Phase 1/2 Clinical Study of HY07121 for Injection (Subcutaneous) in Patients With Advanced Solid Tumors
An Open-label, Multiple-center, Phase 1/2 Clinical Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Preliminary Antitumor Activity of HY07121 for Injection (Subcutaneous) in Patients With Advanced Solid Tumors
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 2
- Fase 1
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Jinmin Yu, Doctor
- Telefonnummer: +86-521-67626971
- E-mail: sdyujinming@126.com
Undersøgelse Kontakt Backup
- Navn: Hongxu Liu, Doctor
- Telefonnummer: +86-024-81916200
- E-mail: liuhongxu3366@163.com
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Written informed consent;
- ≥18 years old and ≤80 years old, gender: male or female;
- Dose escalation part: cytologically or histopathologically confirmed locally advanced or advanced solid tumor that has failed standard therapy, or for which no standard therapy exists, or for which standard therapy is not tolerated or has been refused (for tumor types for which PD-1/PD-L1-related inhibitors are approved in China, failure of prior PD-1/PD-L1-related inhibitor therapy is required). Solid tumors in the dose expansion part include non-small cell lung cancer (driver gene-negative), gastric cancer, esophageal cancer, Microsatellite Instability-High / Mismatch Repair-Deficient Solid Tumors (MSI-H/dMMR) solid tumors, cervical cancer, non-muscle-invasive bladder cancer, head and neck squamous cell carcinoma (excluding nasopharyngeal carcinoma), renal cell carcinoma, and other tumor types;
- Dose escalation part: at least one evaluable tumor lesion is required. Dose expansion part: at least one measurable tumor lesion is required (per RECIST v1.1);
- Eastern Cooperative Oncology Group (ECOG) performance status score is 0 or 1;
- Life expectancy ≥3 months;
- Participant must have adequate main organ function;
- Fertile female patients must have a negative serological pregnancy test within 7 days before the first dosing and be willing to use effective birth control/contraception to prevent pregnancy during the study period up to 6 months after the last dosing of the study. Male patients must agree to have no sperm donation plans and to use effective contraceptive methods during the study period until 6 months after the last dose of the study.
- Postmenopausal women must have amenorrhea for at least 12 months before they are considered infertile.
Exclusion Criteria:
- Within the defined washout periods for prior anti-cancer treatments;
- Participant is currently participating or has participated in a study of an investigational agent or using an investigational device within 4 weeks of first dose of HY07121.
- Any other malignancy within 2 years prior to the first dose of the study treatment except for localized cancers that are considered to have been cured and in the opinion of the Investigator present a low risk for recurrence.
- Participant has not recovered (i.e., to Grade 1 or to baseline) from previous anticancer therapy-induced Adverse Events (AEs).
- Participants with a history of recently (within previous 2 years of the first dose of the study treatment) active diverticulitis or symptomatic peptic ulcer disease;
- Major surgery within 4 weeks of receiving the first dose of study treatment;
- Participant has Symptomatic Central Nervous System (CNS) metastases, or CNS metastases requiring CNS-directed local therapy (such as radiotherapy or surgery) or corticosteroids therapy within 4 weeks of first dose of study treatment;
- Participants with untreated or under treatment for tuberculosis, including but not limited to tuberculosis; Patients who have received standardized anti-tuberculosis treatment and have been confirmed cured by the researchers can be included;
- Participants with clinically significant cardiovascular diseases, in the past 6 months prior to the first dose of the study treatment; symptomatic coronary heart disease requiring drug treatment; arrhythmia requiring drug treatment; or uncontrolled hypertension;
- Known Human Immunodeficiency Virus (HIV) infection or known Acquired Immunodeficiency Syndrome (AIDS);
- Active or chronic hepatitis B or hepatitis C infection; treponema pallidum antibody positive, and confirmed positive test;
- Active known or suspected autoimmune disease.
- History of non-infectious pneumonitis that has required a course of oral or intravenous steroids to assist with recovery, or interstitial lung disease or severe obstructive pulmonary disease;
- History of severe allergy;
- History of allogeneic organ transplantation or graft-versus-host disease;
- Have received live/attenuated vaccines and messenger ribonucleic acid(mRNA) vaccines within 4 weeks prior to screening or plan to receive live/attenuated vaccines and mRNA vaccines during the study period;
- Any active infection requires systemic treatment via intravenous infusion within 4 weeks prior to the first dose of study treatment;
- Known psychiatric disorder or drug abuse that would interfere the trial requirements;
- Participant with uncontrolled pleural effusion, pericardial effusion or peritoneal effusion or need drainage;
- In addition to the tumors present at the time of entry into the study, other active malignancies were present within 3 years prior to the first dose (not excluding locally cured tumors, such as skin basal cell carcinoma, superficial bladder cancer or carcinoma in situ of the breast, etc.);
- Participants considered unsuitable for participation in this study by the investigators.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Ikke-randomiseret
- Interventionel model: Sekventiel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
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Eksperimentel: : Test product HY07121 for Injection (Subcutaneous) for Dose Escalation
PART ONE- Dose escalation: HY07121 for Injection (Subcutaneous) should be administered Subcutaneously at recommended dose.
The purpose of the Dose Escalation Phase (Part one) is to characterize the safety and tolerability of the test product HY07121 for Injection (Subcutaneous) and determine the maximum tolerated dose (MTD) (if any) and/or the recommended dose(s) (RD) based on the frequency of the occurrence of Dose-Limiting Toxicity (DLT) in each cohort during the DLT evaluation period.
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Dosage form: Powder for solution for infusion. Strength: 10 mg/vial. Method of administration: Subcutaneous administration. Dose escalation: "3+3" dose escalation rules are used to explore the safety and tolerability of the drug HY07121 for Injection (Subcutaneous).Based on emerging clinical data, dose escalation of an SUD-containing regimen may also follow a standard "3+3" design. Dose expansion: according to the preliminary safety and efficacy results of the dose escalation study, an appropriate dose and tumor species for the expansion study are conducted as discussed by the sponsor and investigators to further explore the safety and clinical effectiveness of the drug product HY07121 for Injection (Subcutaneous) and provide a basis for subsequent clinical studies.
Andre navne:
Dosage form: Powder for solution for infusion. Strength: 10 mg/vial. Method of administration: I Subcutaneous administration. Dose escalation: "3+3" dose escalation rules are used to explore the safety and tolerability of the drug HY07121 for Injection (Subcutaneous).Based on emerging clinical data, dose escalation of an SUD-containing regimen may also follow a standard "3+3" design. Dose expansion: according to the preliminary safety and efficacy results of the dose escalation study, an appropriate dose and tumor species for the expansion study are conducted as discussed by the sponsor and investigators to further explore the safety and clinical effectiveness of the drug product HY07121 for Injection (Subcutaneous) and provide a basis for subsequent clinical studies.
Andre navne:
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Eksperimentel: Test product HY07121 for Injection (Subcutaneous) for Dose Expansion
PART TWO- Dose expansion: HY07121 for Injection (Subcutaneous) should be administered Subcutaneously at recommended dose.
Patients will be administered a recommended dose of HY07121 for Injection (Subcutaneous) established from the Dose Escalation Phase of the study.
|
Dosage form: Powder for solution for infusion. Strength: 10 mg/vial. Method of administration: Subcutaneous administration. Dose escalation: "3+3" dose escalation rules are used to explore the safety and tolerability of the drug HY07121 for Injection (Subcutaneous).Based on emerging clinical data, dose escalation of an SUD-containing regimen may also follow a standard "3+3" design. Dose expansion: according to the preliminary safety and efficacy results of the dose escalation study, an appropriate dose and tumor species for the expansion study are conducted as discussed by the sponsor and investigators to further explore the safety and clinical effectiveness of the drug product HY07121 for Injection (Subcutaneous) and provide a basis for subsequent clinical studies.
Andre navne:
Dosage form: Powder for solution for infusion. Strength: 10 mg/vial. Method of administration: I Subcutaneous administration. Dose escalation: "3+3" dose escalation rules are used to explore the safety and tolerability of the drug HY07121 for Injection (Subcutaneous).Based on emerging clinical data, dose escalation of an SUD-containing regimen may also follow a standard "3+3" design. Dose expansion: according to the preliminary safety and efficacy results of the dose escalation study, an appropriate dose and tumor species for the expansion study are conducted as discussed by the sponsor and investigators to further explore the safety and clinical effectiveness of the drug product HY07121 for Injection (Subcutaneous) and provide a basis for subsequent clinical studies.
Andre navne:
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Dosiseskalering (Del 1): Procentdel af deltagere, der oplever behandlingsfremkomne bivirkninger (TEAE'er)
Tidsramme: Op til 2 år
|
Hyppighed og sværhedsgrad af uønskede hændelser (AE'er), alvorlige bivirkninger (SAE'er) og laboratorieabnormiteter ifølge National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0 og American Society for Transplantation and Cellular Therapy ( ASTCT) konsensusgradering
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Op til 2 år
|
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Dosiseskalering (Del 1): Procentdel af deltagere, der oplever uønskede hændelser (AE)-relaterede dosisafbrydelser, dosisforsinkelser og dosisintensitet
Tidsramme: Op til 2 år
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Forekomst af bivirkningsrelaterede dosisafbrydelser, dosisforsinkelser og dosisintensitet (varighed af eksponering for HY07121)
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Op til 2 år
|
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Dosisudvidelse (Del 2): Objektiv responsrate (ORR)
Tidsramme: Op til 2 år
|
Andel af deltagere, der har et bekræftet fuldstændigt svar (CR) eller et delvist svar (PR)
|
Op til 2 år
|
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Dose Escalation (Part One): Incidence and Nature of Dose-Limiting Toxicity (DLT)
Tidsramme: 28 days during the first 4-week cycle
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Dose-Limiting Toxicity (DLT) will be defined using National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 5.0.
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28 days during the first 4-week cycle
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Dosisudvidelse (Del 2): Procentdel af deltagere, der oplever behandlingsfremkomne bivirkninger (TEAE'er)
Tidsramme: Op til 2 år
|
Hyppighed og sværhedsgrad af uønskede hændelser (AE'er), alvorlige bivirkninger (SAE'er) og laboratorieabnormiteter ifølge National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0 og American Society for Transplantation and Cellular Therapy ( ASTCT) konsensusgradering
|
Op til 2 år
|
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Dosisudvidelse (Del 2): Procentdel af deltagere, der oplever uønskede hændelser (AE)-relaterede dosisafbrydelser, dosisforsinkelser og dosisintensitet
Tidsramme: Op til 2 år
|
Forekomst af uønskede hændelser (AE)-relaterede dosisafbrydelser, dosisforsinkelser og dosisintensitet (varigheden af eksponeringen for HY07121).
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Op til 2 år
|
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Dosiseskalering og -udvidelse: Vurdering af HY07121 Cmax
Tidsramme: Op til 2 år
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Maksimal observeret koncentration (Cmax) observeret ud fra den farmakokinetiske profil
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Op til 2 år
|
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Dosiseskalering og -udvidelse: Vurdering af HY07121 AUC
Tidsramme: Op til 2 år
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Areal under kurven for koncentration versus tid beregnet ved hjælp af trapezmetoden
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Op til 2 år
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Dosiseskalering og -udvidelse: Vurdering af HY07121 T1/2
Tidsramme: Op til 2 år
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Den tid, det tager for halvdelen af lægemiddelkoncentrationen at blive elimineret, beregnet ved hjælp af hældningen af terminallinjen
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Op til 2 år
|
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Dosiseskalering og -udvidelse: Vurdering af HY07121 anti-lægemiddel-antistof (ADA)
Tidsramme: Op til 2 år
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Forekomst, varighed, titer af serum anti-HY07121 antistof (ADA)
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Op til 2 år
|
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Dosiseskalering (Del 1): Objektiv responsrate (ORR)
Tidsramme: Op til 2 år
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Andel af deltagere, der har et bekræftet komplet svar (CR) eller et delvist svar (PR) bestemt af investigator i henhold til responsevalueringskriterierne i solide tumorer (RECIST) version 1.1
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Op til 2 år
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Dosiseskalering og -udvidelse: Varighed af respons (DOR) vurderet af investigator pr. responsevalueringskriterier i solide tumorer (RECIST) version 1.1
Tidsramme: Op til 2 år
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Varighed af respons (DOR) er defineret som tiden fra målekriterierne første gang er opfyldt for fuldstændig respons (CR)/Delvis respons (PR) (alt efter hvad der først er registreret) indtil den første dato for tilbagevendende eller progressiv sygdom.
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Op til 2 år
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Dosiseskalering og -udvidelse: Disease Control Rate (DCR) vurderet af investigator i henhold til RECIST version 1.1
Tidsramme: Op til 2 år
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Disease Control Rate er defineret som procentdelen af deltagere, der har opnået CR eller PR eller har vist stabil sygdom
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Op til 2 år
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Dosiseskalering og -udvidelse: Korrelationen mellem tumorbiomarkører og effektivitet
Tidsramme: Op til 2 år
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Objective Response Rate (ORR) er defineret som andelen af deltagere, der har et bekræftet fuldstændigt svar (CR) eller et delvist svar (PR) bestemt af investigator pr. RECIST version 1.1.
Tumorbiomarkører vil blive testet ved hjælp af immunhistokemi (IHC) og scoret ved hjælp af Tumor Proportion Score (TPS) og/eller Combined Positive Score (CPS) algoritme.
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Op til 2 år
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Dose Escalation and Expansion: Progression-Free Survival (PFS) assessed by investigator per RECIST Version 1.1
Tidsramme: Up to 2 years
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Progression-Free Survival (PFS) is defined as the time from the date of first administration of HY07121 for Injection (Subcutaneous) to the date of the first documented disease progression determined by Investigator as per RECIST 1.1 or death from any cause, whichever occurs first
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Up to 2 years
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Dose Escalation and Expansion: Time-To-Progression (TTP) assessed by investigator per RECIST Version 1.1
Tidsramme: Up to 2 years
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Time-To-Progression (TTP) is defined as the time from the date of first administration of HY07121 for Injection (Subcutaneous) to the date of the first documented disease progression
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Up to 2 years
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Dose Escalation and Expansion: Overall Survival (OS)
Tidsramme: Up to 2 years
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Overall Survival (OS) is defined as the time from the date of first administration of HY07121 for Injection (Subcutaneous) to death due to any cause
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Up to 2 years
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- HY0007-SC-101
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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