Study of JAB-23E73 in Combination With Chemotherapy in Participants With Metastatic PDAC Harboring KRAS Gene Alterations
A Multicenter, Phase Ib/III Study to Evaluate JAB-23E73 in Combination With Nab-Paclitaxel and Gemcitabine in Participants With Metastatic Pancreatic Ductal Adenocarcinoma Harboring KRAS Gene Alterations
調査の概要
詳細な説明
This is a phase Ib/III, multicenter study designed to evaluate the safety, tolerability, pharmacokinetics (PK) and preliminary antineoplastic activity of pan-KRAS inhibitor JAB-23E73 in combination with nab-paclitaxel and gemcitabine in treatment-naive participants with metastatic PDAC.
Phase Ib study:an open-label study, including dose escalation and backfill cohorts, with approximately 40-80 participants planned to be enrolled (including approximately 20-50 participants in the backfill cohort),Aiming to determine the recommended phase III dose [RP3D] within investigated patient population groups.
Phase III: Following confirmation of the efficacy and safety of JAB-23E73 in combination with the AG regimen in Phase Ib, a Phase III trial will be initiated to evaluate the efficacy and safety of JAB-23E73 plus AG versus AG alone for the treatment of metastatic PDAC.
研究の種類
入学 (推定)
段階
- フェーズ2
- フェーズ 1
連絡先と場所
研究連絡先
- 名前:Jacobio Pharmaceuticals
- 電話番号:86 10 56315466
- メール:clinicaltrials@jacobiopharma.com
研究場所
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Beijing、中国
- Beijing Tsinghua Changgung Hospital
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コンタクト:
- Beijing Tsinghua Changgung Hospital
- 電話番号:86+13366152815
- メール:joelbmu@126.com
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Changsha、中国
- Hunan Cancer Hospital
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コンタクト:
- Hunan Cancer Hospital
- 電話番号:86+18673181133
- メール:liuzhenyang@hnca.org.cn
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Harbin、中国
- Harbin Medical University Cancer Hospital
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コンタクト:
- Harbin Medical University Cancer Hospital
- 電話番号:86+13845120210
- メール:yanqiaozhang@126.com
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Nanjing、中国
- Jiangsu Province Hospital
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コンタクト:
- Jiangsu Province Hospital
- 電話番号:86+13585172066
- メール:Xiaofengch198019@126.com
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Shanghai、中国
- Shanghai Jiaotong University School of Medicine Ruijin Hospital
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コンタクト:
- Shanghai Jiaotong University School of Medicine Ruijin Hospita
- 電話番号:86+13901943778 86+
- メール:shenby@shsmu.edu.cn
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Taiyuan、中国
- Shanxi Cancer Hospital
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コンタクト:
- ShanXi Cancer Hospital
- 電話番号:86+13811176181
- メール:WXCAMS@126.com
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Wuhan、中国
- Wuhan Union Hospital Of China
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コンタクト:
- Wuhan Union Hospital Of China
- 電話番号:86+13720117761
- メール:heshuiwu@hust.ed.cn
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Wuhan、中国
- Zhongnan Hospital of Wuhan University
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コンタクト:
- Zhongnan Hospital of Wuhan University
- 電話番号:86-13971235235 86+13971235235
- メール:pjxp888@126.com
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Wuhan、中国
- Hubei Province Hospital
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コンタクト:
- Hubei Province Hospital
- 電話番号:86+15629019627
- メール:971070316@qq.com
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Zhengzhou、中国
- Henan Cancer Hospital
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コンタクト:
- Henan Cancer Hospital
- 電話番号:86+13937100233
- メール:2290773710@qq.com
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Zhengzhou、中国
- The First Affiliated Hospital of Zhengzhou University
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コンタクト:
- The First Affiliated hospital of Zhengzhou University
- 電話番号:86+13676932999
- メール:yanruqin@163.com
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Beijing Municipality
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Beijing、Beijing Municipality、中国、100142
- Beijing Cancer Hospital
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コンタクト:
- Beijing Cancer Hospital
- 電話番号:86+13911219511
- メール:doctorshenlin@sina.com
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Zhejiang
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Hangzhou、Zhejiang、中国、310005
- Zhejiang Cancer Hospital
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コンタクト:
- Zhejiang Cancer Hospital
- 電話番号:86+13858195803
- メール:hzyingjieer@163.com
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参加基準
適格基準
就学可能な年齢
- 大人
- 高齢者
健康ボランティアの受け入れ
説明
Inclusion Criteria:
1.Written informed consent signed by the participant or the participant's legally authorized representative must be obtained prior to performing any study-related procedures. 2. Histologically or cytologically confirmed metastatic PDAC.
3. No prior systemic antitumor therapy for advanced disease (treatment-naïve). 4. Presence of KRAS gene alterations: be enrolled upon approval by the sponsor).
5. ECOG performance status score of 0 or 1. 6. Adequate organ function.
Exclusion Criteria:
- Inability to swallow oral medications or the presence of gastrointestinal dysfunction or disease that may significantly alter drug absorption.
- A history of another malignancy within 2 years prior to the first dose, histologically distinct from the cancer under study, except for carcinoma in situ of the cervix, superficial non-invasive bladder cancer, or adequately treated stage I non-melanoma skin cancer.
- Prior treatment with KRAS G12C inhibitors, KRAS G12D inhibitors, pan-KRAS inhibitors, or other agents of the same class.
- Primary central nervous system (CNS) tumors.
- Women who are pregnant or breast-feeding.
- Participants who have progressive disease or recurrence during neoadjuvant or adjuvant treatment, or within 6 months after the last dose of medication.
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:処理
- 割り当て:なし
- 介入モデル:順次割り当て
- マスキング:なし(オープンラベル)
武器と介入
参加者グループ / アーム |
介入・治療 |
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実験的:Dose escalation/backfill
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Orally, intravenous (IV) infusion
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この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Dose limiting toxicities (DLT)
時間枠:Up to 28 days
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The number and proportion of participants who experienced dose-limiting toxicities (DLT).
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Up to 28 days
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Adverse events.safety evaluation
時間枠:Up to approximately 3 years
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The types, incidence, severity, and outcomes of adverse events and serious adverse events evaluated using the Common Terminology Criteria for Adverse Events (CTCAE) version 6.0.
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Up to approximately 3 years
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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ORR
時間枠:Up to approximately 3 years
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Objective response rate, ORR is defined as the proportion of participants with confirmed complete response or partial response
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Up to approximately 3 years
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DOR
時間枠:Up to approximately 3 years
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Duration of response, DOR is defined as the time from the first documented CR or PR to the first occurrence of disease progression or death from any cause, whichever occurs first
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Up to approximately 3 years
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TTR
時間枠:Up to approximately 3 years
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Time to Response, TTR is defined as the time from the first dose of study treatment to the first documented CR or PR.
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Up to approximately 3 years
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PFS
時間枠:Up to approximately 3 years
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Progression-Free Survival , PFS is defined as the time from the first dose of study treatment to the first documented disease progression or death from any cause, whichever occurs first.
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Up to approximately 3 years
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DCR
時間枠:Up to approximately 3 years
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Disease Control Rate, DCR is defined as the proportion of participants whose best overall response is CR, PR, or SD..
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Up to approximately 3 years
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OS
時間枠:Up to approximately 3 years
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Overall Survival , OS is defined as the time from the first dose of study treatment to death from any cause.
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Up to approximately 3 years
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PK
時間枠:Up to approximately 3 years
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maximum plasma concentration (Cmax)
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Up to approximately 3 years
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PK
時間枠:Up to approximately 3 years
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area under the plasma concentration-time curve (AUC)
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Up to approximately 3 years
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PK
時間枠:Up to approximately 3 years
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trough plasma concentration (Ctrough)
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Up to approximately 3 years
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協力者と研究者
捜査官
- スタディディレクター:Jacobio Pharmaceuticals、Jacobio Pharmaceuticals
研究記録日
主要日程の研究
研究開始 (推定)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。
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