Interferon Gamma Plus Camrelizumab as Neoadjuvant Therapy for Locally Advanced Esophageal Squamous Cell Carcinoma

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorHefei Cancer Hospital of the Chinese Academy of Sciences

About this trial

This study aims to evaluate the efficacy and safety of interferon-gamma combined with camrelizumab plus chemotherapy as neoadjuvant therapy for locally advanced esophageal squamous cell carcinoma. Based on previous mechanistic research and preliminary clinical data, this trial intends to generate high-level evidence for this therapeutic strategy, which may improve the treatment landscape for patients with locally advanced esophageal squamous cell carcinoma.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Aged >= 18 years;

Histologically confirmed esophageal squamous cell carcinoma (ESCC), clinical stage cT1b-3, N+, M0;

Eastern Cooperative Oncology Group (ECOG) performance status 0-1;

Expected overall survival > 6 months;

Disqualifiers

Active autoimmune disease;

Requirement for systemic immunosuppressive therapy;

Hypersensitivity to any study drug;

Uncontrolled significant organ disease (e.g., cardiac, pulmonary, hepatic, renal) or active infection;

Trial design

Design model

Single group

Treatments tested in this trial

  • Interferon-γ

    Drug

    1,000,000 IU administered intravenously on Day 1 of each 3-week cycle for a total of 3-4 cycles.

  • Camrelizumab

    Drug

    200 mg administered intravenously on Day 1 of each 3-week cycle for a total of 3-4 cycles.

Treatment groups

84 Participants
are divided into 1 treatment group
Group A: Interferon-γ combined with camrelizumab and neoadjuvant chemotherapyExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Pathological complete response rate

The proportion of patients achieving pathological complete response (absence of viable tumor cells in primary lesion and regional lymph nodes) evaluated by pathological examination of surgical specimens.

Time frame
At the time of surgical resection.

Secondary outcomes

1

Objective Response Rate

The proportion of participants with confirmed complete response (CR) or partial response (PR) assessed per RECIST 1.1.

Time frame
At the end of Cycle 2, Cycle 4, (each cycle is 21 days).
2

Progression-free survival

Time from enrollment to disease progression (per RECIST 1.1) or death from any cause, whichever occurs first.

Time frame
From date of enrollment until the date of first documented progression or death from any cause, whichever came first, assessed up to 24 months.
3

Overall Survival

Follow-up via outpatient visits or telephone interviews; defined as time from enrollment to death from any cause.

Time frame
From date of enrollment until death from any cause, assessed up to 24 months.
4

Duration of Response

Time from first observation of confirmed CR or PR to disease progression or death from any cause, assessed per RECIST Version 1.1.

Time frame
From the date of first documented confirmed response until disease progression or death from any cause, assessed up to 24 months.

Other outcomes

1

Adverse events

Adverse events graded by CTCAE Version 5.0; safety follow-up within 90 days after last study drug administration to monitor outcomes of adverse events.

Time frame
Baseline up to 90 days after last study treatment.

Sponsors and contacts

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