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Recurrent, or Metastatic Cervical Cancer With PD-L1 Positive (CPS≥1)Phase 3NCT05715840

Efficacy and Safety Study of First-line Treatment With SG001 Plus Chemotherapy ± Bevacizumab Versus Placebo Plus Chemotherapy ±Bevacizumab for Recurrent, or Metastatic Cervical Cancer With PD-L1 Positive (CPS≥1)

A Phase 3 study testing SG001 injection, Paclitaxel and Cisplatin in people with Recurrent, or Metastatic Cervical Cancer With PD-L1 Positive (CPS≥1), run by CSPC ZhongQi Pharmaceutical Technology Co., Ltd..

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This study is a randomised, double-blind, placebo-controlled, multicentre phase 3 clinical study to evaluate the efficacy and safety of SG001 plus chemotherapy±bevacizumab versus placebo plus chemotherapy±bevacizumab, as first-line treatment, in patients with PD-L1 positive (CPS≥1), Recurrent or Metastatic Cervical… Read more about this study

Who is it for?
Ages 18 to 70 years, women only
What is being tested?
SG001 injection, Paclitaxel and Cisplatin
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
368 participants
Where
No sites listed yet
Study dates
31 Jan 2023to 31 May 2026
Phase
Phase 3
Are there results?
None posted in the registry

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 to 70 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age ≥ 18 and ≤ 70 on the day of signing informed consent and volunteered to participated in this study.
  • Has histologically documented recurrent, or metastatic squamous cell carcinoma, adenosquamous carcinoma, or adenocarcinoma of the cervix which has not been treated with systemic chemotherapy and is not amenable to curative treatment (such as with surgery and/or radiation).
  • (Safety Lead-in)Has a measurable lesion per RECIST 1.1 via CT or MRI. (Phase 3) Has a assessable lesion per RECIST 1.1 via CT or MRI.
  • Has provided enough archival tumor tissue sample or willing to provide newly obtained core or excisional biopsy of a tumor lesion not previously irradiated for prospective determination of Programmed Cell Death-Ligand 1 (PD-L1) status prior to first dose.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1 within 14 days prior to first dose.
  • Has a predicted survival period ≥ 3 months assessed by investigators.
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  • Adverse reactions from the previous anti-tumor treatment have not yet recovered to ≤ level 1 based on CTCAE 5.0.
  • Adequate organ function as defined below:
  • Blood routine tests (No blood transfusions and hematopoietic stimulators have been used, and no drugs have been used to correct blood cell counts ): Absolute neutrophil count (ANC) ≥1.5×10^9/L; Platelets ≥100 ×10^9/L; Hemoglobin (HGB)≥9 g/dL;
  • Serum biochemical indexs: Serum creatinine ≤1.5 × ULN or >1.5 × ULN with creatinine clearance (CCr) ≥ 60 mL/min; Serum total bilirubin (TBIL) ≤ 1.5 × ULN (Patients with Gilbert's syndrome can be up to 3 × ULN); Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤2.5 × ULN or ≤5 X ULN for patients with liver metastases;
  • Coagulation function: Activated partial thromboplastin time (APPT) and International Normalized Ratio (INR)≤1.5 × ULN (No anticoagulants or other drugs affecting clotting function have been used within 14 days prior to the first dose, except for patients requiring long-term anticoagulant therapy).

Who cannot join

  • Active malignancy within 2 years prior to first dose of the investigational drug, except for cervical cancer studied in this trial and any locally curable tumor that has received radical therapy (e.g., resected basal or squamous cell skin cancer, superficial bladder cancer, cervical cancer in situ, breast cancer in situ, etc).
  • History of primary immunodeficiency.
  • History of active tuberculosis.
  • Patients with any active autoimmune disease, except for patients with well-controlled type I diabetes, well-controlled hypothyroidism with hormone replacement therapy, skin diseases (such as vitiligo, psoriasis, or hair loss) without systemic treatment, or those who are not expected to relapse without external triggers.
  • Serious cardiovascular disease within 6 months prior to the first dose, including but not limited to: stable angina with functional class III-IV; unstable angina or myocardial infarction; NYHA grade III-IV congestive heart failure; severe arrhythmias requiring drug therapy (congestive heart failure allowed if ventricular rate can be controlled; severe arrhythmias requiring drug therapy (congestive heart failure is allowed if the ventricular rate can be controlled).
  • History of interstitial lung disease, or non-infectious pneumonitis requiring glucocorticoid therapy.
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  • Patients with active soft meningeal disease or poorly controlled brain metastasis.
  • Prior therapy with any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways including anti-PD-1, anti-PD-L1, anti-PD-L2, anti CTLA-4, OX40 agonist, and anti-CD137, etc.
  • Has received prior radiotherapy within 14 days prior to the first dose.
  • Has received prior chemosensitizer within 14 days prior to the first dose.
  • Presence of clinically significant hydronephros which cannot be relieved by ventriculostomy or ureteral stent placement assessed by investigator.
  • Patients with un-controlled pleural effusion, pericardial effusion or seroperitoneum requiring repeated drainage.
  • Has any active infection requiring systemic treatment by intravenous infusion within 14 days prior to the first dose.
  • Has received systemic corticosteroids (at doses equivalent to or greater than 10 mg/day of prednisone) or other immunosuppressive drugs within 14 days prior to the first dose.
  • Have received major surgery, open biopsy or traumatism within 28 days before the first dose, or planned to receive elective major surgery during the study period.
  • planned to receive during the study period.
  • Have received Chinese herbal medicine or Chinese patent medicine with anti-tumor activity within14 days prior to the first dose.
  • History of organ transplant or allogenic haemopoietic stem cell transplantation.
  • Patients should be excluded if they have a positive test for human immunodeficiency virus antibody (HIV-Ab) or treponema pallidum antibody (TP-Ab). Patients with positive Hepatitis B virus surface antigen (HBsAg) and/or hepatitis B virus core antibody (HBcAb) as well quantitative HBV-DNA above upper limit of normal value, and patients with positive hepatitis C virus antibody (HCV-Ab) as well quantitative HCV-RNA above upper limit of normal value, should also be excluded.
  • Pregnant or lactating women; Or the blood pregnancy test of women at child-bearing age is positive during screening.
  • History of severe allergic reactions and uncontrolled allergic asthma to all components of the monoclonal antibody formulation.
  • Has a contraindication or hypersensitivity to any component of cisplatin, carboplatin, paclitaxel, or bevacizumab.
  • Have participated other clinical trials and received related investigated drugs within 28 days prior to the first dose (counted from the date of the last treatment in the previous clinical trial, patients participated in the overall survival follow-up of the previous clinical trial can be accepted).
  • Women of child-bearing potential (WOCBP) refuse to take reliable contraceptive methods from signing the informed consent form to 6 months after last dose of investigational drug.
  • Not suitable for this study as determined by the investigator due to other reasons.

Trial locations and contacts

No sites are listed yet.

About this study

Official title: A Randomised, Double-blind, Placebo-controlled, Multicentre Phase Ш Clinical Study to Evaluate the Efficacy and Safety of First-line Treatment With SG001 Plus Chemotherapy±Bevacizumab Versus Placebo Plus Chemotherapy±Bevacizumab for PD-L1 Positive (CPS≥1) Women With Recurrent, or Metastatic Cervical Cancer

This study is a randomised, double-blind, placebo-controlled, multicentre phase 3 clinical study to evaluate the efficacy and safety of SG001 plus chemotherapy±bevacizumab versus placebo plus chemotherapy±bevacizumab, as first-line treatment, in patients with PD-L1 positive (CPS≥1), Recurrent or Metastatic Cervical Cancer. The study contains a Safety Lead-in Phase in which the safety and tolerability of SG001+Chemotherapy±Bevacizumab will be assessed prior to the Phase 3 portion of the study.

Read the detailed description

The purpose of this study is to assess the efficacy and safety of SG001 plus one of four platinum-based chemotherapy regimens compared to the placebo plus one of four platinum-based chemotherapy regimens in the treatment of adult PD-L1 positive (CPS≥1) women with recurrent, or metastatic cervical cancer. Possible chemotherapy regimens include paclitaxel plus cisplatin with or without bevacizumab and paclitaxel plus carboplatin with or without bevacizumab. The study include two stages: the safety run-in phase and phase Ⅲ trail. Upon completion of the first stage study, the Safety Monitoring Committee (SMC) will decide whether to proceed directly to Phase Ⅲ study.

The primary study hypotheses are that the combination of SG001 plus chemotherapy is superior to placebo plus chemotherapy with respect to: 1) Progression-free Survival (PFS) per Response Evaluation Criteria in Solid Tumors (RECIST 1.1), 2) Overall Survival (OS).

Being tested
SG001 injection, Paclitaxel, Cisplatin, Carboplatin, Bevacizumab injection
Medical subject headings
Recurrence

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • SG001 injectionDrug

    360 mg,Q3W,IV infusion

  • PaclitaxelDrug

    175 mg/m^2,Q3W,IV infusion

  • CisplatinDrug

    50 mg/m^2,Q3W,IV infusion

  • CarboplatinDrug

    AUC=5,Q3W,IV infusion

  • Bevacizumab injectionDrug

    15 mg/kg,Q3W,IV infusion

  • SG001 placeboDrug

    Q3W,IV infusion

Study groups in NCT05715840
Study groupRoleWhat they receive
safety run-in Stage(single arm) and Phase 3: SG001+Platinum-based chemotherapy±BevacizumabExperimentalSG001 360 mg, Intravenous infusion, D1, Q3W, up to approximately 2 years ; paclitaxel 175 mg/m^2, Intravenous infusion, D1, Q3W, up to 6 cycles; cisplatin 50 mg/m^2 or carboplatin(AUC=5) , Intravenous infusion, D1, Q3W, up to 6 cycles; with or without bevacizumab 15 mg/kg, Intravenous infusion, D1, Q3W, up to approximately 2 years All treatments will be administered until disease progression or toxicity
Receives: Drug: SG001 injection; Drug: Paclitaxel; Drug: Cisplatin; Drug: Carboplatin; Drug: Bevacizumab injection
Phase 3: Placebo+Platinum-based chemotherapy±BevacizumabPlacebo comparatorPlacebo, Intravenous infusion, D1, Q3W, up to approximately 2 years ; paclitaxel 175 mg/m^2, Intravenous infusion, D1, Q3W, up to 6 cycles; cisplatin 50 mg/m^2 or carboplatin(AUC=5) , Intravenous infusion, D1, Q3W, up to 6 cycles; with or without bevacizumab 15 mg/kg, Intravenous infusion, D1, Q3W, up to approximately 2 years All treatments will be administered until disease progression or toxicity
Receives: Drug: Paclitaxel; Drug: Cisplatin; Drug: Carboplatin; Drug: Bevacizumab injection; Drug: SG001 placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Safety Lead-in

    Incidence and grade of the TRAE、SAE and irAE

    Measured: Up to 42 days after the last patient of the lead-in phase

  2. PFS per RECIST 1.1

    Phase 3

    Measured: Up to approximately 3 years

  3. Overall survival (OS)

    Phase 3

    Measured: Up to approximately 3 years

Secondary outcomes (11)
  1. Safety Lead-in and phase 3

    ORR per RECIST 1.1

    Measured: Up to approximately 3 years

  2. Peak Plasma Concentration(Cmax)

    Safety Lead-in and phase 3

    Measured: Up to approximately 2 years

  3. DOR per RECIST 1.1

    Safety Lead-in and phase 3

    Measured: Up to approximately 3 years

  4. DCR per RECIST 1.1

    Safety Lead-in and phase 3

    Measured: Up to approximately 3 years

  5. TTR per RECIST 1.1

    Safety Lead-in and phase 3

    Measured: Up to approximately 3 years

  6. Area under the plasma concentration versus time curve (AUC)

    Safety Lead-in and phase 3

    Measured: Up to approximately 2 years

  7. half-time(t1/2)

    Safety Lead-in and phase 3

    Measured: Up to approximately 2 years

  8. Plasma clearance(CL)

    Safety Lead-in and phase 3

    Measured: Up to approximately 2 years

  9. Volume of Distribution at Steady State(Vss)

    Safety Lead-in and phase 3

    Measured: Up to approximately 2 years

  10. PFS per iRECIST 1.1

    phase 3

    Measured: Up to approximately 3 years

  11. Incidence and grade of the TRAE、SAE and irAE

    phase 3

    Measured: Up to approximately 3 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Feb 2023
  2. Study start31 Jan 2023 (estimated)
  3. Primary completion31 Jul 2024 (estimated)
  4. Study completion31 May 2026 (estimated)

Resources

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
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
368 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05715840
Sponsor's protocol ID
SYSA1802-007
Status last verified
Jan 2023
First submitted
16 Jan 2023
Last updated
8 Feb 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing SG001 injection, Paclitaxel and Cisplatin in people with Recurrent, or Metastatic Cervical Cancer With PD-L1 Positive (CPS≥1), run by CSPC ZhongQi Pharmaceutical Technology Co., Ltd..

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 11 inclusion and 25 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: status not confirmed, as of the sponsor's last update on 8 Feb 2023. Status can change between updates, so confirm with the study contact before making plans.

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?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Fenglin She, MSc (010-63942533, shefenglin@mail.ecspc.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Safety Lead-in (time frame: Up to 42 days after the last patient of the lead-in phase). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 8 Feb 2023.

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