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).
Panoramica dello studio
Stato
Stato
Condizioni
Condizioni
Intervento / Trattamento
Intervento / Trattamento
Descrizione dettagliata
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 di studio
Tipo di studio
Iscrizione (Stimato)
Iscrizione
Fase
Fase
- Fase 1
Contatti e Sedi
Contatto studio
Contatto studio
- Nome: Kaiqi Zong, Master
- Numero di telefono: 13683178623
- Email: zongkaiqi@innovmedicine.com
Backup dei contatti dello studio
- Nome: Yaqian Cui, Master
- Numero di telefono: 18811320289
- Email: cuiyaqian@innovmedicine.com
Luoghi di studio
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Beijing Municipality
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Beijing, Beijing Municipality, Cina, 102218
- Reclutamento
- Beijing Tsinghua Changgung Hospital
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Contatto:
- Xuejun Yang, Ph.D
- Numero di telefono: 13011329950
- Email: yxja03728@btch.edu.cn
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Beijing, Beijing Municipality, Cina
- Reclutamento
- Sanbo Brain Hospital, Capital Medical University
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Contatto:
- Junping Zhang, Ph.D
- Numero di telefono: 13811099759
- Email: doczhjp@hotmail.com
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California
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Los Angeles, California, Stati Uniti, 90095
- Non ancora reclutamento
- University of California, Los Angeles (UCLA)
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Contatto:
- Timothy Cloughesy, Ph.D
- Email: John.deGroot@ucsf.edu
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San Francisco, California, Stati Uniti, 94158
- Non ancora reclutamento
- University of California, San Francisco (UCSF)
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Contatto:
- Nazanin Majd, Ph.D
- Email: NKMajd@mdanderson.org
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Texas
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Houston, Texas, Stati Uniti, 77030
- Non ancora reclutamento
- The University of Texas MD Anderson Cancer Center
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Contatto:
- Nazanin Majd, Ph.D
- Email: TCloughesy@mednet.ucla.edu
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Criteri di partecipazione
Criteri di ammissibilità
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Sessi ammissibili allo studio
Descrizione
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
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: N / A
- Modello interventistico: Assegnazione di gruppo singolo
- Mascheramento: Nessuno (etichetta aperta)
Numero di armi
Armi e interventi
Gruppo di partecipanti / ArmGruppo di partecipanti / Arm |
Intervento / TrattamentoIntervento / Trattamento |
|---|---|
|
Sperimentale: 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. |
Cosa sta misurando lo studio?
Misure di risultato primarie
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
To Incidence and characteristics of AEs/SAEs;
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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)
Lasso di tempo: 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]
|
Misure di risultato secondarie
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Peak Plasma Concentration (Cmax) and Time to Peak Plasma Concentration (Tmax) of YN003
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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)
Lasso di tempo: 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)
Lasso di tempo: 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)
Lasso di tempo: 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)
Lasso di tempo: 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)
Lasso di tempo: 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).
|
Collaboratori e investigatori
Sponsor
Sponsor
Studiare le date dei record
Studia le date principali
Inizio studio (Effettivo)
Inizio studio
Completamento primario (Stimato)
Completamento primario
Completamento dello studio (Stimato)
Completamento dello studio
Date di iscrizione allo studio
Primo inviato
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Primo Inserito
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento pubblicato
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Termini MeSH pertinenti aggiuntivi
- Malattie del cervello
- Malattie del sistema nervoso centrale
- Malattie del sistema nervoso
- Processi patologici
- Neoplasie per sede
- Neoplasie
- Attributi della malattia
- Neoplasie per tipo istologico
- Neoplasie, ghiandolari ed epiteliali
- Astrocitoma
- Neoplasie, Neuroepiteliali
- Tumori neuroectodermici
- Neoplasie, cellule germinali ed embrionali
- Neoplasie, tessuto nervoso
- Neoplasie del sistema nervoso
- Neoplasie del sistema nervoso centrale
- Condizioni patologiche, segni e sintomi
- Ricorrenza
- Glioblastoma
- Glioma
- Neoplasie cerebrali
Altri numeri di identificazione dello studio
Altri numeri di identificazione dello studio
- YN003-101
- Beijing Inno Medicine Co., Ltd (Identificatore di registro: IND181709)
Informazioni su farmaci e dispositivi, documenti di studio
Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti
Studia un dispositivo regolamentato dalla FDA degli Stati Uniti
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