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RecruitingNCT06194734Updated Mar 7, 2024

A Study of KC1036 Versus Investigator's Choice of Chemotherapy in Patients With Advanced Esophageal Cancer

A Phase 3 interventional study of KC1036 and Irinotecan in Esophageal Squamous Cell Carcinoma, sponsored by Beijing Konruns Pharmaceutical Co., Ltd.. Recruiting at 1 site in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2024-03-07.

Sponsored by Beijing Konruns Pharmaceutical Co., Ltd. · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Feb 2024; still recruiting 2 years 8 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
490
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate the efficacy and safety of KC1036 versus investigator's choice of chemotherapy in patients with advanced recurrent or metastatic esophageal squamous cell carcinoma

Read the detailed description

This is a randomized, controlled, open-label, multicenter phase III trial. Patients with advanced recurrent or metastatic esophageal squamous cell carcinoma that has received PD-1 or PD-L1 inhibitors and at least second-line systemic therapy will be randomized at a 1: 1 ratio to receive KC1036 or the investigator's choice of chemotherapy (Irinotecan/Docetaxel/S-1) until confirmed disease progression assessed by the RECIST V1.1 standard, death, intolerable toxicity, initiation of a new anti-tumor therapy, other reasons leading to treatment discontinuation as specified by protocol.

02

Conditions studied

03

In context

Carcinoma

6,741 studies on the registry are indexed under Carcinoma; 1,161 are open to participants now.

This study's planned enrollment of 490 is above the median of 45 across 5,170 interventional studies indexed under Carcinoma.

Browse Carcinoma studies →

Lead sponsor

Beijing Konruns Pharmaceutical Co., Ltd. is the lead sponsor of 13 studies on the registry; 9 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Males or females aged 18 to 75 years;
  • Histologically or cytologically confirmed esophageal or esophageal-gastric junction squamous cell carcinoma;
  • Patient with advanced recurrent or metastatic esophageal squamous cell carcinoma previously treated with a PD-1 or PD-L1 inhibitor and at least second-line systemic therapy;
  • At least one measurable tumor lesion according to RECIST 1.1;
  • Eastern Cooperative Oncology Group performance status score of 0 or 1;
  • Life expectancy > 12 weeks;
  • BMI≥16.0 and weight≥40 kg ;
  • Adequate bone marrow, renal, and hepatic function;
  • Female patients of childbearing potential with a negative blood pregnancy test completed within 7 days before randomization;
  • Patients should participate in the study voluntarily and sign informed consent.

Exclusion criteria

Exclusion Criteria:

  • Any patient who is known to have untreated central nervous system (CNS) metastasis;
  • Other kinds of malignancies within 5 years;
  • Gastrointestinal abnormalities;
  • Cardiovascular and cerebrovascular diseases;
  • Prior therapies with vascular targeting inhibitor;
  • Previously treated with Irinotecan, Docetaxel and Tegafur Gimeracil Oteracil Potassium;
  • Involved in other clinical trials within 4 weeks before enrollment;Prior anti-tumor therapies with radiotherapy, immunotherapy, operation within 4 weeks before enrollment;Prior anti-tumor therapies with small molecule targeting drugs within 2weeks or 5 half-lives (whichever is longer) before enrollment; Prior anti-tumor therapies with chemotherapy within 3 weeks or 5 half-lives (whichever is longer) before enrollment;
  • Presence of unresolved toxicities from prior anti-tumor therapy, defined as having not resolved to NCI CTCAE 5.0 Grade 0 or 1;
  • Uncontrolled massive ascites, pleural or pericardial effusion;
  • Severe infection within 4 weeks prior to randomization (CTCAE > Grade 2);
  • Known history of human immunodeficiency virus (HIV) infection or current active hepatitis B or C infection;
  • Pregnant or lactating women;
  • Female subjects of child-bearing potential and male subjects of reproductive capacity who do not agree to use contraceptive measures during the study and for 6 months after the end of the study.
  • Other patients are not eligible for enrollment assessed by investigators.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
490 participants (estimated)

Study arms

  • Experimental
    KC1036

    KC1036 will be administrated.

    Drug: KC1036

  • Active comparator
    Investigator's choice of chemotherapy

    Irinotecan, Docetaxel or S-1 will be administrated.

    Drug: Irinotecan · Drug: Docetaxel · Drug: S-1

Interventions

  • DrugKC1036

    KC1036 60mg QD orally, before a meal, continuous administration, 21 days as a cycle

  • DrugIrinotecan

    Irinotecan intravenously administered at 130-150 mg/m2 once every 2 weeks

  • DrugDocetaxel

    Docetaxel intravenously administered at 60-75 mg/m2 once every 3 weeks;

  • DrugS-1

    S-1 orally administered 40-60mg Bid on Day 1 to Day 14 of every 3 weeks, 21 days as a cycle

    Also known as: Tegafur-gimeracil-oteracil potassium

06

What researchers measure

Primary outcomes

  1. Overall survival (OS)

    OS is defined as the time from the start of randomization to death of any cause.

    Time frame: Baseline to study completion (approximately 24 months)

Secondary outcomes

  1. 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.

    Time frame: Baseline to study completion (approximately 24 months)

  2. 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.

    Time frame: Baseline to study completion (approximately 24 months)

  3. 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.

    Time frame: Baseline to study completion (approximately 24 months)

  4. Progression-free survival (PFS)

    PFS is defined as the time from the start of randomization to the date of the first documented progressive disease (PD) according to RECIST 1.1 or death.

    Time frame: Baseline to study completion (approximately 24 months)

  5. Incidence of Adverse events (AEs)

    Assessed by treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs) during the treatment assessed by NCI CTCAE 5.0.

    Time frame: Baseline to 30 days after the last dose of study treatment

  6. Quality of Life (QOL) scores

    Quality of Life is a concept of comprehensive evaluation of the advantages and disadvantages of life. It mainly refers to the assessment of individual physiological, psychological and social functions, which is an important indicator of the effectiveness of medical and health care services.

    Time frame: Baseline to study completion (approximately 24 months)

07

Study locations

1 of 1 sites recruiting
  • Cancer Hospital, Chinese Academy of Medical Sciences
    Beijing, 100021, China
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 7, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06194734
Lead sponsor
Beijing Konruns Pharmaceutical Co., Ltd.
Responsible party
Sponsor
First posted
Jan 8, 2024
Start date
Feb 5, 2024
Primary completion
Dec 30, 2026 (estimated)
Completion
Dec 30, 2027 (estimated)
Last update
Mar 7, 2024

Study contacts

Jing Huang, Ph.D
Contact
huangjingwg@163.com
010-87788293
Jing Huang, Ph.D
principal investigator · Cancer Institute and Hospital, Chinese Academy of Medical Sciences

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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