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Phase 1/2 Clinical Study of HY07121 for Injection (Subcutaneous) in Patients With Advanced Solid Tumors
An Open-label, Multiple-center, Phase 1/2 Clinical Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Preliminary Antitumor Activity of HY07121 for Injection (Subcutaneous) in Patients With Advanced Solid Tumors
Studie Overzicht
Toestand
Conditie
Gedetailleerde beschrijving
Studietype
Inschrijving (Geschat)
Fase
- Fase 2
- Fase 1
Contacten en locaties
Studiecontact
- Naam: Jinmin Yu, Doctor
- Telefoonnummer: +86-521-67626971
- E-mail: sdyujinming@126.com
Studie Contact Back-up
- Naam: Hongxu Liu, Doctor
- Telefoonnummer: +86-024-81916200
- E-mail: liuhongxu3366@163.com
Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Volwassen
- Oudere volwassene
Accepteert gezonde vrijwilligers
Beschrijving
Inclusion Criteria:
- Written informed consent;
- ≥18 years old and ≤80 years old, gender: male or female;
- Dose escalation part: cytologically or histopathologically confirmed locally advanced or advanced solid tumor that has failed standard therapy, or for which no standard therapy exists, or for which standard therapy is not tolerated or has been refused (for tumor types for which PD-1/PD-L1-related inhibitors are approved in China, failure of prior PD-1/PD-L1-related inhibitor therapy is required). Solid tumors in the dose expansion part include non-small cell lung cancer (driver gene-negative), gastric cancer, esophageal cancer, Microsatellite Instability-High / Mismatch Repair-Deficient Solid Tumors (MSI-H/dMMR) solid tumors, cervical cancer, non-muscle-invasive bladder cancer, head and neck squamous cell carcinoma (excluding nasopharyngeal carcinoma), renal cell carcinoma, and other tumor types;
- Dose escalation part: at least one evaluable tumor lesion is required. Dose expansion part: at least one measurable tumor lesion is required (per RECIST v1.1);
- Eastern Cooperative Oncology Group (ECOG) performance status score is 0 or 1;
- Life expectancy ≥3 months;
- Participant must have adequate main organ function;
- Fertile female patients must have a negative serological pregnancy test within 7 days before the first dosing and be willing to use effective birth control/contraception to prevent pregnancy during the study period up to 6 months after the last dosing of the study. Male patients must agree to have no sperm donation plans and to use effective contraceptive methods during the study period until 6 months after the last dose of the study.
- Postmenopausal women must have amenorrhea for at least 12 months before they are considered infertile.
Exclusion Criteria:
- Within the defined washout periods for prior anti-cancer treatments;
- Participant is currently participating or has participated in a study of an investigational agent or using an investigational device within 4 weeks of first dose of HY07121.
- Any other malignancy within 2 years prior to the first dose of the study treatment except for localized cancers that are considered to have been cured and in the opinion of the Investigator present a low risk for recurrence.
- Participant has not recovered (i.e., to Grade 1 or to baseline) from previous anticancer therapy-induced Adverse Events (AEs).
- Participants with a history of recently (within previous 2 years of the first dose of the study treatment) active diverticulitis or symptomatic peptic ulcer disease;
- Major surgery within 4 weeks of receiving the first dose of study treatment;
- Participant has Symptomatic Central Nervous System (CNS) metastases, or CNS metastases requiring CNS-directed local therapy (such as radiotherapy or surgery) or corticosteroids therapy within 4 weeks of first dose of study treatment;
- Participants with untreated or under treatment for tuberculosis, including but not limited to tuberculosis; Patients who have received standardized anti-tuberculosis treatment and have been confirmed cured by the researchers can be included;
- Participants with clinically significant cardiovascular diseases, in the past 6 months prior to the first dose of the study treatment; symptomatic coronary heart disease requiring drug treatment; arrhythmia requiring drug treatment; or uncontrolled hypertension;
- Known Human Immunodeficiency Virus (HIV) infection or known Acquired Immunodeficiency Syndrome (AIDS);
- Active or chronic hepatitis B or hepatitis C infection; treponema pallidum antibody positive, and confirmed positive test;
- Active known or suspected autoimmune disease.
- History of non-infectious pneumonitis that has required a course of oral or intravenous steroids to assist with recovery, or interstitial lung disease or severe obstructive pulmonary disease;
- History of severe allergy;
- History of allogeneic organ transplantation or graft-versus-host disease;
- Have received live/attenuated vaccines and messenger ribonucleic acid(mRNA) vaccines within 4 weeks prior to screening or plan to receive live/attenuated vaccines and mRNA vaccines during the study period;
- Any active infection requires systemic treatment via intravenous infusion within 4 weeks prior to the first dose of study treatment;
- Known psychiatric disorder or drug abuse that would interfere the trial requirements;
- Participant with uncontrolled pleural effusion, pericardial effusion or peritoneal effusion or need drainage;
- In addition to the tumors present at the time of entry into the study, other active malignancies were present within 3 years prior to the first dose (not excluding locally cured tumors, such as skin basal cell carcinoma, superficial bladder cancer or carcinoma in situ of the breast, etc.);
- Participants considered unsuitable for participation in this study by the investigators.
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Niet-gerandomiseerd
- Interventioneel model: Sequentiële toewijzing
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
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Experimenteel: : Test product HY07121 for Injection (Subcutaneous) for Dose Escalation
PART ONE- Dose escalation: HY07121 for Injection (Subcutaneous) should be administered Subcutaneously at recommended dose.
The purpose of the Dose Escalation Phase (Part one) is to characterize the safety and tolerability of the test product HY07121 for Injection (Subcutaneous) and determine the maximum tolerated dose (MTD) (if any) and/or the recommended dose(s) (RD) based on the frequency of the occurrence of Dose-Limiting Toxicity (DLT) in each cohort during the DLT evaluation period.
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Dosage form: Powder for solution for infusion. Strength: 10 mg/vial. Method of administration: Subcutaneous administration. Dose escalation: "3+3" dose escalation rules are used to explore the safety and tolerability of the drug HY07121 for Injection (Subcutaneous).Based on emerging clinical data, dose escalation of an SUD-containing regimen may also follow a standard "3+3" design. Dose expansion: according to the preliminary safety and efficacy results of the dose escalation study, an appropriate dose and tumor species for the expansion study are conducted as discussed by the sponsor and investigators to further explore the safety and clinical effectiveness of the drug product HY07121 for Injection (Subcutaneous) and provide a basis for subsequent clinical studies.
Andere namen:
Dosage form: Powder for solution for infusion. Strength: 10 mg/vial. Method of administration: I Subcutaneous administration. Dose escalation: "3+3" dose escalation rules are used to explore the safety and tolerability of the drug HY07121 for Injection (Subcutaneous).Based on emerging clinical data, dose escalation of an SUD-containing regimen may also follow a standard "3+3" design. Dose expansion: according to the preliminary safety and efficacy results of the dose escalation study, an appropriate dose and tumor species for the expansion study are conducted as discussed by the sponsor and investigators to further explore the safety and clinical effectiveness of the drug product HY07121 for Injection (Subcutaneous) and provide a basis for subsequent clinical studies.
Andere namen:
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Experimenteel: Test product HY07121 for Injection (Subcutaneous) for Dose Expansion
PART TWO- Dose expansion: HY07121 for Injection (Subcutaneous) should be administered Subcutaneously at recommended dose.
Patients will be administered a recommended dose of HY07121 for Injection (Subcutaneous) established from the Dose Escalation Phase of the study.
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Dosage form: Powder for solution for infusion. Strength: 10 mg/vial. Method of administration: Subcutaneous administration. Dose escalation: "3+3" dose escalation rules are used to explore the safety and tolerability of the drug HY07121 for Injection (Subcutaneous).Based on emerging clinical data, dose escalation of an SUD-containing regimen may also follow a standard "3+3" design. Dose expansion: according to the preliminary safety and efficacy results of the dose escalation study, an appropriate dose and tumor species for the expansion study are conducted as discussed by the sponsor and investigators to further explore the safety and clinical effectiveness of the drug product HY07121 for Injection (Subcutaneous) and provide a basis for subsequent clinical studies.
Andere namen:
Dosage form: Powder for solution for infusion. Strength: 10 mg/vial. Method of administration: I Subcutaneous administration. Dose escalation: "3+3" dose escalation rules are used to explore the safety and tolerability of the drug HY07121 for Injection (Subcutaneous).Based on emerging clinical data, dose escalation of an SUD-containing regimen may also follow a standard "3+3" design. Dose expansion: according to the preliminary safety and efficacy results of the dose escalation study, an appropriate dose and tumor species for the expansion study are conducted as discussed by the sponsor and investigators to further explore the safety and clinical effectiveness of the drug product HY07121 for Injection (Subcutaneous) and provide a basis for subsequent clinical studies.
Andere namen:
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Dosisescalatie (deel één): Percentage deelnemers dat tijdens de behandeling optredende bijwerkingen (TEAE’s) ervaart
Tijdsspanne: Tot 2 jaar
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Incidentie en ernst van bijwerkingen (AE's), ernstige bijwerkingen (SAE's) en laboratoriumafwijkingen, volgens de Common Terminology Criteria for Adverse Events (CTCAE) versie 5.0 van het National Cancer Institute (NCI) en de American Society for Transplantation and Cellular Therapy ( ASTCT) consensusbeoordeling
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Tot 2 jaar
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Dosisescalatie (deel één): Percentage deelnemers dat te maken krijgt met dosisonderbrekingen, dosisvertragingen en dosisintensiteit die verband houden met bijwerkingen
Tijdsspanne: Tot 2 jaar
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Optreden van bijwerkingen (AE)-gerelateerde dosisonderbrekingen, dosisuitstel en dosisintensiteit (duur van blootstelling aan HY07121)
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Tot 2 jaar
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Dosisuitbreiding (deel twee): Objectief responspercentage (ORR)
Tijdsspanne: Tot 2 jaar
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Percentage deelnemers met een bevestigde Complete Response (CR) of Partial Response (PR)
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Tot 2 jaar
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Dose Escalation (Part One): Incidence and Nature of Dose-Limiting Toxicity (DLT)
Tijdsspanne: 28 days during the first 4-week cycle
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Dose-Limiting Toxicity (DLT) will be defined using National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 5.0.
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28 days during the first 4-week cycle
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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Dosisuitbreiding (deel twee): Percentage deelnemers dat tijdens de behandeling optredende bijwerkingen (TEAE’s) ervaart
Tijdsspanne: Tot 2 jaar
|
Incidentie en ernst van bijwerkingen (AE's), ernstige bijwerkingen (SAE's) en laboratoriumafwijkingen, volgens de Common Terminology Criteria for Adverse Events (CTCAE) versie 5.0 van het National Cancer Institute (NCI) en de American Society for Transplantation and Cellular Therapy ( ASTCT) consensusbeoordeling
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Tot 2 jaar
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Dosisuitbreiding (deel twee): Percentage deelnemers dat te maken krijgt met bijwerkingengerelateerde dosisonderbrekingen, dosisvertragingen en dosisintensiteit
Tijdsspanne: Tot 2 jaar
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Het optreden van dosisonderbrekingen, dosisvertragingen en dosisintensiteit (duur van blootstelling aan HY07121) die verband houden met bijwerkingen.
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Tot 2 jaar
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Dosisescalatie en -uitbreiding: beoordeling van HY07121 Cmax
Tijdsspanne: Tot 2 jaar
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Maximale waargenomen concentratie (Cmax) waargenomen op basis van het farmacokinetische profiel
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Tot 2 jaar
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Dosisescalatie en -uitbreiding: beoordeling van de AUC van HY07121
Tijdsspanne: Tot 2 jaar
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Oppervlakte onder de concentratie versus tijd-curve berekend met behulp van de trapeziumvormige methode
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Tot 2 jaar
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Dosisescalatie en -uitbreiding: beoordeling van HY07121 T1/2
Tijdsspanne: Tot 2 jaar
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De tijd die nodig is voordat de helft van de geneesmiddelconcentratie is geëlimineerd, wordt berekend met behulp van de helling van de eindlijn
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Tot 2 jaar
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Dosisescalatie en -uitbreiding: beoordeling van HY07121-antimedicijn-antilichaam (ADA)
Tijdsspanne: Tot 2 jaar
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Incidentie, duur, titer van serum-anti-HY07121-antilichaam (ADA)
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Tot 2 jaar
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Dosisescalatie (deel één): objectief responspercentage (ORR)
Tijdsspanne: Tot 2 jaar
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Percentage deelnemers met een bevestigde complete respons (CR) of een gedeeltelijke respons (PR), bepaald door de onderzoeker volgens de Response Evaluation Criteria in Solid Tumors (RECIST) versie 1.1
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Tot 2 jaar
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Dosisescalatie en -uitbreiding: responsduur (DOR), beoordeeld door de onderzoeker volgens Response Evaluation Criteria in Solid Tumors (RECIST) Versie 1.1
Tijdsspanne: Tot 2 jaar
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De responsduur (DOR) wordt gedefinieerd als de tijd vanaf het moment dat voor het eerst aan de meetcriteria wordt voldaan voor volledige respons (CR)/partiële respons (PR) (afhankelijk van wat het eerst wordt geregistreerd) tot de eerste datum waarop de ziekte terugkeert of voortschrijdt.
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Tot 2 jaar
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Dosisescalatie en -uitbreiding: Disease Control Rate (DCR), beoordeeld door de onderzoeker volgens RECIST versie 1.1
Tijdsspanne: Tot 2 jaar
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Disease Control Rate wordt gedefinieerd als het percentage deelnemers dat CR of PR heeft bereikt of een stabiele ziekte heeft aangetoond
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Tot 2 jaar
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Dosisescalatie en -uitbreiding: de correlatie tussen tumorbiomarkers en werkzaamheid
Tijdsspanne: Tot 2 jaar
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Het objectieve responspercentage (ORR) wordt gedefinieerd als het percentage deelnemers met een bevestigde complete respons (CR) of een gedeeltelijke respons (PR), bepaald door de onderzoeker volgens RECIST versie 1.1.
Tumorbiomarkers zullen worden getest met behulp van immunohistochemie (IHC) en worden gescoord met behulp van het Tumor Proportion Score (TPS) en/of Combined Positive Score (CPS) algoritme.
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Tot 2 jaar
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Dose Escalation and Expansion: Progression-Free Survival (PFS) assessed by investigator per RECIST Version 1.1
Tijdsspanne: Up to 2 years
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Progression-Free Survival (PFS) is defined as the time from the date of first administration of HY07121 for Injection (Subcutaneous) to the date of the first documented disease progression determined by Investigator as per RECIST 1.1 or death from any cause, whichever occurs first
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Up to 2 years
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Dose Escalation and Expansion: Time-To-Progression (TTP) assessed by investigator per RECIST Version 1.1
Tijdsspanne: Up to 2 years
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Time-To-Progression (TTP) is defined as the time from the date of first administration of HY07121 for Injection (Subcutaneous) to the date of the first documented disease progression
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Up to 2 years
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Dose Escalation and Expansion: Overall Survival (OS)
Tijdsspanne: Up to 2 years
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Overall Survival (OS) is defined as the time from the date of first administration of HY07121 for Injection (Subcutaneous) to death due to any cause
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Up to 2 years
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Medewerkers en onderzoekers
Studie record data
Bestudeer belangrijke data
Studie start (Geschat)
Primaire voltooiing (Geschat)
Studie voltooiing (Geschat)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- HY0007-SC-101
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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