A Study of CS1001 in Combination With Regorafenib in Patients With Advanced or Refractory Solid Tumors
2022年5月5日 更新者: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)
研究概览
研究类型
介入性
注册 (实际的)
19
阶段
- 阶段2
- 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
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South Australia
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Kurralta Park、South Australia、澳大利亚、5037
- Ashford Cancer Centre Research
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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 及以上 (成人、年长者)
接受健康志愿者
不
有资格学习的性别
全部
描述
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.
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:非随机化
- 介入模型:并行分配
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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实验性的: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.
其他名称:
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实验性的: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.
其他名称:
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研究衡量的是什么?
主要结果指标
结果测量 |
大体时间 |
|---|---|
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Phase Ib (Safety Evaluation): Number of participants with adverse events
大体时间: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)
大体时间: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)
大体时间:Up to 2 years
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Up to 2 years
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次要结果测量
结果测量 |
大体时间 |
|---|---|
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Phase Ib (Safety Evaluation): Objective response rate (ORR)
大体时间: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)
大体时间: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)
大体时间: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)
大体时间: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)
大体时间: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
大体时间: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
大体时间: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
大体时间: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
大体时间: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): Time to reach maximum plasma concentration (Tmax) of CS1001
大体时间: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
大体时间: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
大体时间: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
大体时间: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
大体时间: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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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。
合作者
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 (实际的)
2019年12月13日
初级完成 (实际的)
2021年5月13日
研究完成 (实际的)
2021年8月18日
研究注册日期
首次提交
2019年12月13日
首先提交符合 QC 标准的
2019年12月13日
首次发布 (实际的)
2019年12月16日
研究记录更新
最后更新发布 (实际的)
2022年5月6日
上次提交的符合 QC 标准的更新
2022年5月5日
最后验证
2022年5月1日
更多信息
与本研究相关的术语
其他相关的 MeSH 术语
其他研究编号
- CS1001/Regorafenib-101
药物和器械信息、研究文件
研究美国 FDA 监管的药品
不
研究美国 FDA 监管的设备产品
不
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