- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT04200404
A Study of CS1001 in Combination With Regorafenib in Patients With Advanced or Refractory Solid Tumors
5. maj 2022 opdateret af: CStone Pharmaceuticals
A Phase Ib/II, Multicenter Open-label Study of CS1001 in Combination With Regorafenib in Patients With Advanced or Refractory Solid Tumors
This is a multicenter, open-label study of CS1001 in combination with regorafenib in participants with advanced or refractory cancers.
There will be a dose escalation portion in "allcomers"to find a suitable dose of regorafenib for combination use with CS1001.
This study will also enroll participants with specific tumor types in the phase II part of the study to assess the efficacy, pharmacokinetics and safety of the combined regimen (RP2D of regorafenib + CS 1001)
Studieoversigt
Status
Afsluttet
Betingelser
Intervention / Behandling
Undersøgelsestype
Interventionel
Tilmelding (Faktiske)
19
Fase
- Fase 2
- Fase 1
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiesteder
-
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South Australia
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Kurralta Park, South Australia, Australien, 5037
- Ashford Cancer Centre Research
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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
Inclusion Criteria:
- All participants must have unresectable advanced or metastatic tumors that have histologic or cytologic documentation confirmed.
- Participant must have at least one measurable lesion by CT or MRI per RECIST 1.1; radiographic tumor assessment should be performed within 28 days prior to initiation of study treatment.
- ECOG performance status score of 0 or 1.
- Life expectancy ≥ 12 weeks.
- Fresh or archival tumor tissue must be provided for PD-L1 expression testing in selected cohorts.
- Adequate organ function
- Women of childbearing potential (WOCBP) must have a negative serum pregnancy test result. Either Female or male participants must agree to use adequate contraceptive measures from signing informed consent and for 180 days after last investigational product administration, except for a participant with documented surgical sterilization or a postmenopausal female.
- Any toxic effects of prior anti-cancer therapy or surgical procedures resolved to baseline severity or NCI-CTCAE version 5 Grade 1 (except alopecia or other toxicities not considered a safety risk for the patient at investigator's discretion).
- Subjects with hepatitis B virus (HBV) infection must have HBV DNA < 2000 IU/mL at screening, and requires continue anti-HBV treatment in the study
Exclusion Criteria:
- Prior malignancy active within the previous 3 years except for locally curable cancers that have been apparently cured.
- Participants with any condition that impairs their ability to take oral medication, such as lack of physical integrity of the upper gastrointestinal tract or malabsorption syndrome.
- Has known central nervous system (CNS) metastases and/or carcinomatous meningitis that is either symptomatic or untreated.
- Any prior (within 1 year) or current clinically significant ascites as measured by physical examination and that requires active paracentesis for control.
- Significant history of cardiac disease within 6 months prior to Day 1 of Cycle 1, myocardial infarction within the previous year, or current cardiac ventricular arrhythmias requiring medication, or left ventricular ejection fraction (LVEF) is below 50%.
- History or evidence of poorly controlled arterial hypertension.
- Any serious or uncontrolled medical disorder or active infection may increase the risk associated with study participation or dose.
- Administration of drugs known as strong CYP3A4 inducers or strong CYP3A4 inhibitors and the last dose was given in < 5 half-lives from the first investigational product administration.
- Any hemorrhage or bleeding event ≥ CTCAE Grade 3 within 28 days prior to the start of study treatment.
Other inclusion/exclusion criteria may apply.
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 |
|---|---|
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Eksperimentel: Phase Ib arm
arms 1. Phase Ib: advanced or refractory solid tumors;
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One course will last 28 days.
CS1001 will be intravenously administered every 4 weeks (Q4W).
One course will last 28 days.
Administration will be orally (p.o.) taken at different dose schemes.
Andre navne:
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Eksperimentel: Phase II arm
arms 2.Phase II: subjects with tumor of specific types
|
One course will last 28 days.
CS1001 will be intravenously administered every 4 weeks (Q4W).
One course will last 28 days.
Administration will be orally (p.o.) taken at different dose schemes.
Andre navne:
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
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Phase Ib (Safety Evaluation): Number of participants with adverse events
Tidsramme: Baseline up to 90 days post last dose, up to 2 years
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Baseline up to 90 days post last dose, up to 2 years
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Phase Ib (Safety Evaluation): Dose Limiting Toxicity (DLT)
Tidsramme: Baseline up to 90 days post last dose, up to 2 years
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Baseline up to 90 days post last dose, up to 2 years
|
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Phase II (Efficacy Expansion): Objective response rate (ORR)
Tidsramme: Up to 2 years
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Up to 2 years
|
Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
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Phase Ib (Safety Evaluation): Objective response rate (ORR)
Tidsramme: Up to 2 years
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Up to 2 years
|
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Phase Ib (Safety Evaluation) and/or Phase II (Efficacy Expansion): Disease control rate (DCR)
Tidsramme: Up to 2 years
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Up to 2 years
|
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Phase Ib (Safety Evaluation) and/or Phase II (Efficacy Expansion): Progression Free Survival (PFS)
Tidsramme: Up to 2 years
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Up to 2 years
|
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Phase Ib (Safety Evaluation) and/or Phase II (Efficacy Expansion): Duration of Response (DoR)
Tidsramme: Up to 2 years
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Up to 2 years
|
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Phase Ib (Safety Evaluation) and/or Phase II (Efficacy Expansion): Overall Survival (OS)
Tidsramme: Up to 2 years
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Up to 2 years
|
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Phase Ib (Safety Evaluation) and/or Phase II (Efficacy Expansion): Occurrence of anti-CS1001 antibody
Tidsramme: From first dose to 30 days after last dose, up to 2 years
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From first dose to 30 days after last dose, up to 2 years
|
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Phase II (Efficacy Expansion): : Number of participants with adverse events
Tidsramme: Baseline up to 90 days post last dose, up to 2 years
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Baseline up to 90 days post last dose, up to 2 years
|
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Phase Ib (Safety Evaluation) and/or Phase II (Efficacy Expansion): Area under the plasma concentration-time curve (AUC)0-t of CS1001
Tidsramme: From first dose to 30 days after last dose, up to 2 years
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From first dose to 30 days after last dose, up to 2 years
|
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Phase Ib (Safety Evaluation) and/or Phase II (Efficacy Expansion): Maximum plasma concentration (Cmax) of CS1001
Tidsramme: From first dose to 30 days after last dose, up to 2 years
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From first dose to 30 days after last dose, up to 2 years
|
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Phase Ib (Safety Evaluation) and/or Phase II (Efficacy Expansion): Time to reach maximum plasma concentration (Tmax) of CS1001
Tidsramme: From first dose to 30 days after last dose, up to 2 years
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From first dose to 30 days after last dose, up to 2 years
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Phase Ib (Safety Evaluation) and/or Phase II (Efficacy Expansion): Terminal elimination half-life (t1/2) of CS1001
Tidsramme: From first dose to 30 days after last dose, up to 2 years
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From first dose to 30 days after last dose, up to 2 years
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Phase Ib (Safety Evaluation) and/or Phase II (Efficacy Expansion): Clearance at Steady State (CLss) of CS1001
Tidsramme: From first dose to 30 days after last dose, up to 2 years
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From first dose to 30 days after last dose, up to 2 years
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Phase Ib (Safety Evaluation): Maximum plasma concentration (Cmax) of regorafenib
Tidsramme: From first dose to 30 days after last dose, up to 2 years
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From first dose to 30 days after last dose, up to 2 years
|
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Phase Ib (Safety Evaluation): Minimum plasma concentration (Cmin) of regorafenib
Tidsramme: From first dose to 30 days after last dose, up to 2 years
|
From first dose to 30 days after last dose, up to 2 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)
13. december 2019
Primær færdiggørelse (Faktiske)
13. maj 2021
Studieafslutning (Faktiske)
18. august 2021
Datoer for studieregistrering
Først indsendt
13. december 2019
Først indsendt, der opfyldte QC-kriterier
13. december 2019
Først opslået (Faktiske)
16. december 2019
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
6. maj 2022
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
5. maj 2022
Sidst verificeret
1. maj 2022
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- CS1001/Regorafenib-101
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Ingen
Studerer et amerikansk FDA-reguleret enhedsprodukt
Ingen
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