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).
Tutkimuksen yleiskatsaus
Tila
Tila
Ehdot
Ehdot
Interventio / Hoito
Interventio / Hoito
Yksityiskohtainen kuvaus
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.
Opintotyyppi
Opintotyyppi
Ilmoittautuminen (Arvioitu)
Ilmoittautuminen
Vaihe
Vaihe
- Vaihe 1
Yhteystiedot ja paikat
Opiskeluyhteys
Opiskeluyhteys
- Nimi: Kaiqi Zong, Master
- Puhelinnumero: 13683178623
- Sähköposti: zongkaiqi@innovmedicine.com
Tutki yhteystietojen varmuuskopiointi
- Nimi: Yaqian Cui, Master
- Puhelinnumero: 18811320289
- Sähköposti: cuiyaqian@innovmedicine.com
Opiskelupaikat
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Beijing Municipality
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Beijing, Beijing Municipality, Kiina, 102218
- Rekrytointi
- Beijing Tsinghua Changgung Hospital
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Ottaa yhteyttä:
- Xuejun Yang, Ph.D
- Puhelinnumero: 13011329950
- Sähköposti: yxja03728@btch.edu.cn
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Beijing, Beijing Municipality, Kiina
- Rekrytointi
- Sanbo Brain Hospital, Capital Medical University
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Ottaa yhteyttä:
- Junping Zhang, Ph.D
- Puhelinnumero: 13811099759
- Sähköposti: doczhjp@hotmail.com
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California
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Los Angeles, California, Yhdysvallat, 90095
- Ei vielä rekrytointia
- University of California, Los Angeles (UCLA)
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Ottaa yhteyttä:
- Timothy Cloughesy, Ph.D
- Sähköposti: John.deGroot@ucsf.edu
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San Francisco, California, Yhdysvallat, 94158
- Ei vielä rekrytointia
- University of California, San Francisco (UCSF)
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Ottaa yhteyttä:
- Nazanin Majd, Ph.D
- Sähköposti: NKMajd@mdanderson.org
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Texas
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Houston, Texas, Yhdysvallat, 77030
- Ei vielä rekrytointia
- The University of Texas MD Anderson Cancer Center
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Ottaa yhteyttä:
- Nazanin Majd, Ph.D
- Sähköposti: TCloughesy@mednet.ucla.edu
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Osallistumiskriteerit
Kelpoisuusvaatimukset
Kelpoisuusvaatimukset
Opintokelpoiset iät
Hyväksyy terveitä vapaaehtoisia
Sukupuolet, jotka voivat opiskella
Kuvaus
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
Opintosuunnitelma
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
- Ensisijainen käyttötarkoitus: Hoito
- Jako: Ei käytössä
- Inventiomalli: Yksittäinen ryhmätehtävä
- Naamiointi: Ei mitään (avoin tarra)
Aseiden lukumäärä
Aseet ja interventiot
Osallistujaryhmä / ArmOsallistujaryhmä / Arm |
Interventio / HoitoInterventio / Hoito |
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Kokeellinen: 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. |
Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
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To Incidence and characteristics of AEs/SAEs;
Aikaikkuna: 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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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
Aikaikkuna: 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
Aikaikkuna: 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 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
Aikaikkuna: 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
Aikaikkuna: 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)
Aikaikkuna: 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]
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Toissijaiset tulostoimenpiteet
Toissijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
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Peak Plasma Concentration (Cmax) and Time to Peak Plasma Concentration (Tmax) of YN003
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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)
Aikaikkuna: 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)
Aikaikkuna: 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)
Aikaikkuna: 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)
Aikaikkuna: 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)
Aikaikkuna: 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).
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Yhteistyökumppanit ja tutkijat
Sponsori
Sponsori
Opintojen ennätyspäivät
Opi tärkeimmät päivämäärät
Opiskelun aloitus (Todellinen)
Opiskelun aloitus
Ensisijainen valmistuminen (Arvioitu)
Ensisijainen valmistuminen
Opintojen valmistuminen (Arvioitu)
Opintojen valmistuminen
Opintoihin ilmoittautumispäivät
Ensimmäinen lähetetty
Ensimmäinen lähetetty
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Ensimmäinen Lähetetty (Todellinen)
Ensimmäinen Lähetetty
Tutkimustietojen päivitykset
Viimeisin päivitys julkaistu (Todellinen)
Viimeisin päivitys julkaistu
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Viimeksi vahvistettu
Viimeksi vahvistettu
Lisää tietoa
Tähän tutkimukseen liittyvät termit
Avainsanat
Muita asiaankuuluvia MeSH-ehtoja
- Aivojen sairaudet
- Keskushermoston sairaudet
- Hermoston sairaudet
- Patologiset prosessit
- Neoplasmat sivustoittain
- Neoplasmat
- Sairauden ominaisuudet
- Neoplasmat histologisen tyypin mukaan
- Kasvaimet, rauhas- ja epiteelikasvaimet
- Astrosytooma
- Neoplasmat, neuroepiteliaaliset
- Neuroektodermaaliset kasvaimet
- Neoplasmat, sukusolut ja alkiot
- Kasvaimet, hermokudos
- Hermoston kasvaimet
- Keskushermoston kasvaimet
- Patologiset tilat, merkit ja oireet
- Toistuminen
- Glioblastooma
- Glioma
- Aivojen kasvaimet
Muut tutkimustunnusnumerot
Muut tutkimustunnusnumerot
- YN003-101
- Beijing Inno Medicine Co., Ltd (Rekisterin tunniste: IND181709)
Lääke- ja laitetiedot, tutkimusasiakirjat
Tutkii yhdysvaltalaista FDA sääntelemää lääkevalmistetta
Tutkii yhdysvaltalaista FDA sääntelemää laitetuotetta
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