Giant Cell Tumor of Bone
Conditions
Keywords
Giant Cell Tumor of Bone
Brief summary
This is a phase Ⅲ, multi-center, randomized, double-blind, active-controlled study to evaluate the efficacy and safety of narlumosbart (JMT103) in patients with unresectable or surgically difficult giant cell tumor of bone (GCTB). This clinical trial study hypothesizes narlumosbart administration groups are not inferior to active control administration groups.
Interventions
DRUGNarlumosbart
Administered by subcutaneous injection. Dietary Supplement: Calcium/Vitamin D. All patients should be adequately supplemented with calcium and vitamin D (at least 500 mg of calcium and 400 IU of vitamin D), except in the case of pre-existing hypercalcemia.
DRUGDenosumab
Administered by subcutaneous injection. Dietary Supplement: Calcium/Vitamin D. All patients should be adequately supplemented with calcium and vitamin D (at least 500 mg of calcium and 400 IU of vitamin D), except in the case of pre-existing hypercalcemia.
Sponsors
Shanghai JMT-Bio Inc.
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
12 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Fully informed and signed informed consent; 2. Male or female adults aged ≥ 18 years or skeletally mature adolescents must weigh at least 45 kg and ≥ 12 years of age; 3. Pathologically confirmed giant cell tumor of bone that is surgically unresectable or for which the planned surgery is associated with functional compromise or morbidity; 4. Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1 or 2.
Exclusion criteria
1. Previous or ongoing osteomyelitis or osteonecrosis of the jaw, non-healed dental/oral surgery, active dental or jaw condition requiring oral surgery, planned invasive dental procedure during the study; 2. Known or suspected diagnosis of other giant cell-rich tumors, brown cell tumor of bone, or Paget's disease; 3. Known diagnosis of malignancy within the past 5 years, except for definitively treated superficial basal cell carcinoma or cervical carcinoma in situ; 4. Bone metabolic disease including hypo-/hyperparathyroidism, hypo-/hyperthyroidism (except for no need treatment subclinical hypothyroidism), hypopituitarism, hyperprolactinemia, Cushing's syndrome, acromegaly, etc.; 5. Active infections requiring systematic treatment within 7 days prior to randomization; 6. Known human immunodeficiency virus (HIV), syphilis infections or viral hepatitis; 7. Current receiving other anti-tumor therapy (such as radiation, chemotherapy, or embolization, etc.); 8. Concurrent bisphosphonate treatment; 9. Use of anti-receptor activator of nuclear factor-κB ligand (RANKL) antibody within six months prior to screening, or no response to previous RANKL antibody treatment; 10. Known allergic/hypersensitive reaction to JMT103, positive control drug, calcium and vitamin D; 11. Pregnant or lactating females; For those of child bearing potential, refusal to use effective contraception methods from signing informed consent to 6 months after last administration.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Percentage of Patients With Giant Cell Objective Tumor Response | From enrollment until 12 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Percentage of Patients With Giant Cell Objective Tumor Response | Throughout the study period, up to approximately 4 years |
| Disease Control Rate (DCR) | Up to approximately 4 years |
| Time to Response (TTR) | Up to approximately 4 years |
| Time to Progression (TTP) | Up to approximately 4 years |
| Percentage of Patients Downstaging the Planned Surgical Procedure | From enrollment until surgery, up to approximately 4 years |
| Duration of Response (DOR) | Up to approximately 4 years |
| Changes in Brief Pain Inventory Short Form (BPI-SF) score | From enrollment until the last dose, up to approximately 4 years |
| Types and Proportion of Key Adverse Reactions | From the first dose of study drug until 90 days after the last dose, up to approximately 4 years |
| Serum JMT103 Concentrations | Days 8 of Cycle 1, Day 1 of Cycle 2, 3, 4, 5, 6, and 90 days after the last dose (each cycle is 28 days) |
| Number of Patients with Anti-JMT103 Antibodies | Day 1 of Cycle 1, 2, 4, 6, and 90 days after the last dose (each cycle is 28 days) |
| Time to First Tumor Surgery | From enrollment until the first tumor surgery, up to approximately 4 years |
Countries
China
Contacts
Primary ContactClinical Trials Information Group Officer
Outcome results
None listed