A Study to Evaluate Safety, Tolerability, PK/PD and Preliminary Efficacy of HBM4003 Combined With Anti-PD-1 Antibody

April 28, 2021 updated by: Harbour BioMed (Guangzhou) Co. Ltd.

An Open-Label, Phase 1 Clinical Study to Evaluate the Safety, Tolerability, PK/PD and Preliminary Efficacy of HBM4003 in Combination With Anti-PD-1 Monoclonal Antibody in Patients With Advanced NSCLC and Other Solid Tumors

This is an open-label, multi-center phase 1 study. The trial, consisting of Part 1a dose confirmation and Part 1b dose expansion, is designed to evaluate the safety, tolerability, PK/PD and preliminary efficacy of HBM4003 in combination with pembrolizumab in patients with advanced NSCLC and other solid tumors.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Detailed Description

subjects will be treated with HBM4003 in combination with pembrolizumab for up to 2 years or until confirmed disease progression, unacceptable tolerability or treatment discontinuation through withdrawal of consent occurs, whichever happens first.

This trial consists of :

  • A screening period: 28 days
  • A treatment period:

    • Part 1a dose confirmation study
    • Part 1b dose expansion study
  • A post-treatment follow-up period, including

    • A safety follow-up period: 28 days after the last dose of study drug;
    • Post-treatment follow-up visit: day 84 after the last dose of study drug;
    • Survival follow-up.

Study Type

Interventional

Enrollment (Anticipated)

66

Phase

  • Phase 1

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 75 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Male or female patients ≥18 years old at the time of signing the informed consent and ≤ 75 years old at the time of enrollment.
  • Patients for Part 1a: patients diagnosed with advanced or recurrent solid tumors.
  • Patients for Part 1b: patients diagnosed with metastatic NSCLC and confirmed with negative tumor PD-L1 expression (TPS<1%).
  • Patients for Part 1b dose expansion study: have never received systemic therapies as primary therapy for advanced or metastatic diseases.
  • Patients must be able to provide fresh tumor tissues or archived tumor tissues.
  • Patients whose estimated survival time is more than 3 months.
  • Patients with at least one measurable lesion at baseline according to RECIST (version 1.1).
  • Patients with Eastern Cooperative Oncology Group (ECOG) performance status score ≤ 1.
  • Patients whose organ function must meet the study requirements.
  • Males or females with childbearing potential need to use an effective contraceptive method.
  • Willing and able to comply with study-specified visits schedule, treatment plan, laboratory examination and other study procedures.

Exclusion Criteria:

  • NSCLC patients with EGFR-sensitive mutations or an ALK translocation based on diagnosis results.
  • Patients who are simultaneously participating in another clinical study, unless the study is an observational (non-interventional) clinical study or the patient is already in the survival follow-up period of the interventional study.
  • Patients with a medical history of severe allergic diseases, a history of severe drug allergies, and are known or suspected allergy to macromolecular protein preparations or HBM4003 or pembrolizumab excipients.
  • Previous and concomitant drugs or treatments to be excluded like CTLA4, PD-1,PD-L1.
  • Insufficient completely recovery from previous treatments.
  • Diseases that may affect the efficacy and safety of the investigational product.
  • A history of other malignant diseases within 5 years before the first dose.
  • Active brain metastasis or leptomeningeal metastasis during screening or previous with imaging evidence (based on CT or MRI assessment).
  • Patients who have received palliative radiotherapy for non-central nervous system lesions within 2 weeks before the first dose.
  • Patients who have received more than 30 Gy of lung radiation therapy within 6 months before the first dose.
  • A history of interstitial lung disease or non-infectious pneumonia.
  • Patients with pleural effusion, pericardial effusion, or ascites.
  • Patients that may have other conditions that affect the efficacy or safety evaluation of this study (such as mental disorder, alcoholism, drug abuse, etc.) .
  • Women who are pregnant or breastfeeding, or who plan to become pregnant during the study period and within 3 months after the last dose of study drug.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: HBM4003+pembrolizumab
HBM4003 combined with pembrolizumab in subjects with advanced NSCLC and other solid tumors
Subjects will be treated with HBM4003 and pembrolizumab on Day 1 during each 21-day cycles.
Other Names:
  • HBM4003

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Part 1a: Number of subjects with DLT in each dose group within 1 cycles (21 days) after the first drug administration
Time Frame: approximate 21 days
DLT observation period was defined as one treatment cycles with a total of 21 days
approximate 21 days
Part 1b: ORR
Time Frame: maximum 2 years
Proportion of subjects with complete response (CR) and partial response (PR)
maximum 2 years

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Cmax
Time Frame: maximum 2 years
Peak Plasma Concentration
maximum 2 years
Tmax
Time Frame: maximum 2 years
Time to reach maximum serum concentration
maximum 2 years
AUC0-last
Time Frame: maximum 2 years
Area under the plasma concentration versus time curve from time zero to last
maximum 2 years
AUC0-tau
Time Frame: maximum 2 years
Area under the serum concentration versus time curve from time zero to the dosing interval tau
maximum 2 years
Part 1a: ORR
Time Frame: maximum 2 years
including proportions of subjects with complete response (CR) and partial response (PR)
maximum 2 years
Part 1a: Disease Control Rate, DCR
Time Frame: maximum 2 years
including proportion of subjects with complete response (CR) and partial response (PR) and stable disease (SD)
maximum 2 years
Part 1a: Duration of Response, DOR
Time Frame: maximum 2 years
Calculate the duration from the first confirmed CR or PR to the date of disease progression or death (for any reason)
maximum 2 years
Part 1a: Duration of Disease Control, DDC
Time Frame: maximum 2 years
For subjects with Cr, PR or SD, the duration from the time of initial administration to the date of disease progression or death (for any reason) was calculated
maximum 2 years
UC0-inf
Time Frame: maximum 2 years
Area under the serum concentration versus time curve from time zero to infinity
maximum 2 years
Vss
Time Frame: maximum 2 years
Volume of distribution at steady state
maximum 2 years
CL
Time Frame: maximum 2 years
Clearance
maximum 2 years
t1/2
Time Frame: maximum 2 years
Terminal half-life
maximum 2 years
Part 1a: Immunogenicity of HBM4003 and pembrolizumab
Time Frame: maximum 2 years
including the occurrence of positive anti-drug antibodies (ADA). The occurrence of neutralizing antibodies for subjects with positive ADA
maximum 2 years
Part 1b: Number of subjects experiencing at least one treatment-related AE
Time Frame: maximum 2 years
Evaluate safety
maximum 2 years
Part 1b: DCR
Time Frame: maximum 2 years
including proportion of subjects with CR, PR and SD
maximum 2 years
Part 1b: DOR
Time Frame: maximum 2 years
calculate the duration from the first confirmed CR or PR to the date of disease progression or (for any reason) death.
maximum 2 years
Part 1b: DDC
Time Frame: maximum 2 years
for subjects with CR, PR or SD, calculate the duration from the time of initial medication to the day of disease progression or (for any reason) death
maximum 2 years
Part 1b: Overall survival (OS)
Time Frame: maximum 2 years
the length of time from the start of treatment to the death of the subject (for any reason)
maximum 2 years
Part 1b: Progression-free survival (PFS)
Time Frame: maximum 2 years
the length of time from the beginning of treatment to the beginning of disease progression or death (for any reason)
maximum 2 years
Part 1b: Immunogenicity of HBM4003 and pembrolizumab
Time Frame: maximum 2 years
including the occurrence of positive anti-drug antibodies (ADA). The occurrence of neutralizing antibodies for subjects with positive ADA.
maximum 2 years

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Anticipated)

June 14, 2021

Primary Completion (Anticipated)

February 1, 2023

Study Completion (Anticipated)

February 1, 2023

Study Registration Dates

First Submitted

April 26, 2021

First Submitted That Met QC Criteria

April 28, 2021

First Posted (Actual)

April 29, 2021

Study Record Updates

Last Update Posted (Actual)

April 29, 2021

Last Update Submitted That Met QC Criteria

April 28, 2021

Last Verified

April 1, 2021

More Information

Terms related to this study

Other Study ID Numbers

  • 4003.3

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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