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).
調査の概要
詳細な説明
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.
研究の種類
入学 (推定)
段階
- フェーズ 1
連絡先と場所
研究連絡先
- 名前:Kaiqi Zong, Master
- 電話番号:13683178623
- メール:zongkaiqi@innovmedicine.com
研究連絡先のバックアップ
- 名前:Yaqian Cui, Master
- 電話番号:18811320289
- メール:cuiyaqian@innovmedicine.com
研究場所
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California
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Los Angeles、California、アメリカ、90095
- まだ募集していません
- University of California, Los Angeles (UCLA)
-
コンタクト:
- Timothy Cloughesy, Ph.D
- メール:John.deGroot@ucsf.edu
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San Francisco、California、アメリカ、94158
- まだ募集していません
- University of California, San Francisco (UCSF)
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コンタクト:
- Nazanin Majd, Ph.D
- メール:NKMajd@mdanderson.org
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Texas
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Houston、Texas、アメリカ、77030
- まだ募集していません
- The University of Texas MD Anderson Cancer Center
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コンタクト:
- Nazanin Majd, Ph.D
- メール:TCloughesy@mednet.ucla.edu
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Beijing Municipality
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Beijing、Beijing Municipality、中国、102218
- 募集
- Beijing Tsinghua Changgung Hospital
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コンタクト:
- Xuejun Yang, Ph.D
- 電話番号:13011329950
- メール:yxja03728@btch.edu.cn
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Beijing、Beijing Municipality、中国
- 募集
- Sanbo Brain Hospital, Capital Medical University
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コンタクト:
- Junping Zhang, Ph.D
- 電話番号:13811099759
- メール:doczhjp@hotmail.com
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-
参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
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
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:単一グループの割り当て
- 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 |
|---|---|
|
実験的: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. |
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 |
|---|---|---|
|
To Incidence and characteristics of AEs/SAEs;
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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)
時間枠: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]
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Peak Plasma Concentration (Cmax) and Time to Peak Plasma Concentration (Tmax) of YN003
時間枠: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
時間枠: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
時間枠: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
|
|
Overall Survival (OS)
時間枠: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)
時間枠: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)
時間枠: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)
時間枠: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)
時間枠: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).
|
協力者と研究者
研究記録日
主要日程の研究
研究開始 (実際)
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
本研究に関する用語
追加の関連 MeSH 用語
その他の研究ID番号
- YN003-101
- Beijing Inno Medicine Co., Ltd (レジストリ識別子:IND181709)
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
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