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).
Studie Overzicht
Toestand
Toestand
Conditie
Conditie
Interventie / Behandeling
Interventie / Behandeling
Gedetailleerde beschrijving
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.
Studietype
Studietype
Inschrijving (Geschat)
Inschrijving
Fase
Fase
- Fase 1
Contacten en locaties
Studiecontact
Studiecontact
- Naam: Kaiqi Zong, Master
- Telefoonnummer: 13683178623
- E-mail: zongkaiqi@innovmedicine.com
Studie Contact Back-up
- Naam: Yaqian Cui, Master
- Telefoonnummer: 18811320289
- E-mail: cuiyaqian@innovmedicine.com
Studie Locaties
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Beijing Municipality
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Beijing, Beijing Municipality, China, 102218
- Werving
- Beijing Tsinghua Changgung Hospital
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Contact:
- Xuejun Yang, Ph.D
- Telefoonnummer: 13011329950
- E-mail: yxja03728@btch.edu.cn
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Beijing, Beijing Municipality, China
- Werving
- Sanbo Brain Hospital, Capital Medical University
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Contact:
- Junping Zhang, Ph.D
- Telefoonnummer: 13811099759
- E-mail: doczhjp@hotmail.com
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California
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Los Angeles, California, Verenigde Staten, 90095
- Nog niet aan het werven
- University of California, Los Angeles (UCLA)
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Contact:
- Timothy Cloughesy, Ph.D
- E-mail: John.deGroot@ucsf.edu
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San Francisco, California, Verenigde Staten, 94158
- Nog niet aan het werven
- University of California, San Francisco (UCSF)
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Contact:
- Nazanin Majd, Ph.D
- E-mail: NKMajd@mdanderson.org
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Texas
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Houston, Texas, Verenigde Staten, 77030
- Nog niet aan het werven
- The University of Texas MD Anderson Cancer Center
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Contact:
- Nazanin Majd, Ph.D
- E-mail: TCloughesy@mednet.ucla.edu
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Deelname Criteria
Geschiktheidscriteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
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
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: NVT
- Interventioneel model: Opdracht voor een enkele groep
- Masker: Geen (open label)
Aantal wapens
Wapens en interventies
Deelnemersgroep / ArmDeelnemersgroep / Arm |
Interventie / BehandelingInterventie / Behandeling |
|---|---|
|
Experimenteel: 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. |
Wat meet het onderzoek?
Primaire uitkomstmaten
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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To Incidence and characteristics of AEs/SAEs;
Tijdsspanne: 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)
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Incidence of clinically significant abnormalities in laboratory tests
Tijdsspanne: 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)
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Incidence of clinically significant abnormalities in vital signs
Tijdsspanne: 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)
|
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Incidence of clinically significant abnormalities in physical examinations
Tijdsspanne: 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)
|
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Change from baseline in 12-lead Electrocardiogram (ECG) parameters
Tijdsspanne: 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)
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To assess the tolerability of YN003 in subjects with recurrent/progressive glioma (WHO grade 3 - 4)
Tijdsspanne: 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]
|
Secundaire uitkomstmaten
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Peak Plasma Concentration (Cmax) and Time to Peak Plasma Concentration (Tmax) of YN003
Tijdsspanne: 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
|
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Area Under the Plasma Concentration-Time Curve (AUC) of YN003
Tijdsspanne: 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
|
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Terminal Half-life (t1/2), Clearance (CL), and Volume of Distribution (Vd) of YN003
Tijdsspanne: 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)
Tijdsspanne: 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)
Tijdsspanne: 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)
Tijdsspanne: 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).
|
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Duration of Response (DoR)
Tijdsspanne: 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).
|
|
Disease Control Rate (DCR)
Tijdsspanne: 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).
|
Medewerkers en onderzoekers
Sponsor
Sponsor
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Studie start
Primaire voltooiing (Geschat)
Primaire voltooiing
Studie voltooiing (Geschat)
Studie voltooiing
Studieregistratiedata
Eerst ingediend
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Eerst geplaatst
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update geplaatst
Laatste update ingediend die voldeed aan QC-criteria
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
- Hersenziekten
- Ziekten van het centrale zenuwstelsel
- Ziekten van het zenuwstelsel
- Pathologische processen
- Neoplasmata per site
- Neoplasmata
- Ziekte attributen
- Neoplasmata per histologisch type
- Neoplasmata, glandulair en epitheel
- Astrocytoom
- Neoplasmata, neuro-epitheliaal
- Neuro-ectodermale tumoren
- Neoplasmata, kiemcellen en embryonaal
- Neoplasmata, zenuwweefsel
- Neoplasmata van het zenuwstelsel
- Neoplasmata van het centrale zenuwstelsel
- Pathologische aandoeningen, tekenen en symptomen
- Herhaling
- Glioblastoom
- Glioom
- Hersenneoplasmata
Andere studie-ID-nummers
Andere studie-ID-nummers
- YN003-101
- Beijing Inno Medicine Co., Ltd (Register-ID: IND181709)
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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