RecruitingPhase 1Phase 2NCT07367516

Clinical Trial Evaluating TQB6411 Injection in Subjects With Esophageal Cancer

A Phase Ib/II Clinical Trial Evaluating the Safety and Efficacy of TQB6411 Injection in Subjects With Recurrent or Metastatic Esophageal Cancer Who Have Failed Prior PD-1/PD-L1 Inhibitor Plus Platinum-Based Chemotherapy


Sponsor

Chia Tai Tianqing Pharmaceutical Group Co., Ltd.

Enrollment

105 participants

Start Date

Feb 12, 2026

Study Type

INTERVENTIONAL

Conditions

Summary

The Phase Ib stage of this study primarily aims to evaluate the tolerance and safety of TQB6411 Injection in subjects with recurrent or metastatic Esophageal cancer who have previously failed treatment with PD-1/PD-L1 monoclonal antibodies combined with platinum-based chemotherapy. The Phase II stage primarily aims to evaluate the efficacy of TQB6411 Injection in this same patient population.


Eligibility

Min Age: 18 YearsMax Age: 75 Years

Inclusion Criteria16

  • Subjects voluntarily participate in this study, sign the informed consent form, and demonstrate good compliance.
  • Age between 18 and 75 years old (inclusive)
  • Eastern Cooperative Oncology Group (ECOG) score of 0-1
  • Expected survival \>12 weeks
  • At least one measurable lesion per RECIST v1.1
  • Laboratory criteria(no hematopoietic growth factor correction within 7 days):
  • Hemoglobin (HGB) ≥90 g/L;
  • Absolute neutrophil count (NEUT) ≥1.5×10⁹/L;
  • Platelets (PLT) ≥90×10⁹/L;
  • Total bilirubin (TBIL) ≤1.5×ULN;
  • Alanine Aminotransferase (ALT)/Aspartate Aminotransferase (AST) ≤2.5×ULN (≤5×ULN if liver metastases present);
  • Serum creatinine (CR) ≤1.3×ULNorcreatinine clearance rate (CCR) ≥50 mL/min;
  • Histologically/cytologically confirmed recurrent or metastatic Esophageal cancer
  • Failure/intolerance to prior PD-1/PD-L1 inhibitor plus platinum-based chemotherapy for recurrent/metastatic Esophageal Carcinoma (EC)
  • Willingness to provide archived or fresh tumor tissue for biomarker analysis.
  • Females of childbearing potential: Negative serum/urine pregnancy test within 7 days before enrollment and agreement to use effective contraception during and for 6 months post-study. Males: Agreement to use effective contraception during and for 6 months post-study.

Exclusion Criteria29

  • Current or History of Other Malignancies
  • Subjects with any condition that may compromise venous access for drug administration or blood sampling are excluded.
  • Subjects with prior treatment-related adverse reactions that have not recovered to ≤ Grade 1 per CTCAE v5.0 criteria.
  • Major surgical procedure or significant traumatic injury within 4 weeks prior to first dose, Scheduled major surgery during the study intervention period, Non-healing wound, ulcer, or bone fracture at screening
  • Subjects with any bleeding/hemorrhagic event ≥ Grade 3 (per CTCAE v5.0) occurring within 4 weeks before the first dose are excluded
  • History of Thromboembolic Events within 6 Months
  • Poorly Controlled Active Viral Hepatitis
  • Subjects with active syphilis infection requiring antimicrobial therapy are excluded
  • Subjects with any of the following pulmonary conditions are excluded: active tuberculosis, idiopathic pulmonary fibrosis (IPF), organizing pneumonia, drug-induced/radiation pneumonitis requiring treatment, symptomatic active pneumonia, or history of interstitial lung disease (ILD) requiring therapy
  • History of Substance Abuse or Psychiatric Disorders
  • History of Allogeneic Transplantation (Bone Marrow or Solid Organ)
  • History of Hepatic Encephalopathy
  • Major Cardiovascular Diseases
  • Active or Uncontrolled Severe Infections
  • Renal Failure Requiring Dialysis (Hemodialysis/Peritoneal Dialysis)
  • History of Immunodeficiency
  • Poorly Controlled Autoimmune Disease
  • Poorly Controlled Autoimmune Disease \& Epilepsy Requiring Treatment
  • Poorly Controlled Diabetes
  • Tumor-Related Symptoms and Treatment Considerations:
  • Exclusion Criterion - Recent Anticancer Treatment (≤3 Weeks or Within 5 Half-Lives)
  • Recent Use of National Medical Products Administration (NMPA) -Approved Anticancer Traditional Chinese Medicine (≤1 Week Prior to Treatment)
  • Radiologically Confirmed Tumor Encasement of Major Vessels with High Bleeding Risk
  • Uncontrolled Effusions Requiring Repeated Drainage
  • Known to have spinal cord compression, leptomeningeal metastasis/carcinomatous meningitis, or symptomatic brain metastases with less than 4 weeks of symptom/imaging control.
  • Known Hypersensitivity to Investigational Drug or Excipients
  • Prior Treatment with Topoisomerase I Inhibitor-Based ADCs and/or Irinotecan Chemotherapy
  • Prior Participation in Anticancer Clinical Trials Within 4 Weeks
  • Investigator-Assessed Safety or Compliance Concerns

Interventions

DRUGTQB6411 Injection

TQB6411 Injection is an antibody-drug conjugate (ADC) targeting Epidermal Growth Factor Receptor (EGFR)/c-Met.


Locations(30)

The Second Affiliated Hospital of Anhui Medical University

Hefei, Anhui, China

Cancer Hospital Chinese Academy of Medical Sciences

Beijing, Beijing Municipality, China

Fujian Cancer Hospital

Fuzhou, Fujian, China

Gansu Provincial Tumor Hospital

Lanzhou, Gansu, China

The First Affiliated Hospital of Shantou University Medical College

Shantou, Guangdong, China

Guangxi Medical University Cancer Hospital

Nanning, Guangxi, China

Guizhou Provincial People's Hospital

Guangxi, Guizhou, China

The Second Affiliated Hospital of Zunyi Medical University

Zunyi, Guizhou, China

Harbin Medical University Cancer Hospital

Harbin, Heilongjiang, China

Anyang Cancer Hospital

Anyang, Henan, China

The Second People's Hosital of Jiaozuo

Jiaozuo, Henan, China

Luoyang Central Hospital (Zhengzhou University Affiliated Luoyang Central Hospital)

Luoyang, Henan, China

The first affiliated hospital of Zhengzhou university

Zhengzhou, Henan, China

Zhengzhou Central Hospital

Zhengzhou, Henan, China

Hunan Provincial People's Hospital

Changsha, Hunan, China

Jiangsu Cancer Hospital

Nanjing, Jiangsu, China

Jiangsu Provincial Hospital of Traditional Chinese Medicine

Nanjing, Jiangsu, China

Northern Jiangsu People's Hospital

Yangzhou, Jiangsu, China

The first hospital of jilin university

Changchun, Jilin, China

Jilin Cancer Hospital

Changchun, Jilin, China

Linyi cancer Hospital

Liyi, Shandong, China

Shanghai Chest Hospital

Shanghai, Shanghai Municipality, China

Shanxi Bethune Hospital

Taiyuan, Shanxi, China

The Second Affiliated Hospital of Air Force Medical University

Xi’an, Shanxi, China

Sichuan cancer hosipital

Chengdu, Sichuan, China

Sichuan Provincial People's Hospital

Chengdu, Sichuan, China

Affiliated Hospital of Southwest Medical University

Luzhou, Sichuan, China

Tianjin Medical University Cancer Institute & Hospital

Tianjin, Tianjin Municipality, China

The First Affiliated Hospital of Wenzhou Medical University

Wenzhou, Zhejiang, China

Zhongshan Hospital Fudan University

Shanghai, China

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