- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT07789327
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
Studieöversikt
Status
Betingelser
Detaljerad beskrivning
Studietyp
Inskrivning (Beräknad)
Fas
- Fas 2
- Fas 1
Kontakter och platser
Studiekontakt
- Namn: Jinmin Yu, Doctor
- Telefonnummer: +86-521-67626971
- E-post: sdyujinming@126.com
Studera Kontakt Backup
- Namn: Hongxu Liu, Doctor
- Telefonnummer: +86-024-81916200
- E-post: liuhongxu3366@163.com
Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
- Vuxen
- Äldre vuxen
Tar emot friska volontärer
Beskrivning
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.
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: Icke-randomiserad
- Interventionsmodell: Sekventiell tilldelning
- Maskning: Ingen (Open Label)
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
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Experimentell: : 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.
|
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.
Andra namn:
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.
Andra namn:
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Experimentell: 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.
|
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.
Andra namn:
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.
Andra namn:
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Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Doseskalering (del ett): Andel av deltagarna som upplever behandlingsuppkomna biverkningar (TEAE)
Tidsram: Upp till 2 år
|
Incidensen och svårighetsgraden av biverkningar (AE), allvarliga biverkningar (SAE) och laboratorieavvikelser, enligt National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 och American Society for Transplantation and Cellular Therapy ( ASTCT) konsensusgradering
|
Upp till 2 år
|
|
Doseskalering (del ett): Andel av deltagarna som upplever biverkningsrelaterade dosavbrott, dosförseningar och dosintensitet
Tidsram: Upp till 2 år
|
Förekomst av biverkningar (AE) relaterade dosavbrott, dosfördröjningar och dosintensitet (varaktighet av HY07121 exponering)
|
Upp till 2 år
|
|
Dosexpansion (del två): objektiv svarsfrekvens (ORR)
Tidsram: Upp till 2 år
|
Andel deltagare som har ett bekräftat komplett svar (CR) eller ett partiellt svar (PR)
|
Upp till 2 år
|
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Dose Escalation (Part One): Incidence and Nature of Dose-Limiting Toxicity (DLT)
Tidsram: 28 days during the first 4-week cycle
|
Dose-Limiting Toxicity (DLT) will be defined using National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 5.0.
|
28 days during the first 4-week cycle
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Dosexpansion (del två): Andel av deltagarna som upplever behandlingsuppkomna biverkningar (TEAE)
Tidsram: Upp till 2 år
|
Incidensen och svårighetsgraden av biverkningar (AE), allvarliga biverkningar (SAE) och laboratorieavvikelser, enligt National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 och American Society for Transplantation and Cellular Therapy ( ASTCT) konsensusgradering
|
Upp till 2 år
|
|
Dosexpansion (del två): Andel av deltagarna som upplever biverkningar (AE) relaterade dosavbrott, dosförseningar och dosintensitet
Tidsram: Upp till 2 år
|
Förekomst av biverkningsrelaterade dosavbrott, dosfördröjningar och dosintensitet (varaktighet av HY07121-exponering).
|
Upp till 2 år
|
|
Doseskalering och -expansion: Bedömning av HY07121 Cmax
Tidsram: Upp till 2 år
|
Maximal observerad koncentration (Cmax) observerad från den farmakokinetiska profilen
|
Upp till 2 år
|
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Doseskalering och -expansion: Bedömning av HY07121 AUC
Tidsram: Upp till 2 år
|
Arean under kurvan för koncentration mot tid beräknad med trapetsmetoden
|
Upp till 2 år
|
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Doseskalering och -expansion: Bedömning av HY07121 T1/2
Tidsram: Upp till 2 år
|
Tiden det tar för halva läkemedelskoncentrationen att elimineras beräknas med lutningen av terminallinjen
|
Upp till 2 år
|
|
Doseskalering och -expansion: Bedömning av HY07121 anti-drug-antibody (ADA)
Tidsram: Upp till 2 år
|
Incidens, varaktighet, titer av serum anti-HY07121 antikropp (ADA)
|
Upp till 2 år
|
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Doseskalering (del ett): objektiv svarsfrekvens (ORR)
Tidsram: Upp till 2 år
|
Andel deltagare som har ett bekräftat fullständigt svar (CR) eller ett partiellt svar (PR) fastställt av utredaren enligt Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1
|
Upp till 2 år
|
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Dosupptrappning och -expansion: Duration of Response (DOR) bedömd av utredare per svarsutvärderingskriterier i solida tumörer (RECIST) Version 1.1
Tidsram: Upp till 2 år
|
Duration Of Response (DOR) definieras som tiden från det att mätkriterierna först uppfylls för fullständigt svar (CR)/Partial Response (PR) (beroende på vilket som registreras först) till det första datumet då återkommande eller progressiv sjukdom.
|
Upp till 2 år
|
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Doseskalering och -expansion: Disease Control Rate (DCR) bedömd av utredare enligt RECIST version 1.1
Tidsram: Upp till 2 år
|
Disease Control Rate definieras som andelen deltagare som har uppnått CR eller PR eller har visat stabil sjukdom
|
Upp till 2 år
|
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Doseskalering och -expansion: Korrelationen mellan tumörbiomarkörer och effekt
Tidsram: Upp till 2 år
|
Objektiv svarsfrekvens (ORR) definieras som andelen deltagare som har ett bekräftat fullständigt svar (CR) eller ett partiellt svar (PR) bestämt av utredaren per RECIST version 1.1.
Tumörbiomarkörer kommer att testas med immunhistokemi (IHC) och poängsättas med tumörproportionspoäng (TPS) och/eller Combined Positive Score (CPS) algoritm.
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Upp till 2 år
|
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Dose Escalation and Expansion: Progression-Free Survival (PFS) assessed by investigator per RECIST Version 1.1
Tidsram: Up to 2 years
|
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
|
Up to 2 years
|
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Dose Escalation and Expansion: Time-To-Progression (TTP) assessed by investigator per RECIST Version 1.1
Tidsram: Up to 2 years
|
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
|
Up to 2 years
|
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Dose Escalation and Expansion: Overall Survival (OS)
Tidsram: Up to 2 years
|
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
|
Up to 2 years
|
Samarbetspartners och utredare
Studieavstämningsdatum
Studera stora datum
Studiestart (Beräknad)
Primärt slutförande (Beräknad)
Avslutad studie (Beräknad)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Faktisk)
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- HY0007-SC-101
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