About this trial
The purpose of this study is to evaluate the efficacy and safety of KC1036 in combination with PD-1 antibody and platinum-based chemotherapy as a first-line treatment for patients with unresectable locally advanced, recurrent, or metastatic esophageal squamous cell carcinoma (ESCC).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Males or females aged 18 to 75 years;
Histologically or cytologically confirmed esophageal or esophageal-gastric junction squamous cell carcinoma;
Patients who have not received prior systemic anti-tumor therapy for the current recurrent or metastatic disease;
At least one measurable tumor lesion according to RECIST 1.1;
Disqualifiers
Symptomatic, untreated, or actively progressing central nervous system (CNS) metastasis;
Other malignancies within the past 5 years;
Known hypersensitivity to any monoclonal antibodies or chemotherapy components;
Gastrointestinal abnormalities;
Trial design
Parallel
Treatments tested in this trial
KC1036
DrugDosage: 20 mg, 30 mg, or 40 mg; Route: Oral; Frequency: Once daily (QD) under fasting conditions (at least 2 hours before and 1 hour after dosing), 21 days as a cycle.
Toripalimab
DrugDosage: 240 mg; Route: Intravenous (IV) infusion; Frequency: Every 3 weeks (Q3W) on Day 1 of each 21-day cycle, for up to 2 years.
Paclitaxel
DrugDosage: 175 mg/m2; Route: IV infusion; Frequency: Day 1 of each 21-day cycle, for a maximum of 6 cycles.
Cisplatin
DrugDosage: 60-75 mg/m2; Route: IV infusion; Frequency: Day 1 of each 21-day cycle, for a maximum of 6 cycles.
KC1036
DrugDosage: Selected doses from Phase IIa (20 mg, 30 mg, or 40 mg); Route: Oral; Frequency: Once daily (QD) under fasting conditions, 21 days as a cycle.
Treatment groups
Trial outcomes
Primary outcomes
Objective Response Rate (ORR)
ORR is defined as the proportions of patients with a complete response (CR) or partial response (PR) according to RECIST 1.1.
Secondary outcomes
Progression-free survival (PFS)
PFS is defined as the time from the first study drug administration to the date of the first documented progressive disease (PD) according to RECIST 1.1 or death.
Disease Control Rate (DCR)
DCR is defined as the percentage of participants with a best overall complete response (CR), partial response (PR), or stable disease (SD) according to RECIST 1.1.
Duration of Response (DOR)
DOR is defined as the time from first documented objective response (complete response (CR)or partial response (PR)) to the date of first documented disease progression (PD) or death.
TTR
TTR is defined as the time from the start of the first study drug administration to the date of the first documented response of complete response (CR) or partial response (PR) according to RECIST 1.1.
Sponsors and contacts
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