Denne siden ble automatisk oversatt og nøyaktigheten av oversettelsen er ikke garantert. Vennligst referer til engelsk versjon for en kildetekst.

To Evaluate the Safety and Tolerability of SYHX2001 in Patients With Advanced or Metastatic Solid Tumors

This is a Phase 1, open-label, multicenter, dose escalation and expansion study to evaluate the safety, tolerability, pharmacokinetics, and pharmacodynamics of the experimental drug(SYHX2001) in previously treated patients with advanced or metastatic cancer.

Studieoversikt

Status

Rekruttering

Intervensjon / Behandling

Detaljert beskrivelse

This is a multicenter, open-label, dose-escalation, dose-expansion Phase 1 study of SYHX2001(name of the experimental drug) in patients with advanced or metastatic cancers who have exhausted standard treatment. The study will consist of 2 parts, a dose escalation part and a cohort expansion part. Once the recommended phase 2 dose (RP2D) has been determined in the dose escalation part, a cohort expansion part involving up to three separate cohorts will be conducted. For patients, the study will include a screening phase, a treatment phase, and a post treatment follow-up phase. An end-of-study visit will be conducted within 30 days after the last dose of SYHX2001.

Studietype

Intervensjonell

Registrering (Forventet)

176

Fase

  • Fase 1

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiekontakt

Studiesteder

    • Heilongjiang
      • Harbin, Heilongjiang, Kina
        • Rekruttering
        • Harbin Medical University Cancer Hospital
        • Ta kontakt med:

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

18 år til 75 år (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

Inclusion Criteria:

  1. Male or female patients with an age of 18~75years (inclusive).
  2. Confirmed histologic or cytologic diagnosis of an advanced and/or metastatic solid tumor.
  3. At least one measurable lesion as defined by RECIST version 1.1.
  4. Eastern Cooperative Oncology Group Performance Status 0 or 1.
  5. Life expectancy ≥3 months.
  6. Major organ function within 14 days prior to treatment meets the following criteria (no blood transfusion, Erythropoietin(EPO), Granulocyte Colony Stimulating Factor(G-CSF) or other medical support): Absolute Neutrophil Count(ANC)≥1.5×10^9/L,Platelet(PLT)≥90×10^9/L,Hemoglobin(Hb)≥100g/L or≥6.2 mmol/L;Creatinine(Cr)≤1.5×upper limit of normal(ULN) and creatinine clearance rate≥50mL/min;Total Bilirubin(TBIL)≤1.5×ULN; Prothrombin time(PT)≤1.5×ULN , Activated Partial Thromboplastin Time(APTT)≤1.5×ULN , Aspartate Aminotransferase(AST)/Alanine Aminotransferase(ALT)≤2.5 × ULN.
  7. Signed informed consent form.

Exclusion Criteria:

  1. Chemotherapy, radiotherapy, biotherapy, endocrine therapy, targeted therapy, immunotherapy and other anti-tumor treatment within 4 weeks prior to the first dose of the study drug, or administration of other investigational agents within 4 weeks or 5 half-lives prior to the first dose of the study drug, whichever is longer.
  2. Major surgery or significant trauma within 4 weeks prior to the first dose of the study drug.
  3. Adverse reactions from the previous anti-tumor treatment have not yet recovered to ≤ level 1 based on CTCAE 5.0。
  4. Have a history of severe cardiovascular and cerebrovascular disease.
  5. Central nervous system metastasis or meningeal metastasis with clinical symptoms, or other evidence shows that the patient's central nervous system metastasis or meningeal metastasis has not been controlled and not suitable for the study according to the judgment of the investigator.
  6. Known history of hypersensitivity to test drug components.
  7. Patients with recent active bleeding or a history of bleeding.
  8. Those with coagulation disorders or taking thrombolytic, anticoagulant or antiplatelet agglutination drugs.
  9. Gastrointestinal perforation, abdominal fistula, or intra-abdominal abscess within 6 months prior to first dose; or currently under investigator's judgement there are high risk factors for hollow organ perforation/fistula formation).
  10. Inability to swallow the drug orally, or a condition that seriously affects gastrointestinal absorption in the judgment of the investigator.
  11. Irritable bowel syndrome with signs/symptoms requiring medication.
  12. Persistent active diarrhea requiring medical treatment.
  13. Concomitant use of strong CYP3A4 inhibitors or inducers, strong CYP2D6 inhibitors and strong P-gp inhibitors within 14 days prior to the first dose of the study drug.
  14. History of autoimmune diseases, immunodeficiency, including HIV positive, or other acquired, congenital immunodeficiency, or organ transplant history.
  15. Known Hepatitis B Virus (HBV), Hepatitis C Virus (HCV), or other active viral infection.
  16. Male and female patients of childbearing potential do not agree to use suitable method of contraception during the treatment and 6 months after the last dose of study medication; female patients do not have negative results of serum/urine pregnancy test within 7 days prior to enrollment and would be breastfeeding.
  17. Not suitable for this study as determined by the investigator due to other reasons.

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: N/A
  • Intervensjonsmodell: Enkeltgruppeoppdrag
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: SYHX2001
SYHX2001 will be administered orally.
SYHX2001 tablets, oral

Hva måler studien?

Primære resultatmål

Resultatmål
Tidsramme
Dose limiting toxicities (DLT) in stage Ⅰ
Tidsramme: Baseline through Day 28
Baseline through Day 28
Maximum tolerated dose (MTD) in stage Ⅰ
Tidsramme: Baseline through Day 28
Baseline through Day 28
Recommended phase 2 dose (RP2D)
Tidsramme: Baseline through approximately 2 years
Baseline through approximately 2 years
Incidence and severity of adverse events in stage Ⅰ
Tidsramme: Baseline through approximately 2 years
Baseline through approximately 2 years
Overall response rate (ORR) in stage Ⅱ
Tidsramme: Up to approximately 2 years
Up to approximately 2 years

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Maximum observed plasma concentration (Cmax) of SYHX2001
Tidsramme: Baseline and up to approximately 2 years
Baseline and up to approximately 2 years
Area under the plasma concentration-time curve (AUC) extrapolated from time zero to infinity (AUC[0-inf]) of SYHX2001
Tidsramme: up to approximately 2 years
up to approximately 2 years
AUC from time zero to the last quantifiable concentration after dosing (AUC[0-t]) of SYHX2001
Tidsramme: up to approximately 2 years
up to approximately 2 years
Terminal phase half-life (t1/2) of SYHX2001
Tidsramme: up to approximately 2 years
up to approximately 2 years
Oral clearance (CL/F) of SYHX2001
Tidsramme: up to approximately 2 years
up to approximately 2 years
PFS Progression-free survival (PFS)
Tidsramme: up to approximately 2 years
PFS is defined as the time from first dose until radiographic progression per standard criteria or death due to any cause, whichever is earlier.
up to approximately 2 years
Duration of Response (DOR)
Tidsramme: up to approximately 2 years
DOR is defined as the time from first evidence of response (complete response or partial response per RECIST 1.1) to earlier date of disease progression or death due to any cause.
up to approximately 2 years
Number of patients with any adverse events(AEs) and serious adverse events(SAEs) in stage Ⅱ
Tidsramme: up to approximately 2 years
up to approximately 2 years
Change from Baseline in symmetrical arginine dimethylation (SDMA) as a pharmacodynamics(PD) measure
Tidsramme: Baseline and up to approximately 2 years
Baseline and up to approximately 2 years

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

27. juli 2022

Primær fullføring (Forventet)

6. januar 2026

Studiet fullført (Forventet)

6. januar 2026

Datoer for studieregistrering

Først innsendt

30. mai 2022

Først innsendt som oppfylte QC-kriteriene

3. juni 2022

Først lagt ut (Faktiske)

7. juni 2022

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

9. august 2022

Siste oppdatering sendt inn som oppfylte QC-kriteriene

8. august 2022

Sist bekreftet

1. august 2022

Mer informasjon

Begreper knyttet til denne studien

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

  • SYHX2001C101

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

Ubestemt

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

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. .

Abonnere