ट्रायल रडार AI | ||
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क्लिनिकल ट्रायल NCT07188103 के लिए इसोफैगल स्क्वैमस सेल कार्सिनोमा वर्तमान में भर्ती जारी है। सभी विवरणों के लिए क्लिनिकल ट्रायल रडार कार्ड दृश्य और AI खोज उपकरण देखें, या यहाँ कुछ भी पूछें। | ||
Ivonescimab Plus Short-Course Hypofractionated Radiotherapy as Second-Line Therapy for Esophageal Squamous Cell Carcinoma चरण II 37 इम्यूनोथेरेपी कुल उत्तरजीविता
Efficacy and Safety of Ivonescimab Combined With Short-Course Hypofractionated Radiotherapy as Second-Line Therapy for Locally Advanced/Metastatic Esophageal Squamous Cell Carcinoma: A Prospective, Single-Center, Single-Arm Phase II Clinical Study
- 2025KY-296
Hypofractionated Radiotherapy
Ivonescimab
| प्रतिभागी समूह/शाखा | हस्तक्षेप/उपचार |
|---|---|
प्रयोगात्मकIvonescimab+Radiotherapy Short-course hypofractionated radiotherapy was administered to progressive lesions after first-line treatment, with a prescribed dose of 20 Gy in 5 fractions (95% PTV). The monoclonal antibody was initiated within 1 week after completing the radiotherapy regimen, at a dose of 20 mg/kg. Ivonescimab was administered every three weeks until disease progression, intolerable toxicity, or patient refusal. | Ivonescimab+Radiotherapy Short-course hypofractionated radiotherapy was administered to progressive lesions after first-line treatment, with a prescribed dose of 20 Gy in 5 fractions (95% PTV). The monoclonal antibody was initiated within 1 week after completing the radiotherapy regimen, at a dose of 20 mg/kg. Ivonescimab was administered every three weeks until disease progression, intolerable toxicity, or patient refusal. |
| परिणाम माप | माप विवरण | समय सीमा |
|---|---|---|
PFS | progression free survival | From date of enrollment until the date of first documented progression (radiologic or clinical), assessed every 8 weeks up to 36 months |
Advese Events | Advese Events | Assessed every 8 weeks up to 36 months from the date of enrollment |
| परिणाम माप | माप विवरण | समय सीमा |
|---|---|---|
OS | overall survival | From date of enrollment until the date of death from any cause, assessed up to 36 months |
ORR | Objective Response Rate | From enrollment to the time of the second radiological evaluation |
DOR | Duration of Response | the period from the first assessment of Complete Response (CR) or Partial Response (PR) to the first occurrence of Progressive Disease (PD) or death. |
DCR | Disease Control Rate | From enrollment to the time of second radiological evaluation |
a. Patients with histologically confirmed esophageal squamous cell carcinoma (ESCC) , aged 18-80 years;
b. Unresectable locally advanced, postoperative recurrent, or metastatic ESCC that has progressed on or is intolerant to first-line systemic therapy. For patients who received definitive concurrent chemoradiotherapy (CCRT) , disease progression during or within 6 months post-treatment is considered first-line treatment failure;
c. At least one measurable lesion per Response Evaluation Criteria in Solid Tumors (RECIST 1.1) . All positive regional lymph nodes are counted as a single lesion, while non-regional metastatic lymph nodes are counted per station;
d. Adequate major organ function, defined as:
Hematology:
- Hemoglobin (Hb) ≥ 90 g/L
- White blood cell (WBC) count ≥ 1.5 × 10⁹/L
- Platelet count ≥ 60 × 10⁹/L
Serum biochemistry:
- Albumin ≥ 25 g/L
- Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤ 2.5 × upper limit of normal (ULN)
- Total bilirubin ≤ 1.5 × ULN
- Serum creatinine ≤ 1.5 × ULN or creatinine clearance (CrCl) ≥ 60 mL/min
Echocardiography:
Left ventricular ejection fraction (LVEF) ≥ 50% (lower limit of normal)
- e. Eastern Cooperative Oncology Group (ECOG) performance status: 0-2;
- f. Expected survival ≥ 3 months;
- g. Voluntarily enrolled, with signed informed consent, and willing to comply with study protocols and follow-up.
- a. Patients with severe organ dysfunction, uncontrolled acute infection, or significant comorbidities;
- b. Patients with vertebral metastases accompanied by spinal cord compression symptoms;
- c. Patients with esophagotracheal or esophagomediastinal fistulas;
- d. Patients with uncontrolled pleural, pericardial, or pelvic effusions requiring repeated drainage;
- e. Patients with esophageal primary/metastatic lesions invading the heart or great vessels, as assessed by the responsible physician, with a risk of life-threatening hemorrhage;
- f. Patients with esophageal primary/metastatic lesions invading the trachea or bronchi, as assessed by the responsible physician, with a risk of esophagotracheal fistula;
- g. Patients not suitable for short-course hypofractionated radiotherapy, as evaluated by the responsible physician;
- h. Pregnant or lactating women;
- i. Patients with mental disorders, or those with a history of psychotropic drug abuse and unable to quit;
- j. Patients who have participated in other drug clinical trials within the past 4 weeks;
- k. Patients or their families who refuse to participate in the study.
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