A Study of Toripalimab or Combining With Temozolomide(iv) in the Treatment of Advanced/Metastatic Malignant Melanoma

Study Purpose

This study evaluate toripalimab or combining with temozolomide for injection in the treatment of advanced/metastatic malignant melanoma. Participants in arm A receive toripalimab, in arm B receive toripalimab plus temozolomide

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

No
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Interventional
Eligible Ages 18 Years - 75 Years
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

  • - •Confirmed pathologic or cytologic diagnosis of advanced/metastatic malignant melanomawithout BRAF V600E mutation.
  • - ECOG PS 0-1; - Age :18 ~75 years old; - There were measurable lesions according to RECIST 1.1 and the lesions that had been irradiated showed definite progression after radiotherapy and the lesion was considered measurable only if it was not the only lesion.
  • - Proper function of the cardiovascular system, liver, kidney and bone marrow ; - Subject with at most one systemic therapy for advanced/metastatic malignant melanoma.
  • - Survival is expected to exceed 3 months.
  • - The subjects showing good compliance voluntarily participated in the study and signed the informed consent.

Exclusion Criteria:

  • - •Previously treated with TMZ, PD-1, or PD-L1; - Complicated with other malignant tumors; - Subjects with central nervous system metastases and/or cancerous meningitis;(Unless the subjects are asymptomatic or have been treated , no radiographic evidence of new BMs or BMs enlargement is found at least 2 weeks after BMs treatment.
If the subjects have active or new untreated asymptomatic central nervous system (CNS) metastases found on imaging during the screening phase,they must receive radiotherapy.
  • - Uncontrolled pleural effusion ,pericardial effusion or ascites requiring repeated drainage.
  • - Received major surgical treatment or significant traumatic injury within Random 28 days prior.
  • - Severe arterial/venous thrombosis events,Such as cerebrovascular accident (including temporary ischemic attack) ,deep vein thrombosis and pulmonary embolismwithin Random 6 months prior.
  • - Subjects with a history of psychotropic substance abuse and being unable to get rid of it or with mental disorders.
  • - Subjects with any severe and/or uncontrolled disease,including : 1.
Subjects with poor blood pressure control (systolic≥ 150 mmHg or diastolic ≤100mmHg) 2. Subjects with myocardial ischemia or myocardial infarction or arrhythmia above grade I (including male QTC ≥450ms(male) and female QTC ≥470ms) And ≥grade 2 congestive heart failure (New York Heart Association (NYHA)) 3. Active or uncontrolled severe infection (≥CTC AE grade 2 infection) 4. liver cirrhosis,active hepatitis*;*active hepatitis(Hepatitis B reference: HBsAg positive, and HBV DNA test value exceeds the normal valueHepatitis C reference: HCV antibody positive, and HCV virus titer detection value exceeds the upper limit of normal value. 5. HIV infected. 6. Poor diabetes control (fasting blood glucose (FBG) > 10mmol/L) 7. urine protein≥++,andConfirmated 24-hour urinary protein quantification>1.0 g. 8. Subjects received a preventive vaccineor attenuated vaccine within 4 weeks. 9. prior to first administration. 10. Participated in other clinical trials within 4 weeks. 11. Active autoimmune disease(Such as the following, but not limited to: autoimmune hepatitis interstitial pneumonia enteritis vasculitis, nephritis。Subjects with asthma requiring bronchodilators for medical intervention were not included) requiring systemic treatment(Such as the use of palliative drugs, corticosteroids, or immunosuppressants) occurred within 2 years prior to initial administration.Alternative therapy(Examples include thyroxine, insulin, or physiological corticosteroids for adrenal or pituitary insufficiency) is not considered systemic therapy. 12. Other conditions that investigators consider the patients are not suitable

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT04884997
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Phase 2
Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

First Affiliated Hospital of Zhejiang University
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

Yulong Zheng, PhD
Principal Investigator Affiliation First Affiliated Hospital of Zhejiang University
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Other
Overall Status Recruiting
Countries China
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Malignant Melanoma
Arms & Interventions

Arms

Active Comparator: Arm A

toripalimab 3mg/kg, Q2w;

Experimental: Arm B

toripalimab 3mg/kg, Q2w; Temozolomide 150mg/m2,d1-5,Q4w

Interventions

Drug: - toripalimab

toripalimab 3mg/kg, Q2w;

Drug: - Temozolomide Injection

Temozolomide 150mg/m2,d1-5,Q4w

Contact a Trial Team

If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.

International Sites

Hangzhou, Zhejiang, China

Status

Recruiting

Address

Department of Medical Onocology, First Affiliated Hospital of Zhejiang University

Hangzhou, Zhejiang, 310003

Site Contact

CHENG XIAO, MD

[email protected]

87235896

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