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- Ensayo clínico NCT07789327
Phase 1/2 Clinical Study of HY07121 for Injection (Subcutaneous) in Patients With Advanced Solid Tumors
An Open-label, Multiple-center, Phase 1/2 Clinical Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Preliminary Antitumor Activity of HY07121 for Injection (Subcutaneous) in Patients With Advanced Solid Tumors
Descripción general del estudio
Estado
Condiciones
Intervención / Tratamiento
Descripción detallada
Tipo de estudio
Inscripción (Estimado)
Fase
- Fase 2
- Fase 1
Contactos y Ubicaciones
Estudio Contacto
- Nombre: Jinmin Yu, Doctor
- Número de teléfono: +86-521-67626971
- Correo electrónico: sdyujinming@126.com
Copia de seguridad de contactos de estudio
- Nombre: Hongxu Liu, Doctor
- Número de teléfono: +86-024-81916200
- Correo electrónico: liuhongxu3366@163.com
Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
- Adulto
- Adulto Mayor
Acepta Voluntarios Saludables
Descripción
Inclusion Criteria:
- Written informed consent;
- ≥18 years old and ≤80 years old, gender: male or female;
- Dose escalation part: cytologically or histopathologically confirmed locally advanced or advanced solid tumor that has failed standard therapy, or for which no standard therapy exists, or for which standard therapy is not tolerated or has been refused (for tumor types for which PD-1/PD-L1-related inhibitors are approved in China, failure of prior PD-1/PD-L1-related inhibitor therapy is required). Solid tumors in the dose expansion part include non-small cell lung cancer (driver gene-negative), gastric cancer, esophageal cancer, Microsatellite Instability-High / Mismatch Repair-Deficient Solid Tumors (MSI-H/dMMR) solid tumors, cervical cancer, non-muscle-invasive bladder cancer, head and neck squamous cell carcinoma (excluding nasopharyngeal carcinoma), renal cell carcinoma, and other tumor types;
- Dose escalation part: at least one evaluable tumor lesion is required. Dose expansion part: at least one measurable tumor lesion is required (per RECIST v1.1);
- Eastern Cooperative Oncology Group (ECOG) performance status score is 0 or 1;
- Life expectancy ≥3 months;
- Participant must have adequate main organ function;
- Fertile female patients must have a negative serological pregnancy test within 7 days before the first dosing and be willing to use effective birth control/contraception to prevent pregnancy during the study period up to 6 months after the last dosing of the study. Male patients must agree to have no sperm donation plans and to use effective contraceptive methods during the study period until 6 months after the last dose of the study.
- Postmenopausal women must have amenorrhea for at least 12 months before they are considered infertile.
Exclusion Criteria:
- Within the defined washout periods for prior anti-cancer treatments;
- Participant is currently participating or has participated in a study of an investigational agent or using an investigational device within 4 weeks of first dose of HY07121.
- Any other malignancy within 2 years prior to the first dose of the study treatment except for localized cancers that are considered to have been cured and in the opinion of the Investigator present a low risk for recurrence.
- Participant has not recovered (i.e., to Grade 1 or to baseline) from previous anticancer therapy-induced Adverse Events (AEs).
- Participants with a history of recently (within previous 2 years of the first dose of the study treatment) active diverticulitis or symptomatic peptic ulcer disease;
- Major surgery within 4 weeks of receiving the first dose of study treatment;
- Participant has Symptomatic Central Nervous System (CNS) metastases, or CNS metastases requiring CNS-directed local therapy (such as radiotherapy or surgery) or corticosteroids therapy within 4 weeks of first dose of study treatment;
- Participants with untreated or under treatment for tuberculosis, including but not limited to tuberculosis; Patients who have received standardized anti-tuberculosis treatment and have been confirmed cured by the researchers can be included;
- Participants with clinically significant cardiovascular diseases, in the past 6 months prior to the first dose of the study treatment; symptomatic coronary heart disease requiring drug treatment; arrhythmia requiring drug treatment; or uncontrolled hypertension;
- Known Human Immunodeficiency Virus (HIV) infection or known Acquired Immunodeficiency Syndrome (AIDS);
- Active or chronic hepatitis B or hepatitis C infection; treponema pallidum antibody positive, and confirmed positive test;
- Active known or suspected autoimmune disease.
- History of non-infectious pneumonitis that has required a course of oral or intravenous steroids to assist with recovery, or interstitial lung disease or severe obstructive pulmonary disease;
- History of severe allergy;
- History of allogeneic organ transplantation or graft-versus-host disease;
- Have received live/attenuated vaccines and messenger ribonucleic acid(mRNA) vaccines within 4 weeks prior to screening or plan to receive live/attenuated vaccines and mRNA vaccines during the study period;
- Any active infection requires systemic treatment via intravenous infusion within 4 weeks prior to the first dose of study treatment;
- Known psychiatric disorder or drug abuse that would interfere the trial requirements;
- Participant with uncontrolled pleural effusion, pericardial effusion or peritoneal effusion or need drainage;
- In addition to the tumors present at the time of entry into the study, other active malignancies were present within 3 years prior to the first dose (not excluding locally cured tumors, such as skin basal cell carcinoma, superficial bladder cancer or carcinoma in situ of the breast, etc.);
- Participants considered unsuitable for participation in this study by the investigators.
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: No aleatorizado
- Modelo Intervencionista: Asignación Secuencial
- Enmascaramiento: Ninguno (etiqueta abierta)
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
|---|---|
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Experimental: : Test product HY07121 for Injection (Subcutaneous) for Dose Escalation
PART ONE- Dose escalation: HY07121 for Injection (Subcutaneous) should be administered Subcutaneously at recommended dose.
The purpose of the Dose Escalation Phase (Part one) is to characterize the safety and tolerability of the test product HY07121 for Injection (Subcutaneous) and determine the maximum tolerated dose (MTD) (if any) and/or the recommended dose(s) (RD) based on the frequency of the occurrence of Dose-Limiting Toxicity (DLT) in each cohort during the DLT evaluation period.
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Dosage form: Powder for solution for infusion. Strength: 10 mg/vial. Method of administration: Subcutaneous administration. Dose escalation: "3+3" dose escalation rules are used to explore the safety and tolerability of the drug HY07121 for Injection (Subcutaneous).Based on emerging clinical data, dose escalation of an SUD-containing regimen may also follow a standard "3+3" design. Dose expansion: according to the preliminary safety and efficacy results of the dose escalation study, an appropriate dose and tumor species for the expansion study are conducted as discussed by the sponsor and investigators to further explore the safety and clinical effectiveness of the drug product HY07121 for Injection (Subcutaneous) and provide a basis for subsequent clinical studies.
Otros nombres:
Dosage form: Powder for solution for infusion. Strength: 10 mg/vial. Method of administration: I Subcutaneous administration. Dose escalation: "3+3" dose escalation rules are used to explore the safety and tolerability of the drug HY07121 for Injection (Subcutaneous).Based on emerging clinical data, dose escalation of an SUD-containing regimen may also follow a standard "3+3" design. Dose expansion: according to the preliminary safety and efficacy results of the dose escalation study, an appropriate dose and tumor species for the expansion study are conducted as discussed by the sponsor and investigators to further explore the safety and clinical effectiveness of the drug product HY07121 for Injection (Subcutaneous) and provide a basis for subsequent clinical studies.
Otros nombres:
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Experimental: Test product HY07121 for Injection (Subcutaneous) for Dose Expansion
PART TWO- Dose expansion: HY07121 for Injection (Subcutaneous) should be administered Subcutaneously at recommended dose.
Patients will be administered a recommended dose of HY07121 for Injection (Subcutaneous) established from the Dose Escalation Phase of the study.
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Dosage form: Powder for solution for infusion. Strength: 10 mg/vial. Method of administration: Subcutaneous administration. Dose escalation: "3+3" dose escalation rules are used to explore the safety and tolerability of the drug HY07121 for Injection (Subcutaneous).Based on emerging clinical data, dose escalation of an SUD-containing regimen may also follow a standard "3+3" design. Dose expansion: according to the preliminary safety and efficacy results of the dose escalation study, an appropriate dose and tumor species for the expansion study are conducted as discussed by the sponsor and investigators to further explore the safety and clinical effectiveness of the drug product HY07121 for Injection (Subcutaneous) and provide a basis for subsequent clinical studies.
Otros nombres:
Dosage form: Powder for solution for infusion. Strength: 10 mg/vial. Method of administration: I Subcutaneous administration. Dose escalation: "3+3" dose escalation rules are used to explore the safety and tolerability of the drug HY07121 for Injection (Subcutaneous).Based on emerging clinical data, dose escalation of an SUD-containing regimen may also follow a standard "3+3" design. Dose expansion: according to the preliminary safety and efficacy results of the dose escalation study, an appropriate dose and tumor species for the expansion study are conducted as discussed by the sponsor and investigators to further explore the safety and clinical effectiveness of the drug product HY07121 for Injection (Subcutaneous) and provide a basis for subsequent clinical studies.
Otros nombres:
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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Aumento de dosis (primera parte): porcentaje de participantes que experimentaron eventos adversos emergentes del tratamiento (EAET)
Periodo de tiempo: Hasta 2 años
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Incidencia y gravedad de eventos adversos (EA), eventos adversos graves (AAG) y anomalías de laboratorio, según los Criterios de terminología común para eventos adversos (CTCAE) del Instituto Nacional del Cáncer (NCI) Versión 5.0 y la Sociedad Estadounidense de Trasplantes y Terapia Celular ( ASTCT) calificación de consenso
|
Hasta 2 años
|
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Aumento de dosis (primera parte): porcentaje de participantes que experimentaron interrupciones de dosis, retrasos de dosis e intensidad de dosis relacionados con eventos adversos (EA)
Periodo de tiempo: Hasta 2 años
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Aparición de interrupciones de dosis, retrasos de dosis e intensidad de dosis relacionados con eventos adversos (EA) (duración de la exposición a HY07121)
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Hasta 2 años
|
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Expansión de dosis (segunda parte): tasa de respuesta objetiva (TRO)
Periodo de tiempo: Hasta 2 años
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Proporción de participantes que tienen una Respuesta Completa (CR) o una Respuesta Parcial (PR) confirmada
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Hasta 2 años
|
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Dose Escalation (Part One): Incidence and Nature of Dose-Limiting Toxicity (DLT)
Periodo de tiempo: 28 days during the first 4-week cycle
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Dose-Limiting Toxicity (DLT) will be defined using National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 5.0.
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28 days during the first 4-week cycle
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Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Ampliación de dosis (segunda parte): porcentaje de participantes que experimentaron eventos adversos emergentes del tratamiento (EAET)
Periodo de tiempo: Hasta 2 años
|
Incidencia y gravedad de eventos adversos (EA), eventos adversos graves (AAG) y anomalías de laboratorio, según los Criterios de terminología común para eventos adversos (CTCAE) del Instituto Nacional del Cáncer (NCI) Versión 5.0 y la Sociedad Estadounidense de Trasplantes y Terapia Celular ( ASTCT) calificación de consenso
|
Hasta 2 años
|
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Ampliación de dosis (segunda parte): porcentaje de participantes que experimentaron interrupciones de dosis, retrasos de dosis e intensidad de dosis relacionados con eventos adversos (EA)
Periodo de tiempo: Hasta 2 años
|
Aparición de interrupciones de dosis, retrasos de dosis e intensidad de dosis relacionados con eventos adversos (EA) (duración de la exposición a HY07121).
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Hasta 2 años
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Aumento y expansión de dosis: evaluación de HY07121 Cmax
Periodo de tiempo: Hasta 2 años
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Concentración máxima observada (Cmax) observada en el perfil farmacocinético
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Hasta 2 años
|
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Aumento y expansión de dosis: evaluación del AUC de HY07121
Periodo de tiempo: Hasta 2 años
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Área bajo la curva de concentración versus tiempo calculada mediante el método trapezoidal
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Hasta 2 años
|
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Aumento y expansión de dosis: evaluación de HY07121 T1/2
Periodo de tiempo: Hasta 2 años
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El tiempo que tarda en eliminarse la mitad de la concentración del fármaco se calcula utilizando la pendiente de la línea terminal
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Hasta 2 años
|
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Aumento y expansión de dosis: evaluación del anticuerpo antifármaco (ADA) HY07121
Periodo de tiempo: Hasta 2 años
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Incidencia, duración, título de anticuerpo anti-HY07121 (ADA) en suero
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Hasta 2 años
|
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Aumento de dosis (primera parte): tasa de respuesta objetiva (ORR)
Periodo de tiempo: Hasta 2 años
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Proporción de participantes que tienen una respuesta completa (CR) o una respuesta parcial (PR) confirmada determinada por el investigador según los Criterios de evaluación de respuesta en tumores sólidos (RECIST) Versión 1.1
|
Hasta 2 años
|
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Aumento y expansión de dosis: duración de la respuesta (DOR) evaluada por el investigador según los criterios de evaluación de respuesta en tumores sólidos (RECIST) versión 1.1
Periodo de tiempo: Hasta 2 años
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La duración de la respuesta (DOR) se define como el tiempo desde que se cumplen por primera vez los criterios de medición para la respuesta completa (CR)/respuesta parcial (PR) (lo que se registre primero) hasta la primera fecha en que la enfermedad recurrente o progresiva.
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Hasta 2 años
|
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Aumento y expansión de dosis: Tasa de control de enfermedades (DCR) evaluada por el investigador según RECIST Versión 1.1
Periodo de tiempo: Hasta 2 años
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La tasa de control de enfermedades se define como el porcentaje de participantes que han logrado RC o PR o han demostrado una enfermedad estable.
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Hasta 2 años
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Aumento y expansión de dosis: la correlación entre los biomarcadores tumorales y la eficacia
Periodo de tiempo: Hasta 2 años
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La tasa de respuesta objetiva (ORR) se define como la proporción de participantes que tienen una respuesta completa (CR) o una respuesta parcial (PR) confirmada determinada por el investigador según RECIST versión 1.1.
Los biomarcadores tumorales se probarán mediante inmunohistoquímica (IHC) y se calificarán mediante el algoritmo de puntuación de proporción tumoral (TPS) y/o de puntuación positiva combinada (CPS).
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Hasta 2 años
|
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Dose Escalation and Expansion: Progression-Free Survival (PFS) assessed by investigator per RECIST Version 1.1
Periodo de tiempo: Up to 2 years
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Progression-Free Survival (PFS) is defined as the time from the date of first administration of HY07121 for Injection (Subcutaneous) to the date of the first documented disease progression determined by Investigator as per RECIST 1.1 or death from any cause, whichever occurs first
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Up to 2 years
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Dose Escalation and Expansion: Time-To-Progression (TTP) assessed by investigator per RECIST Version 1.1
Periodo de tiempo: Up to 2 years
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Time-To-Progression (TTP) is defined as the time from the date of first administration of HY07121 for Injection (Subcutaneous) to the date of the first documented disease progression
|
Up to 2 years
|
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Dose Escalation and Expansion: Overall Survival (OS)
Periodo de tiempo: Up to 2 years
|
Overall Survival (OS) is defined as the time from the date of first administration of HY07121 for Injection (Subcutaneous) to death due to any cause
|
Up to 2 years
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Colaboradores e Investigadores
Patrocinador
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Estimado)
Finalización primaria (Estimado)
Finalización del estudio (Estimado)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Actual)
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- HY0007-SC-101
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.
Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .