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Clinical Study of JS201 in Patients With Advanced Malignant Tumors

2022年4月1日 更新者：Shanghai Junshi Bioscience Co., Ltd.

An Open-label, First-in-human, Dose Escalation and Expansion Phase I Clinical Study to Evaluate the Safety, Tolerability and Pharmacokinetic Profile of JS201 in Patients With Advanced Malignant Tumors

This is an open label, phase I clinical study to evaluate the safety, tolerability, pharmacokinetic (PK) profile, pharmacodynamic (PD) profile, immunogenicity and preliminary efficacy of JS201 in the patients with advanced malignant tumors who have progression after or during the standard of care, or no effective standard therapeutic regimen. This study is divided into three phases: dose-escalation phase, dose expansion phase, and clinical expansion phase.

研究概览

地位

招聘中

条件

干预/治疗

研究类型

介入性

注册 (预期的)

244

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。

学习联系方式

学习地点

  • 中国
      • Guangzhou、中国
    • Beijing
      • Beijin、Beijing、中国、100000
        • 尚未招聘
        • Beiijng Cancer Hospital
        • 接触：
    • Fujian
      • Fuzhou、Fujian、中国、350000
        • 尚未招聘
        • The First Affiliated Hospital of Fujian Medical University
        • 接触：
    • Guangdong
      • Guangzhou、Guangdong、中国、510060
        • 尚未招聘
        • Sun Yat-sen University Cancer Center
        • 接触：
      • Guangzhou、Guangdong、中国、510699
        • 尚未招聘
        • The First Affiliated Hospital of Guangdong Pharmaceutical University
        • 接触：
    • Guangong
      • Guangzhou、Guangong、中国、510060
        • 尚未招聘
        • Sun Yat-sen University Cancer Center
        • 接触：
    • Hebei
      • Baoding、Hebei、中国、071030
        • 招聘中
        • Affiliated Hospital of Hebei University
        • 接触：
    • Heilongjiang
      • Harbin、Heilongjiang、中国、150000
        • 尚未招聘
        • Harbin Medical University Cancer Hospital
        • 接触：
    • Henan
      • Zhengzhou、Henan、中国、450003
        • 尚未招聘
        • Henan Cancer Hospital
        • 接触：
      • Zhenzhou、Henan、中国、450000
        • 尚未招聘
        • The First Affiliated Hospital of Zhengzhou University
        • 接触：
    • Hubei
      • Wuhan、Hubei、中国、430022
        • 尚未招聘
        • Union Hospital Tongji Medical College Huazhong University of Science and Techonoly
        • 接触：
          • Guiling li, Prof
    • Jiangsu
      • Nanjing、Jiangsu、中国、210008
        • 尚未招聘
        • Nanjing Drum Tower Hospital
        • 接触：
      • Wuxi、Jiangsu、中国、214000
        • 尚未招聘
        • Affiliated Hospital of Jiangnan University
        • 接触：
      • Xuzhou、Jiangsu、中国、221009
        • 尚未招聘
        • Xuzhou Central Hospital
        • 接触：
    • Liaoning
      • Shenyang、Liaoning、中国、110801
        • 尚未招聘
        • Liaoning Cancer Hospital & Institute
        • 接触：
    • Shandong
      • Jinan、Shandong、中国、250117
    • Shanghai
      • Shanghai、Shanghai、中国、200433
    • Sichuan
      • Chengdu、Sichuan、中国、610000
        • 尚未招聘
        • West China Hospital Sichuan University
        • 接触：
    • Zhejiang
      • Hangzhou、Zhejiang、中国、310005
        • 尚未招聘
        • Cancer Hospital of The University of Chinese Academy of Sciences
        • 接触：

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

不

有资格学习的性别

全部

描述

Inclusion Criteria

  1. Understanding and voluntarily signing the informed consent form;
  2. Male or female, aged 18 to 70 years (inclusive), for the dose-expansion and clinical expansion parts, aged 18 to 75 years (inclusive);
  3. Patients with histologically or cytologically confirmed advanced malignant tumors who have progression after or on the standard of care, or have no effective standard therapeutic regimen;
  4. In the clinical expansion stage, patients with advanced cervical cancer, lymphoma, non-small cell lung cancer (NSCLC), gastric cancer, urothelial cancer and other malignant solid tumors diagnosed by histology or cytology were enrolled (the details shown in the full protocol);
  5. ECOG PS score: 0~1;
  6. Patients with life expectancy ≥12 weeks;
  7. At least one measurable lesion per RECIST v1.1 (solid tumors) or 2014 Lugano (lymphoma) criteria;
  8. Agree to provide fresh biopsies prior to first dose, or archived samples within two years if there is unpredictable risk of biopsy to the patient（at least 15 fresh biopsy sections or 11 surgical sections). For patients who cannot provide abovementioned sections of tissue samples due to special conditions, it needs to contact with the medical monitor of the sponsor to confirm whether this inclusion criterion can be exempted;

  9. Function of vital organs must meet the followings (no blood transfusion or hematopoietic stimulating factor used within 14 days prior to the first dose

    Absolute neutrophil count (ANC) ≥1.5×109/L;

    Platelet (PL) ≥100×109/L;

    Hemoglobin (Hb) ≥ 9 g/dL;

    Total bilirubin (TBIL) ≤1.5 × ULN; if there is hepatic metastasis, total bilirubin ≤2 × ULN; direct bilirubin (dBIL) ≤ 3.0mg/dL in the patients with Gilbert's syndrome;

    Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤2.5 × ULN; or ≤5 × ULN in the patients with hepatic metastasis;

    Serum creatinine (Cr) ≤1.5 × ULN, or calculated creatinine clearance (using Cockcroft -Gault formula) ≥50 mL/min, or 24-hour urine creatinine clearance ≥ 50 mL/min;

    International normalized ratio (INR) ≤1.5 × ULN and activated partial thromboplastin time (aPTT) ≤1.5 × ULN in the patients receiving no anticoagulation therapy;

    QTc interval ≤450 ms for man and ≤470 ms for woman, as calculated using Fridericia's formula;

  10. Female patients of childbearing potential and male patients with partners of childbearing potential must agree to use a medically recognized contraceptive measure (e.g., intrauterine device IUD, contraceptive or condom) during the study and within 3 months after the end of treatment; the serum HCG test must be negative in the female patients with childbearing potential within 7 days prior to enrollment; and the female patients must be not lactating.

Exclusion criteria

  1. Known allergy to any component of JS201;
  2. The patients have previously received the TGF-β/TGF-β receptor targeted drugs;
  3. Received other investigational product within 4 weeks prior to the first dose of JS201;
  4. Accepted major surgery (judged by investigator) or in the recovery period of the surgery within 4 weeks after the first dose of JS201;
  5. Antitumor chemotherapy (6 weeks after the last dose of nitrosourea or mitomycin chemotherapy), radiotherapy, hormone therapy, targeted therapy (for small molecular targeted therapy, within 2 weeks prior to the first dose of JS201), immunotherapy (e.g., anti-PD1/PD-L1 and anti-CTLA-4 therapy) or biotherapy (e.g., cell therapy) within 4 weeks prior to the first dose. Local palliative therapy for isolated lesion is acceptable (e.g., local surgery or radiotherapy), if the tumor evaluation is not affected;
  6. Use of immunosuppressive drug or immune enhancing drugs (such as thymosin, interferon, interleukin, etc.) within 2 weeks prior to the first dose. However, corticosteroid nasal spray, inhaler or ≤10 mg/day systemic prednisone and equivalent similar products are accepted. Short-term use of systemic corticosteroid therapy with a dose equivalent to prednisone > 10 mg / day (e.g. for the treatment/prevention of contrast medium allergy) with ≤ 3 days is allowed;
  7. Previous allogeneic bone marrow transplantation or solid organ transplantation;
  8. Live attenuated vaccine within 30 days prior to the first dose is excluded, and inactivated influenza vaccination is allowed;
  9. Having other malignant tumor other than the disease investigated within 5 years prior to the first dose. The malignant tumors, including but not limited to sufficiently treated thyroid cancer, cervical carcinoma in situ, basal or squamous cell carcinoma of skin, or ductal carcinoma in situ treated with radical surgery, are eligible;
  10. Symptomatic central nervous system (CNS) metastasis requiring intervention (including corticosteroids and antiepileptics). Asymptomatic CNS metastasis previously treated with local therapy is eligible. If the patients confirmed CNS metastasis during screening without any symptoms, and no intervention is required per the standard of care, the eligibility should be determined with the medical monitor of the sponsor;
  11. No remission from the toxicity of previous antitumor therapy, i.e., not resolved to baseline, grade 0-1 per NCI-CTCAE v5.0 (except alopecia) or the level specified in the inclusion/exclusion criteria. Patients with irreversible toxicity reasonably expected to be non-aggravated by the study drug (e.g., hearing loss) can participate in this study upon discussion with the medical monitor of the sponsor;
  12. Patients have accepted anti PD-1/PD-L1 monoclonal antibody treatment, and immune related adverse events occurred that stop the treatment;
  13. Massive pleural effusion, ascites or pericardial effusion with clinical symptoms or requiring symptomatic treatment;
  14. Active autoimmune disease requiring systemic therapy (e.g., corticosteroids or immunosuppressants) within 2 years prior to the first dose.

1) The autoimmune diseases include but not limited to systemic lupus erythematosus, interstitial pneumonia, uveitis, enteritis, hepatitis, hypophysitis, nephritis, hyperthyroidism and multiple sclerosis;

2) Patients with leukoderma or childhood asthma that has been completely relieved and does not need any intervention in adulthood can be enrolled;

3) For the patients combined with rheumatoid arthritis and other joint diseases, Sjogren's syndrome, celiac disease and psoriasis that have been controlled after local therapy, as well as those with positive antinuclear antibody (ANA) and antithyroid antibody, it should be evaluated whether the target organ is involved and systemic treatment is needed, and their enrollment will be determined by investigator;

4) Replacement therapy (e.g., thyroxine, insulin or physiological dose of corticosteroid for adrenal or pituitary insufficiency) will not be regarded as systemic treatment;

5) Patients requiring intermittent use of bronchodilators, inhaled corticosteroids or local injection of corticosteroids for chronic obstructive pulmonary disease (COPD) and asthma can be enrolled.

15. Active infection requiring systematic treatment/antibiotics or intravenous use of systemic anti-infection therapy with 1 week prior to the first dose or use for more than 7 days;

16. History of concurrent serious cerebro- and cardiovascular diseases: ≥grade 3 symptomatic congestive heart failure in accordance with New York Heart Association (NYHA) cardiac function grading system, poorly controlled hypertension or arrhythmia, unstable angina pectoris, myocardial infarction, cerebrovascular accident or transient ischemic attack within 6 months prior to the first doses, or any other arterial thrombosis or embolic event;

17. Presence of active tuberculosis, or interstitial lung disease requiring oral or intravenous steroids or history of pneumonia;

18.Hepatitis (nonalcoholic steatohepatitis and alcoholic/drug-related/autoimmune hepatitis) or cirrhosis;

19. Known positive for human immunodeficiency virus (HIV);

20. Patients with evidence of active infection with hepatitis B virus (HBV) or hepatitis C virus (HCV). Patients with HBcAb positive and/or HBsAg positive in the screening stage, if the patients with HBV DNA copy number < 1000 CPS/ml or < 200 IU/ml can be enrolled. HBsAg positive patients must receive antiviral treatment throughout the study period. Patients with positive HCV antibody in the screening stage can be recruited only when the HCV RNA test result is negative;

21. Any other clinical significant diseases or conditions can effect on the compliance with the protocol (e.g., history of psychosis or drug abuse), the signature of the informed consent form (e.g., drug addiction and drug abuse), or is unsuitable to be involved in this clinical trial, which determined by investigator.

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：JS201
药品：JS201
JS201 is administered intravenously Q3W at the corresponding dose.

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
Number of subjects with DLT (Dose limiting Toxicity)
大体时间：21 days after first infusion of study drug
DLT is defined as any of the specified toxicities evaluated as at least possibly related with the study drug within 21 days after the first dose (NCI-CTCAE v5.0);
21 days after first infusion of study drug
Number of Subjects with adverse event (AE)
大体时间：Up to 2 years
An Adverse Event (AE) is defined as any new untoward medical occurrences/worsening of pre-existing medical condition without regard to possibility of causal relationship.
Up to 2 years
Number of Subjects with serious adverse event (SAE)
大体时间：Up to 2 years
A Serious Adverse Event (SAE) is an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged inpatient hospitalization; congenital anomaly/birth defect
Up to 2 years
Number of Subjects with immune related adverse event (irAE)
大体时间：Up to 2 years
IrAE is assessed according to the judgement of investigators
Up to 2 years

次要结果测量

结果测量
措施说明
大体时间
anti-drug body (ADA)
大体时间：Up to 2 years
incidence of anti-drug body (ADA)
Up to 2 years
peak concentration (Cmax)
大体时间：Up to 2 years
Cmax after JS201 administration
Up to 2 years
trough concentration (Ctrough)
大体时间：Up to 2 years
Ctrough after JS201 administration
Up to 2 years
area under the plasma drug concentration-time curve (AUC0-t )
大体时间：Up to 2 years
AUC0-t after JS201 administration
Up to 2 years
volume of distribution (Vss)
大体时间：Up to 2 years
Vss after JS201 administration
Up to 2 years
elimination half-life (t1/2)
大体时间：Up to 2 years
t1/2 after JS201 administration
Up to 2 years
clearance rate (CL)
大体时间：Up to 2 years
CL after JS201 administration
Up to 2 years
ORR
大体时间：Up to 2 years
The efficacy evaluated by the investigator in accordance with RECIST 1.1 criteria (solid tumors) or Lugano criteria (2014, lymphoma), including complete response (CR) and partial response (PR).
Up to 2 years
DOR
大体时间：Up to 2 years
DOR is defined as the time from the date of the first documentation of response (confirmed CR or confirmed PR) to the date of the first documentation of PD or death due to any cause, whichever occurs first.
Up to 2 years
DCR
大体时间：Up to 2 years
The efficacy evaluated by the investigator per RECIST 1.1 criteria (solid tumors) or Lugano criteria (2014, lymphoma), including CR, PR and stable disease (SD);
Up to 2 years
PFS
大体时间：Up to 2 years
PFS is defined as the time from the date of randomization to the earlier of the dates of the first documentation of progressive disease or death due to any cause.
Up to 2 years
OS
大体时间：Up to 2 years
OS is defined as the time from the date of randomization to the date of death due to any cause.
Up to 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。

赞助

Shanghai Junshi Bioscience Co., Ltd.

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)

2021年7月29日

初级完成 (预期的)

2023年7月7日

研究完成 (预期的)

2023年7月7日

研究注册日期

首次提交

2021年6月23日

首先提交符合 QC 标准的

2021年7月1日

首次发布 (实际的)

2021年7月9日

研究记录更新

最后更新发布 (实际的)

2022年4月11日

上次提交的符合 QC 标准的更新

2022年4月1日

最后验证

2021年8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

  • JS201-001-I

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

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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