JAB-21822 in Combination With Cetuximab in Patients With Advanced CRC and Other Solid Tumors With KRAS G12C Mutation
A Phase Ib/II Trial of JAB-21822 in Combination With Cetuximab in Patients With Advanced Colorectal Cancer, Small Intestine Cancer and Appendiceal Cancer With KRAS G12C Mutation
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Jacobio Pharmaceuticals
- Phone Number: 86-10-56315466
- Email: clinicaltrials@jacobiopharma.com
Study Locations
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Beijing Municipality
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Beijing, Beijing Municipality, China, 100021
- Research site31
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Beijing, Beijing Municipality, China, 100101
- Research site01
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Beijing, Beijing Municipality, China, 100101
- Research site02
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Beijing, Beijing Municipality, China, 100101
- Research site12
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Guangxi
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Nanning, Guangxi, China, 530021
- Research site13
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Heilongjiang
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Harbin, Heilongjiang, China, 150000
- Research site06
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Henan
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Zhengzhou, Henan, China, 450000
- Research site05
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Zhengzhou, Henan, China, 450000
- Research site07
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Hubei
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Wuhan, Hubei, China, 430079
- Research site18
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Hunan
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Changsha, Hunan, China, 410000
- Research site11
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Changsha, Hunan, China, 410000
- Research site29
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Jiangsu
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Nanjing, Jiangsu, China, 210000
- Research site09
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Jiangxi
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Nanchang, Jiangxi, China, 330000
- Research site08
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Shandong
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Linyi, Shandong, China, 276002
- Research site16
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Shanghai Municipality
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Shanghai, Shanghai Municipality, China, 200032
- Research site28
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Shanxi
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Xi’an, Shanxi, China, 710000
- Research site23
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Zhejiang
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Hangzhou, Zhejiang, China, 310005
- Research site19
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Participants must be able to provide an archived tumor sample
- Histologically or cytologically confirmed advanced colorectal cancer, advanced small intestinal cancer and advanced appendiceal cancer with KRAS p.G12C mutation
- Must have received at least 1 prior standard therapy
- Must have at least 1 measurable lesion per RECIST v1.1
- Must have adequate organ function
- Must be able to swallow and retain orally administered medication
Exclusion Criteria:
- Has brain metastases, except if treated and no evidence of radiographic progression or hemorrhage for at least 28 days
- Active infection requiring systemic treatment within 14 days
- Active HIV, HBV or HCV
- Any severe and/or uncontrolled medical conditions
- LVEF<50% assessed by ECHO
- QT interval >470 msec
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Phase 1b Dose Escalation
Dose escalation of JAB-21822 to determine maximum tolerated dose of JAB-21822 in combination with cetuximab.
|
JAB-21822 administered orally as a tablet.
Cetuximab administered as an intravenous (IV) infusion.
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Experimental: Phase 2 Dose Expansion, Cohort 1
Enrollment into the dose expansion cohort is for eligible participants with KRAS P.G12C mutant advanced colorectal cancer.
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JAB-21822 administered orally as a tablet.
Cetuximab administered as an intravenous (IV) infusion.
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Experimental: Phase 2 Dose Expansion, Cohort 2
Enrollment into the dose expansion cohort is for eligible participants with KRAS P.G12C mutant advanced small intestinal cancer and advanced appendiceal cancer.
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JAB-21822 administered orally as a tablet.
Cetuximab administered as an intravenous (IV) infusion.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Dose Escalation phase: Number of participants with dose-limiting toxicities (DLTs)
Time Frame: At the end of Cycle 1 (each cycle is 21 days)
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A DLT is defined as the clinically significant treatment related adverse event (TRAE) or abnormal laboratory values assessment during the first 21 days of (Cycle 1) and excludes events that are deemed clearly related to underlying disease, progression, or intercurrent illness.
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At the end of Cycle 1 (each cycle is 21 days)
|
|
Dose Expansion phase: Overall response rate (ORR)
Time Frame: Up to 4 years - from baseline to RECIST confirmed Progressive Disease
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ORR is defined as the percentage of participants with complete response (CR) or partial response (PR) per RECIST v 1.1.
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Up to 4 years - from baseline to RECIST confirmed Progressive Disease
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Dose Escalation and Dose Expansion phase: Number of participants with adverse events
Time Frame: Up to 4 years
|
Patients will be assessed for incidence and severity of adverse events (AEs) according to NCI-CTCAE criteria.
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Up to 4 years
|
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Dose Escalation and Dose Expansion phase: Peak Plasma Concentration (Cmax)
Time Frame: Up to 4 years
|
Cmax of JAB-21822 will be measured by using plasma PK samples.
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Up to 4 years
|
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Dose Escalation and Dose Expansion phase: Area under the plasma concentration versus time curve (AUC)
Time Frame: Up to 4 years
|
AUC of JAB-21822 will be measured by using plasma PK samples.
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Up to 4 years
|
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Dose Expansion phase: Duration of response ( DOR )
Time Frame: Up to 4 years
|
DOR is defined as the time from the participant's initial objective response (CR or PR) to disease progression per CTCAE v1.1 or death due to any cause, whichever occurs first.
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Up to 4 years
|
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Dose Escalation phase: Overall response rate (ORR)
Time Frame: Up to 4 years
|
The percentage of participants with complete response (CR) or partial response (PR) on RECIST v 1.1.
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Up to 4 years
|
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Dose Expansion phase: Disease Control Rate ( DCR )
Time Frame: Up to 4 years
|
DCR is defined as percentage of participants with complete response (CR), partial response (PR), or stable disease(SD) per CTCAE v1.1.
|
Up to 4 years
|
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Dose Expansion phase: Progression-free survival (PFS)
Time Frame: Up to 4 years
|
PFS is defined as the interval of time between the date of first treatment to the earliest date of disease progression per CTCAE v1.1 or death which occurs first.
|
Up to 4 years
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Shen Lin Master of medicine, Peking University Cancer Hospital & Institute
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Neoplasms by Site
- Neoplasms
- Intestinal Diseases
- Gastrointestinal Neoplasms
- Digestive System Neoplasms
- Digestive System Diseases
- Gastrointestinal Diseases
- Intestinal Neoplasms
- Cecal Neoplasms
- Cecal Diseases
- Appendiceal Neoplasms
- Amino Acids, Peptides, and Proteins
- Proteins
- Antibodies, Monoclonal, Humanized
- Antibodies, Monoclonal
- Antibodies
- Immunoglobulins
- Immunoproteins
- Blood Proteins
- Serum Globulins
- Globulins
- Cetuximab
Other Study ID Numbers
Other Study ID Numbers
- JAB-21822-1007
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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