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OncoMatch/Clinical Trials/NCT07692152

Sintilimab Versus Mitomycin in Combination With Capecitabine and IMRT for Limited-stage Anal Squamous Cell Carcinoma

Is NCT07692152 recruiting? Yes, currently enrolling (Jul 2026). This Phase 3 trial studies multiple treatments including Sintilimab and Capecitabine for anal squamous cell carcinoma, limited-stage.

Phase 3RecruitingCancer Institute and Hospital, Chinese Academy of Medical SciencesNCT07692152Data as of Jul 2026Location: China

Treatment: Capecitabine · Sintilimab · Mitomycin (MMC)This is a prospective, multicenter, open-label, phase III randomized controlled clinical trial designed to evaluate the efficacy and safety of replacing the traditional chemotherapeutic drug mitomycin with the PD-1 inhibitor sintilimab in definitive chemoradiotherapy for limited-stage anal squamous cell carcinoma. The study plans to enroll 350 previously untreated patients with limited-stage anal squamous cell carcinoma and randomize them in a 1:1 ratio into two groups: the control group will receive the current standard treatment, namely intensity-modulated radiotherapy (IMRT) concurrent with capecitabine and mitomycin; the experimental group will receive an innovative "immunotherapy replacement" regimen, namely IMRT of the same technique concurrent with capecitabine and sintilimab. The study adopts a dual primary endpoint design, aiming to verify that the experimental group is non-inferior to the control group in the clinical complete response rate at 6 months after radiotherapy, and is significantly superior to the control group in the incidence of grade 3 or higher treatment-related acute toxicities.

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Extracted eligibility criteria

Treatments studied

Immunotherapy

Sintilimab

Chemotherapy

Capecitabine

Other

Mitomycin (MMC)

Disease stage

Required: Stage CT2-T4N0M0, CTANYN+M0 (other)

Staged as cT2-T4N0M0 or cTanyN+M0 by imaging (AJCC 9th)

Performance status

ECOG 0–1(Restricted strenuous activity)

Demographics

Ages ≤ 75

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Cannot have received: antitumor immunotherapy (anti-CTLA-4, anti-PD-1, anti-PD-L1)

Exception: anti-HPV vaccination

Patients with prior antitumor immunotherapy (e.g., anti-CTLA-4, anti-PD-1, or anti-PD-L1 monoclonal antibodies, etc.), with the exception of anti-HPV vaccination

Cannot have received: radiotherapy to the planned radiation site

No prior radiotherapy to the planned radiation site

Cannot have received: tumor resection surgery (other than biopsy)

No prior tumor resection surgery (other than biopsy)

Cannot have received: chemotherapy

No prior ... chemotherapy

Cannot have received: other anti-tumor therapy

No prior ... other anti-tumor therapy

Lab requirements

Blood counts

WBC ≥3 × 10^9/L, ANC ≥1.5 × 10^9/L, Hb >90 g/L, PLT >100 × 10^9/L

Kidney function

serum creatinine <1.5x ULN

Liver function

AST and ALT <2.5x ULN; bilirubin ≤1.5x ULN

Adequate organ function reserve: WBC ≥3 × 10^9/L, ANC ≥1.5 × 10^9/L, Hb >90 g/L, PLT >100 × 10^9/L; AST and ALT <2.5x ULN; bilirubin ≤1.5x ULN; creatinine <1.5x ULN; INR/PT/APTT ≤1.5x ULN

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

Frequently asked questions

Is NCT07692152 currently recruiting?

Yes, this trial is currently recruiting patients.

Can patients have received prior systemic therapy?

No. This trial requires treatment-naive patients — prior systemic therapy is an exclusion criterion.

What disease stage is eligible?

Stage CT2-T4N0M0 or CTANYN+M0 is required.

Is there an age limit?

Yes. Patients must be 75 years or younger.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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