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OncoMatch/Clinical Trials/NCT05139095

Camrelizumab Plus Apatinib in Patients With High-risk Gestational Trophoblastic Neoplasia

Is NCT05139095 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments including Camrelizumab plus apatinib CohortA and Camrelizumab plus apatinib Cohort B for gestational trophoblastic neoplasia.

Phase 2RecruitingPeking Union Medical College HospitalNCT05139095Data as of May 2026

Treatment: Camrelizumab plus apatinib CohortA · Camrelizumab plus apatinib Cohort BThe purpose of this study is to evaluate the efficacy and safety of camrelizumab and apatinib as combination therapy in patients with ultra high-risk (Cohort A) and high-risk chemo-refractory or relapsed (Cohort B) gestational trophoblastic neoplasia (GTN). Eligible patients will receive camrelizumab plus apatinib plus chemotherapy. Treatment will be continued until disease progression, unacceptable toxicity, or withdrawal of consent.

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Extracted eligibility criteria

Cancer type

Tumor Agnostic

Disease stage

Required: Stage I, II, III, IV

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Must have received: combination chemotherapy

previously received two or more lines of combination chemotherapies for high-risk chemo-refractory or relapsed GTN (Cohort B)

Cannot have received: chemotherapy

Exception: ultra high-risk GTN (Cohort A)

No previous chemotherapy or radiotherapy for ultra high-risk GTN(Cohort A)

Cannot have received: radiotherapy

Exception: ultra high-risk GTN (Cohort A)

No previous chemotherapy or radiotherapy for ultra high-risk GTN(Cohort A)

Cannot have received: immunotherapy

Previous treatment with immunotherapy drugs (including antibodies targeting PD-1, PD-L1, cytotoxic T-lymphocyte-associated protein 4, T-cell receptor, chimeric antigen receptor T-cell therapy, and other immunotherapy)

Cannot have received: anti-angiogenic small-molecule tyrosine kinase inhibitor (pazopanib, sorafenib, regorafenib)

anti-angiogenic small-molecule tyrosine kinase inhibitors (such as pazopanib, sorafenib, or regorafenib)

Cannot have received: anti-angiogenic monoclonal antibody (bevacizumab)

anti-angiogenic monoclonal antibodies (such as bevacizumab)

Lab requirements

Blood counts

hemoglobin ≥90 g/L, absolute neutrophil count ≥1·5×10^9/L, platelets ≥100×10^9/L

Kidney function

creatinine ≤1·5 × ULN, urea nitrogen ≤2·5×ULN

Liver function

total bilirubin ≤ULN, alanine aminotransferase and aspartate aminotransferase ≤2·5×ULN, albumin ≥25 g/L

Cardiac function

Grade II or higher myocardial ischemia, myocardial infarction or poorly controlled arrhythmia (females with QTc interval ≥470 ms); grade III to IV cardiac insufficiency according to NYHA criteria, or cardiac color Doppler ultrasound evidence of left ventricular ejection fraction <50%; myocardial infarction, NYHA grade II or above heart failure, uncontrolled angina, uncontrolled severe ventricular arrhythmia, clinically significant pericardial disease, or electrocardiogram suggesting acute ischemia or abnormal active conduction system occurring within 6 months before enrolment [excluded]

hemoglobin ≥90 g/L, absolute neutrophil count ≥1·5×10^9/L, platelets ≥100×10^9/L; creatinine ≤1·5 × ULN, urea nitrogen ≤2·5×ULN; total bilirubin ≤ULN, alanine aminotransferase and aspartate aminotransferase ≤2·5×ULN, albumin ≥25 g/L; thyroid stimulating hormone ≤ULN (if thyroid stimulating hormone is abnormal, normal T3 and T4 can also be acceptable).

Structured fields extracted by AI. May contain errors — verify against the official protocol.

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