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A Phase I Clinical Study of YN003 in the Treatment of Glioma

4 de noviembre de 2026 actualizado por: Beijing Inno Medicine Co., Ltd.

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

Reclutamiento

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

Intervencionista

Inscripción (Estimado)

50

Fase

  • Fase 1

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Estudio Contacto

Copia de seguridad de contactos de estudio

Ubicaciones de estudio

    • California
      • Los Angeles, California, Estados Unidos, 90095
        • Aún no reclutando
        • University of California, Los Angeles (UCLA)
        • Contacto:
      • San Francisco, California, Estados Unidos, 94158
        • Aún no reclutando
        • University of California, San Francisco (UCSF)
        • Contacto:
    • Texas
      • Houston, Texas, Estados Unidos, 77030
        • Aún no reclutando
        • The University of Texas MD Anderson Cancer Center
        • Contacto:
    • Beijing Municipality
      • Beijing, Beijing Municipality, Porcelana, 102218
        • Reclutamiento
        • Beijing Tsinghua Changgung Hospital
        • Contacto:
      • Beijing, Beijing Municipality, Porcelana
        • Reclutamiento
        • Sanbo Brain Hospital, Capital Medical University
        • Contacto:
          • Junping Zhang, Ph.D
          • Número de teléfono: 13811099759
          • Correo electrónico: doczhjp@hotmail.com

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

18 años a 70 años (Adulto, Adulto Mayor)

Acepta Voluntarios Saludables

No

Géneros elegibles para el estudio

Todos

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

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿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)

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / 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

Medida de resultado
Medida Descripción
Periodo de tiempo
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)
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)

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)
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)
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)

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)
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)

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)
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]

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

Medida de resultado
Medida Descripción
Periodo de tiempo
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

Maximum observed plasma concentration (Cmax) and time to reach maximum observed plasma concentration (Tmax).

Up to 28 days of post initiation of last dose
Area Under the Plasma Concentration-Time Curve (AUC) of YN003
Periodo de tiempo: Up to 28 days of post initiation of last dose

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
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

Terminal elimination half-life, total body clearance, and apparent volume of distribution.

Up to 28 days of post initiation of last dose
Overall Survival (OS)
Periodo de tiempo: From 1st dose to death from any cause, assessed at 6 and 12 months after first dose.

OS rates at 6 and 12 months.

From 1st dose to death from any cause, assessed at 6 and 12 months after first dose.
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.

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.
Objective Response Rate (ORR)
Periodo de tiempo: From first dose until disease progression or initiation of new antitumor therapy (estimated up to 2 years).

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).
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).

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).
Disease Control Rate (DCR)
Periodo de tiempo: From first dose until disease progression or initiation of new antitumor therapy (estimated up to 2 years).

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

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio (Actual)

27 de octubre de 2026

Finalización primaria (Estimado)

31 de diciembre de 2028

Finalización del estudio (Estimado)

31 de diciembre de 2029

Fechas de registro del estudio

Enviado por primera vez

19 de octubre de 2026

Primero enviado que cumplió con los criterios de control de calidad

4 de noviembre de 2026

Publicado por primera vez (Actual)

10 de noviembre de 2026

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

10 de noviembre de 2026

Última actualización enviada que cumplió con los criterios de control de calidad

4 de noviembre de 2026

Última verificación

1 de noviembre de 2026

Más información

Términos relacionados con este estudio

Información sobre medicamentos y dispositivos, documentos del estudio

Estudia un producto farmacéutico regulado por la FDA de EE. UU.

Sí

Estudia un producto de dispositivo regulado por la FDA de EE. UU.

No

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