- ICH GCP
- Registr klinických studií v USA
- Klinická studie NCT07929909
A Phase I Clinical Study of YN003 in the Treatment of Glioma
A Phase 1, Open-Label, Single-Arm, Dose-Escalation and Dose-Expansion Study of YN003 Injection in Patients With Glioma
This is a Phase 1, open-label, single-arm, dose-escalation and dose-expansion study to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary efficacy of YN003 Injection in patients with recurrent or progressive glioma. The study consists of Part A (dose escalation using a Bayesian Optimal Interval design) and Part B (dose expansion at the recommended Phase 2 dose).
Přehled studie
Detailní popis
YN003 is an investigationalliposome injection designed to deliver the active drug preferentially to specific glioma tissue. Part A will evaluate ascending doses of YN003 administered by intravenous infusion once every 4 weeks to determine the maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D). The dose-limiting toxicity (DLT) observation period is 28 days. Approximately 21 to 30 DLT-evaluable subjects will be enrolled in Part A. Part B will enroll approximately 10 to 20 additional subjects at the RP2D to further evaluate safety, pharmacokinetics, and preliminary efficacy. The study will be conducted in the United States and China.
Typ studie
Zápis (Odhadovaný)
Fáze
- Fáze 1
Kontakty a umístění
Studijní kontakt
- Jméno: Kaiqi Zong, Master
- Telefonní číslo: 13683178623
- E-mail: zongkaiqi@innovmedicine.com
Studijní záloha kontaktů
- Jméno: Yaqian Cui, Master
- Telefonní číslo: 18811320289
- E-mail: cuiyaqian@innovmedicine.com
Studijní místa
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California
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Los Angeles, California, Spojené státy, 90095
- Zatím nenabíráme
- University of California, Los Angeles (UCLA)
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Kontakt:
- Timothy Cloughesy, Ph.D
- E-mail: John.deGroot@ucsf.edu
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San Francisco, California, Spojené státy, 94158
- Zatím nenabíráme
- University of California, San Francisco (UCSF)
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Kontakt:
- Nazanin Majd, Ph.D
- E-mail: NKMajd@mdanderson.org
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Texas
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Houston, Texas, Spojené státy, 77030
- Zatím nenabíráme
- The University of Texas MD Anderson Cancer Center
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Kontakt:
- Nazanin Majd, Ph.D
- E-mail: TCloughesy@mednet.ucla.edu
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Beijing Municipality
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Beijing, Beijing Municipality, Čína, 102218
- Nábor
- Beijing Tsinghua Changgung Hospital
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Kontakt:
- Xuejun Yang, Ph.D
- Telefonní číslo: 13011329950
- E-mail: yxja03728@btch.edu.cn
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Beijing, Beijing Municipality, Čína
- Nábor
- Sanbo Brain Hospital, Capital Medical University
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Kontakt:
- Junping Zhang, Ph.D
- Telefonní číslo: 13811099759
- E-mail: doczhjp@hotmail.com
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Kritéria účasti
Kritéria způsobilosti
Věk způsobilý ke studiu
Přijímá zdravé dobrovolníky
Pohlaví způsobilá ke studiu
Popis
Inclusion Criteria:
- Voluntarily sign the informed consent form, understand the study, and be willing to comply with the protocol and complete all study procedures.
- Male or female subjects 18 years ≤ aged ≤ 70 years.
- Histologically confirmed recurrent or progressive glioma, including glioblastoma, as defined by the 2021 WHO Classification of Tumors of the Central Nervous System, Grade 3 to Grade 4, following standard therapy.Excluding re-irradiation for same lesions
- Karnofsky Performance Status (KPS) ≥60.
- At least one measurable lesion per RANO 2.0 criteria.
- Have adequate hematologic, cardiac, hepatic, renal, coagulation, and pulmonary function at final screening.
- Have completed the required washout period for prior therapies before dosing on Day 1.
- Corticosteroid dose must be stable or tapering within 7 days prior to dosing.
Exclusion Criteria:
- Participation in another interventional clinical study within 1 month prior to the date when subject signed the consent form.
- Receipt of a live vaccine within 30 days prior to study treatment.
- Pregnant or breastfeeding women.
- Clinically significant intracranial hypertension (e.g., impending brain herniation or requiring urgent palliative intervention) or uncontrolled seizures. Subjects requiring antiepileptic drugs are eligible only if the dose has been stable for ≥ 14 days prior to first dosing
- Toxicities from prior anticancer therapy that have not recovered to CTCAE v6.0 Grade ≤1, except for alopecia or other events considered tolerable by the investigator.
- Contraindications to MRI, including but not limited to pacemakers, epicardial pacing leads, infusion pumps, aneurysm clips, metal fragments, metallic prostheses, magnetic implants, intraocular metal objects, or non-removable metallic dental implants.
- Uncontrolled or severe cardiovascular or cerebrovascular disease
Studijní plán
Jak je studie koncipována?
Detaily designu
- Primární účel: Léčba
- Přidělení: N/A
- Intervenční model: Přiřazení jedné skupiny
- Maskování: Žádné (otevřený štítek)
Zbraně a zásahy
Skupina účastníků / Arm |
Intervence / Léčba |
|---|---|
|
Experimentální: Study Drug: YN003 Injection
Single-arm, open-label study of YN003 administered by intravenous infusion once every 4 weeks. |
YN003 is an investigational liposome injection designed to deliver the drug preferentially to specific glioma tissue. Part A will evaluate ascending doses of YN003 administered by intravenous infusion once every 4 weeks to determine the maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D). The dose-limiting toxicity (DLT) observation period is 28 days. Approximately 21 to 30 DLT-evaluable subjects will be enrolled in Part A. Part B will enroll approximately 10 to 20 additional subjects at the RP2D to further evaluate safety, pharmacokinetics, and preliminary efficacy. The study will be conducted in the United States and China. |
Co je měření studie?
Primární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
|
To Incidence and characteristics of AEs/SAEs;
Časové okno: From first dose of YN003 to 30 days after the last dose (or initiation of new antitumor therapy, whichever occurs first)
|
Assessed and graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 6.0. |
From first dose of YN003 to 30 days after the last dose (or initiation of new antitumor therapy, whichever occurs first)
|
|
Incidence of clinically significant abnormalities in laboratory tests
Časové okno: From first dose of YN003 to 30 days after the last dose (or initiation of new antitumor therapy, whichever occurs first)
|
Percentage of participants with clinically significant abnormalities in hematology, blood chemistry, urinalysis, and coagulation lipid, Thyroid function. |
From first dose of YN003 to 30 days after the last dose (or initiation of new antitumor therapy, whichever occurs first)
|
|
Incidence of clinically significant abnormalities in vital signs
Časové okno: From first dose of YN003 to 30 days after the last dose (or initiation of new antitumor therapy, whichever occurs first)
|
Percentage of participants with clinically significant abnormalities in body temperature, respiratory rate, blood pressure, pulse rate, and oxygen saturation. |
From first dose of YN003 to 30 days after the last dose (or initiation of new antitumor therapy, whichever occurs first)
|
|
Incidence of clinically significant abnormalities in physical examinations
Časové okno: From first dose of YN003 to 30 days after the last dose (or initiation of new antitumor therapy, whichever occurs first)
|
Percentage of participants with clinically significant abnormalities in general physical examinations and neurological examinations. |
From first dose of YN003 to 30 days after the last dose (or initiation of new antitumor therapy, whichever occurs first)
|
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Change from baseline in 12-lead Electrocardiogram (ECG) parameters
Časové okno: From first dose of YN003 to 30 days after the last dose (or initiation of new antitumor therapy, whichever occurs first)
|
To Incidence and characteristics of Clinically significant changes of ECG The ECG evaluation must include heart rate, QT interval, QTcF, and PR interval. |
From first dose of YN003 to 30 days after the last dose (or initiation of new antitumor therapy, whichever occurs first)
|
|
To assess the tolerability of YN003 in subjects with recurrent/progressive glioma (WHO grade 3 - 4)
Časové okno: First 28 days after the first dose of YN003 MTD:During dose escalation (Part A), approximately 21-30 DLT-evaluable subjects]
|
Dose-limiting toxicity (DLT) Maximum tolerated dose (MTD) |
First 28 days after the first dose of YN003 MTD:During dose escalation (Part A), approximately 21-30 DLT-evaluable subjects]
|
Sekundární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
|
Peak Plasma Concentration (Cmax) and Time to Peak Plasma Concentration (Tmax) of YN003
Časové okno: Up to 28 days of post initiation of last dose
|
Maximum observed plasma concentration (Cmax) and time to reach maximum observed plasma concentration (Tmax). |
Up to 28 days of post initiation of last dose
|
|
Area Under the Plasma Concentration-Time Curve (AUC) of YN003
Časové okno: Up to 28 days of post initiation of last dose
|
Area under the plasma concentration versus time curve from time zero to the last quantifiable time point (AUC0-t) and from time zero to infinity (AUC0-∞). |
Up to 28 days of post initiation of last dose
|
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Terminal Half-life (t1/2), Clearance (CL), and Volume of Distribution (Vd) of YN003
Časové okno: Up to 28 days of post initiation of last dose
|
Terminal elimination half-life, total body clearance, and apparent volume of distribution. |
Up to 28 days of post initiation of last dose
|
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Overall Survival (OS)
Časové okno: From 1st dose to death from any cause, assessed at 6 and 12 months after first dose.
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OS rates at 6 and 12 months. |
From 1st dose to death from any cause, assessed at 6 and 12 months after first dose.
|
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Progression-Free Survival (PFS)
Časové okno: From 1st dose until the date to first documented disease progression or death from any cause, whichever comes first, assessed at 6 and 12 months after first dose.
|
PFS rates at 6 and 12 months, assessed by the investigator per RANO 2.0 criteria. |
From 1st dose until the date to first documented disease progression or death from any cause, whichever comes first, assessed at 6 and 12 months after first dose.
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Objective Response Rate (ORR)
Časové okno: From first dose until disease progression or initiation of new antitumor therapy (estimated up to 2 years).
|
Percentage of participants with a confirmed complete response (CR) or partial response (PR) as assessed by the investigator per RANO 2.0 criteria. |
From first dose until disease progression or initiation of new antitumor therapy (estimated up to 2 years).
|
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Duration of Response (DoR)
Časové okno: From the date of 1st dose to the date of first documented disease progression or death (estimated up to 1 year).
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Time from the first documented objective response to the date of first documented disease progression or death from any cause, whichever comes first. |
From the date of 1st dose to the date of first documented disease progression or death (estimated up to 1 year).
|
|
Disease Control Rate (DCR)
Časové okno: From first dose until disease progression or initiation of new antitumor therapy (estimated up to 2 years).
|
Percentage of participants with a confirmed complete response (CR), partial response (PR), or stable disease (SD) as assessed by the investigator per RANO 2.0 criteria. |
From first dose until disease progression or initiation of new antitumor therapy (estimated up to 2 years).
|
Spolupracovníci a vyšetřovatelé
Sponzor
Termíny studijních záznamů
Hlavní termíny studia
Začátek studia (Aktuální)
Primární dokončení (Odhadovaný)
Dokončení studie (Odhadovaný)
Termíny zápisu do studia
První předloženo
První předloženo, které splnilo kritéria kontroly kvality
První zveřejněno (Aktuální)
Aktualizace studijních záznamů
Poslední zveřejněná aktualizace (Aktuální)
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Naposledy ověřeno
Více informací
Termíny související s touto studií
Klíčová slova
Další relevantní podmínky MeSH
- Onemocnění mozku
- Onemocnění centrálního nervového systému
- Nemoci nervového systému
- Patologické procesy
- Novotvary podle místa
- Novotvary
- Atributy nemoci
- Novotvary podle histologického typu
- Novotvary, žlázové a epiteliální
- Astrocytom
- Novotvary, neuroepiteliální
- Neuroektodermální nádory
- Novotvary, zárodečné buňky a embryonální
- Novotvary, nervová tkáň
- Novotvary nervového systému
- Novotvary centrálního nervového systému
- Patologické stavy, příznaky a symptomy
- Opakování
- Glioblastom
- Gliom
- Novotvary mozku
Další identifikační čísla studie
- YN003-101
- Beijing Inno Medicine Co., Ltd (Identifikátor registru: IND181709)
Informace o lécích a zařízeních, studijní dokumenty
Studuje lékový produkt regulovaný americkým FDA
Studuje produkt zařízení regulovaný americkým úřadem FDA
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