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A Trial of SHR-2002 Injection or Combined With Other Anti-cancer Medication in Advanced Malignant Tumors of Patients

A Phase I Clinical Study on the Safety, Tolerability, Pharmacokinetics and Preliminary Efficacy of SHR-2002 Injection or in Combination With Other Anti-cancer Therapy in Advanced Malignant Tumors of Patients

The study is being conducted to evaluate safety, tolerability, pharmacokinetics and preliminary efficacy of SHR-2002 injection monotherapy and in combination with other anti-cancer therapy for advanced malignant tumors of patients. To explore the reasonable dosage of SHR-2002 injection monotherapy and dosage regimen of combination therapy for advanced malignant tumors of patients.

Studieoversigt

Undersøgelsestype

Interventionel

Tilmelding (Forventet)

240

Fase

  • Fase 1

Kontakter og lokationer

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

Studiesteder

    • Henan
      • Luoyang, Henan, Kina, 471003
        • Henan Science and Technology University First Affiliated Hospital
    • Hunan
      • Changsha, Hunan, Kina, 410006
        • Hunan Cancer Hospital
    • Shandong
      • Linyi, Shandong, Kina, 276002
        • Linyi Cancer Hospital
    • Shanghai
      • Shanghai, Shanghai, Kina, 200433
        • Shanghai Pulmonary Hospital
    • Sichuan
      • Chengdu, Sichuan, Kina, 410013
        • West China Hospital of Sichuan University

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 til 70 år (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  1. Ability to understand and voluntarily agrees to participate by giving written informed consent for the study;
  2. Male or female aged ≥18 years and ≤70 years at the time of signing the ICF;
  3. Histopathologically or cytologically documented advanced or metastatic malignancies;
  4. An Eastern Cooperative Oncology Group (ECOG) performance status (PS) score of 0 or 1;
  5. Life expectancy ≥12 weeks;
  6. Adequate organ functions as defined;
  7. Female and male patients of reproductive potential must agree to use highly effective contraception during the study treatment period and within 6 months after the last investigational drug administration; Female of childbearing potential must have a negative serum human chorionic gonadotropin (HCG) test within 7 days before the first dose of the investigational drugs and must not be breastfeeding.

Exclusion Criteria:

  1. Patients with known active central nervous system (CNS) metastases and/or carcinomatous meningitis;
  2. Patients with active brain metastasis (without medical control or with clinical symptoms), cancerous meningitis, spinal cord compression, or patients with a history of primary tumors of the central nervous system ;
  3. Patients with tumor-related pain that cannot be controlled as determined by the investigator;
  4. Uncontrollable third-space effusion, such as pleural effusion, pericardial effusion or peritoneal effusion;
  5. Systemic anti-tumor therapy within 28 days prior to the first dose of the study treatment;
  6. Surgical procedures requiring general anesthesia within 28 days prior to the first dose of the study treatment;
  7. Patients who have received >30 Gy of radical radiotherapy within 28 days before the first dose of study treatment;
  8. Unresolved CTCAE Grade >1 toxicity attributed to any prior anti-tumor therapy;
  9. Use of live attenuated vaccines within 28 days before the first dose of the study treatment;
  10. Patients who have received any systemic immunosuppressants within 14 days prior to the first dose of study treatment;
  11. Patients with interstitial pneumonitis or interstitial lung disease; past history of interstitial pneumonitis or interstitial lung disease requiring hormone therapy;
  12. History of autoimmune diseases;
  13. History of clinically significant bleeding symptom or bleeding tendency within 3 months before the first dose of study treatment;
  14. History of clinically significant cardiovascular or cerebrovascular diseases within 6 months prior to the first dose of study treatment;
  15. Evidence or history of arterial/venous thrombosis within 3 months before the first dose;
  16. Prior malignancy (other than current malignant tumor) within 5 ears before the first dose of study treatment;
  17. Known history of serious allergic reactions to the investigational product or its main ingredients;
  18. History of immunodeficiency;
  19. Presence of active hepatitis B or active hepatitis C;
  20. Severe infections within 4 weeks prior to the first study treatment;
  21. Evidence or history of active pulmonary tuberculosis within 1 year before study entry;
  22. any other conditions that are not suitable for participation in the study in the investigator's opinion.

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: N/A
  • Interventionel model: Enkelt gruppeopgave
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Enkelt gruppe
Firstly Dose Escalation and Dose Expansion of SHR-2002 injection monotherapy should be conducted. After RP2D and MTD of the SHR-2002 injection monotherapy were confirmed, Dose Escalation, Dose Expansion and Efficacy Expansion of SHR-2002 injection in combination with other anti-cancer treatment would be completed, including Camrelizumab for Injection, or SHR-1316 injection, or SHR-1701 injection.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Maximum tolerated dose
Tidsramme: first dose of study medication up to 21 days
The Maximum tolerated dose of SHR-2002 injection monotherapy or in combination with Camrelizumab for Injection, or SHR-1316 injection, or SHR-1701 injection
first dose of study medication up to 21 days
Recommended phase II dose
Tidsramme: first dose of study medication up to 21 days
The Recommended phase II dose of SHR-2002 injection monotherapy or in combination with Camrelizumab for Injection, or SHR-1316 injection, or SHR-1701 injection
first dose of study medication up to 21 days
Incidence and severity of adverse events (AEs)/serious adverse events (SAEs)
Tidsramme: from signature completion of ICF to 90 days after the last dose or to the beginning of the new anti-cancer therapy, whichever came first, assessed up to 24 weeks
Incidence and severity of adverse events (AEs)/serious adverse events (SAEs) graded by Common Terminology Criteria for Adverse Events (CTCAE) v5.0
from signature completion of ICF to 90 days after the last dose or to the beginning of the new anti-cancer therapy, whichever came first, assessed up to 24 weeks

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Tmax
Tidsramme: 0.5 hour before first dose to the 336 hours after first dose
PK parameters of single dose of SHR-2002 injection monotherapy
0.5 hour before first dose to the 336 hours after first dose
Cmax
Tidsramme: 0.5 hour before first dose to the 336 hours after first dose
PK parameters of single dose of SHR-2002 injection monotherapy
0.5 hour before first dose to the 336 hours after first dose
AUC0-t
Tidsramme: 0.5 hour before first dose to the 336 hours after first dose
PK parameters of single dose of SHR-2002 injection monotherapy
0.5 hour before first dose to the 336 hours after first dose
AUC0-∞
Tidsramme: 0.5 hour before first dose to the 336 hours after first dose
PK parameters of single dose of SHR-2002 injection monotherapy
0.5 hour before first dose to the 336 hours after first dose
t1/2
Tidsramme: 0.5 hour before first dose to the 336 hours after first dose
PK parameters of single dose of SHR-2002 injection monotherapy
0.5 hour before first dose to the 336 hours after first dose
CL
Tidsramme: 0.5 hour before first dose to the 336 hours after first dose
PK parameters of single dose of SHR-2002 injection monotherapy
0.5 hour before first dose to the 336 hours after first dose
Vss
Tidsramme: 0.5 hour before first dose to the 336 hours after first dose
PK parameters of single dose of SHR-2002 injection monotherapy
0.5 hour before first dose to the 336 hours after first dose
Cmax, ss
Tidsramme: 0.5 hour before second dose to the 30 days after last dose
PK parameters of multiple doses of SHR-2002 monotherapy
0.5 hour before second dose to the 30 days after last dose
Ctrough, ss
Tidsramme: 0.5 hour before second dose to the 30 days after last dose
PK parameters of multiple doses of SHR-2002 monotherapy
0.5 hour before second dose to the 30 days after last dose
Rac
Tidsramme: 0.5 hour before second dose to the 30 days after last dose
PK parameters of multiple doses of SHR-2002 monotherapy
0.5 hour before second dose to the 30 days after last dose
RO
Tidsramme: 0.5 hour before second dose to the 30 days after last dose
Receptor occupancy, PD indicators of SHR-2002 injection monotherapy
0.5 hour before second dose to the 30 days after last dose
Cytokine concentration
Tidsramme: 0.5 hour before second dose to the 30 days after last dose
PD indicators of SHR-2002 injection monotherapy
0.5 hour before second dose to the 30 days after last dose
Ctrough, ss
Tidsramme: 0.5 hour before second dose to the 90 days after last dose
PK parameters of SHR -2002, Camrelizumab for Injection, SHR-1316 injection and SHR-1701 injection during combination therapy period
0.5 hour before second dose to the 90 days after last dose
Rac
Tidsramme: 0.5 hour before second dose to the 90 days after last dose
PK parameters of SHR -2002, Camrelizumab for Injection, SHR-1316 injection and SHR-1701 injection during combination therapy period
0.5 hour before second dose to the 90 days after last dose
ADA
Tidsramme: 0.5 hour before second dose to the 90 days after last dose
Anti-drug antibody, Immunogenicity of SHR-2002 in monotherapy and combination therapy, Camrelizumab for Injection, SHR-1316 injection and SHR-1701 injection
0.5 hour before second dose to the 90 days after last dose
NAb
Tidsramme: 0.5 hour before second dose to the 90 days after last dose
Immunogenicity of Camrelizumab for Injection, SHR-1316 injection and SHR-1701 injection
0.5 hour before second dose to the 90 days after last dose
ORR
Tidsramme: from the date of the first dose to the date of disease progression evaluated based on RECIST v1.1 criteria, death, lost to follow-up, voluntary withdrawal, or initiation of other anti-tumor treatment, whichever occurs first, assessed up to 6 months]
Objective Response Rate, Efficacy endpoints of SHR-2002 injection monotherapy or in combination with Camrelizumab for Injection, or SHR-1316 injection, or SHR-1701 injection in treatment of patients with Advanced Malignant Tumors
from the date of the first dose to the date of disease progression evaluated based on RECIST v1.1 criteria, death, lost to follow-up, voluntary withdrawal, or initiation of other anti-tumor treatment, whichever occurs first, assessed up to 6 months]
DoR
Tidsramme: from the date of the firstly documented tumor response to the date of the firstly documented disease progression or the date of death for any reason, assessed up to 6 months
Duration of response, Efficacy endpoints of SHR-2002 injection monotherapy or in combination with Camrelizumab for Injection, or SHR-1316 injection, or SHR-1701 injection in treatment of patients with Advanced Malignant Tumors
from the date of the firstly documented tumor response to the date of the firstly documented disease progression or the date of death for any reason, assessed up to 6 months
DCR
Tidsramme: from the date of the first dose to the date of the firstly documented disease progression (evaluated based on RECIST v1.1 criteria) or the date of death for any reason, assessed up to 6 months
Disease control rate, Efficacy endpoints of SHR-2002 injection monotherapy or in combination with Camrelizumab for Injection, or SHR-1316 injection, or SHR-1701 injection in treatment of patients with Advanced Malignant Tumors
from the date of the first dose to the date of the firstly documented disease progression (evaluated based on RECIST v1.1 criteria) or the date of death for any reason, assessed up to 6 months
PFS
Tidsramme: from the date of the first dose to the date of the firstly documented disease progression (evaluated based on RECIST v1.1 criteria) or the date of death for any reason, assessed up to 6 months
Progression-free survival, Efficacy endpoints of SHR-2002 injection monotherapy or in combination with Camrelizumab for Injection, or SHR-1316 injection, or SHR-1701 injection in treatment of patients with Advanced Malignant Tumors
from the date of the first dose to the date of the firstly documented disease progression (evaluated based on RECIST v1.1 criteria) or the date of death for any reason, assessed up to 6 months
OS
Tidsramme: from the date of the first dose to the date of death for any reason,assessed up to 100 months
Overall survival, Efficacy endpoints of SHR-2002 injection monotherapy or in combination with Camrelizumab for Injection, or SHR-1316 injection, or SHR-1701 injection in treatment of patients with Advanced Malignant Tumors
from the date of the first dose to the date of death for any reason,assessed up to 100 months

Samarbejdspartnere og efterforskere

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

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)

22. februar 2022

Primær færdiggørelse (Forventet)

31. januar 2023

Studieafslutning (Forventet)

30. juni 2023

Datoer for studieregistrering

Først indsendt

3. januar 2022

Først indsendt, der opfyldte QC-kriterier

17. januar 2022

Først opslået (Faktiske)

20. januar 2022

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

28. juni 2022

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

26. juni 2022

Sidst verificeret

1. juni 2022

Mere information

Begreber relateret til denne undersøgelse

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • SHR-2002-I-101

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