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Study of DP303c Administered Intravenously to Subjects With HER2-Positive in Advanced Solid Tumors

A Phase Ia, Multicenter, Open and Dose-increasing Study of DP303c to Evaluate the Safety , Pharmacokinetics, Immunogenicity and Antitumor Activity of Subjects With HER2-Positive Advanced Solid Tumors

A phase Ia, multicenter, open and dose-increasing study of DP303c to evaluate the safety , pharmacokinetics, immunogenicity and antitumor activity of subjects with HER2-positive advanced solid tumors.

研究概览

地位

未知

条件

详细说明

Dose escalation study: Primary purpose: To investigate the safety and tolerability of DP303c in subjects with HER2-positive advanced solid tumors . Secondary purpose:1. To characterize the pharmacokinetics(PK) profile of DP303c;2. To assess the preliminary anti tumor activity of DP303c; 3. To characterize immunogenicity of DP303c.

研究类型

介入性

注册 (预期的)

30

阶段

  • 阶段1

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习地点

      • Shanghai、中国
        • Fudan University Cancer Hospital

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

18年 至 75年 (成人、年长者)

接受健康志愿者

有资格学习的性别

全部

描述

Inclusion Criteria:

  • Voluntary agreement to provide written informed consent;
  • Aged 18 to 75 years, both male and female;
  • Patients with advanced solid tumors diagnosed by histology and / or cytology, confirmed to be HER2 positive by pathological examination, unable to accept or have no standard treatment, failure of standard treatment (disease progress or treatment without remission after treatment) or intolerable patients; HER2-positive is defined as IHC 2+ and ISH positive or IHC 3+; IHC scores of breast cancer and gastric cancer are based on their respective standards, while IHC scores of other cancers are based on the scoring standards of breast cancer;
  • The ECOG performance status is 0 to 1,and the expected survival time is more than 3 months;
  • Subjects must have laboratory values within the limits described below:

ANC ≥1.5 x 109/L Platelet count ≥100 x 109/L Hemoglobin ≥9 g/dL Serum creatinine within normal limits OR creatinine clearance ≥60 mL/minute Serum total bilirubin ≤1.5 x ULN (up to 3 x ULN in subjects with Gilbert's syndrome) AST (SGOT) and ALT (SGPT) ≤2.5 x ULN (OR ≤5 X ULN for subjects with liver metastases) PT/INR and APTT ≤1.5 x ULN

  • According to the RECIST v1.1 standard, there must be a measurable lesion at the base line;
  • WOCBP must have a negative pregnancy test prior to study entry;
  • WOCBP and male subjects must agree to use adequate contraception from study entry through at least 12 weeks after the last dose of study drug (see Appendix 5);
  • A washout period is required for subjects who have recently received systemic antitumor therapy. The period prior to the subject's planned first dose of DP303c must be either at least 28 days or 5 half-lives, whichever is shorter. Antitumor therapy includes chemotherapy, immunotherapy, targeted therapy, endocrine therapy, radiotherapy (except local radiotherapy for pain relief, 14 days after treatment).

Exclusion Criteria:

  • Pregnant or breastfeeding women;
  • Refusal to use effective methods of contraception (see inclusion criteria for details);
  • Not recovered from AEs caused by previous drugs or radiotherapy (reference NCI CTCAE 5.0, ≤Grade 1 or at baseline), with the exception of alopecia;
  • History of cardiac dysfunction with LVEF <40% while on trastuzumab therapy;
  • Subjects with a history of allergy to any components(tratozumab analogues, MMAE, sodium citrate dihydrate, citrate monohydrate, polysorbitol 20 and sucrose, etc.) of DP303cand those who researchers consider to be more serious;
  • A history of central nervous system (CNS) metastases or epilepsy, asymptomatic or stable, and not requiring treatment at least 4 weeks before study therapy began;
  • Active lung infection or pneumonitis or a history of non-infectious interstitial lung disease;
  • Requires supplemental oxygen;
  • History of congestive heart failure, unstable angina pectoris, unstable atrial fibrillation, or cardiac arrhythmia. Subjects who have the following types of cardiac impairment at the time of enrollment:

New York Heart Association class III or IV heart disease Uncontrolled angina, congestive heart failure, or myocardial infarction within 6 months prior to enrolment An LVEF by echocardiogram (ECHO) or multi-gated acquisition (MUGA) scan <50% or below the lower limit of normal for the institution QT interval prolongation (>450 ms in males, >470 ms in females),QT interval correction (QTcF) was corrected by Fridericia formula

  • In the first 90 daysof the study, Cumulative anthracycline dose ≥360 mg/m2 doxorubicin or equivalent;
  • Peripheral neuropathy ≥Grade 2 or greater (NCI CTCAE v 5.0);
  • 12.Non-manageable electrolyte imbalances including hypokalemia, hypocalcemia, or hypomagnesemia (≥Grade 2 or greater based on NCI CTCAE v 5.0);
  • Any uncontrollable intercurrent illness, infection, or other conditions that could limit study compliance or interfere with assessments;
  • Serologic status reflecting active hepatitis B or C infection;
  • Subjects with immunodeficiency, including HIV positive;
  • Patients were treated with CYP3A inhibitors within 14 days of the first dose (drugs that increased specific CYP substrate AUC ≥ 5 times, such as Mibefradil, verapamil, diltiazem, nefazodone, clarithromycin, Telithromycin, Troleandomycin, Erythromycin, fluconazole, itraconazole, ketoconazole, Posaconazole,VoriconazoleTablets,Elvitegravir,indinavir,lopinavir, Nelfinavir,Ritonavir,Saquinavir, Boceprevir,Incivo,telaprevir,Conivaptan,idelalisib) or strong CYP3A inducers (Avasimibe, phenobarbital, phenytoin, carbamazepine,Rifampicin, rifabutin,enzalutamide, mitotane, Hypericum perforatum );
  • Other serious or uncontrollable diseases or conditions that may affect the assessment of the primary endpoint or that the investigator considers to be at risk for participants participating in this study.

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 主要用途:治疗
  • 分配:不适用
  • 介入模型:单组作业
  • 屏蔽:无(打开标签)

武器和干预

参与者组/臂
干预/治疗
实验性的:Dp303c
Multiple dose grouping
Multiple dose grouping
其他名称:
  • 模数转换器

研究衡量的是什么?

主要结果指标

结果测量
措施说明
大体时间
Maximal Tolerance Dose (MTD) of Dp303c
大体时间:The first treatment cycle 21 days
The dose level in which >= 2 out of 6 patients have dose-limiting toxicity (DLT). The MTD is defined as the previous dose level.
The first treatment cycle 21 days

次要结果测量

结果测量
措施说明
大体时间
Maximum concentration (Cmax) of DP303c
大体时间:approximately 2 years
The pharmacokinetics(PK) profile of DP303c
approximately 2 years
Time of peak plasma concentration (Tmax)
大体时间:approximately 2 years
The pharmacokinetics(PK) profile of DP303c
approximately 2 years
Area under the plasma concentration time curve (AUC) of DP303c
大体时间:approximately 2 years
The pharmacokinetics(PK) profile of DP303c
approximately 2 years
Overall response rate (ORR)
大体时间:approximately 2 years
To preliminarily evaluate ORR in patients with advanced solid tumors.
approximately 2 years
Duration of Response (DoR)
大体时间:approximately 2 years
To preliminarily evaluate DoR in patients with advanced solid tumors.
approximately 2 years
Immunogenicity (anti-drug antibody ADA)
大体时间:approximately 2 years
Percentage of subjects producing detectable anti-drug antibodies (ADA)
approximately 2 years

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (预期的)

2019年11月1日

初级完成 (预期的)

2021年6月1日

研究完成 (预期的)

2021年6月1日

研究注册日期

首次提交

2019年10月28日

首先提交符合 QC 标准的

2019年10月29日

首次发布 (实际的)

2019年10月31日

研究记录更新

最后更新发布 (实际的)

2019年10月31日

上次提交的符合 QC 标准的更新

2019年10月29日

最后验证

2019年10月1日

更多信息

与本研究相关的术语

其他研究编号

  • DP303c201801

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)?

药物和器械信息、研究文件

研究美国 FDA 监管的药品

研究美国 FDA 监管的设备产品

此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.

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