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AK104

Phase 2

Locally Advanced Rectal Cancer | Small molecule | Oncology |JIN MEDICAL INTERNATIONAL LTD.|Last Updated: Apr 6, 2023

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
CONTROLLEDBiomarker
Total Trials1
Total Enrollment50
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05794750Assess the Efficacy of Radiotherapy and Sequential Chemotherapy and AK104 Before TME Surgery for Local CRC(AK104-IIT-13)PHASE2 NOT YET_RECRUITING 50Apr 24, 2023Apr 24, 2027Apr 6, 2023 -
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Study Endpoints
Primary Endpoints
Pathologic complete response rate (pCR)
From date of randomization until the date of end of treatment,about 18 weeks.

To assess the result from pathology report

Secondary Endpoints
Major pathologic response rate (MPR)
From date of randomization until the date of end of treatment,about 18 weeks.
3-years DFS rate
From date of randomization until the date of first documented disease relapse or date of death from any cause, whichever came first about 3years..
3-years OS rate
From date of randomization until date of death from any cause,about 3 years.
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
AK104 injection++chemotherapyEXPERIMENTALLocal CRC with short-course radiotherapy followed by sequential chemotherapy and AK104
TME surgeryEXPERIMENTALLocal CRC with short-course radiotherapy followed by sequential chemotherapy and AK104
chemotherapyEXPERIMENTALLocal CRC with short-course radiotherapy followed by sequential chemotherapy and AK104
Interventions
NameTypeDescription
AK104 injectionDRUGEligible subjects will receive short-course radiotherapy (SCRT), IMRT/VMAT, pelvic 25Gy/5f/1 week. Two weeks after the end of treatment, subjects continued to receive neoadjuvant chemotherapy combined with immunotherapy regimen for 4 cycles: AK104 10 mg/kg, intravenous infusion every 3 weeks (Q3W), plus CAPOX (capecitabine: 1000mg/m2, bid, po, d1-14, oxaliplatin: 130mg/m2, ivgtt, d1), Q3W. Neoadjuvant therapy was assessed 2 weeks after the end of neoadjuvant therapy, and TME surgery was performed 4 weeks after the end of neoadjuvant therapy (R0 surgery was performed).
TME surgeryPROCEDUREEligible subjects will receive short-course radiotherapy (SCRT), IMRT/VMAT, pelvic 25Gy/5f/1 week. Two weeks after the end of treatment, subjects continued to receive neoadjuvant chemotherapy combined with immunotherapy regimen for 4 cycles: AK104 10 mg/kg, intravenous infusion every 3 weeks (Q3W), plus CAPOX (capecitabine: 1000mg/m2, bid, po, d1-14, oxaliplatin: 130mg/m2, ivgtt, d1), Q3W. Neoadjuvant therapy was assessed 2 weeks after the end of neoadjuvant therapy, and TME surgery was performed 4 weeks after the end of neoadjuvant therapy (R0 surgery was performed).
CapecitabineDRUGEligible subjects will receive short-course radiotherapy (SCRT), IMRT/VMAT, pelvic 25Gy/5f/1 week. Two weeks after the end of treatment, subjects continued to receive neoadjuvant chemotherapy combined with immunotherapy regimen for 4 cycles: AK104 10 mg/kg, intravenous infusion every 3 weeks (Q3W), plus CAPOX (capecitabine: 1000mg/m2, bid, po, d1-14, oxaliplatin: 130mg/m2, ivgtt, d1), Q3W. Neoadjuvant therapy was assessed 2 weeks after the end of neoadjuvant therapy, and TME surgery was performed 4 weeks after the end of neoadjuvant therapy (R0 surgery was performed).
OxaliplatinDRUGEligible subjects will receive short-course radiotherapy (SCRT), IMRT/VMAT, pelvic 25Gy/5f/1 week. Two weeks after the end of treatment, subjects continued to receive neoadjuvant chemotherapy combined with immunotherapy regimen for 4 cycles: AK104 10 mg/kg, intravenous infusion every 3 weeks (Q3W), plus CAPOX (capecitabine: 1000mg/m2, bid, po, d1-14, oxaliplatin: 130mg/m2, ivgtt, d1), Q3W. Neoadjuvant therapy was assessed 2 weeks after the end of neoadjuvant therapy, and TME surgery was performed 4 weeks after the end of neoadjuvant therapy (R0 surgery was performed).
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Eligibility Criteria
Age Range18 Years — 75 Years
SexALL
Healthy VolunteersNo

Inclusion Criteria: * 1\. Age 18-75 years old, gender is not limited; * 2\. Stage II/III under MRI or endoscopic ultrasound ; * 3\. Fiber colonoscopy or diagnosis examination, the lower boundary of the lesion is 15m ≤ from the margin; * 4\. Rectal adenocarcinoma confirmed or revisited by pathology;...

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Recent Changes (Last 90 Days)
LOWMay 24, 2026NCT05794750studyFirstPostDate: changed