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About
The goal of this clinical trial is to learn if QL1706 combined with bevacizumab can effectively treat adult female patients (18 to <75 years old) with newly diagnosed FIGO stage IC-IV advanced ovarian clear cell carcinoma. The main questions it aims to answer are:
Researchers will compare QL1706 combined with bevacizumab (experimental arm) to a standard chemotherapy regimen of paclitaxel plus carboplatin (control arm) to see if QL1706 combined with bevacizumab is more effective in the first-line treatment of advanced ovarian clear cell carcinoma.
Participants will:
Enrollment
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Volunteers
Inclusion criteria
Hematological (no use of any blood components or cell growth factors within 7 days prior to initiation of study treatment):
i. Absolute neutrophil count (ANC) ≥ 10^9/L (1,500/mm^3). ii. Platelet count ≥ 100 × 10^9/L (100,000/mm^3). iii. Hemoglobin ≥ 90 g/L.
Renal:
i. Calculated creatinine clearance (CrCl) * ≥ 50 mL/min.
ii. Urine protein < 2+ or 24-hour (h) quantitative urine protein < 1.0 g.
Hepatic:
i. Total serum bilirubin (TBil) ≤ 1.5 × ULN (Upper Limit of Normal). ii. AST (Aspartate Aminotransferase) and ALT (Alanine Aminotransferase) ≤ 2.5 × ULN.
Coagulation:
i. International Normalized Ratio (INR) and Activated Partial Thromboplastin Time (APTT) ≤ 1.5 × ULN.
iii. Serum follicle-stimulating hormone, luteinizing hormone, and plasma estradiol levels within the postmenopausal range for the study center's laboratory.
Exclusion criteria
Histologically confirmed ovarian cancer of other epithelial origin or non-epithelial origin, other than ovarian clear cell carcinoma; ovarian tumors of low malignant potential (e.g., borderline tumors).
Prior treatment with immune checkpoint inhibitors (e.g., PD-1/PD-L1 antibodies) or drugs targeting other T-cell receptors (e.g., CTLA-4, etc.), as well as immune checkpoint agonist antibodies (e.g., anti-ICOS, CD40, CD137, GITR, OX40 antibodies, etc.), and immune cell therapy.
Systemic use of corticosteroids or other immunosuppressive drugs (e.g., cyclophosphamide, azathioprine, methotrexate, thalidomide, TNFα inhibitors, etc.) within 2 weeks before the first dose; Note: Inhaled or topical steroids, steroids as premedication for hypersensitivity reactions (e.g., CT scan contrast agent premedication, cytotoxic chemotherapy premedication), or adrenal replacement steroids (daily ≤10 mg prednisone or equivalent) are permitted in the absence of active autoimmune disease.
Prior (within 5 years) or concurrent malignancies, with the exception of cured local tumors (e.g., basal cell skin cancer, squamous cell skin cancer, superficial bladder cancer, cervical carcinoma in situ, breast carcinoma in situ, etc.) and breast cancer with no recurrence >3 years after radical surgery.
Patients with contraindications to bevacizumab, including but not limited to: prior gastrointestinal perforation, surgery within 28 days before medication or incompletely healed wounds, severe bleeding or recent hemoptysis, or other situations where the investigator deems bevacizumab unsuitable.
Receipt of live vaccine within 30 days before the first dose of study treatment (persisting until 90 days after the last dose of study treatment); Note: Live vaccines include but are not limited to measles, mumps, rubella, varicella/zoster (chickenpox), yellow fever, rabies, BCG, and typhoid vaccines. Seasonal influenza virus vaccines not containing live virus, inactivated COVID-19 vaccines, etc., are permitted.
Active autoimmune disease requiring systemic treatment (e.g., use of disease-modifying drugs, corticosteroids, or immunosuppressants) within 2 years before the first dose. Replacement therapies (e.g., thyroxine, insulin, or physiological corticosteroids for adrenal or pituitary insufficiency, etc.) are not considered systemic treatment; Note: Patients with cataracts, Graves' disease, or psoriasis not requiring systemic treatment (within the past 2 years) are not excluded.
Systemic infection requiring systemic antibiotic treatment or other severe infections within 2 weeks before randomization, or unexplained fever >38.0°C during the screening period or before enrollment, and inability to discontinue aspirin or other non-steroidal anti-inflammatory drugs (NSAIDs) for more than 5 days.
Severe illness or concomitant non-tumor diseases, such as neurological disorders, psychiatric disorders, infectious diseases, or laboratory abnormalities, that may increase the risk of participating in the study or taking study drugs, and which the investigator deems would make the patient unsuitable for the study.
Pregnant or lactating women.
Clinically significant cardiovascular diseases, including but not limited to:
Expectation of needing any other form of anti-tumor therapy during the study period.
Receipt of traditional Chinese medicines with anti-tumor indications or immunomodulatory drugs (including but not limited to thymosin, interferon, interleukin-2, etc.) within 2 weeks before the first dose.
HIV-positive patients.
Known history of anti-tuberculosis treatment within one year before the first administration of study treatment.
Hepatitis B surface antigen (HBsAg) positive and Hepatitis B virus DNA (HBV DNA) ≥2000 IU/ml or 10<sup>4</sup> copies/ml; HCV antibody positive and HCV RNA positive.
Pre-existing peripheral neuropathy of grade ≥2 according to the Common Terminology Criteria for Adverse Events (CTCAE) version 5.0.
Current or recent (within 10 days before the first dose of study drug) continuous use of full-dose oral or parenteral anticoagulants or thrombolytic agents for 10 days (Note: Prophylactic use of low-dose anticoagulants is permitted: low-dose warfarin (≤ 1mg/d), low-dose heparin (≤ 12,000 U/d), or low-dose aspirin (≤ 100mg/d) is permitted for prophylactic purposes, provided the prothrombin time International Normalized Ratio (INR) is ≤1.5).
Hereditary bleeding tendency or coagulation dysfunction, or history of thrombosis, or imaging showing tumor invasion/infiltration of major blood vessels, or investigator or radiologist assessment of bleeding tendency.
Known history of severe allergy to macromolecular protein preparations, or to any component of QL1706 or other investigational drugs, or severe allergic history to chemotherapeutic drugs such as carboplatin, paclitaxel, or their premedications.
Currently participating in interventional clinical research treatment, or receiving any other investigational drug or research device treatment within 4 weeks before the first dose (patients who failed screening for other clinical trials may be included in this study).
Patients deemed unsuitable for participation in this study by the investigator.
Primary purpose
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226 participants in 2 patient groups
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Data sourced from clinicaltrials.gov
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