1 subpopulation and in the ITT population.
Measured: Up to approximately 108 months
Percentage of Participants Who are Survival at Year 4
OS rates will be measured in the PD-L1 subpopulation and in the ITT population.
Measured: Year 4
Percentage of Participants Who are Disease-Free at Year 3
DFS rates will be measured in the PD-L1 subpopulation and in the ITT population.
Measured: Year 3
Percentage of Participants Who are Disease-Free at Year 5
DFS rates will be measured in the PD-L1 subpopulation and in the ITT population.
Measured: Year 5
DFS Within Selected Populations
Assessed by Investigator
Measured: Up to approximately 108 months
Percentage of Participants with Adverse Events and Serious Adverse Events
Measured: Up to approximately 108 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Aug 2022
- Study start8 Dec 2022
- Primary completion31 Aug 2027 (estimated)
- Study completion22 May 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Carcinoma, Non-Small-Cell LungStudies of the same condition, open and under way.
- More trials run by Qilu Pharmaceutical Co., Ltd.The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 632 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Qilu Pharmaceutical Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Caicun Zhou, MD, PhD, Study chair, Shanghai Pulmonary Hospital, Shanghai, China
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05487391
- Sponsor's protocol ID
- QL1706-304
- Status last verified
- Oct 2024
- First submitted
- 1 Aug 2022
- Last updated
- 15 Oct 2024
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Zhao Y, Ma Y, Zang A, Cheng Y, Zhang Y, Wang X, Chen Z, Qu S, He J, Chen C, Jin C, Zhu D, Li Q, Liu X, Su W, Ba Y, Hao Y, Chen J, Zhang G, Qu S, Li Y, Feng W, Yang M, Liu B, Ouyang W, Liang J, Yu Z, Kang X, Xue S, Yang G, Yan W, Yang Y, Liu Z, Peng Y, Fanslow B, Huang X, Zhang L, Zhao H. First-in-human phase I/Ib study of QL1706 (PSB205), a bifunctional PD1/CTLA4 dual blocker, in patients with advanced solid tumors. J Hematol Oncol. 2023 May 8;16(1):50. doi: 10.1186/s13045-023-01445-1.
PubMed 37158938
Study at a glance
From the registry record, last updated by the sponsor on 15 Oct 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- QL1706 Combined With Platinum-based Chemotherapy Versus Placebo Combined With Platinum-based Chemotherapy as Adjuvant Therapy for Stage II-IIIB Non-small Cell Lung Cancer After Complete Surgical Resection: a Randomized, Double-blind, Multicenter Phase III Clinical Study.
- ClinicalTrials.gov ID
- NCT05487391
- Acronym / sponsor ID
- QL1706-304
- Conditions
- Carcinoma, Non-Small-Cell Lung
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 632 participants (estimated)
- Lead sponsor
- Qilu Pharmaceutical Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- 8 Dec 2022 (actual)
- Primary completion
- 31 Aug 2027 (estimated)
- Study completion
- 22 May 2029 (estimated)
- First posted
- 4 Aug 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the efficacy and safety of QL1706 combined with platinum-based chemotherapy versus placebo combined with platinum-based chemotherapy in adjuvant treatment of stage II-IIIB NSCLC without EGFR-sensitizing mutations and ALK fusions after complete surgical resection.The subjects were randomly divided into two groups according to 1:1, with about 316 subjects in the experimental group and the control group.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| QL1706 plus Platinum-based chemotherapy | Experimental | Drug: QL1706 injection, Drug: Vinorelbine Tartrate, Drug: Paclitaxel, Drug: Cisplatin, Drug: Carboplatin, Drug: PemetrexedQL1706(5mg/kg Q3W IV) plus Platinum-based chemotherapy |
| Placebo plus Platinum-based chemotherapy | Placebo comparator | Drug: Vinorelbine Tartrate, Drug: Paclitaxel, Drug: Cisplatin, Drug: Carboplatin, Drug: Pemetrexed, Drug: PlaceboPlacebo(5mg/kg Q3W IV) plus Platinum-based chemotherapy |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Subjects voluntarily participated, signed an informed consent form (ICF), and were able to follow the study procedures.
- Histopathologically confirmed squamous or non-squamous non-small cell lung cancer
- Stage II-IIIB according to the 8th edition of the American Joint Committee on Cancer (AJCC) , and had received radical surgical resection (R0) treatment.
- Participants were enrolled to receive adjuvant therapy within 10 weeks after surgery (≤70 days) and had to recover sufficiently from surgery.
- Non-squamous NSCLC subjects without EGFR-sensitizing mutation or ALK fusion gene.
Key exclusion criteria (11 listed)
- Currently participating in and receiving study treatment or participating in an investigational drug study and receiving study treatment or using an investigational device within 4 weeks prior to the first dose of study treatment.
- Previous treatment with neoadjuvant/adjuvant chemotherapy or immune checkpoint inhibitor therapy.
- Cardiovascular and cerebrovascular diseases with clinical significance.
- Gastrointestinal disease of clinical significance.
- Clinically significant lung damage.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| QL1706 injectionQL1706(5mg/kg Q3W IV) concomitantly with Platinum-based chemotherapy | Drug | QL1706 plus Platinum-based chemotherapy |
| Vinorelbine TartrateVinorelbine 25mg/m2(D1、D8)Q3W IV, 2-4 cycles | Drug | Placebo plus Platinum-based chemotherapy, QL1706 plus Platinum-based chemotherapy |
| PaclitaxelPaclitaxel 175mg/m2(D1) Q3W IV, 2-4 cycles | Drug | Placebo plus Platinum-based chemotherapy, QL1706 plus Platinum-based chemotherapy |
| CisplatinCisplatin 75mg/m2(D1)Q3W IV, 2-4 cycles | Drug | Placebo plus Platinum-based chemotherapy, QL1706 plus Platinum-based chemotherapy |
| CarboplatinCarboplatin AUC=5(D1) Q3W IV, 2-4 cycles | Drug | Placebo plus Platinum-based chemotherapy, QL1706 plus Platinum-based chemotherapy |
| PemetrexedPemetrexed 500mg/m2(D1) Q3W IV, 2-4 cycles | Drug | Placebo plus Platinum-based chemotherapy, QL1706 plus Platinum-based chemotherapy |
| PlaceboPlacebo | Drug | Placebo plus Platinum-based chemotherapy |
Primary outcome
Disease-free Survival (DFS) in the PD-L1 ≥1% Population, Assessed by Investigator.
Time frame: Up to approximately 84 months
DFS was defined as the time from randomization to first recurrence of NSCLC, appearance of new primary NSCLC, or death from any cause, whichever occurred first. Tumor recurrence includes local recurrence and distant metastasis.
Disease-free Survival (DFS) in the ITT Population, Assessed by Investigator.
Time frame: Up to approximately 84 months
6 secondary outcomes
Overall Survival (OS)
Time frame: Up to approximately 108 months
Percentage of Participants Who are Survival at Year 4
Time frame: Year 4
Percentage of Participants Who are Disease-Free at Year 3
Time frame: Year 3
Percentage of Participants Who are Disease-Free at Year 5
Time frame: Year 5
DFS Within Selected Populations
Time frame: Up to approximately 108 months
Percentage of Participants with Adverse Events and Serious Adverse Events
Time frame: Up to approximately 108 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Oct 2024.
- Derived from this study: PubMed 37158938Zhao Y, Ma Y, Zang A, Cheng Y, Zhang Y, Wang X, Chen Z, Qu S, He J, Chen C, Jin C, Zhu D, Li Q, Liu X, Su W, Ba Y, Hao Y, Chen J, Zhang G, Qu S, Li Y, Feng W, Yang M, Liu B, Ouyang W, Liang J, Yu Z, Kang X, Xue S, Yang G, Yan W, Yang Y, Liu Z, Peng Y, Fanslow B, Huang X, Zhang L, Zhao H. First-in-human phase I/Ib study of QL1706 (PSB205), a bifunctional PD1/CTLA4 dual blocker, in patients with advanced solid tumors. J Hematol Oncol. 2023 May 8;16(1):50. doi: 10.1186/s13045-023-01445-1.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Caicun Zhou, MD, PhD study chair
Shanghai Pulmonary Hospital, Shanghai, China
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing QL1706 injection, Vinorelbine Tartrate and Paclitaxel in people with Carcinoma, Non-Small-Cell Lung, run by Qilu Pharmaceutical Co., Ltd. at 1 site in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 15 Oct 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Xiusong Qiu (86-13918736645, xiusong.qiu@qilu-pharma.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Disease-free Survival (DFS) in the PD-L1 ≥1% Population, Assessed by Investigator. (time frame: Up to approximately 84 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05487391, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Oct 2024.