About this trial
To evaluate the safety and efficacy of simmitinib plus irinotecan liposome in the treatment of advanced esophageal squamous cell carcinoma, and to evaluate the PK of the drug and the correlation between biomarkers and clinical efficacy of simmitinib plus irinotecan liposome.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Have fully understood and voluntarily sign the ICF for this study;
Age of 18-70 years (inclusive), male or female;
Esophageal squamous cell carcinoma confirmed histologically or cytologically
Second-line patients with disease progression after only first-line standard therapy(Standard treatment: chemotherapy with platinum plus fluorouracil or taxane combined with immunosuppressive regimen .Progression during adjuvant/neoadjuvant therapy or within 6 months of the last dose is considered a first-line standard treatment failure)
Disqualifiers
Patients who have previously received any anti-tumor therapy within 4 weeks prior to the first dose;
Patients who have previously received any live attenuated vaccine within 4 weeks before the first use of the study treatment or are expected to received any live attenuated vaccine during the study;
Prior systemic treatment with anti-VEGF drugs, irinotecan, or any other topoisomerase I inhibitor
LVEF <50%;
Trial design
Sequential
Treatments tested in this trial
simmitinib plus irinotecan liposome
Drugsimmitinib plus irinotecan liposome 70 mg/m\^2 every 2 weeks
irinotecan liposome
Drugirinotecan liposome 70 mg/m\^2 every 2 weeks
irinotecan
Drugirinotecan 180mg/m\^2 every 2 weeks
Treatment groups
Trial outcomes
Primary outcomes
Dose Escalation Phase: DLT
Dose Limited Toxicity
Dose Escalation Phase: AE
Incidence rate of Adverse Event
Randomized controlled study phase: ORR
Objective Response Rate (ORR) evaluated by investigators based on RECIST 1.1
Secondary outcomes
DCR
Disease Control Rate
PFS
Progression-free Survival
OS
Overall Survival
DOR
Duration of Objective Response
Sponsors and contacts
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