Ivonescimab (PD-1/VEGF Bispecific Antibody) Plus Radiofrequency Ablation for Multiple Advanced Tumors After PD-1 Therapy Failure
- Sponsor
- Sheng Zhang
- Study ID
- NCT07095803
- Phase
- PHASE2
- Status
- Not Yet Recruiting
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Conditions
- Multiple Advanced Tumors After PD-1 Therapy Failure
Eligibility Criteria
- Sex
- ALL
- Age
- 18 Years - N/A
- Healthy Volunteers
- Not accepted
Interventions
- Ivonescimab (20mg/kg Q3W) — DRUGPatients received intravenous everciximab (20mg/kg Q3W) within 1 week before and after radiofrequency ablation.
- radiofrequency ablation — PROCEDUREPatients received radiofrequency treatment for less than three lesions.
Study Details
The goal of this clinical trial is to learn if the combination of radiofrequency ablation (RFA) and Ivonescimab (PD-1/VEGF Bispecific Antibody) works to could reverse PD-1/PD-L1 resistance in patients with advanced tumors. It will also learn about the safety of this combination. The main questions it aims to answer are: Does the combination of RFA and Ivonescimab increase the objective response rate (ORR) of participants? What medical problems do participants have when taking the combination? Will the combination influence the progression-free survival time (PFS) and overall survival time and quality of life (QoL) of participants? Participants will: Patients received RGA treatment for less than three lesions. Patients were treated with Ivonescimab (20mg/kg Q3W, every 3 weeks) within 1 week before and after radiofrequency treatment until disease progression or intolerable toxicity occurred, or Ivonescimab was used for 2 years. Treatment effects will be evaluated every 9 weeks for 1 year and every 12 weeks thereafter.
Key Dates
- Start date
- Aug 1, 2025
- Status verified
- Jul 2025
- Primary completion
- Feb 1, 2026
- Completion
- Feb 1, 2027
Study Design
- Enrollment
- 60 participants (estimated)
- Allocation
- NON_RANDOMIZED
- Intervention model
- SINGLE_GROUP
- Primary purpose
- TREATMENT
Arms
- Experimental: 1Patients with advanced tumors who had been evaluated as effective on PD1 or PD1 combined with targeted therapy (CR,PR, or SD for more than 6 months on PD1 therapy) and then progressed on PD1 therapy or progressed less than 3 months after drug withdrawal;
- Experimental: 2Patients with advanced tumors who had been evaluated as having a response to PD1 or PD1 combined targeted therapy (CR,PR, or SD for more than 6 months on PD1 therapy) and then progressed more than 3 months after drug withdrawal.
- Experimental: 3Patients with advanced tumors who failed to respond to PD1 or PD1 combined with targeted therapy (the effect of PD1 therapy was PD or SD \< 6 months).
Primary Outcome Measure
The proportion of patients who achieved CR or PR according to RECIST V.1.1 criteria. [ Time Frame: Efficacy was assessed every 9 weeks for 1 year and every 12 weeks thereafter (assessed up to 3 years). ]
Central Contacts
- Dr. Sheng Zhang86-18017317442