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- Ensaio Clínico NCT04200404
A Study of CS1001 in Combination With Regorafenib in Patients With Advanced or Refractory Solid Tumors
5 de maio de 2022 atualizado por: 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)
Visão geral do estudo
Status
Concluído
Condições
Intervenção / Tratamento
Tipo de estudo
Intervencional
Inscrição (Real)
19
Estágio
- Fase 2
- Fase 1
Contactos e Locais
Esta seção fornece os detalhes de contato para aqueles que conduzem o estudo e informações sobre onde este estudo está sendo realizado.
Locais de estudo
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South Australia
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Kurralta Park, South Australia, Austrália, 5037
- Ashford Cancer Centre Research
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Critérios de participação
Os pesquisadores procuram pessoas que se encaixem em uma determinada descrição, chamada de critérios de elegibilidade. Alguns exemplos desses critérios são a condição geral de saúde de uma pessoa ou tratamentos anteriores.
Critérios de elegibilidade
Idades elegíveis para estudo
18 anos e mais velhos (Adulto, Adulto mais velho)
Aceita Voluntários Saudáveis
Não
Gêneros Elegíveis para o Estudo
Tudo
Descrição
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.
Plano de estudo
Esta seção fornece detalhes do plano de estudo, incluindo como o estudo é projetado e o que o estudo está medindo.
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Tratamento
- Alocação: Não randomizado
- Modelo Intervencional: Atribuição Paralela
- Mascaramento: Nenhum (rótulo aberto)
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
|---|---|
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Experimental: 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.
Outros nomes:
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Experimental: Phase II arm
arms 2.Phase II: subjects with tumor of specific types
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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.
Outros nomes:
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O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Prazo |
|---|---|
|
Phase Ib (Safety Evaluation): Number of participants with adverse events
Prazo: 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)
Prazo: 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)
Prazo: Up to 2 years
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Up to 2 years
|
Medidas de resultados secundários
Medida de resultado |
Prazo |
|---|---|
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Phase Ib (Safety Evaluation): Objective response rate (ORR)
Prazo: 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)
Prazo: 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)
Prazo: 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)
Prazo: 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): Overall Survival (OS)
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: From first dose to 30 days after last dose, up to 2 years
|
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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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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Colaboradores e Investigadores
É aqui que você encontrará pessoas e organizações envolvidas com este estudo.
Patrocinador
Colaboradores
Datas de registro do estudo
Essas datas acompanham o progresso do registro do estudo e os envios de resumo dos resultados para ClinicalTrials.gov. Os registros do estudo e os resultados relatados são revisados pela National Library of Medicine (NLM) para garantir que atendam aos padrões específicos de controle de qualidade antes de serem publicados no site público.
Datas Principais do Estudo
Início do estudo (Real)
13 de dezembro de 2019
Conclusão Primária (Real)
13 de maio de 2021
Conclusão do estudo (Real)
18 de agosto de 2021
Datas de inscrição no estudo
Enviado pela primeira vez
13 de dezembro de 2019
Enviado pela primeira vez que atendeu aos critérios de CQ
13 de dezembro de 2019
Primeira postagem (Real)
16 de dezembro de 2019
Atualizações de registro de estudo
Última Atualização Postada (Real)
6 de maio de 2022
Última atualização enviada que atendeu aos critérios de controle de qualidade
5 de maio de 2022
Última verificação
1 de maio de 2022
Mais Informações
Termos relacionados a este estudo
Termos MeSH relevantes adicionais
Outros números de identificação do estudo
- CS1001/Regorafenib-101
Informações sobre medicamentos e dispositivos, documentos de estudo
Estuda um medicamento regulamentado pela FDA dos EUA
Não
Estuda um produto de dispositivo regulamentado pela FDA dos EUA
Não
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