Phase 1/2 Clinical Study of Lutetium Lu 177 JH020002 Injection in Patients With Advanced Prostate Cancer
Phase 1/2 Clinical Study to Evaluate the Safety, Tolerability, Radiation Dosimetry and Preliminary Efficacy of Lutetium Lu 177 JH020002 Injection in Patients With Advanced Prostate Cancer
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Bivision Pharmaceuticals, Inc.
- Phone Number: 86-21-50886996
- Email: bivision.public1@bivisionpharma.com
Study Locations
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Anhui
-
Hefei, Anhui, China
- Recruiting
- Anhui Provincial Hospital
-
-
Beijing
-
Beijing, Beijing, China
- Recruiting
- Peking University First Hospital
-
-
Fujian
-
Fuzhou, Fujian, China
- Recruiting
- The First Affiliated Hospital of Fujian Medical University
-
-
Guangdong
-
Guangzhou, Guangdong, China
- Recruiting
- Sun Yat-sen University Cancer Center
-
-
Henan
-
Zhengzhou, Henan, China
- Not yet recruiting
- Henan Cancer Hospital
-
-
Hubei
-
Wuhan, Hubei, China
- Recruiting
- Huazhong University of Science and Technology Tongji Medical College Affiliated Union Hospital
-
-
Jiangsu
-
Suzhou, Jiangsu, China
- Recruiting
- The First Affiliated Hospital of Soochow University
-
Wuxi, Jiangsu, China
- Not yet recruiting
- Affiliated Hospital of Jiangsu University
-
-
Shandong
-
Jinan, Shandong, China
- Recruiting
- Shandong Cancer Hospital
-
-
Shanghai
-
Shanghai, Shanghai, China, 200032
- Recruiting
- Fudan University Shanghai Cancer Center
-
Contact:
- Dingwei Ye, M.D.
- Phone Number: +8613701663571
- Email: fuscc2012@163.com
-
Contact:
- Shaoli Song, M.D.
- Phone Number: +8613816608573
- Email: shaoli-song@163.com
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-
Sichuan
-
Chengdu, Sichuan, China
- Recruiting
- West China Hospital of Sichuan University
-
-
Tianjin
-
Tianjin, Tianjin, China
- Recruiting
- Tianjin Cancer Hospital Airport Hospital
-
-
Zhejiang
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Hangzhou, Zhejiang, China
- Recruiting
- Zhejiang Provincial People's Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Subjects are required to get informed consent prior to the trial and sign a written informed consent form voluntarily.
- Male, age ≥18 years.
- ECOG score 0 - 2.
- Must have a life expectancy >6 months.
- Histologically and/or cytologically confirmed adenocarcinoma of the prostate (except for those with neuroendocrine or small cell prostate cancer clinical features).
- Participants must have a castrate level of serum/plasma testosterone (< 50 ng/dl, or < 1.7nmol/L).
Exclusion Criteria:
- Diagnosed with other malignancies, apart from: adequately treated skin basal cell carcinoma or superficial bladder cancers from which the patient has been disease-free for more than 3 years as confirmed by a physician.
- Participants with a history of central nervous system (CNS) metastases who are neurologically unstable, symptomatic, or receiving corticosteroids for the purpose of maintaining neurologic integrity.
- Previous treatment with Strontium-89, Samarium-153, Rhenium-186, Rhenium-188, Radium-223 or hemi-body irradiation <6 months prior to date of first administration of investigational drug.
- Previous PSMA-targeted radioligand therapy.
- Previous radiotherapy for prostate cancer within 4 weeks prior to date of first administration of investigational drug.
- Any systemic anti-cancer therapy (e.g. chemotherapy, immunotherapy, poly adenosine diphosphate-ribosyl polymerase inhibitors (PARPi) or biological therapy within 4 weeks prior to date of first administration of investigational drug.
- Must not take part in other investigational therapies within 4 weeks prior to date of first administration of investigational drug.
- History of hypersensitivity to any of the study drugs or its excipients or to drugs of similar chemical classes.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Lutetium Lu 177 JH020002 Injection
|
Patients will receive Lutetium Lu 177 JH020002 Injection every 6 weeks for a maximum of 6 doses.
Doses range between 1.85 and 8.88 GBq (50-240 mCi)
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Dose Limiting Toxicity (DLT) (Phase 1)
Time Frame: Up to 2 years follow up
|
Incidence of adverse events, serious adverse events, and clinical laboratory abnormalities defined as dose-limiting toxicities (DLTs).
|
Up to 2 years follow up
|
|
Maximum Tolerated Dose (MTD) (Phase 1)
Time Frame: Up to 2 years follow up
|
The maximum tolerated dose is among the explored dose levels.
|
Up to 2 years follow up
|
|
Recommended Phase 2 Dose (RP2D) (Phase 1)
Time Frame: Up to 2 years follow up
|
To identify the expansion phase dose of Lutetium Lu 177 JH020002 Injection.
|
Up to 2 years follow up
|
|
PSA response rate
Time Frame: Up to 3 years follow up
|
PSA response rate is the proportion of PSA responders, defined as a participant who has achieved PSA decrease of >= 50% from baseline that is confirmed by a second consecutive PSA measurement >= 4 weeks later.
Determination of response status will be based on PCWG3 recommendations.
|
Up to 3 years follow up
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Objective Response Rate (ORR) (Phase 2)
Time Frame: Up to 2 years follow up
|
Proportion of participants with Best Overall Response (BOR) of Complete Response (CR) or Partial Response (PR).
ORR was based on the Prostate Cancer Clinical Trials Working Group 3 (PCWG3) criteria response for patients with measurable disease at baseline.
|
Up to 2 years follow up
|
|
Radiation Dosimetry
Time Frame: Up to 2 years follow up
|
Absorbed dose estimated in organs and tumor lesions.
|
Up to 2 years follow up
|
|
Maximum plasma concentration (Cmax)
Time Frame: Up to 2 years follow up
|
Pharmacokinetics (PK) characterization of Lutetium Lu 177 JH020002.
|
Up to 2 years follow up
|
|
Time to maximum plasma concentration (Tmax)
Time Frame: Up to 2 years follow up
|
Pharmacokinetics (PK) characterization of Lutetium Lu 177 JH020002.
|
Up to 2 years follow up
|
|
Terminal elimination half-life (t1/2)
Time Frame: Up to 2 years follow up
|
Pharmacokinetics (PK) characterization of Lutetium Lu 177 JH020002.
|
Up to 2 years follow up
|
|
Total systemic clearance (CL)
Time Frame: Up to 2 years follow up
|
Pharmacokinetics (PK) characterization of Lutetium Lu 177 JH020002.
|
Up to 2 years follow up
|
|
Area under the plasma concentration-time curve from time zero to the last measurable concentration (AUC0-t)
Time Frame: Up to 2 years follow up
|
Pharmacokinetics (PK) characterization of Lutetium Lu 177 JH020002.
|
Up to 2 years follow up
|
|
Area under the plasma concentration-time curve from time zero extrapolated to infinite time (AUC0-inf)
Time Frame: Up to 2 years follow up
|
Pharmacokinetics (PK) characterization of Lutetium Lu 177 JH020002.
|
Up to 2 years follow up
|
|
Volume of distribution (Vz) during the terminal phase following intravenous elimination
Time Frame: Up to 2 years follow up
|
Pharmacokinetics (PK) characterization of Lutetium Lu 177 JH020002.
|
Up to 2 years follow up
|
|
Radiographic Progression-free Survival (rPFS)
Time Frame: Up to 3 years follow up
|
Radiographic progression free survival (rPFS) is defined as the time of radiographic progression by Prostate Cancer Working Group 3 (PCWG3)-modified RECIST V1.1.
|
Up to 3 years follow up
|
|
Disease control Rate (DCR)
Time Frame: Up to 3 years follow up
|
Disease control rate (DCR) is defined as the proportion of participants with best overall response of complete response or partial response or Stable disease in soft tissue according to PCWG3 modified RECIST 1.1.
|
Up to 3 years follow up
|
|
Duration of Response (DoR)
Time Frame: Up to 3 years follow up
|
Duration of response (DOR) is defined as the duration of time between the date of first documented response (CR or PR) in soft tissue as per BIRC and according to PCWG3 modified RECIST 1.1, and the date of first documented progression or death due to any cause.
|
Up to 3 years follow up
|
|
Time to First Subsequent Therapy (TFST)
Time Frame: Up to 3 years follow up
|
Time to First Subsequent Therapy (TFST) is defined as the time from the date of first administration of investigational drug to the date of the first subsequent therapy of the prostate cancer.
|
Up to 3 years follow up
|
|
Overall Survival (OS)
Time Frame: Up to 3 years follow up
|
Overall survival (OS) is defined as the time from the date of first administration of investigational drug to the date of death due to any cause.
|
Up to 3 years follow up
|
|
Time to Symptomatic Skeletal Event (TTSSE)
Time Frame: Up to 3 years follow up
|
Time to a first symptomatic skeletal event (TTSSE) is defined as date of first administration of investigational drug to the date of first new symptomatic pathological bone fracture, spinal cord compression, tumor-related orthopedic surgical intervention, requirement for radiation therapy to relieve bone pain or death from any cause, whichever occurs first.
|
Up to 3 years follow up
|
|
Incidence and severity of Adverse Events (AEs) and Serious Adverse Event (SAEs)
Time Frame: Up to 3 years follow up
|
Analysis of frequencies and severity for Adverse Events (AEs) and Serious Adverse Event (SAEs), through the monitoring of relevant clinical and laboratory safety parameters.
|
Up to 3 years follow up
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Bivision Pharmaceuticals, Inc., Bivision Pharmaceuticals, Inc.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- JH020002-01C
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
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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