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Dosiseskalering og -udvidelsesundersøgelse af HM16390 i avancerede eller metastatiske solide tumorer

2. november 2026 opdateret af: Hanmi Pharmaceutical Company Limited

Et fase I, open-label, multicenter, dosiseskalering og -udvidelsesundersøgelse af HM16390 hos patienter med avancerede eller metastatiske solide tumorer

This is a First-in-Human, Phase 1, Dose-Escalation and Dose-Expansion study of HM16390, as a single agent and in combination with pembrolizumab to assess safety, tolerability, MTD, RP2D, PK, and efficacy in patients with advanced or metastatic solid tumors.

Dose-Escalation Part is planned to establish the MTD or RDs for the randomized Dose-Ranging Part. Based on the results of the Dose-Escalation Part, additional eligible subjects will be randomized 1:1 into each dose level. After a comprehensive review of available data from both Dose-Escalation Part and Dose-Ranging Part, the RDEs to be tested in the Dose-Expansion Part are determined. Dose-Expansion Part is designed to assess the potential efficacy of HM16390 as a single agent and in combination with pembrolizumab when administered at the RDEs to subjects in indication-specific expansion cohorts.

Studieoversigt

Status

Rekruttering

Betingelser

Intervention / Behandling

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

292

Fase

  • Fase 1

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Studiesteder

    • California
      • Los Angeles, California, Forenede Stater, 90095
        • Rekruttering
        • The Regents of the University of California on behalf of its Los Angeles campus
    • Massachusetts
      • Boston, Massachusetts, Forenede Stater, 02114
        • Rekruttering
        • Massachusetts General Hospital
    • Michigan
      • Detroit, Michigan, Forenede Stater, 48201
        • Rekruttering
        • Karmanos Cancer Institute
      • Seoul, Sydkorea, 03080
        • Rekruttering
        • Seoul National University Hospital
      • Seoul, Sydkorea, 06351
        • Rekruttering
        • Samsung Medical Center
      • Seoul, Sydkorea, 03722
        • Rekruttering
        • Severance Hospital
      • Seoul, Sydkorea, 05505
        • Aktiv, ikke rekrutterende
        • Asan Medical Center
    • Gyeonggi-do
      • Seongnam-si, Gyeonggi-do, Sydkorea, 13620
        • Rekruttering
        • Seoul National University Bundang Hospital

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Key Inclusion Criteria:

  • Have a histologically and/or cytologically confirmed advanced or metastatic solid tumor and have failed or are intolerant to standard therapy with clinical benefit.
  • Patients in the Dose-Escalation Part must have evaluable or measurable disease at baseline and the patients for Dose-Ranging and Dose-Expansion Part must have at least one measurable lesion at baseline by computed tomography (CT) or magnetic resonance imaging (MRI) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 assessed within 7 days before allocation or randomization.
  • Age of 18 years or older (or country's legal age of majority if the legal age was >18 years)
  • Adequate renal function.
  • Adequate hematologic function.
  • Adequate liver function.

Key Exclusion Criteria:

  • Received prior treatment with agent targeting the IL-2, IL-7, or IL-15 receptors, or related to mode of action of HM16390.
  • Known active CNS metastases and/or carcinomatous meningitis.
  • History of severe toxicities associated with a prior immunotherapy.
  • Any prior treatment-related (i.e. chemotherapy, immunotherapy, radiotherapy) clinically significant toxicities that have not resolved to Grade ≤ 1 per NCI-CTCAE version 5.0 or prior treatment-related toxicities that are clinically unstable and clinically significant at time of enrollment.
  • Has ongoing or suspected autoimmune disease.
  • Known active and clinically significant bacterial, fungal or viral infection including known human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS)-related illness, immunocompromised patients.
  • History of chronic liver disease or evidence of hepatic cirrhosis.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Ikke-randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: HM16390

HM16390 Monotherapy

HM16390 will be administered subcutaneously using syringes on Day 1 of every 3-week treatment cycle

Eksperimentel: HM16390 + pembrolizumab

HM16390 in combination with pembrolizumab

Fixed dose of pembrolizumab will be administered as an IV infusion over 30 minutes on Day 1 of every 3-week treatment cycle

Andre navne:
  • KEYTRUDA®

HM16390 will be administered subcutaneously using syringes on Day 1 of every 3-week treatment cycle

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Incidence and nature of DLTs
Tidsramme: At the end of Cycle 1 (each cycle is 21 days) in Dose-Escalation Part

To evaluate safety and tolerability of HM16390 as a single agent and in combination with pembrolizumab

At the end of Cycle 1 (each cycle is 21 days) in Dose-Escalation Part
Incidence, nature, and severity of adverse events and laboratory abnormalities graded per NCI-CTCAE v5.0.
Tidsramme: Throughout the study until end of safety follow-up period (90 days after the last treatment)

To evaluate safety and tolerability of HM16390 as a single agent, and in combination with pembrolizumab

Throughout the study until end of safety follow-up period (90 days after the last treatment)

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Objective response rate (ORR)
Tidsramme: Throughout the study until disease progression or death whichever occurs first (up to 2-3 years)

ORR will be measured as the proportion of subjects with a confirmed response of complete response (CR) or partial response (PR) as per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1

Throughout the study until disease progression or death whichever occurs first (up to 2-3 years)
Disease Control Rate (DCR)
Tidsramme: Throughout the study until disease progression or death whichever occurs first (up to 2-3 years)

DCR will be measured as the proportion of subject with confirmed CR, PR, or Stable Disease (SD) as per RECIST v1.1

Throughout the study until disease progression or death whichever occurs first (up to 2-3 years)
The maximum serum concentration (Cmax)
Tidsramme: Throughout the study until treatment discontinuation (up to 2-3 years)

To evaluate PK profile upon HM16390 administration

Throughout the study until treatment discontinuation (up to 2-3 years)
The time to reach Cmax (Tmax)
Tidsramme: Throughout the study until treatment discontinuation (up to 2-3 years)

To evaluate PK profile upon HM16390 administration

Throughout the study until treatment discontinuation (up to 2-3 years)
The area under the concentration-time curve from time 0 to the last observable concentration (AUClast)
Tidsramme: Throughout the study until treatment discontinuation (up to 2-3 years)

To evaluate PK profile upon HM16390 administration

Throughout the study until treatment discontinuation (up to 2-3 years)
The AUC extrapolated to infinity (AUCinf)
Tidsramme: Throughout the study until treatment discontinuation (up to 2-3 years)

To evaluate PK profile upon HM16390 administration

Throughout the study until treatment discontinuation (up to 2-3 years)
The AUC during the dosing interval (AUCtau)
Tidsramme: Throughout the study until treatment discontinuation (up to 2-3 years)

To evaluate PK profile upon HM16390 administration

Throughout the study until treatment discontinuation (up to 2-3 years)
The serum concentration at the end of the dosing interval (Ctrough)
Tidsramme: Throughout the study until treatment discontinuation (up to 2-3 years)

To evaluate PK profile upon HM16390 administration

Throughout the study until treatment discontinuation (up to 2-3 years)
The elimination half-life (T1/2)
Tidsramme: Throughout the study until treatment discontinuation (up to 2-3 years)

To evaluate PK profile upon HM16390 administration

Throughout the study until treatment discontinuation (up to 2-3 years)
The apparent volume of distribution (Vd/F)
Tidsramme: Throughout the study until treatment discontinuation (up to 2-3 years)

To evaluate PK profile upon HM16390 administration

Throughout the study until treatment discontinuation (up to 2-3 years)
The apparent clearance (CL/F)
Tidsramme: Throughout the study until treatment discontinuation (up to 2-3 years)

To evaluate PK profile upon HM16390 administration

Throughout the study until treatment discontinuation (up to 2-3 years)
Progression-free survival (PFS)
Tidsramme: Throughout the study until disease progression or death whichever occurs first (up to 2-3 years)

PFS will be measured from date of first treatment until date of radiographic progression as per RECIST v1.1 or until death from any cause, whichever occurs first

Throughout the study until disease progression or death whichever occurs first (up to 2-3 years)
Duration of response (DOR)
Tidsramme: Throughout the study until disease progression or death whichever occurs first (up to 2-3 years)

DOR will be measured as the time from initial onset of CR or PR to first radiographic progression as per RECIST v1.1 or death from any cause, whichever occurs first.

Throughout the study until disease progression or death whichever occurs first (up to 2-3 years)

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Samarbejdspartnere

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

11. december 2024

Primær færdiggørelse (Anslået)

1. juli 2031

Studieafslutning (Anslået)

1. juli 2031

Datoer for studieregistrering

Først indsendt

29. november 2024

Først indsendt, der opfyldte QC-kriterier

6. december 2024

Først opslået (Faktiske)

9. december 2024

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

3. november 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

2. november 2026

Sidst verificeret

1. november 2026

Mere information

Begreber relateret til denne undersøgelse

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • HM-LIL2-101
  • KEYNOTE-G39 (Anden identifikator: Merck & Sharp Dohme LLC)
  • MK-3475-G39 (Anden identifikator: Merck & Sharp Dohme LLC)

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

INGEN

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ja

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

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