Phase Ib/II Clinical Study of QLS5133 Combination Therapy in Advanced Solid Tumors
A Phase Ib/II Clinical Study on the Safety, Tolerability, Pharmacokinetics, and Efficacy of Intravenous QLS5133 Combination Therapy in Participants With Advanced Solid Tumors
The goal of this clinical trial is to evaluate the safety, tolerability, pharmacokinetics (PK), and effectiveness of the investigational drug QLS5133 (injectable) in combination with other therapies for participants with advanced solid tumors. This is a multicenter, open-label study consisting of two parts: dose escalation and tumor-specific expansion.
The main questions it aims to answer are:
- In the dose-escalation part: What is the safety, tolerability, PK profile, and preliminary efficacy of QLS5133 combination therapy, and what are the recommended dose(s) for expansion?
- In the expansion part: What is the anti-tumor efficacy and further safety profile of QLS5133 combination therapy at the selected dose(s) in participants with specific tumor types?
Participants will:
- Be enrolled in sequential cohorts to receive QLS5133 in combination with other anticancer agents.
- Undergo regular assessments for safety, drug concentration levels (PK), and tumor response.
Studieoversikt
Status
Status
Forhold
Forhold
Intervensjon / Behandling
Intervensjon / Behandling
Studietype
Studietype
Registrering (Antatt)
Registrering
Fase
Fase
- Fase 2
- Fase 1
Kontakter og plasseringer
Studiekontakt
Studiekontakt
- Navn: Jinming Yu, PhD
- Telefonnummer: 0531-67626073
- E-post: sdyujinming@126.com
Studiesteder
-
-
Shandong
-
Jinan, Shandong, Kina, 250000
- Cancer Hospital of Shandong First Medical University
-
-
Deltakelseskriterier
Kvalifikasjonskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Beskrivelse
Inclusion Criteria:
- 1. Histologically or cytologically confirmed advanced solid tumors, with specific tumor type and prior treatment requirements per each cohort;
- 2. Measurable disease per RECIST v1.1 (except Cohorts 3B-1, 3B-2, and 5B);
- 3.Eastern Cooperative Oncology Group (ECOG) performance status 0-1;
- 4.Adequate organ function;
- 5.Recover from all reversible AEs from previous anti-tumor treatment (i.e., Grade ≤ 1, according to NCI-CTCAE v6.0), excluding alopecia (any grade) and Grade ≤ 2 neuropathy peripheral;.
Exclusion Criteria:
- 1.Prior treatment with CDH6-targeted agents or topoisomerase I inhibitors (including ADCs);
- 2.Prior treatment with immune checkpoint inhibitors (for Cohorts 2 and 6 only);
- 3.Prior Grade 4 or persistent ≥ 4-week Grade 3 immune-related AEs from immune checkpoint inhibitors;
- 4.Prior systemic anti-tumor therapy (for Cohorts 1B-2 and 2B-2 only);
- 5.Recent anti-tumor therapy within specified washout periods (small molecules: 2 weeks; biologics/chemotherapy: 4 weeks; mitomycin/nitrosoureas: 6 weeks);
- 6.Active or symptomatic CNS metastases or leptomeningeal carcinomatosis;
- 7. Serious, uncontrolled medical disorder, nonmalignant systemic disease, or active, uncontrolled infection;
- 8.History of significant cardiac disease, or poorly controlled diabetes mellitus;
- 9.History of recurrent autoimmune diseases;
- 10. History of a second primary malignancy;
- 11.Be allergic to any component of QLS5133 or its excipients.
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Ikke-randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Ingen (Open Label)
Antall våpen
Våpen og intervensjoner
Deltakergruppe / ArmDeltakergruppe / Arm |
Intervensjon / BehandlingIntervensjon / Behandling |
|---|---|
|
Eksperimentell: Arm 1
QLS5133 in combination with lenvatinib mesylate |
QLS5133: Intravenous infusion, Q3W; Lenvatinib mesylate: Oral, once daily |
|
Eksperimentell: Arm 2
QLS5133 in combination with lenvatinib mesylate plus QL2107 |
QLS5133 and QL2107: Intravenous infusion, Q3W; Lenvatinib mesylate: Oral, once daily |
|
Eksperimentell: Arm 3
QLS5133 in combination with bevacizumab |
Intravenous infusion,Q3W |
|
Eksperimentell: Arm 4
QLS5133 in combination with platinum-based therapy with or without bevacizumab, followed by QLS5133 alone or in combination with bevacizumab |
Intravenous infusion,Q3W |
|
Eksperimentell: Arm 5
QLS5133 in combination with olaparib with or without bevacizumab |
Olaparib is oral; all others are intravenous infusion,Q3W |
|
Eksperimentell: Arm 6
QLS5133 in combination with QL2107 with or without bevacizumab |
Intravenous infusion,Q3W |
Hva måler studien?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Phase Ib Outcome 1:Incidence and severity of adverse events and serious adverse events
Tidsramme: up to 2 years
|
Incidence and severity of adverse events, serious adverse events, according to NCI-CTCAE Version 6.0 |
up to 2 years
|
|
Phase Ib Outcome 2:Maximum tolerated dose (MTD)
Tidsramme: 28 days
|
Highest administered dose with < 33% participants experiencing dose limiting toxicity (DLT) in the first 6 DLT evaluable participants |
28 days
|
|
Phase Ib Outcome 3:Recommended Phase 2 Dose (RP2D)
Tidsramme: up to 2 years
|
Based on the maximum tolerated dose, cumulative safety, and pharmacokinetic data |
up to 2 years
|
|
Phase II outcome 1:Objective response rate (ORR) (Arms 1B, 2B, 3B-3, 4B, 6B)
Tidsramme: up to 2 years
|
ORR is defined as the percentage of participants achieved complete response or partial response as assessed according to RECIST v1.1 criteria. |
up to 2 years
|
|
Phase II outcome 2:Progression-free survival (PFS) (Arms 3B-1, 3B-2, and 5B)
Tidsramme: up to 2 years
|
PFS is defined as the duration from the date of first dose of study treatment to the date of first documented PD per investigator assessment, or death from any cause, whichever occurs first. |
up to 2 years
|
Samarbeidspartnere og etterforskere
Sponsor
Sponsor
Studierekorddatoer
Studer hoveddatoer
Studiestart (Antatt)
Studiestart
Primær fullføring (Antatt)
Primær fullføring
Studiet fullført (Antatt)
Studiet fullført
Datoer for studieregistrering
Først innsendt
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Først lagt ut
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Sist oppdatering lagt ut
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
- Urogenitale sykdommer
- Kjønnssykdommer
- Sykdommer i det endokrine systemet
- Urogenitale neoplasmer
- Neoplasmer etter nettsted
- Neoplasmer
- Mannlige urogenitale sykdommer
- Nyresykdommer
- Urologiske sykdommer
- Kvinnelige urogenitale sykdommer
- Kvinnelige urogenitale sykdommer og graviditetskomplikasjoner
- Neoplasmer etter histologisk type
- Kjønnssykdommer, kvinner
- Neoplasmer i endokrine kjertel
- Neoplasmer, kjertel og epitel
- Adenokarsinom
- Sykdommer i eggstokkene
- Adnexal sykdommer
- Genitale neoplasmer, kvinnelige
- Gonadal lidelser
- Urologiske neoplasmer
- Karsinom
- Nyre-neoplasmer
- Neoplasmer i eggstokkene
- Karsinom, nyrecelle
- Aminosyrer, peptider og proteiner
- Proteiner
- Antistoffer, monoklonalt, humanisert
- Antistoffer, monoklonalt
- Antistoffer
- Immunoglobuliner
- Immunoproteiner
- Blodproteiner
- Serumglobuliner
- Globuliner
- Uorganiske kjemikalier
- Elementer
- Metaller
- Metaller, tunge
- Overgangselementer
- Bevacizumab
- Platinum
- olaparib
- Lenvatinib
Andre studie-ID-numre
Andre studie-ID-numre
- QLS5133-201
Plan for individuelle deltakerdata (IPD)
Planlegger du å dele individuelle deltakerdata (IPD)?
Legemiddel- og utstyrsinformasjon, studiedokumenter
Studerer et amerikansk FDA-regulert medikamentprodukt
Studerer et amerikansk FDA-regulert enhetsprodukt
Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .