[Translation] An open phase II clinical trial of LVGN6051 (CD137/4-IBB agonist antibody) combined with toripalimab (anti-PD-1 antibody) and paclitaxel for the treatment of recurrent/metastatic head and neck squamous cell carcinoma that has rapidly relapsed/metastasized after platinum-containing neoadjuvant/adjuvant/curative treatment or is not suitable for first-line treatment with platinum-containing chemotherapy
主要目的:基于治疗相关不良事件评估数据评价两个预设剂量水平的安全性和耐受性,通过“安全性导入期”剂量确定第2部分LVGN6051联合特瑞普利单抗及紫杉醇的治疗剂量。
由独立中心评估根据RECIST1.1评价LVGN6051联合特瑞普利单抗及紫杉醇的抗肿瘤活性:ORR。
次要目的:由研究者根据RECIST1.1评价LVGN6051联合特瑞普利单抗及紫杉醇的抗肿瘤活性:ORR。
由研究者和ICR根据RECIST1.1评估三药联合的初步有效性:DoR、DCR、mPFS以及mOS。
根据CTCAE5.0分级的AE和SAE的发生率和严重程度评价LVGN6051联合特瑞普利单抗及紫杉醇的安全性。
探索性目的:由研究者根据iRECIST评估有效性:ORR、DoR、DCR和mPFS。
评估三药联合治疗单次和多次给药的PK特性。
评估三药联合治疗前PD-L1表达和疗效相关性、三药联合治疗前后肿瘤组织浸润免疫细胞特征和疗效相关性。
评估三药联合时的免疫原性:ADA。
[Translation] Primary objective: To evaluate the safety and tolerability of two pre-set dose levels based on the evaluation data of treatment-related adverse events, and to determine the treatment dose of LVGN6051 combined with toripalimab and paclitaxel in Part 2 through the "safety run-in period" dose.
The anti-tumor activity of LVGN6051 combined with toripalimab and paclitaxel was evaluated by independent center according to RECIST1.1: ORR.
Secondary objective: The anti-tumor activity of LVGN6051 combined with toripalimab and paclitaxel was evaluated by the investigator according to RECIST1.1: ORR.
The preliminary efficacy of the three-drug combination was evaluated by the investigator and ICR according to RECIST1.1: DoR, DCR, mPFS and mOS.
The safety of LVGN6051 combined with toripalimab and paclitaxel was evaluated according to the incidence and severity of AEs and SAEs graded by CTCAE5.0.
Exploratory objective: The efficacy was evaluated by the investigator according to iRECIST: ORR, DoR, DCR and mPFS.
Evaluate the PK characteristics of single and multiple administrations of triple-drug combination therapy.
Evaluate the correlation between PD-L1 expression and efficacy before triple-drug combination therapy, and the correlation between the characteristics of tumor tissue infiltrating immune cells and efficacy before and after triple-drug combination therapy.
Evaluate the immunogenicity of triple-drug combination therapy: ADA.