About this trial
This is a Phase 3, Open-Label, Multicenter, Randomised, Controlled Study designed to compare RC48-ADC in Combination With JS001 to Chemotherapy Alone in Previously Untreated HER2-Expressing Unresectable Locally Advanced or Metastatic Urothelial Carcinoma.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Expected survival ≥12 weeks.
Locally advanced unresectable or metastatic UC with histopathological confirmation, including UC originating from the renal pelvis, ureters, bladder, or urethra.
At least one measurable lesion based on RECIST version 1.1
HER2-expressing status determined by the central laboratory to be IHC 1+, 2+ or 3+.
Disqualifiers
Known hypersensitivity to RC48-ADC or Toripalimab or any of its components.
History of major surgery within 4 weeks of planned start of trial treatment.
Toxicity from a previous treatment has not returned to Grade 0-1.
Prior ADCs or PD-1/PD-L1 inhibitor therapy.
Trial design
Parallel
Treatments tested in this trial
RC48-ADC
Drug2.0 mg/kg IV every 2 weeks
Toripalimab
Drug3.0 mg/kg IV every 2 weeks
Gemcitabine
Drug1000mg/m2 IV infusion on Days 1 and 8 of every 3 week cycle
Cisplatin
Drug70mg/m2 IV infusion on Day 1 of every 3 week cycle
Carboplatin
DrugAUC=4.5, IV infusion on Day 1 of every 3 week cycle
Treatment groups
Trial outcomes
Primary outcomes
Progression-free survival (PFS), evaluated by independent review committee
Progression-free survival (PFS) refers to the time from the date of randomization to the first researcher's evaluation of disease progression or death (calculated by the event that occurred first). The disease progression will be evaluated by independent review committee according to the RECIST 1.1 standard.
Overall survival (OS)
Overall survival (OS) refers to the time from the date of randomization to the date of death of the subject.
Secondary outcomes
Objective remission rate (ORR)
The objective response rate will be mainly analyzed by the independent efficacy evaluation committee according to the RECIST 1.1 standard tumor evaluation (the evaluation by the investigator will also be performed).
Progression-free survival (PFS), evaluated by the investigator
Progression-free survival (PFS) refers to the time from the date of randomization to the first researcher's evaluation of disease progression or death (calculated by the event that occurred first). The disease progression will be evaluated by the researchers according to the RECIST 1.1 standard.
Duration of relief (DOR)
DOR is defined as the time from the first documented objective response (CR or PR) to the first documented disease progression or death
Disease control rate (DCR)
Disease control rate (DCR) is defined as cases where objective remission (assessed as complete remission or partial remission according to RECIST 1.1 standard) or stable disease during the study.
Sponsors and contacts
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