Eine erste menschliche Studie von YL217 bei Patienten mit fortgeschrittenen soliden Tumoren
Eine multizentrische, offene Label-, Erst-in-Human-Studie zur Bewertung der Sicherheit, Verträglichkeit, Pharmakokinetik und Wirksamkeit von YL217 bei Patienten mit fortgeschrittenen soliden Tumoren
A Phase 1 First-in-Human study of YL217 in Patients with Advanced Solid Tumors
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Detaillierte Beschreibung
YL217 is an antibody-drug conjugate (ADC) that targets CDH17 (Cadherin-17) protein and is being developed for the treatment of cancer. YL217 is comprised of three components: 1) YL217-mAb, a CDH17-targeting recombinant humanized immunoglobulin G1 (IgG1) monoclonal antibody, 2) YL0010014, a topoisomerase I inhibitor, and 3) an enzymatically cleavable methylsulfonyl pyrimidine tripeptide drug linker.
The in vivo anti-tumor efficacy of YL217 was evaluated in immune-deficient mice bearing human colorectal cancer, gastric cancer and patient derived colorectal cancer xenograft tumors. The results indicated that YL217 was well tolerated, and YL217 suppressed growth of established human tumors in a dose-dependent manner in cancer cells or patient derived xenograft models.
Therefore, in order to meet the huge unmet medical needs in the field of gastrointestinal cancer treatment, it is planned to conduct the first human phase I clinical study of YL217 in patients with advanced solid tumors.
Studientyp
Studientyp
Einschreibung (Geschätzt)
Einschreibung
Phase
Phase
- Phase 1
Kontakte und Standorte
Studienkontakt
Studienkontakt
- Name: Angie Cao, MD
- Telefonnummer: +86 0512-62858368
- E-Mail: clinicaltrials@medilinkthera.com
Studienorte
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Bejing
-
Beijing, Bejing, China, 100730
- Rekrutierung
- Peking Union Medical College Hospital
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Kontakt:
- Study Coordinator
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Guangdong
-
Guangzhou, Guangdong, China, 510655
- Noch keine Rekrutierung
- The Sixth Affiliated Hospital of Sun Yat-sen University
-
-
Heilongjiang
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Harbin, Heilongjiang, China, 150081
- Rekrutierung
- Harbin Medical University Cancer Hospital
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Kontakt:
- Study Coordinator
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Jiangxi
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Nanchang, Jiangxi, China, 330006
- Noch keine Rekrutierung
- The First Affiliated Hospital of Nanchang University
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-
Liaoning
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Shenyang, Liaoning, China, 110001
- Noch keine Rekrutierung
- The First Affiliated Hospital of China Medical University
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-
Shandong
-
Jinan, Shandong, China, 250117
- Rekrutierung
- Cancer Hospital of Shandong First Medical University
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Kontakt:
- Study Coordinator
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Shanghai Municipality
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Shanghai, Shanghai Municipality, China, 200025
- Rekrutierung
- Ruijin Hospital, Shanghai Jiaotong University School of Medicine
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Kontakt:
- Study Coordinator
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-
Tianjin Municipality
-
Tianjin, Tianjin Municipality, China, 300060
- Rekrutierung
- Tianjin Medical University Cancer Institute & Hospital
-
Kontakt:
- Study Coordinator
-
-
Zhejiang
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Hangzhou, Zhejiang, China, 310022
- Rekrutierung
- Zhejiang Cancer Hospital
-
Kontakt:
- Study Coordinator
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-
-
-
Arizona
-
Phoenix, Arizona, Vereinigte Staaten, 85054
- Rekrutierung
- Mayo Clinic Arizona
-
Kontakt:
- Study Coordinator
-
-
California
-
Santa Monica, California, Vereinigte Staaten, 90404
- Rekrutierung
- UCLA Hematology/Oncology - Santa Monica
-
Kontakt:
- Study Coordinator
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Connecticut
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New Haven, Connecticut, Vereinigte Staaten, 06519
- Rekrutierung
- Yale Cancer Center
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Kansas
-
Kansas City, Kansas, Vereinigte Staaten, 66205
- Rekrutierung
- The University of Kansas Cancer Center (KUCC)
-
Kontakt:
- Study Coordinator
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-
Michigan
-
Detroit, Michigan, Vereinigte Staaten, 48201
- Rekrutierung
- Karmanos Cancer Institute
-
Kontakt:
- Study Coordinator
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-
New York
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New York, New York, Vereinigte Staaten, 10032
- Rekrutierung
- Columbia University Irving Medical Center
-
Kontakt:
- Study Coordinator
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North Carolina
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Durham, North Carolina, Vereinigte Staaten, 27710
- Rekrutierung
- Duke University Medical Center (DUMC)
-
Kontakt:
- Study Coordinator
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Ohio
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Cincinnati, Ohio, Vereinigte Staaten, 45219
- Rekrutierung
- University of Cincinnati Medical Center
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Kontakt:
- Study Coordinator
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Cleveland, Ohio, Vereinigte Staaten, 44195
- Rekrutierung
- Cleveland Clinic Taussig Cancer Institute
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Kontakt:
- Study Coordinator
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Texas
-
Houston, Texas, Vereinigte Staaten, 77030
- Rekrutierung
- The University of Texas MD Anderson Cancer Center
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Kontakt:
- Study Coordinator
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San Antonio, Texas, Vereinigte Staaten, 78229
- Rekrutierung
- UT Health San Antonio - Mays Cancer Center
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Kontakt:
- Study Coordinator
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Wisconsin
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Madison, Wisconsin, Vereinigte Staaten, 53792
- Rekrutierung
- University of Wisconsin Health - UW Carbone Cancer Center
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Kontakt:
- Study Coordinator
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Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
Inclusion Criteria:
- Informed of the study before the start of the study and voluntarily sign their name and date in the ICF
- Able and willing to comply with protocol visits and procedures
- Age≥ 18 years
- ECOG PS of 0 or 1
- Pathologically confirmed diagnosis of an advanced solid tumor. For CRC cohorts: : Histologically or cytologically documented locally advanced unresectable or metastatic colorectal carcinoma that is not eligible for curative surgery and/or definitive chemoradiotherapy
- Adequate organ and bone marrow function.
- Have at least 1 extracranial measurable tumor lesion.
- Adequate archival formalin-fixed paraffin embedded (FFPE) tissue from prior biopsy.
Exclusion Criteria:
- Prior treatment with an agent targeting CDH17
- Prior discontinuation of a topoisomerase I inhibitor due to treatment-related toxicities.
- Have received an ADC consisting of a topoisomerase I inhibitor.
- Concurrent enrollment in another clinical study, unless it is an observational clinical study.
- Inadequate washout period for prior anticancer treatment before the first dose of study drug
- Undergone major surgery within 4 weeks before the first dose of study drug or expect major surgery during the study, minor procedures (e.g., core needle biopsy, superficial biopsy) within 7 days before the first dose of study drug.
- Received long term systemic steroids or other immunosuppressive therapy within 2 weeks before the first dose of study drug.
- Received any live vaccine within 4 weeks before the first dose of study drug or intend to receive a live vaccine during the study.
- Diagnosis or evidence of spinal cord compression or leptomeningeal carcinomatosis.
- Uncontrolled or clinically significant cardiovascular and cerebrovascular diseases.
- A history of non-infectious interstitial lung disease (ILD)/pneumonitis that requires steroids, current active ILD/pneumonitis.
- Have clinically severe pulmonary compromise resulting from intercurrent pulmonary illnesses.
- Uncontrolled third-space fluid that requires repeated drainage.
- Digestive system disease that may cause bleeding, perforation, jaundice, fistula, GI obstruction within 6 months prior to the first dose of study drug administration or have active inflammatory bowel disease.
- An active tuberculosis based on medical history.
- Known human immunodeficiency virus (HIV) infection.
- Active hepatitis C infection.
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Nicht randomisiert
- Interventionsmodell: Sequenzielle Zuweisung
- Maskierung: Keine (Offenes Etikett)
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
|---|---|
|
Experimental: Combo-Dose Escalation,Backfill and Expansion
Participants will receive YL217 in combination of bevacizumab with or without 5-FU/LV |
Patients will receive specific dose of YL217 administered via intravenous(IV)infusion. Participants will receive bevacizumab administered via intravenous(IV) infusion,at 5mg/kg,Q2W. Participants will receive 5 fluorouracil 2400mg/m2 and leucovorin 400mg/m2, administered via intravenous (IV) infusion, Q2W |
|
Experimental: Mono-Dose Escalation,Backfill and Expansion
Participants will receive YL217 monotherapy |
Patients will receive specific dose of YL217 administered via intravenous(IV)infusion. |
Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Nature and frequency of dose-limiting toxicity(DLT)
Zeitfenster: Up to approximately 3 years
|
The purpose of DLT is to find maximum tolerated dose (MTD). |
Up to approximately 3 years
|
|
Nature and frequency of adverse events (AEs) with severity
Zeitfenster: Up to approximately 3 years
|
Nature and frequency of AEs with severity is aim to evaluate the safety of YL217. |
Up to approximately 3 years
|
|
objective response rate (ORR)
Zeitfenster: Up to approximately 3 years
|
ORR: defined as the proportion of patients who achieved a best overall response of complete response (CR) or partial response (PR). |
Up to approximately 3 years
|
Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Bewertung des Sicherheitsendpunkts der peripheren Sauerstoffsättigung (SPO2)
Zeitfenster: Bis zu ungefähr 3 Jahre
|
Bis zu ungefähr 3 Jahre
|
|
|
Eastern Cooperative Oncology Group performance status (ECOG PS)
Zeitfenster: Up to approximately 3 years
|
Deterioration of Eastern Cooperative Oncology Group performance status (ECOG PS) |
Up to approximately 3 years
|
|
Characterize Pharmacokinetics(PK) parameter AUC
Zeitfenster: Up to approximately 3 years
|
The area under curve: AUC is the total amount of YL217 in bloodstream after drug administration. |
Up to approximately 3 years
|
|
Characterize Pharmacokinetics(PK) parameter Cmax
Zeitfenster: Up to approximately 3 years
|
Maximum concentration:The highest measured concentration of YL217 in the bloodstream. |
Up to approximately 3 years
|
|
Characterize Pharmacokinetics(PK) parameter Ctrough
Zeitfenster: Up to approximately 3 years
|
Trough concentration |
Up to approximately 3 years
|
|
Characterize Pharmacokinetics(PK) parameter Tmax
Zeitfenster: Up to approximately 3 years
|
Time to maximum observed concentration |
Up to approximately 3 years
|
|
Characterize Pharmacokinetics(PK) parameter CL
Zeitfenster: Up to approximately 3 years
|
Clearance: defined as the amount of drug removed from the bloodstream by the body per unit of time. |
Up to approximately 3 years
|
|
Characterize Pharmacokinetics(PK) parameter Vd
Zeitfenster: Up to approximately 3 years
|
volume of distribution |
Up to approximately 3 years
|
|
Characterize Pharmacokinetics(PK) parameter t1/2
Zeitfenster: Up to approximately 3 years
|
Half-life time:defined as the time it takes for the concentration of the drug in plasma or serum to be reduced by 50%. |
Up to approximately 3 years
|
|
Immunogenicity endpoint: Incidence of anti-YL217 antibody (ADAs).
Zeitfenster: Up to approximately 3 years
|
The presence of ADAs in patients treated with YL217 will be assessed to evaluate immunogenicity. |
Up to approximately 3 years
|
|
Disease control rate (DCR)
Zeitfenster: Up to approximately 3 years
|
DCR: defined as the proportion of patients who achieved a best overall response of complete response (CR), partial response (PR) or stable disease (SD). |
Up to approximately 3 years
|
|
Duration of response (DoR)
Zeitfenster: Up to approximately 3 years
|
DoR: defined as the time interval from the date of the first documentation of objective response (CR or PR) to the date of the first documentation of progressive disease (PD). |
Up to approximately 3 years
|
|
Time to response (TTR)
Zeitfenster: Up to approximately 3 years
|
TTR: defined as the time interval from the date of the first dose of study drug to the date of the first documentation of objective response (CR or PR). |
Up to approximately 3 years
|
|
Depth of response (DpR)
Zeitfenster: Up to approximately 3 years
|
DpR: defined as the proportion of target lesion shrinkage from baseline to maximum tumor size. |
Up to approximately 3 years
|
|
Progression-free survival (PFS)
Zeitfenster: Up to approximately 3 years
|
PFS: defined as the time interval from the date of the first dose of study drug to the date of first documentation of PD or death due to any cause, whichever occurs first. |
Up to approximately 3 years
|
|
Overall survival (OS)
Zeitfenster: Up to approximately 3 years
|
OS: defined as the time interval from the date of the first dose of study drug to the date of death due to any cause. |
Up to approximately 3 years
|
Mitarbeiter und Ermittler
Sponsor
Sponsor
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
Zusätzliche relevante MeSH-Bedingungen
- Aminosäuren, Peptide und Proteine
- Proteine
- Heterocyclische Verbindungen, 1-Ring
- Heterocyclische Verbindungen
- Heterocyclische Verbindungen, 2-Ring
- Heterocyclische Verbindungen, Fusionsring
- Enzyme und Coenzyme
- Antikörper, monoklonal, humanisiert
- Antikörper, monoklonal
- Antikörper
- Immunglobuline
- Immunoproteine
- Blutproteine
- Serumglobuline
- Globuline
- Pyrimidine
- Formyltetrahydrofolate
- Tetrahydrofolate
- Folsäure
- Pterins
- Pteridine
- Uracil
- Pyrimidinone
- Coenzyme
- Bevacizumab
- Fluoruracil
- Leucovorin
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- YL217-INT-101-01
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