RecruitingPhase 2NCT05930665

Study of Cadonilimab Combined With Bevacizumab and Standard Chemotherapy as First Line Therapy in Unresectable Pleural Mesothelioma

A Phase II, Prospective, Single Arm Trial of Cadonilimab in Combination With Bevacizumab and Standard Chemotherapy as First Line Therapy in Unresectable Pleural Mesothelioma


Sponsor

Sun Yat-sen University

Enrollment

38 participants

Start Date

Nov 1, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

Cadonilimab, a tetravalent bispecific antibody targeting PD-1 and CTLA-4, is designed to retain the efficacy benefit of combination of PD-1 and CTLA-4 and improve on the safety profile of the combination therapy. The aim of this study is to evaluate the efficacy and safety of cadonilimab in combination with bevacizumab and standard chemotherapy as first Line therapy in unresectable pleural mesothelioma.


Eligibility

Min Age: 18 Years

Inclusion Criteria5

  • Histologically confirmed pleural malignant mesothelioma not eligible for curative surgery
  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1.
  • No previous systemic anti-tumor treatment for advanced/metastatic disease
  • Measurable disease as per mRECIST v1.1 for assessment of response in malignant pleural mesothelioma.
  • Adequate haematological, renal and liver function.

Exclusion Criteria5

  • Primitive peritoneal, pericardial and tunica vaginalis testis mesothelioma.
  • Active, untreated central nervous system (CNS) metastasis.
  • Use of Chinese herbal medicine or immunomodulatory agents with anti-tumor indications within 14 days prior to the first dose of study treatment.
  • Known active autoimmune diseases.
  • Presence of other uncontrolled serious medical conditions.

Interventions

DRUGCadonilimab+Bevacizumab+Pemetrexed+Carboplatin

Cadonilimab 10mg/kg intravenous (IV) every 3 weeks + Bevacizumab 7.5mg/kg IV every 3 weeks + Pemetrexed 500 mg/m² IV every 3 weeks + Carboplatin AUC 5 IV every 3 weeks for 4 to 6 cycles, followed by maintenance with Cadonilimab 10mg/kg IV every 3 weeks + Bevacizumab 7.5mg/kg IV every 3 weeks


Locations(1)

Sun Yat-sen University Cancer Center

Guangzhou, Guangdong, China

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NCT05930665


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