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Not yet recruitingNCT06746961Updated Dec 24, 2024

Efficacy and Safety of QL1706 Plus Lenvatinib As 2nd Line Theapy in Patients with Metastatic Esophageal Carcinoma After Disease Progression on ICIs Therapy

A Phase 1/2 interventional study of QL1706 (bispecific antibody targeting PD-1 and CLTA-4) and Lenvatinib in Esophageal Squamous Cell Carcinoma (ESCC), sponsored by The First Affiliated Hospital of Zhengzhou University. Not yet recruiting. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2024-12-24.

Sponsored by The First Affiliated Hospital of Zhengzhou University · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jul 2026, 3 months ago, but the record still lists the study as not yet recruiting.
Phase
Phase 1/2
Study type
Interventional
Enrollment
49
Allocation
Not applicable
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The purpose of this study is to assess the efficacy and safety of QL1706 plus lenvatinib in second-line therapy for patients with metastatic esophageal squamous cell carcinoma after progression on immune checkpoint inhibitor therapy

02

Conditions studied

  • Esophageal Squamous Cell Carcinoma (ESCC)

Keywords

  • QL1706
  • lenvatinib
  • immune checkpoint blockades
  • esophageal squamous cell carcinoma
  • ESCC
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 49 is close to the median of 45 across 5,170 interventional studies indexed under Carcinoma.

Browse Carcinoma studies →

Lead sponsor

The First Affiliated Hospital of Zhengzhou University is the lead sponsor of 123 studies on the registry; 72 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

  1. Subjects participate voluntarily and sign informed consent.
  2. 18-75 years, male or female.
  3. Histologically or cytologically verified diagnosis of unresectable locally advanced or metastatic esophageal squamous cell carcinoma
  4. Patients who have disease progression verified by imaging on standard first-line immunotherapy with anti-PD-1/PD-L1 antibodies
  5. At least 1 measurable target lesion according to Response Evaluation in Solid Tumors (RECIST 1.1).
  6. ECOG PS 0-1

Exclusion criteria

Exclusion Criteria:

  1. Presence of any active autoimmune disease or history of autoimmune disease (such as: autoimmune hepatitis, interstitial pneumonia, uveitis, enteritis, hypophysitis, nephritis, hyperthyroidism)
  2. Those who are taking immunosuppressants or systemic hormonal therapy for immunosuppressive purposes (dose> 10 mg/day prednisone or other equivalent cortiremonial hormones) and are taking within 2 weeks before recruitment
  3. Severe allergic reaction to other monoclonal antibodies
  4. Those who terminated treatment due to related toxicity during anti-PD-1/PD-L1 antibody treatment
  5. Prior treatment with bispecific anti-PD-1/CTLA-4 checkpoint blockades or VEGFR inhibitors
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
49 participants (estimated)

Study arms

  • Experimental
    QL1706 plus Lenvatinib

    QL1706 will be administrated at a dose of 5 mg/kg intravenously (IV), every 3 weeks, until progressive disease or intolerable or other reasons according to the criteria for termination of treatment. QL1706 will be administrated up to 2 year. Lenvatinib will be administrated at a dose of 8 mg or 12mg orally (PO) once daily (QD)

    Drug: QL1706 (bispecific antibody targeting PD-1 and CLTA-4) · Drug: Lenvatinib

Interventions

  • DrugQL1706 (bispecific antibody targeting PD-1 and CLTA-4)

    5mg/kg , iv, q3w

  • DrugLenvatinib

    8 mg or 12 mg QD via oral capsule

    Also known as: MK-7902, E7080, LENVIMA

06

What researchers measure

Primary outcomes

  1. Phase Ib:Dose Limiting Toxicities (DLTs) and recommended phase 2 dose (PR2D)

    Hematologic DLTs are defined as: 1. Grade 4 neutropenia lasting for ≥7 days 2. febrile neutropenia not associated with the underlying disease, 3. Grade 3 thrombocytopenia with bleeding, Grade ≥3 thrombocytopenia requiring platelet transfusion, Grade 4 thrombocytopenia, .

    Time frame: up to ~21 days

  2. Phase II: Overall Survival (OS) in all participants

    OS is defined as the time from the first administration to death due to any cause.

    Time frame: up to ~48 months

Secondary outcomes

  1. PFS

    PFS is defined as the time from the first administration to the first documented progressive disease (PD) per RECIST 1.1 by investigators or death due to any cause, whichever occurs first.

    Time frame: up to ~42 months

  2. ORR

    ORR is defined as the percentage of participants with Complete Response or Partial Response per RECIST 1.1 assessed by the investigators.

    Time frame: up to ~42 months

  3. DOR

    For participants who demonstrate a confirmed CR or PR, per RECIST 1.1 by the investigators, DOR is defined as the time from first documented evidence of CR or PR until PD or death.

    Time frame: up to ~42 months

  4. Number of Participants With AEs

    An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.

    Time frame: Up to ~53 months

07

Study locations

No study locations are listed for this record.

08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 24, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06746961
Lead sponsor
The First Affiliated Hospital of Zhengzhou University
Responsible party
Feng Wang (Professor, The First Affiliated Hospital of Zhengzhou University) — Principal investigator
First posted
Dec 24, 2024
Start date
Jan 2025 (estimated)
Primary completion
Jul 2026 (estimated)
Completion
Aug 2027 (estimated)
Last update
Dec 24, 2024

Study contacts

Professor Wang
Contact
zzuwangfeng@zzu.edu.cn
+86-0371-66913114

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Nov 2024. You cannot join it, but the record below documents what was studied.

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