Eine Studie zur Bewertung der Sicherheit, Verträglichkeit und Pharmakokinetik von ABSK-021 bei Patienten mit fortgeschrittenem solidem Tumor
Eine Open-Label-Studie der Phase 1 zu ABSK021 zur Bewertung der Sicherheit, Verträglichkeit und Pharmakokinetik bei Patienten mit fortgeschrittenem solidem Tumor
This is an open-label phase 1 study to determine the safety and tolebility of oral ABSK021 in patients with advanced solid tumor as well as the Recommended Phase 2 dose (RP2D) of oral ABSK021. Preliminary antitumor activity will also be assessed.
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Detaillierte Beschreibung
The study will start with a dose escalation part of single-agent ABSK021 administered in repeated 28-day cycles in patients with advanced solid for safety and tolerability. The expansion part of oral ABSK021 at recommended dose of expansion (RDE) will be followed for further evaluating safety and tolerability among selected tumor types. Preliminary antitumor activity will also be assessed.
Studientyp
Studientyp
Einschreibung (Geschätzt)
Einschreibung
Phase
Phase
- Phase 1
Kontakte und Standorte
Studienkontakt
Studienkontakt
- Name: Siqing Fu, MD
- Telefonnummer: (713)792-4318
- E-Mail: siqingfu@mdanderson.org
Studieren Sie die Kontaktsicherung
- Name: YUAN LU
- Telefonnummer: +86-21-68910052
- E-Mail: clinical@abbisko.cn
Studienorte
-
-
Beijing Municipality
-
Beijing, Beijing Municipality, China
- Rekrutierung
- Beijing Jishuitan Hospital
-
Kontakt:
- Xiaohui Niu, MD
-
Hauptermittler:
- Xiaohui Niu, MD
-
-
Guangzhou
-
Guangdong, Guangzhou, China
- Aktiv, nicht rekrutierend
- The First Affiliated Hospital of Sun Yat-sen University
-
-
Hebei
-
Shijiazhuang, Hebei, China
- Abgeschlossen
- Hebei Medical University Third Hospital
-
-
Henan
-
Zhengzhou, Henan, China
- Abgeschlossen
- The First Affiliated Hospital of Zhengzhou Universtity
-
Zhengzhou, Henan, China
- Aktiv, nicht rekrutierend
- Henan Cancer Hospital
-
-
Jiangsu
-
Nanjing, Jiangsu, China
- Aktiv, nicht rekrutierend
- Nanjing Drum Tower Hospital
-
Nanjing, Jiangsu, China
- Aktiv, nicht rekrutierend
- Jiangsu Province Hospital
-
-
Liaoning
-
Shenyang, Liaoning, China
- Abgeschlossen
- Liaoning Cancer Hospital
-
-
Shanghai Municipality
-
Shanghai, Shanghai Municipality, China
- Abgeschlossen
- Huashan Hospital of Fudan University
-
Shanghai, Shanghai Municipality, China
- Abgeschlossen
- Shanghai Sixth People's Hospital
-
-
Shanxi
-
Xian, Shanxi, China
- Aktiv, nicht rekrutierend
- Xi'an Hong Hui Hospital
-
-
Sichuan
-
Chengdu, Sichuan, China
- Rekrutierung
- West China Hospital of Sichuan University
-
Kontakt:
- Yong Zhou, MD
-
Hauptermittler:
- Yong Zhou, MD
-
-
Zhejiang
-
Hangzhou, Zhejiang, China
- Rekrutierung
- The Second Affiliated Hospital Zhejiang University School of Medicine
-
Kontakt:
- Zhaoming Ye, MD
-
Hauptermittler:
- Zhaoming Ye, MD
-
-
-
-
California
-
Beverly Hills, California, Vereinigte Staaten, 90212
- Aktiv, nicht rekrutierend
- Precision NextGen Oncology
-
-
Colorado
-
Denver, Colorado, Vereinigte Staaten, 80218-1238
- Abgeschlossen
- SCRI at HealthOne
-
-
Georgia
-
Atlanta, Georgia, Vereinigte Staaten, 30322
- Abgeschlossen
- The Winship Cancer Institute of Emory University
-
-
Texas
-
Houston, Texas, Vereinigte Staaten, 77030
- Abgeschlossen
- MD Anderson Cancer Center
-
-
Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
Inclusion Criteria:
- Histologically confirmed solid tumors that have progressed on or intolerant to standard therapy or whom no standard therapy exists
- ECOG (electrocorticogram) performance status 0~1
- Life expectancy ≥ 3 months
- Adequate organ function and bone marrow function
For patients with tenosynovial giant cell tumor (TGCT) :
- A diagnosis of TGCT [i ncluding pigmented villonodular synovitis (PVNS) or giant cell tumors of the tendon sheath (GCT TS) (i) that has been histologically confirmed either by a pathologist at the treating institution or a central pathologist,and (ii) where surgical resection would be associated with potentially worsening functional limitation or severe morbidity (locally advanced disease), with morbidity determined consensually by qualified personnel (eg, two surgeons or a multi disciplinary tumor board);
- Measurable disease as defined by RECIST 1.1 (except that a minimal size of 2 cm is required), assessed from MRI scans;
- Others
For Adolescent Cohort (China only):
- Patient and/or legally acceptable representative should understand, sign, and date the written voluntary informed consent form prior to screening.
- Adolescents≥ 12 years of age and < 18 years at the time of informed consent.
- Body weight ≥ 40kg.
- A diagnosis of TGCT [including pigmented villonodular synovitis (PVNS) or giant cell tumors of the tendon sheath (GCT-TS)] (i) that has been histologically confirmed either by local laboratory, and (ii) unresectable, defined as confirmed by assessment by at least two clinical experts (including at least one independent expert who is not part of the trial conduct), meeting one of the following 2 requirements: ①located in a complex anatomical site, is extensively invasive, and cannot be completely resected; ②surgical operation may cause dysfunction or serious complications.
- Measurable disease as defined by RECIST v1.1 (with at least 1 lesion ≥ 2 cm is required), assessed by MRI scans in local site prior to dosing.
- Others
Exclusion Criteria:
- Known allergy or hypersensitivity to any component of the investigational drug product Previous treatment with CSF-1(colony stimulating factor 1)/CSF-1R (colony stimulating factor 1 receptor) pathway inhibitors
- Known additional malignancy that is progressing or required active treatment within 3 years of the first dose of study treatment
- Inability to take oral medication or significant nausea and vomiting, malabsorption, external biliary shunt, or significant bowel resection that would preclude adequate absorption of oral medication
- Previous anti-cancer therapy, including chemotherapy, radiotherapy, endocrine therapy or molecular targeted therapy within ≤ 5-halflife or ≤ 4 weeks (whichever is shorter) prior to initiation of study treatment (chemotherapy with nitrosourea or mitomycin should be 6 weeks prior to initiation of study treatment)
- Major surgery within 4 weeks of the first dose of study drug and all surgical wounds must be healed and free of infection or dehiscence
- Prior toxicities from chemotherapy, radiotherapy, and other anti-cancer therapies, including immunotherapy that have not regressed to Grade ≤2 severity (CTCAE v5.0) with the exception of alopecia and vitiligo
- Prior corticosteroids as anti-cancer therapy within a minimum of 2 weeks of the first dose of study drug
- Concomitant use of strong inhibitors or inducers of CYP3A4
- Active central nervous system (CNS) metastases
- Impaired cardiac function or clinically significant cardiac disease
- Patients with Gilbert's Syndrome or other underlying conditions that may lead to a greater likelihood of developing LFT(liver function test) abnormalities during the study
- Known human immunodeficiency virus or active hepatitis B, or active hepatitis C infection
- Refractory/uncontrolled ascites or pleural effusion
- Pregnant or nursing
For patients with tenosynovial giant cell tumor (TGCT) :
- Known allergy or hypersensitivity to any component of the investigational drug product
- For expansion part, previous treatment with CSF 1/CSF 1R pathway inhibitors (not applicable for TGCT patients in US)
- Others
For Adolescent Cohort (China only):
- Known allergy or hypersensitivity to any component of the investigational drug product.
- Previous treatment with highly selective inhibitors targeting CSF-1/CSF-1R prior to first dosing. However, patients who have received prior treatment with multi-kinase inhibitors that include the CSF-1/CSF-1R pathway are allowed, such as Imatinib and Nilotinib.
- Know additional malignancy that required active treatment and may affect the patient's participation in the study or affect the outcome of the study as assessed by the Investigator. Exceptions include cured basal cell carcinoma of skin, squamous cell carcinoma of skin, and other carcinoma in situ.
- Others
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: N / A
- Interventionsmodell: Sequenzielle Zuweisung
- Maskierung: Keine (Offenes Etikett)
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
|---|---|
|
Experimental: ABSK021
Dose escalation of oral ABSK021 with a starting dose of 25mg once daily will be guided by"3+3" escalation rules based on safety data until an MTD has been identified or a RDE. For each dose, patients will first receive a single dose ABSK021 tablet(s) by mouth at Day -3 and be followed by a 3-day off as a run-in period to access the safety and PK of single-dose. Then, patients will continuously receive ABSK021 once daily (QD) in repeated 28-day cycles. |
ABSK021 oral capsule |
Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Incidence and Severity of AEs
Zeitfenster: Through study completion, an average of 6 months
|
Adverse events (AEs), adverse events of special interest (AESIs) and serious adverse events (SAEs) |
Through study completion, an average of 6 months
|
|
Incidence of DLTs
Zeitfenster: At the end of Cycle 1 (each cycle is 28 days)
|
DLT(dose-limiting toxicity) |
At the end of Cycle 1 (each cycle is 28 days)
|
Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
PFS
Zeitfenster: From date of enrollment until the date of first documented progression or death, assessed up to 12 months
|
Progression-Free Survival (PFS) |
From date of enrollment until the date of first documented progression or death, assessed up to 12 months
|
|
DoR
Zeitfenster: From date of enrollment until the date of first documented progression or death, assessed up to 12 months
|
Duration of Response (DoR) |
From date of enrollment until the date of first documented progression or death, assessed up to 12 months
|
|
DCR
Zeitfenster: 24 weeks post-dose
|
Disease Control Rate (DCR) |
24 weeks post-dose
|
|
Cmax
Zeitfenster: Pre-dose and multiple timepoints (up to 72 hours) post-dose
|
The peak plasma concentration of a drug after administration |
Pre-dose and multiple timepoints (up to 72 hours) post-dose
|
|
tmax
Zeitfenster: Pre-dose and multiple timepoints (up to 72 hours) post-dose
|
Time to reach Cmax |
Pre-dose and multiple timepoints (up to 72 hours) post-dose
|
|
Bioavailability
Zeitfenster: Pre-dose and multiple timepoints (up to 72 hours) post-dose
|
The systemically available fraction of a drug |
Pre-dose and multiple timepoints (up to 72 hours) post-dose
|
|
Elimination half-life
Zeitfenster: Pre-dose and multiple timepoints (up to 72 hours) post-dose
|
The time required for the concentration of the drug to reach half of its original value |
Pre-dose and multiple timepoints (up to 72 hours) post-dose
|
Mitarbeiter und Ermittler
Sponsor
Sponsor
Ermittler
Ermittler
- Hauptermittler: Siqing Fu, MD, M.D. Anderson Cancer Center
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Studienbeginn
Primärer Abschluss (Geschätzt)
Primärer Abschluss
Studienabschluss (Geschätzt)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- ABSK021-101
Arzneimittel- und Geräteinformationen, Studienunterlagen
Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
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