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A Study of SIM0689 in Adult Participants With Locally Advanced or Metastatic Solid Tumors

18. august 2026 oppdatert av: Jiangsu Simcere Pharmaceutical Co., Ltd.

Phase I First-in-Human, Open-label, Multicenter Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Preliminary Antitumor Activity of SIM0689 in Adult Participants With Locally Advanced or Metastatic Solid Tumors

This study will evaluate the safety, of SIM0689 and how the body processes it, how it affects the body, and its early signs of activity against tumors when given alone to Adult Participants with Locally Advanced or Metastatic Solid Tumors. The study has a dose escalation part to find the highest dose that can be given safely, or recommended dose (RD) for SIM0689 when given alone, and a dose expansion part in subjects with specific tumor types treated with SIM0689 as a single agent at RD.

Studieoversikt

Status

Rekruttering

Intervensjon / Behandling

Studietype

Intervensjonell

Registrering (Antatt)

472

Fase

  • Fase 1

Kontakter og plasseringer

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

Studiekontakt

Studer Kontakt Backup

Studiesteder

    • Fujian
      • Fuzhou, Fujian, Kina, 350014
        • Rekruttering
        • Fujian Cancer Hospital
        • Ta kontakt med:
          • Zengqing Guo
    • Henan
      • Zhengzhou, Henan, Kina, 450000
        • Har ikke rekruttert ennå
        • The First Affiliated Hospital of Zhengzhou University
        • Ta kontakt med:
          • Shuiling Jin
    • Hunan
      • Changsha, Hunan, Kina, 410013
        • Har ikke rekruttert ennå
        • Hunan Cancer Hospital
        • Ta kontakt med:
          • Haiyan Yang
        • Ta kontakt med:
          • Xingxiang Pu
    • Liaoning
      • Shenyang, Liaoning, Kina, 110000
        • Har ikke rekruttert ennå
        • The First Hospital of China Medical University
        • Ta kontakt med:
          • Yunpeng Liu
    • Shandong
      • Jinan, Shandong, Kina, 250117
        • Har ikke rekruttert ennå
        • Cancer Hospital of Shandong First Medical University
        • Ta kontakt med:
          • Shuqin Ni
    • Zhejiang
      • Hangzhou, Zhejiang, Kina, 310003
        • Rekruttering
        • The First Affiliated Hospital, Zhejiang University School of Medicine
        • Ta kontakt med:
          • Tingbo Liang

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

  • Voksen
  • Eldre voksen

Tar imot friske frivillige

Nei

Beskrivelse

Inclusion Criteria:

  • In dose-escalation cohorts (Part 1), histologically or cytologically documented advanced or metastatic solid tumor that is refractory/relapsed to standard therapies, or for which no effective standard therapy is available, or the subject refuses standard therapy.
  • In the dose-expansion cohorts (Part 2), histologically or cytologically confirmed selected advanced solid tumors.
  • Subjects must have at least one measurable lesion according to RECIST Version1.1.
  • Eastern Cooperative Oncology Group (ECOG) Performance Score of 0 or 1.
  • Adequate organ function.
  • Available archived tumor tissue sample to allow for correlative biomarker studies. If unavailable or unsuitable, the subject must consent and undergo fresh tumor biopsy.
  • Life expectancy ≥12 weeks.
  • Patients of childbearing potential (male and female) must agree to use reliable methods of contraception until at least 180 days after the last dose.

Exclusion Criteria:

  • Symptomatic brain metastases.
  • Serious non-healing wounds, ulcers or fractures.
  • Toxicity from previous treatment has to restore to ≤ grade 1.
  • Major surgery (excluding biopsy) or significant trauma within 4 weeks prior to enrollment.
  • Use of aspirin (> 325 mg/day) within 6 months prior to the first dose.
  • Active hepatitis B or hepatitis C.
  • Known human immunodeficiency virus (HIV) infection or acquired immunodeficiency syndrome (AIDS).
  • Known hereditary or acquired predisposition to bleeding and thrombosis.
  • History of gastrointestinal perforation, gastrointestinal bleeding, fistula, or any life-threatening bleeding event within 6 months prior to enrollment.
  • Prior permanent discontinuation of PD-(L)1 and/or VEGF monoclonal antibody because of immune/anti-angiogenesis toxicities, or history of Grade ≥3 immune/anti-angiogenesis-related AEs
  • Known or suspected active autoimmune disease.
  • Patients with proteinuria at screening (Urine protein >2+ at screening, or 2+ urine protein accompanied by 24-h urine protein ≥1 g/24 h).
  • History of myocardial infarction or stroke within 6 months prior to enrollment.
  • Subjects with clinically significant cardiovascular disease within 6 months prior to the first dose.
  • Pregnant and lactating women.
  • Known allergies to any excipient in the study drug.

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: SIM0689 for Injection
One intravenous infusion of SIM0689 for Injection, 28 days or 21 days as a treatment cycle.
SIM0689 for Injection is a Programmed Cell Death Protein 1(PD1) / Vascular Endothelial Growth Factor (VEGF) bispecific antibody.

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Dose-limiting toxicity (DLT) (Dose escalation)
Tidsramme: at the end of Cycle 1 (each cycle is 28 days)
DLTs will be assessed during the dose-escalation phase and are defined as toxicities that meet pre-defined severity criteria.
at the end of Cycle 1 (each cycle is 28 days)
Maximum tolerated dose (MTD)and / or Recommended dose (RD) (Dose escalation)
Tidsramme: Up to approximately 2 years

The MTD is defined as the dose of SIM0689 with an estimated toxicity rate closest to the target toxicity rate of 27%;

RD stands for Recommended Dose, which will be selected based on the evaluation of all available pharmacokinetics, pharmacodynamic, efficacy, safety, and tolerability data

Up to approximately 2 years
Objective Response Rate (ORR) (Dose expansion)
Tidsramme: Up to approximately 2 years
ORR is the proportion of participants with complete response(CR)or partial response (PR) assessed according to RECIST v1.1.
Up to approximately 2 years

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Adverse event rate
Tidsramme: up to approximately 2 years
The occurrence of all adverse events (AEs), evaluated by Common Terminology Criteria for Adverse Events (CTCAE) 6.0.
up to approximately 2 years
Pharmacokinetics: The area under the curve (AUC)
Tidsramme: up to approximately 2 years
The area under the curve (AUC) of serum concentration of SIM0689
up to approximately 2 years
Pharmacokinetics: Peak concentration (Cmax)
Tidsramme: Up to approximately 2 years
Maximum observed concentration (Cmax) of SIM0689
Up to approximately 2 years
Pharmacokinetics: T1/2
Tidsramme: Up to approximately 2 years
Terminal half-life (T1/2)
Up to approximately 2 years
Pharmacokinetics: Tmax
Tidsramme: Up to approximately 2 years
Time to maximum concentration
Up to approximately 2 years
Immunogenicity
Tidsramme: Up to approximately 2 years
Titer of serum anti-SIM0689 antibodies
Up to approximately 2 years
Immunogenicity
Tidsramme: Up to approximately 2 years
Incidence rate of serum anti-SIM0689 antibodies
Up to approximately 2 years
Immunogenicity
Tidsramme: Up to approximately 2 years
Duration of serum anti-SIM0689 antibodies
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)

3. juli 2026

Primær fullføring (Antatt)

1. desember 2028

Studiet fullført (Antatt)

1. juni 2029

Datoer for studieregistrering

Først innsendt

10. juni 2026

Først innsendt som oppfylte QC-kriteriene

16. juni 2026

Først lagt ut (Faktiske)

22. juni 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

20. august 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

18. august 2026

Sist bekreftet

1. juni 2026

Mer informasjon

Begreper knyttet til denne studien

Andre studie-ID-numre

  • SIM0689-101

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

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