TQB2928 Injection Combined With Penpulimab in Treatment of Advanced Malignant Tumors.
A Phase Ib Clinical Trial of TQB2928 Injection Combined With Penpulimab in the Treatment of Patients With Advanced Malignant Tumors.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Qingqing Cai, Doctor
- Phone Number: 18376665396
- Email: caiqq@sysucc.org.cn
Study Locations
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Anhui
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Hefei, Anhui, China, 230012
- The Second People's Hospital of Hefei
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Lu'an, Anhui, China, 237008
- Lu'an People's Hospital of Anhui Province
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Beijing
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Beijing, Beijing, China, 100021
- Cancer Hospital Chinese Academy of Medical Science
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Gansu
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Lanzhou, Gansu, China, 730000
- Gansu Provincial Cancer Hospital
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Guangdong
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Guangzhou, Guangdong, China, 510000
- Sun Yat-sen University Cancer Center
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Subjects voluntarily participate in this study and sign informed consent;
- Age: ≥18 years old (when signing the informed consent form); Eastern Cooperative Oncology Group (ECOG) score: 0 or 2 point; The expected survival period exceeds 3 months;
- Subject population: Histologically and/or cytologically confirmed advanced malignancies, including lymphomas and solid tumors.
- Relapse or treatment failure after previous standard treatment, or intolerance to standard treatment and no other better treatment options:
- Adequate treatment with PD-1/PD-L1 (including monotherapy or combination) without remission or disease progression after treatment.
- Adequate main organs function
- Female subjects of childbearing age should agree to use contraceptives (such as Intrauterine device, contraceptives or condoms) during the study period and within 6 months after the end of the study; The serum or urine Pregnancy test was negative within 7 days before the study was included, and must be non-lactating subjects; Male participants should agree to use contraception during the study period and within 6 months after the end of the study period.
Exclusion Criteria:
Tumor disease and history:
- Nodular lymphocyte dominant Hodgkin's lymphoma or gray area lymphoma.
- The tumor involves the central nervous system.
- People with a history of hemophagocytic syndrome or who have been assessed by the investigator as being at suspected risk.
- Has experienced or currently suffers from other malignant tumors within 3 years.
Previous anti-tumor therapy:
- Previous use of other similar drugs.
- received systemic antitumor drugs (including drugs under investigation) within 4 weeks prior to initial administration, or received Chimeric Antigen Receptor T-cell (CAR-T) Therapy or Autologous hematopoietic stem cell transplantation( auto-HSCT) within 3 months prior to initial administration.
- Previously received allogeneic hematopoietic stem cell transplantation (allo-HSCT).
- any major surgical procedure, chemotherapy and/or radiotherapy, immunotherapy, or targeted therapy within 4 weeks prior to initial dosing.
- Less than 5 drug half-lives between the first administration and the previous oral targeted therapy (calculated from the end time of the last therapy).
- Received within 2 weeks before the first administration of Chinese patent drugs (including compound cantharides capsule, Kangai injection, Kanglaite capsule/injection, Aidi injection, Brucea oil injection/capsule, Xiaoaiping tablet/injection, cinobufagin capsule, etc.) approved by the National Drug Administration (NMPA) with anti-tumor indications.
Concomitant diseases and medical history:
- Liver abnormalities:
- Abnormal kidney:
- Cardiovascular and cerebrovascular abnormalities:
- History of immune deficiency:
- Lung diseases:
- Active bacterial, fungal, or viral infections requiring systemic treatment.
- Subjects with a history of hemolytic anemia from any cause (including Evans syndrome) or a positive Coombs test within 3 months prior to initial dosing.
- A prior history of unexplained severe allergies, known to be allergic to monoclonal drugs or exogenous human immunoglobulins.
- with a serious or poorly controlled disease that, in the judgment of the investigator and sponsor, poses a serious risk to the safety of the subjects or affects the completion of the study.
- History of drug abuse or drug use.
- Live attenuated vaccines were administered within 4 weeks before the first dose or during the planned study period. Inactivated Corona Virus Disease 2019 (COVID-19) and influenza vaccines are allowed.
- Subjects with concomitant diseases that, in the judgment of the investigator, seriously endanger the safety of the subjects or affect the completion of the study, or subjects who are not suitable for enrollment for other reasons.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: TQB2928 injection + Penpulimab
TQB2928 injection combined with Penpulimab, 21 days as a treatment cycle.
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Anti-CD47 monoclonal antibody
Humanized Monoclonal Antibody to Programmed Cell Death Protein 1 (PD-1)
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Adverse event rate
Time Frame: Baseline up to 96 weeks
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The occurrence of all adverse events (AEs), serious adverse events (SAEs) and treatment-related adverse events (TEAEs).
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Baseline up to 96 weeks
|
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Dose limiting toxicity (DLT)
Time Frame: Baseline up to 3 weeks
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The relevant adverse reactions occurred within the first cycle
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Baseline up to 3 weeks
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Objective response rate (ORR)
Time Frame: Baseline up to 96 weeks
|
Percentage of participants achieve complete response and partial response
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Baseline up to 96 weeks
|
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Complete response rate (CRR)
Time Frame: Baseline up to 96 weeks
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Percentage of participants achieve complete response
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Baseline up to 96 weeks
|
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Disease Control Rate
Time Frame: Baseline up to 96 weeks
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It is the proportion of patients whose tumors have shrunk or stabilized for a certain amount of time and includes complete response (CR), partial response (PR), and stable (SD) cases
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Baseline up to 96 weeks
|
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Duration of Response
Time Frame: Baseline up to 96 weeks
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The time when the participants first achieved CR or PR to disease progression or death from any cause
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Baseline up to 96 weeks
|
|
Progression-free Survival
Time Frame: Baseline up to 96 weeks
|
The period between the beginning of treatment and the observation of disease progression or death from any cause in a patient with a tumor disease
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Baseline up to 96 weeks
|
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Overall survival (OS)
Time Frame: Baseline up to 96 weeks
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From the first injection to the time of death from any cause.
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Baseline up to 96 weeks
|
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Incidence of Anti-Drug antibody
Time Frame: Cycle 1 day 1, Cycle 5 day 1, and 28 days, 90 days after the last administration. (Each cycle 21 days)
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The incidence of anti-drug antibody after administration of TQB2928 injection and penpulimab
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Cycle 1 day 1, Cycle 5 day 1, and 28 days, 90 days after the last administration. (Each cycle 21 days)
|
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Incidence of neutralizing antibodies
Time Frame: Cycle 1 day 1, Cycle 5 day 1, and 28 days, 90 days after the last administration. (Each cycle 21 days)
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The incidence of neutralizing antibodies after administration of TQB2928 injection and penpulimab
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Cycle 1 day 1, Cycle 5 day 1, and 28 days, 90 days after the last administration. (Each cycle 21 days)
|
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Peak time (Tmax)
Time Frame: Day 1, day 2 , day 4 , day 6 , day 8, day15 of cycle 1 and cycle 2. Each cycle 21 days.
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The time to peak concentration
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Day 1, day 2 , day 4 , day 6 , day 8, day15 of cycle 1 and cycle 2. Each cycle 21 days.
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Peak concentration (Cmax)
Time Frame: Day 1, day 2 , day 4 , day 6 , day 8, day15 of cycle 1 and cycle 2. Each cycle 21 days.
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Maximum plasma drug concentration
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Day 1, day 2 , day 4 , day 6 , day 8, day15 of cycle 1 and cycle 2. Each cycle 21 days.
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The area under the plasma concentration time curve from zero to after 24h (AUC0-24h)
Time Frame: Day 1, day 2 , day 4 , day 6 , day 8, day15 of cycle 1 and cycle 2. Each cycle 21 days.
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Area under the plasma concentration time curve from zero to after 24h for TQB2928.
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Day 1, day 2 , day 4 , day 6 , day 8, day15 of cycle 1 and cycle 2. Each cycle 21 days.
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Steady-state apparent volume of distribution (Vz/F)
Time Frame: Day 1, day 2 , day 4 , day 6 , day 8, day15 of cycle 1 and cycle 2. Each cycle 21 days.
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The total volume of body fluid required by the measured plasma drug concentration after the total amount of drug in the body is to be balanced.
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Day 1, day 2 , day 4 , day 6 , day 8, day15 of cycle 1 and cycle 2. Each cycle 21 days.
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Minimum plasma concentration at steady state (Cmin,ss)
Time Frame: Day 1, day 2 , day 4 , day 6 , day 8, day15 of cycle 1 and cycle 2. Each cycle 21 days.
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The minimum plasma concentration after stabilization
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Day 1, day 2 , day 4 , day 6 , day 8, day15 of cycle 1 and cycle 2. Each cycle 21 days.
|
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Receptor Occupancy (RO%)
Time Frame: day 1 and day 8 of Cycle 1, day 1 and day 15 of Cycle 2, 28 days after the last administration. (each cycle 21 days)
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The extent to which antibody drugs occupy cell surface targets
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day 1 and day 8 of Cycle 1, day 1 and day 15 of Cycle 2, 28 days after the last administration. (each cycle 21 days)
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Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
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
Other Study ID Numbers
Other Study ID Numbers
- TQB2928-AK105-Ib-01
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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