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A Study of CS1001 in Combination With Regorafenib in Patients With Advanced or Refractory Solid Tumors
5 mei 2022 bijgewerkt door: CStone Pharmaceuticals
A Phase Ib/II, Multicenter Open-label Study of CS1001 in Combination With Regorafenib in Patients With Advanced or Refractory Solid Tumors
This is a multicenter, open-label study of CS1001 in combination with regorafenib in participants with advanced or refractory cancers.
There will be a dose escalation portion in "allcomers"to find a suitable dose of regorafenib for combination use with CS1001.
This study will also enroll participants with specific tumor types in the phase II part of the study to assess the efficacy, pharmacokinetics and safety of the combined regimen (RP2D of regorafenib + CS 1001)
Studie Overzicht
Toestand
Voltooid
Interventie / Behandeling
Studietype
Ingrijpend
Inschrijving (Werkelijk)
19
Fase
- Fase 2
- Fase 1
Contacten en locaties
In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.
Studie Locaties
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South Australia
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Kurralta Park, South Australia, Australië, 5037
- Ashford Cancer Centre Research
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Deelname Criteria
Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
18 jaar en ouder (Volwassen, Oudere volwassene)
Accepteert gezonde vrijwilligers
Nee
Geslachten die in aanmerking komen voor studie
Allemaal
Beschrijving
Inclusion Criteria:
- All participants must have unresectable advanced or metastatic tumors that have histologic or cytologic documentation confirmed.
- Participant must have at least one measurable lesion by CT or MRI per RECIST 1.1; radiographic tumor assessment should be performed within 28 days prior to initiation of study treatment.
- ECOG performance status score of 0 or 1.
- Life expectancy ≥ 12 weeks.
- Fresh or archival tumor tissue must be provided for PD-L1 expression testing in selected cohorts.
- Adequate organ function
- Women of childbearing potential (WOCBP) must have a negative serum pregnancy test result. Either Female or male participants must agree to use adequate contraceptive measures from signing informed consent and for 180 days after last investigational product administration, except for a participant with documented surgical sterilization or a postmenopausal female.
- Any toxic effects of prior anti-cancer therapy or surgical procedures resolved to baseline severity or NCI-CTCAE version 5 Grade 1 (except alopecia or other toxicities not considered a safety risk for the patient at investigator's discretion).
- Subjects with hepatitis B virus (HBV) infection must have HBV DNA < 2000 IU/mL at screening, and requires continue anti-HBV treatment in the study
Exclusion Criteria:
- Prior malignancy active within the previous 3 years except for locally curable cancers that have been apparently cured.
- Participants with any condition that impairs their ability to take oral medication, such as lack of physical integrity of the upper gastrointestinal tract or malabsorption syndrome.
- Has known central nervous system (CNS) metastases and/or carcinomatous meningitis that is either symptomatic or untreated.
- Any prior (within 1 year) or current clinically significant ascites as measured by physical examination and that requires active paracentesis for control.
- Significant history of cardiac disease within 6 months prior to Day 1 of Cycle 1, myocardial infarction within the previous year, or current cardiac ventricular arrhythmias requiring medication, or left ventricular ejection fraction (LVEF) is below 50%.
- History or evidence of poorly controlled arterial hypertension.
- Any serious or uncontrolled medical disorder or active infection may increase the risk associated with study participation or dose.
- Administration of drugs known as strong CYP3A4 inducers or strong CYP3A4 inhibitors and the last dose was given in < 5 half-lives from the first investigational product administration.
- Any hemorrhage or bleeding event ≥ CTCAE Grade 3 within 28 days prior to the start of study treatment.
Other inclusion/exclusion criteria may apply.
Studie plan
Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Niet-gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
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Experimenteel: Phase Ib arm
arms 1. Phase Ib: advanced or refractory solid tumors;
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One course will last 28 days.
CS1001 will be intravenously administered every 4 weeks (Q4W).
One course will last 28 days.
Administration will be orally (p.o.) taken at different dose schemes.
Andere namen:
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Experimenteel: Phase II arm
arms 2.Phase II: subjects with tumor of specific types
|
One course will last 28 days.
CS1001 will be intravenously administered every 4 weeks (Q4W).
One course will last 28 days.
Administration will be orally (p.o.) taken at different dose schemes.
Andere namen:
|
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Tijdsspanne |
|---|---|
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Phase Ib (Safety Evaluation): Number of participants with adverse events
Tijdsspanne: Baseline up to 90 days post last dose, up to 2 years
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Baseline up to 90 days post last dose, up to 2 years
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Phase Ib (Safety Evaluation): Dose Limiting Toxicity (DLT)
Tijdsspanne: Baseline up to 90 days post last dose, up to 2 years
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Baseline up to 90 days post last dose, up to 2 years
|
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Phase II (Efficacy Expansion): Objective response rate (ORR)
Tijdsspanne: Up to 2 years
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Up to 2 years
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Secundaire uitkomstmaten
Uitkomstmaat |
Tijdsspanne |
|---|---|
|
Phase Ib (Safety Evaluation): Objective response rate (ORR)
Tijdsspanne: Up to 2 years
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Up to 2 years
|
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Phase Ib (Safety Evaluation) and/or Phase II (Efficacy Expansion): Disease control rate (DCR)
Tijdsspanne: Up to 2 years
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Up to 2 years
|
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Phase Ib (Safety Evaluation) and/or Phase II (Efficacy Expansion): Progression Free Survival (PFS)
Tijdsspanne: Up to 2 years
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Up to 2 years
|
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Phase Ib (Safety Evaluation) and/or Phase II (Efficacy Expansion): Duration of Response (DoR)
Tijdsspanne: Up to 2 years
|
Up to 2 years
|
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Phase Ib (Safety Evaluation) and/or Phase II (Efficacy Expansion): Overall Survival (OS)
Tijdsspanne: Up to 2 years
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Up to 2 years
|
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Phase Ib (Safety Evaluation) and/or Phase II (Efficacy Expansion): Occurrence of anti-CS1001 antibody
Tijdsspanne: From first dose to 30 days after last dose, up to 2 years
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From first dose to 30 days after last dose, up to 2 years
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Phase II (Efficacy Expansion): : Number of participants with adverse events
Tijdsspanne: Baseline up to 90 days post last dose, up to 2 years
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Baseline up to 90 days post last dose, up to 2 years
|
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Phase Ib (Safety Evaluation) and/or Phase II (Efficacy Expansion): Area under the plasma concentration-time curve (AUC)0-t of CS1001
Tijdsspanne: From first dose to 30 days after last dose, up to 2 years
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From first dose to 30 days after last dose, up to 2 years
|
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Phase Ib (Safety Evaluation) and/or Phase II (Efficacy Expansion): Maximum plasma concentration (Cmax) of CS1001
Tijdsspanne: From first dose to 30 days after last dose, up to 2 years
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From first dose to 30 days after last dose, up to 2 years
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Phase Ib (Safety Evaluation) and/or Phase II (Efficacy Expansion): Time to reach maximum plasma concentration (Tmax) of CS1001
Tijdsspanne: From first dose to 30 days after last dose, up to 2 years
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From first dose to 30 days after last dose, up to 2 years
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Phase Ib (Safety Evaluation) and/or Phase II (Efficacy Expansion): Terminal elimination half-life (t1/2) of CS1001
Tijdsspanne: From first dose to 30 days after last dose, up to 2 years
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From first dose to 30 days after last dose, up to 2 years
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Phase Ib (Safety Evaluation) and/or Phase II (Efficacy Expansion): Clearance at Steady State (CLss) of CS1001
Tijdsspanne: From first dose to 30 days after last dose, up to 2 years
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From first dose to 30 days after last dose, up to 2 years
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Phase Ib (Safety Evaluation): Maximum plasma concentration (Cmax) of regorafenib
Tijdsspanne: From first dose to 30 days after last dose, up to 2 years
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From first dose to 30 days after last dose, up to 2 years
|
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Phase Ib (Safety Evaluation): Minimum plasma concentration (Cmin) of regorafenib
Tijdsspanne: From first dose to 30 days after last dose, up to 2 years
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From first dose to 30 days after last dose, up to 2 years
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Medewerkers en onderzoekers
Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.
Sponsor
Medewerkers
Studie record data
Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.
Bestudeer belangrijke data
Studie start (Werkelijk)
13 december 2019
Primaire voltooiing (Werkelijk)
13 mei 2021
Studie voltooiing (Werkelijk)
18 augustus 2021
Studieregistratiedata
Eerst ingediend
13 december 2019
Eerst ingediend dat voldeed aan de QC-criteria
13 december 2019
Eerst geplaatst (Werkelijk)
16 december 2019
Updates van studierecords
Laatste update geplaatst (Werkelijk)
6 mei 2022
Laatste update ingediend die voldeed aan QC-criteria
5 mei 2022
Laatst geverifieerd
1 mei 2022
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- CS1001/Regorafenib-101
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Nee
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
Nee
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