About this trial
This is a single-arm, multicenter trial of cadonilimab (AK104) with adriamycin in patients with first-line advanced soft tissue sarcoma. the primary objective is to evaluate objective response rate of cadonilimab with adriamycin.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients who were pathologically confirmed soft tissue sarcoma (soft tissue sarcomas other than alveolar/embryonal rhabdomyosarcoma, clear cell sarcoma, extraosseous Ewing sarcoma, alveolar soft tissue sarcoma, well differentiated liposarcoma, extraosseous myxoid chondrosarcoma, etc.)
The patient was diagnosed as progressive and the investigators determined that the lesion was not suitable for surgical treatment
The patients had not received systemic therapy (including chemotherapy, targeted therapy and bioimmunotherapy) for advanced soft tissue sarcoma. More than 6 months have passed since the end of neoadjuvant/adjuvant therapy (including chemotherapy, targeted therapy, bioimmunotherapy, etc.), and the cumulative dose of adriamycin used in the past was ≤100 mg/m2
In patients with measurable disease, lesions are defined and monitored by RECIST v1.1
Disqualifiers
known allergy to recombinant humanized anti-PD-1 monoclonal antibody drugs and their components
Known allergy to recombinant humanized anti-CTLA-4 monoclonal antibody drug and its components
known allergy to any component of the cadonilimab formulation
Patients with cardiac disease class II or higher as determined by the New York Heart Association (NYHA) score
Trial design
Single group
Treatments tested in this trial
Cadonilimab
Druginjectable solution
Adriamycin
Druginjectable solution
Treatment groups
Trial outcomes
Primary outcomes
objective response rate (ORR)
ORR is the proportion of patients with best response of complete response (CR) and partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 and iRECIST
Secondary outcomes
Disease control rate (DCR)
Proportion of patients whose best overall response is either CR, PR, or SD
Duration of response (DOR)
Time from first documented response (CR or PR) until documented disease progression or death, whichever occurs first
Progression-free survival (PFS)
Time from the date of first study treatment administration to the date of first documented tumor progression or death due to any cause, whichever occurs first
Overall survival (OS)
Time from the date of first study treatment administration to the date of death due to any cause
Sponsors and contacts
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Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
Lead sponsor
Sun Yat-Sen University Cancer Center
Collaborator
Yunnan Cancer Hospital
Collaborator
The Affiliated Hospital Of Guizhou Medical University
Collaborator
First Affiliated Hospital of Guangxi Medical University
Collaborator
Second Xiangya Hospital of Central South University
Collaborator
Xiangya Hospital of Central South University
Collaborator