Camrelizumab Plus Apatinib and Temozolomide as Neoadjuvant in High Risk Acral Melanoma

Melanoma Clinical Trial

Official title:

A Phase 2 Clinical Trial of Neoadjuvant Camrelizumab Plus Apatinib and Temozolomide in High Risk Clinical Stage Ⅱ-Ⅲ Acral Melanoma

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05512481
• Other study ID #: MA-MM-?-003
• Status: Recruiting
• Phase: Phase 2
• Start date: September 13, 2022
• Est. completion date: December 31, 2025

Study information

• Verified date: July 2023
• Source: Peking University Cancer Hospital & Institute
• Contact: Jun Guo
• Phone: 86-10-88121122
• Email: guoj307[@]126.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Neoadjuvant therapy is feasible in stage Ⅱ-Ⅲ melanoma, Carrelizumab combined with apatinib and temozolomide has synergistic antitumor effects and may improve pathological response.

Description:

Patients with resectable melanoma can benefit from neoadjuvant therapy, including improved surgical outcomes, precise management of patients based on neoadjuvant response, and analysis of resistance mechanisms through histological sections for subsequent treatment. At present, there have been a number of clinical trials exploring the effect of neoadjuvant regimens for melanoma, and some published results have shown that neoadjuvant therapy can lead to a higher pathological response rate, thereby improving the RFS of patients. In the past, this site has carried out a clinical study of Camrelizumab combined with Apatinib and Temozolomide for first-line treatment of unresectable acral melanoma, with a high preliminary clinical response rate and safety. Based on this, this study intends to evaluate the neoadjuvant treatment of completely resectable melanoma with Camrelizumab combined with Apatinib and Temozolomide in patients with stage III and IIB, IIC high-risk melanoma. To comprehensively evaluate the short-term and long-term benefits of neoadjuvant therapy and provide an important reference for neoadjuvant treatment strategies in the acral melanoma population.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 40
• Est. completion date: December 31, 2025
• Est. primary completion date: December 31, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 75 Years

Eligibility

Inclusion Criteria:

1. age:18-75 years, male or female.

2. Histopathologically confirmed acral melanoma (stage ?/?).

3. Has not received any systematic anti-tumor drug treatment.

4. Measurable disease based on Response Evaluation Criteria In Solid Tumors (RECIST) 1.1.

5. ECOG 0-1.

6. Adequate organ function.

7. Life expectancy of greater than 12 weeks.

8. Patient has given written informed consent.

Exclusion Criteria:

1. Patients who have or are currently undergoing additional chemotherapy, radiation therapy, targeted therapy or immunotherapy.

2. Known history of hypersensitivity to any component of apatinib, temozolomide, Camrelizumab.

3. Subjects before or at the same time with other malignant tumors (except which has cured skin basal cell carcinoma and cervical carcinoma in situ);

4. Subjects with any active autoimmune disease or history of autoimmune disease

5. Patients with any unstable systemic disease, including but not limited to: serious infection, uncontrolled diabetes, unstable angina pectoris, cerebrovascular accident or transient ischemic attack, myocardial infarction, congestive heart failure, serious cardiac arrhythmia requiring medication, hepatic, renal or metabolic disease;

6. Received a live vaccine within 4 weeks of the first dose of study medication.

7. Pregnancy or breast feeding.

8. Decision of unsuitableness by principal investigator or physician-in charge.

Related Conditions & MeSH terms

• Acral Melanoma
• Apatinib
• Melanoma
• Pathological Response
• Temozolomide

Intervention

Drug:
• Camrelizumab
NEOADJUVANT: All participants will receive neoadjuvant therapy with combination of Camrelizumab?Apatinib and Temozolomide for 2 cycle; SURGERY: All participants will have melanoma surgery after 2 cycles of treatment ADJUVANT: Participants will receive Camrelizumab every 3 weeks for 1 year

Locations

Country	Name	City	State
China	Beijing Cancer Hospital	Beijing	Beijing

Sponsors (1)

Lead Sponsor	Collaborator
Peking University Cancer Hospital & Institute

Country where clinical trial is conducted

China, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Pathological response rate	The primary endpoint is the pathological response rate at surgery after neoadjuvant study treatment.; The pathological response is categorised thus: Complete pathological response (pCR) - 0% viable tumour cells in the surgical specimen Near complete pathological response - (near pCR) - <10% viable tumour Partial pathological response (pPR) - 10%-50% viable tumour No pathological response (pNR) - >50% viable tumour	Week 8-12
Secondary	Objective Response Rate	Disease Response as assessed by RECIST 1.1 and mRECIST	Months 0-6
Secondary	Recurrence-free survival	The proportion of patients with an histologically confirmed diagnosis of disease recurrence (local, regional, and distant), as detected by the patient, on physical examination or during imaging surveillance, or death from any cause.	1year,2year
Secondary	Overall survival	The proportion of participants deceased from any cause.	10 years
Secondary	Safety and tolerability of neoadjuvant and adjuvant treatment and surgical procedures.	The proportion of patients with adverse events as described in CTCAE version 5.0	90 days from last dose of study treatment
Secondary	Patient reported quality of life	The individual, summary and composite scores obtained from the validated EUROQOL QLQ-C30 questionnaires.	90 days from last dose of study treatment