진행성 고형암 환자에서 ABSK-021의 안전성, 내약성 및 약동학 평가를 위한 연구
진행성 고형 종양 환자의 안전성, 내약성 및 약동학을 평가하기 위한 ABSK021의 공개 라벨 1상 연구
This is an open-label phase 1 study to determine the safety and tolebility of oral ABSK021 in patients with advanced solid tumor as well as the Recommended Phase 2 dose (RP2D) of oral ABSK021. Preliminary antitumor activity will also be assessed.
연구 개요
상태
상태
정황
정황
개입 / 치료
개입 / 치료
상세 설명
The study will start with a dose escalation part of single-agent ABSK021 administered in repeated 28-day cycles in patients with advanced solid for safety and tolerability. The expansion part of oral ABSK021 at recommended dose of expansion (RDE) will be followed for further evaluating safety and tolerability among selected tumor types. Preliminary antitumor activity will also be assessed.
연구 유형
연구 유형
등록 (추정된)
등록
단계
단계
- 1단계
연락처 및 위치
연구 연락처
연구 연락처
- 이름: Siqing Fu, MD
- 전화번호: (713)792-4318
- 이메일: siqingfu@mdanderson.org
연구 연락처 백업
- 이름: YUAN LU
- 전화번호: +86-21-68910052
- 이메일: clinical@abbisko.cn
연구 장소
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California
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Beverly Hills, California, 미국, 90212
- 모집하지 않고 적극적으로
- Precision NextGen Oncology
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Colorado
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Denver, Colorado, 미국, 80218-1238
- 완전한
- SCRI at HealthOne
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Georgia
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Atlanta, Georgia, 미국, 30322
- 완전한
- The Winship Cancer Institute of Emory University
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Texas
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Houston, Texas, 미국, 77030
- 완전한
- MD Anderson Cancer Center
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Beijing Municipality
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Beijing, Beijing Municipality, 중국
- 모병
- Beijing Jishuitan Hospital
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연락하다:
- Xiaohui Niu, MD
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수석 연구원:
- Xiaohui Niu, MD
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Guangzhou
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Guangdong, Guangzhou, 중국
- 모집하지 않고 적극적으로
- The First Affiliated Hospital of Sun Yat-sen University
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Hebei
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Shijiazhuang, Hebei, 중국
- 완전한
- Hebei Medical University Third Hospital
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Henan
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Zhengzhou, Henan, 중국
- 완전한
- The First Affiliated Hospital of Zhengzhou Universtity
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Zhengzhou, Henan, 중국
- 모집하지 않고 적극적으로
- Henan Cancer Hospital
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Jiangsu
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Nanjing, Jiangsu, 중국
- 모집하지 않고 적극적으로
- Nanjing Drum Tower Hospital
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Nanjing, Jiangsu, 중국
- 모집하지 않고 적극적으로
- Jiangsu Province Hospital
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Liaoning
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Shenyang, Liaoning, 중국
- 완전한
- Liaoning Cancer Hospital
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Shanghai Municipality
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Shanghai, Shanghai Municipality, 중국
- 완전한
- Huashan Hospital of Fudan University
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Shanghai, Shanghai Municipality, 중국
- 완전한
- Shanghai Sixth People's Hospital
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Shanxi
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Xian, Shanxi, 중국
- 모집하지 않고 적극적으로
- Xi'an Hong Hui Hospital
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Sichuan
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Chengdu, Sichuan, 중국
- 모병
- West China Hospital of Sichuan University
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연락하다:
- Yong Zhou, MD
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수석 연구원:
- Yong Zhou, MD
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Zhejiang
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Hangzhou, Zhejiang, 중국
- 모병
- The Second Affiliated Hospital Zhejiang University School of Medicine
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연락하다:
- Zhaoming Ye, MD
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수석 연구원:
- Zhaoming Ye, MD
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참여기준
자격 기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
- Histologically confirmed solid tumors that have progressed on or intolerant to standard therapy or whom no standard therapy exists
- ECOG (electrocorticogram) performance status 0~1
- Life expectancy ≥ 3 months
- Adequate organ function and bone marrow function
For patients with tenosynovial giant cell tumor (TGCT) :
- A diagnosis of TGCT [i ncluding pigmented villonodular synovitis (PVNS) or giant cell tumors of the tendon sheath (GCT TS) (i) that has been histologically confirmed either by a pathologist at the treating institution or a central pathologist,and (ii) where surgical resection would be associated with potentially worsening functional limitation or severe morbidity (locally advanced disease), with morbidity determined consensually by qualified personnel (eg, two surgeons or a multi disciplinary tumor board);
- Measurable disease as defined by RECIST 1.1 (except that a minimal size of 2 cm is required), assessed from MRI scans;
- Others
For Adolescent Cohort (China only):
- Patient and/or legally acceptable representative should understand, sign, and date the written voluntary informed consent form prior to screening.
- Adolescents≥ 12 years of age and < 18 years at the time of informed consent.
- Body weight ≥ 40kg.
- A diagnosis of TGCT [including pigmented villonodular synovitis (PVNS) or giant cell tumors of the tendon sheath (GCT-TS)] (i) that has been histologically confirmed either by local laboratory, and (ii) unresectable, defined as confirmed by assessment by at least two clinical experts (including at least one independent expert who is not part of the trial conduct), meeting one of the following 2 requirements: ①located in a complex anatomical site, is extensively invasive, and cannot be completely resected; ②surgical operation may cause dysfunction or serious complications.
- Measurable disease as defined by RECIST v1.1 (with at least 1 lesion ≥ 2 cm is required), assessed by MRI scans in local site prior to dosing.
- Others
Exclusion Criteria:
- Known allergy or hypersensitivity to any component of the investigational drug product Previous treatment with CSF-1(colony stimulating factor 1)/CSF-1R (colony stimulating factor 1 receptor) pathway inhibitors
- Known additional malignancy that is progressing or required active treatment within 3 years of the first dose of study treatment
- Inability to take oral medication or significant nausea and vomiting, malabsorption, external biliary shunt, or significant bowel resection that would preclude adequate absorption of oral medication
- Previous anti-cancer therapy, including chemotherapy, radiotherapy, endocrine therapy or molecular targeted therapy within ≤ 5-halflife or ≤ 4 weeks (whichever is shorter) prior to initiation of study treatment (chemotherapy with nitrosourea or mitomycin should be 6 weeks prior to initiation of study treatment)
- Major surgery within 4 weeks of the first dose of study drug and all surgical wounds must be healed and free of infection or dehiscence
- Prior toxicities from chemotherapy, radiotherapy, and other anti-cancer therapies, including immunotherapy that have not regressed to Grade ≤2 severity (CTCAE v5.0) with the exception of alopecia and vitiligo
- Prior corticosteroids as anti-cancer therapy within a minimum of 2 weeks of the first dose of study drug
- Concomitant use of strong inhibitors or inducers of CYP3A4
- Active central nervous system (CNS) metastases
- Impaired cardiac function or clinically significant cardiac disease
- Patients with Gilbert's Syndrome or other underlying conditions that may lead to a greater likelihood of developing LFT(liver function test) abnormalities during the study
- Known human immunodeficiency virus or active hepatitis B, or active hepatitis C infection
- Refractory/uncontrolled ascites or pleural effusion
- Pregnant or nursing
For patients with tenosynovial giant cell tumor (TGCT) :
- Known allergy or hypersensitivity to any component of the investigational drug product
- For expansion part, previous treatment with CSF 1/CSF 1R pathway inhibitors (not applicable for TGCT patients in US)
- Others
For Adolescent Cohort (China only):
- Known allergy or hypersensitivity to any component of the investigational drug product.
- Previous treatment with highly selective inhibitors targeting CSF-1/CSF-1R prior to first dosing. However, patients who have received prior treatment with multi-kinase inhibitors that include the CSF-1/CSF-1R pathway are allowed, such as Imatinib and Nilotinib.
- Know additional malignancy that required active treatment and may affect the patient's participation in the study or affect the outcome of the study as assessed by the Investigator. Exceptions include cured basal cell carcinoma of skin, squamous cell carcinoma of skin, and other carcinoma in situ.
- Others
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 해당 없음
- 중재 모델: 순차적 할당
- 마스킹: 없음(오픈 라벨)
팔의 수
무기와 개입
참가자 그룹 / 팔참가자 그룹 / 팔 |
개입 / 치료개입 / 치료 |
|---|---|
|
실험적: ABSK021
Dose escalation of oral ABSK021 with a starting dose of 25mg once daily will be guided by"3+3" escalation rules based on safety data until an MTD has been identified or a RDE. For each dose, patients will first receive a single dose ABSK021 tablet(s) by mouth at Day -3 and be followed by a 3-day off as a run-in period to access the safety and PK of single-dose. Then, patients will continuously receive ABSK021 once daily (QD) in repeated 28-day cycles. |
ABSK021 oral capsule |
연구는 무엇을 측정합니까?
주요 결과 측정
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Incidence and Severity of AEs
기간: Through study completion, an average of 6 months
|
Adverse events (AEs), adverse events of special interest (AESIs) and serious adverse events (SAEs) |
Through study completion, an average of 6 months
|
|
Incidence of DLTs
기간: At the end of Cycle 1 (each cycle is 28 days)
|
DLT(dose-limiting toxicity) |
At the end of Cycle 1 (each cycle is 28 days)
|
2차 결과 측정
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
PFS
기간: From date of enrollment until the date of first documented progression or death, assessed up to 12 months
|
Progression-Free Survival (PFS) |
From date of enrollment until the date of first documented progression or death, assessed up to 12 months
|
|
DoR
기간: From date of enrollment until the date of first documented progression or death, assessed up to 12 months
|
Duration of Response (DoR) |
From date of enrollment until the date of first documented progression or death, assessed up to 12 months
|
|
DCR
기간: 24 weeks post-dose
|
Disease Control Rate (DCR) |
24 weeks post-dose
|
|
Cmax
기간: Pre-dose and multiple timepoints (up to 72 hours) post-dose
|
The peak plasma concentration of a drug after administration |
Pre-dose and multiple timepoints (up to 72 hours) post-dose
|
|
tmax
기간: Pre-dose and multiple timepoints (up to 72 hours) post-dose
|
Time to reach Cmax |
Pre-dose and multiple timepoints (up to 72 hours) post-dose
|
|
Bioavailability
기간: Pre-dose and multiple timepoints (up to 72 hours) post-dose
|
The systemically available fraction of a drug |
Pre-dose and multiple timepoints (up to 72 hours) post-dose
|
|
Elimination half-life
기간: Pre-dose and multiple timepoints (up to 72 hours) post-dose
|
The time required for the concentration of the drug to reach half of its original value |
Pre-dose and multiple timepoints (up to 72 hours) post-dose
|
공동 작업자 및 조사자
수사관
수사관
- 수석 연구원: Siqing Fu, MD, M.D. Anderson Cancer Center
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
연구 시작
기본 완료 (추정된)
기본 완료
연구 완료 (추정된)
연구 완료
연구 등록 날짜
최초 제출
최초 제출
QC 기준을 충족하는 최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
처음 게시됨
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
마지막 업데이트 게시됨
QC 기준을 충족하는 마지막 업데이트 제출
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
키워드
추가 관련 MeSH 약관
기타 연구 ID 번호
기타 연구 ID 번호
- ABSK021-101
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
미국 FDA 규제 기기 제품 연구
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