Study of HS-20105 for Injection in Patients With Advanced Solid Tumors.
Phase I Clinical Trial Evaluating the Safety, Tolerability, Pharmacokinetic and the Therapeutic Potential of HS-20105 for Injection in Patients With Advanced Solid Tumors.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Binghe Xu, PhD
- Phone Number: 86-10-87788495
- Email: xubinghe@csco.org.cn
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Men or women aged more than or equal to (≥) 18 years.
- Advanced solid tumor patients confirmed by histology or cytology for who that standard treatment is failed or intolerable.
- Patients have at least one target lesion according to RECEST 1.1. The requirements for target lesions are: measurable lesions without local treatment such as irradiation, or with definite progress after local treatment, with the longest diameter ≥ 10 mm in the baseline period (in case of lymph nodes, the shortest axis ≥ 15 mm is required). Patients with only brain and/or bone lesions as target lesions will not be included.
- Fresh or archived tumor tissue samples need to be provided (fresh samples are preferred, and tumor tissue samples within 2 years before the first administration can be accepted; the sample type is formalin fixed, paraffin embedded [FFPE] tumor tissue block or FFPE slides).
- ECOG performance status was 0-1 and did not deteriorate in the previous 2 weeks.
- Estimated life expectancy greater than (>) 12 weeks.
- Reproductive-age women agree to use adequate contraception and cannot breastfeed while participating in this study and for a period of 6 months after the last dose. Likewise, men also consent to use adequate contraceptive method within the same time limit.
- Females must have the evidence of non-childbearing potential.
- Sign informed consent form.
Exclusion Criteria:
Has received or is currently undergoing the following treatment:
- Previously or current treatment with drugs targeting Trop-2 or other ADC drugs conjugated with HS-9265;
- Received traditional Chinese medicine therapy with anti-tumor indications within 2 weeks prior to the first administration of HS-20105;
- Received cytotoxic chemotherapy drugs or other anti-tumor system therapies (including endocrine therapy, molecular targeted therapy, or biological therapy) within 3 weeks prior to the first administration of HS-20105;
- Received macromolecular anti-tumor drugs or experimental drug therapy within 4 weeks before the first administration of HS-20105;
- Received local radiotherapy within 2 weeks before the first administration of HS-20105; Received more than 30% of bone marrow irradiation or extensive radiation therapy within 4 weeks before the first administration of HS-20105;
- Received major surgery within 4 weeks before the first administration of HS-20105.
- Received strong inhibitors or inducers of CYP3A4, CYP2D6, P-gp or BCRP, or drugs with narrow treatment windows for CYP3A4, CYP2D6, P-gp or BCRP sensitive substrates, have been used.
- Receiving medication that is known to prolong the QT interval or may lead to torsade de pointes.
- Existing abnormal CTCAE ≥ grade 2 resulted from previous treatment.
- History of other malignancy.
- Uncontrolled pleural, ascites or pericardial effusion.
- Known and unstable central nervous system metastases.
- Inadequate bone marrow reserve or serious organ dysfunction.
- Severe, uncontrolled, or active cardiovascular disease.
- Severe or poorly controlled diabetes.
- Severe or poorly controlled hypertension.
- Clinically significant bleeding symptoms within 1 month before the first administration of HS-20105.
- Serious thrombosis events within 3 months before the first administration of HS-20105.
- Serious infection within 4 weeks before the first administration of HS-20105.
- Received continuous glucocorticoid treatment for more than 7 days within 28 days before the first administration of HS-20105.
- Active infectious disease.
- Hepatic encephalopathy, hepatorenal syndrome, or ≥ Child-Pugh B-grade cirrhosis.
- Serious or uncontrolled eye disease.
- Moderate to severe lung diseases that may interfere with the detection or management of drug-related pulmonary toxicity and seriously affect respiratory function.
- Severe neurological or mental disorders that can interfere with assessment.
- Pregnant women, breastfeeding women or woman who has a child-bearing plan during the study.
- History of hypersensitivity to any active or inactive ingredient of HS-20105.
- The subject who is unlikely to comply with study procedures, restrictions, or requirements, judged by the investigator
- The subject whose safety cannot be ensured or study assessments would be interfered, judged by the investigator.
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: HS-20105 Phase Ia (Dose escalation)
Patients with advanced solid tumors will be enrolled and receive HS-20105 of various dose strengths until the end of the study in the absence of unacceptable toxicities and disease progression.
|
Administered intravenously every 21 days.
|
|
Experimental: HS-20105 Phase Ib (Dose expansion)
Depending on data obtained from the dose escalation, dose expansion may proceed with multiple cohorts in subjects with advanced solid tumors.
Patients enrolled will receive HS-20105 until the end of the study in the absence of unacceptable toxicities and disease progression.
The recommended doses from the dose escalation will be further explored.
|
Administered intravenously every 21 days.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Phase Ia: MTD or maximum applicable dose (MAD) of HS-20105
Time Frame: Up to12 months.
|
Number of participants with DLT.
|
Up to12 months.
|
|
Phase Ib: Efficacy of HS-20105
Time Frame: Up to 24 months.
|
Objective response rate (ORR) according to response evaluation criteria in solid tumors (RECIST) 1.1 by investigator's assessment.
|
Up to 24 months.
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Incidence and severity of treatment-emergent adverse events
Time Frame: Up to 36 months.
|
Incidence of treatment-related adverse events as assessed by Common Terminology Criteria for Adverse Events (CTCAE) v5.0.
|
Up to 36 months.
|
|
Disease control rate (DCR)
Time Frame: Up to 24 months.
|
The percentage of patients who have achieved complete response, partial response, and stable disease, according to response evaluation criteria in solid tumors (RECIST) 1.1 by investigator's assessment.
|
Up to 24 months.
|
|
Duration of response (DoR)
Time Frame: Up to 24 months.
|
The time from complete or partial response to disease progression or death, according to response evaluation criteria in solid tumors (RECIST) 1.1 by investigator's assessment.
|
Up to 24 months.
|
|
Progression-free survival (PFS)
Time Frame: Up to 24 months.
|
Progression free survival is defined as the duration of time from study entry to time of progression, death, or is censored at date of last disease assessment.
|
Up to 24 months.
|
|
Overall survival (OS)
Time Frame: Up to 3 years
|
Overall survival is defined as the duration of time from study entry to death or the date of last contact.
|
Up to 3 years
|
|
Maximum plasma concentration (Cmax)
Time Frame: Up to 24 months.
|
Cmax is defined as maximum observed serum concentration obtained directly from the observed concentration-time data.
|
Up to 24 months.
|
|
Time of maximum concentration (Tmax)
Time Frame: Up to 24 months.
|
Tmax is defined as the time required for a drug to reach peak concentration in plasma.
|
Up to 24 months.
|
|
Area under plasma concentration versus time curve from zero to last sampling time (AUC0-t)
Time Frame: Up to 24 months.
|
Area under the concentration-time curve from time zero (pre-dose) to last time of quantifiable concentration.
|
Up to 24 months.
|
|
Elimination half-life (T1/2)
Time Frame: Up to 24 months.
|
T1/2 is defined as apparent terminal elimination half-life (h).
|
Up to 24 months.
|
|
Anti-drug antibodies (ADA) of HS-20105
Time Frame: Up to 24 months.
|
Number of participants who are positive for ADA will be reported..
|
Up to 24 months.
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Estimated)
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
- HS-20105-101
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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