A Phase I Clinical Study of YN003 in the Treatment of Glioma
A Phase 1, Open-Label, Single-Arm, Dose-Escalation and Dose-Expansion Study of YN003 Injection in Patients With Glioma
This is a Phase 1, open-label, single-arm, dose-escalation and dose-expansion study to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary efficacy of YN003 Injection in patients with recurrent or progressive glioma. The study consists of Part A (dose escalation using a Bayesian Optimal Interval design) and Part B (dose expansion at the recommended Phase 2 dose).
Descripción general del estudio
Estado
Estado
Condiciones
Condiciones
Intervención / Tratamiento
Intervención / Tratamiento
Descripción detallada
YN003 is an investigationalliposome injection designed to deliver the active drug preferentially to specific glioma tissue. Part A will evaluate ascending doses of YN003 administered by intravenous infusion once every 4 weeks to determine the maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D). The dose-limiting toxicity (DLT) observation period is 28 days. Approximately 21 to 30 DLT-evaluable subjects will be enrolled in Part A. Part B will enroll approximately 10 to 20 additional subjects at the RP2D to further evaluate safety, pharmacokinetics, and preliminary efficacy. The study will be conducted in the United States and China.
Tipo de estudio
Tipo de estudio
Inscripción (Estimado)
Inscripción
Fase
Fase
- Fase 1
Contactos y Ubicaciones
Estudio Contacto
Estudio Contacto
- Nombre: Kaiqi Zong, Master
- Número de teléfono: 13683178623
- Correo electrónico: zongkaiqi@innovmedicine.com
Copia de seguridad de contactos de estudio
- Nombre: Yaqian Cui, Master
- Número de teléfono: 18811320289
- Correo electrónico: cuiyaqian@innovmedicine.com
Ubicaciones de estudio
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California
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Los Angeles, California, Estados Unidos, 90095
- Aún no reclutando
- University of California, Los Angeles (UCLA)
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Contacto:
- Timothy Cloughesy, Ph.D
- Correo electrónico: John.deGroot@ucsf.edu
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San Francisco, California, Estados Unidos, 94158
- Aún no reclutando
- University of California, San Francisco (UCSF)
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Contacto:
- Nazanin Majd, Ph.D
- Correo electrónico: NKMajd@mdanderson.org
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Texas
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Houston, Texas, Estados Unidos, 77030
- Aún no reclutando
- The University of Texas MD Anderson Cancer Center
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Contacto:
- Nazanin Majd, Ph.D
- Correo electrónico: TCloughesy@mednet.ucla.edu
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Beijing Municipality
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Beijing, Beijing Municipality, Porcelana, 102218
- Reclutamiento
- Beijing Tsinghua Changgung Hospital
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Contacto:
- Xuejun Yang, Ph.D
- Número de teléfono: 13011329950
- Correo electrónico: yxja03728@btch.edu.cn
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Beijing, Beijing Municipality, Porcelana
- Reclutamiento
- Sanbo Brain Hospital, Capital Medical University
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Contacto:
- Junping Zhang, Ph.D
- Número de teléfono: 13811099759
- Correo electrónico: doczhjp@hotmail.com
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Criterios de participación
Criterio de elegibilidad
Criterio de elegibilidad
Edades elegibles para estudiar
Acepta Voluntarios Saludables
Géneros elegibles para el estudio
Descripción
Inclusion Criteria:
- Voluntarily sign the informed consent form, understand the study, and be willing to comply with the protocol and complete all study procedures.
- Male or female subjects 18 years ≤ aged ≤ 70 years.
- Histologically confirmed recurrent or progressive glioma, including glioblastoma, as defined by the 2021 WHO Classification of Tumors of the Central Nervous System, Grade 3 to Grade 4, following standard therapy.Excluding re-irradiation for same lesions
- Karnofsky Performance Status (KPS) ≥60.
- At least one measurable lesion per RANO 2.0 criteria.
- Have adequate hematologic, cardiac, hepatic, renal, coagulation, and pulmonary function at final screening.
- Have completed the required washout period for prior therapies before dosing on Day 1.
- Corticosteroid dose must be stable or tapering within 7 days prior to dosing.
Exclusion Criteria:
- Participation in another interventional clinical study within 1 month prior to the date when subject signed the consent form.
- Receipt of a live vaccine within 30 days prior to study treatment.
- Pregnant or breastfeeding women.
- Clinically significant intracranial hypertension (e.g., impending brain herniation or requiring urgent palliative intervention) or uncontrolled seizures. Subjects requiring antiepileptic drugs are eligible only if the dose has been stable for ≥ 14 days prior to first dosing
- Toxicities from prior anticancer therapy that have not recovered to CTCAE v6.0 Grade ≤1, except for alopecia or other events considered tolerable by the investigator.
- Contraindications to MRI, including but not limited to pacemakers, epicardial pacing leads, infusion pumps, aneurysm clips, metal fragments, metallic prostheses, magnetic implants, intraocular metal objects, or non-removable metallic dental implants.
- Uncontrolled or severe cardiovascular or cerebrovascular disease
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: N / A
- Modelo Intervencionista: Asignación de un solo grupo
- Enmascaramiento: Ninguno (etiqueta abierta)
Número de brazos
Armas e Intervenciones
Grupo de participantes/brazoGrupo de participantes/brazo |
Intervención / TratamientoIntervención / Tratamiento |
|---|---|
|
Experimental: Study Drug: YN003 Injection
Single-arm, open-label study of YN003 administered by intravenous infusion once every 4 weeks. |
YN003 is an investigational liposome injection designed to deliver the drug preferentially to specific glioma tissue. Part A will evaluate ascending doses of YN003 administered by intravenous infusion once every 4 weeks to determine the maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D). The dose-limiting toxicity (DLT) observation period is 28 days. Approximately 21 to 30 DLT-evaluable subjects will be enrolled in Part A. Part B will enroll approximately 10 to 20 additional subjects at the RP2D to further evaluate safety, pharmacokinetics, and preliminary efficacy. The study will be conducted in the United States and China. |
¿Qué mide el estudio?
Medidas de resultado primarias
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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To Incidence and characteristics of AEs/SAEs;
Periodo de tiempo: From first dose of YN003 to 30 days after the last dose (or initiation of new antitumor therapy, whichever occurs first)
|
Assessed and graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 6.0. |
From first dose of YN003 to 30 days after the last dose (or initiation of new antitumor therapy, whichever occurs first)
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Incidence of clinically significant abnormalities in laboratory tests
Periodo de tiempo: From first dose of YN003 to 30 days after the last dose (or initiation of new antitumor therapy, whichever occurs first)
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Percentage of participants with clinically significant abnormalities in hematology, blood chemistry, urinalysis, and coagulation lipid, Thyroid function. |
From first dose of YN003 to 30 days after the last dose (or initiation of new antitumor therapy, whichever occurs first)
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|
Incidence of clinically significant abnormalities in vital signs
Periodo de tiempo: From first dose of YN003 to 30 days after the last dose (or initiation of new antitumor therapy, whichever occurs first)
|
Percentage of participants with clinically significant abnormalities in body temperature, respiratory rate, blood pressure, pulse rate, and oxygen saturation. |
From first dose of YN003 to 30 days after the last dose (or initiation of new antitumor therapy, whichever occurs first)
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|
Incidence of clinically significant abnormalities in physical examinations
Periodo de tiempo: From first dose of YN003 to 30 days after the last dose (or initiation of new antitumor therapy, whichever occurs first)
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Percentage of participants with clinically significant abnormalities in general physical examinations and neurological examinations. |
From first dose of YN003 to 30 days after the last dose (or initiation of new antitumor therapy, whichever occurs first)
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Change from baseline in 12-lead Electrocardiogram (ECG) parameters
Periodo de tiempo: From first dose of YN003 to 30 days after the last dose (or initiation of new antitumor therapy, whichever occurs first)
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To Incidence and characteristics of Clinically significant changes of ECG The ECG evaluation must include heart rate, QT interval, QTcF, and PR interval. |
From first dose of YN003 to 30 days after the last dose (or initiation of new antitumor therapy, whichever occurs first)
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To assess the tolerability of YN003 in subjects with recurrent/progressive glioma (WHO grade 3 - 4)
Periodo de tiempo: First 28 days after the first dose of YN003 MTD:During dose escalation (Part A), approximately 21-30 DLT-evaluable subjects]
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Dose-limiting toxicity (DLT) Maximum tolerated dose (MTD) |
First 28 days after the first dose of YN003 MTD:During dose escalation (Part A), approximately 21-30 DLT-evaluable subjects]
|
Medidas de resultado secundarias
Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Peak Plasma Concentration (Cmax) and Time to Peak Plasma Concentration (Tmax) of YN003
Periodo de tiempo: Up to 28 days of post initiation of last dose
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Maximum observed plasma concentration (Cmax) and time to reach maximum observed plasma concentration (Tmax). |
Up to 28 days of post initiation of last dose
|
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Area Under the Plasma Concentration-Time Curve (AUC) of YN003
Periodo de tiempo: Up to 28 days of post initiation of last dose
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Area under the plasma concentration versus time curve from time zero to the last quantifiable time point (AUC0-t) and from time zero to infinity (AUC0-∞). |
Up to 28 days of post initiation of last dose
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Terminal Half-life (t1/2), Clearance (CL), and Volume of Distribution (Vd) of YN003
Periodo de tiempo: Up to 28 days of post initiation of last dose
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Terminal elimination half-life, total body clearance, and apparent volume of distribution. |
Up to 28 days of post initiation of last dose
|
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Overall Survival (OS)
Periodo de tiempo: From 1st dose to death from any cause, assessed at 6 and 12 months after first dose.
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OS rates at 6 and 12 months. |
From 1st dose to death from any cause, assessed at 6 and 12 months after first dose.
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Progression-Free Survival (PFS)
Periodo de tiempo: From 1st dose until the date to first documented disease progression or death from any cause, whichever comes first, assessed at 6 and 12 months after first dose.
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PFS rates at 6 and 12 months, assessed by the investigator per RANO 2.0 criteria. |
From 1st dose until the date to first documented disease progression or death from any cause, whichever comes first, assessed at 6 and 12 months after first dose.
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Objective Response Rate (ORR)
Periodo de tiempo: From first dose until disease progression or initiation of new antitumor therapy (estimated up to 2 years).
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Percentage of participants with a confirmed complete response (CR) or partial response (PR) as assessed by the investigator per RANO 2.0 criteria. |
From first dose until disease progression or initiation of new antitumor therapy (estimated up to 2 years).
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Duration of Response (DoR)
Periodo de tiempo: From the date of 1st dose to the date of first documented disease progression or death (estimated up to 1 year).
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Time from the first documented objective response to the date of first documented disease progression or death from any cause, whichever comes first. |
From the date of 1st dose to the date of first documented disease progression or death (estimated up to 1 year).
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Disease Control Rate (DCR)
Periodo de tiempo: From first dose until disease progression or initiation of new antitumor therapy (estimated up to 2 years).
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Percentage of participants with a confirmed complete response (CR), partial response (PR), or stable disease (SD) as assessed by the investigator per RANO 2.0 criteria. |
From first dose until disease progression or initiation of new antitumor therapy (estimated up to 2 years).
|
Colaboradores e Investigadores
Patrocinador
Patrocinador
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Actual)
Inicio del estudio
Finalización primaria (Estimado)
Finalización primaria
Finalización del estudio (Estimado)
Finalización del estudio
Fechas de registro del estudio
Enviado por primera vez
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Actual)
Publicado por primera vez
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización publicada
Última actualización enviada que cumplió con los criterios de control de calidad
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
- Enfermedades Cerebrales
- Enfermedades del Sistema Nervioso Central
- Enfermedades del Sistema Nervioso
- Procesos Patológicos
- Neoplasias por sitio
- Neoplasias
- Atributos de la enfermedad
- Neoplasias por tipo histológico
- Neoplasias Glandulares y Epiteliales
- Astrocitoma
- Neoplasias Neuroepiteliales
- Tumores neuroectodérmicos
- Neoplasias De Células Germinales Y Embrionarias
- Neoplasias De Tejido Nervioso
- Neoplasias del Sistema Nervioso
- Neoplasias del Sistema Nervioso Central
- Condiciones Patológicas, Signos y Síntomas
- Reaparición
- Glioblastoma
- Glioma
- Neoplasias Cerebrales
Otros números de identificación del estudio
Otros números de identificación del estudio
- YN003-101
- Beijing Inno Medicine Co., Ltd (Identificador de registro: IND181709)
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
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