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
研究概览
地位
详细说明
研究类型
注册 (估计的)
阶段
- 阶段2
- 阶段1
联系人和位置
学习联系方式
- 姓名:Jinmin Yu, Doctor
- 电话号码:+86-521-67626971
- 邮箱:sdyujinming@126.com
研究联系人备份
- 姓名:Hongxu Liu, Doctor
- 电话号码:+86-024-81916200
- 邮箱:liuhongxu3366@163.com
参与标准
资格标准
适合学习的年龄
- 成人
- 年长者
接受健康志愿者
描述
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.
学习计划
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:顺序分配
- 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:: 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.
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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.
其他名称:
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.
其他名称:
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实验性的: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.
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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.
其他名称:
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.
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 |
措施说明 |
大体时间 |
|---|---|---|
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剂量递增(第一部分):经历治疗引起的不良事件 (TEAE) 的参与者的百分比
大体时间:最长 2 年
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不良事件 (AE)、严重不良事件 (SAE) 和实验室异常的发生率和严重程度,根据美国国家癌症研究所 (NCI) 不良事件通用术语标准 (CTCAE) 5.0 版和美国移植和细胞治疗学会 ( ASTCT)共识分级
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最长 2 年
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剂量递增(第一部分):经历与剂量中断、剂量延迟和剂量强度相关的不良事件 (AE) 的参与者的百分比
大体时间:最长 2 年
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与剂量中断、剂量延迟和剂量强度相关的不良事件 (AE) 的发生(HY07121 暴露的持续时间)
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最长 2 年
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剂量扩展(第二部分):客观缓解率 (ORR)
大体时间:最长 2 年
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已确认完全答复 (CR) 或部分答复 (PR) 的参与者比例
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最长 2 年
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Dose Escalation (Part One): Incidence and Nature of Dose-Limiting Toxicity (DLT)
大体时间:28 days during the first 4-week cycle
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Dose-Limiting Toxicity (DLT) will be defined using National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 5.0.
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28 days during the first 4-week cycle
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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剂量扩展(第二部分):经历治疗引起的不良事件 (TEAE) 的参与者的百分比
大体时间:最长 2 年
|
不良事件 (AE)、严重不良事件 (SAE) 和实验室异常的发生率和严重程度,根据美国国家癌症研究所 (NCI) 不良事件通用术语标准 (CTCAE) 5.0 版和美国移植和细胞治疗学会 ( ASTCT)共识分级
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最长 2 年
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剂量扩展(第二部分):经历与剂量中断、剂量延迟和剂量强度相关的不良事件 (AE) 的参与者的百分比
大体时间:最长 2 年
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与剂量中断、剂量延迟和剂量强度(HY07121暴露的持续时间)相关的不良事件(AE)的发生。
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最长 2 年
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剂量递增和扩展:HY07121 Cmax 的评估
大体时间:最长 2 年
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从药代动力学曲线观察到的最大观察浓度 (Cmax)
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最长 2 年
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剂量递增和扩展:HY07121 AUC 评估
大体时间:最长 2 年
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使用梯形法计算浓度与时间曲线下的面积
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最长 2 年
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剂量递增和扩展:HY07121 T1/2 的评估
大体时间:最长 2 年
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使用终端线的斜率计算消除一半药物浓度所需的时间
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最长 2 年
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剂量递增和扩展:HY07121 抗药物抗体 (ADA) 的评估
大体时间:最长 2 年
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血清抗 HY07121 抗体(ADA)的发生率、持续时间、滴度
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最长 2 年
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剂量递增(第一部分):客观缓解率 (ORR)
大体时间:最长 2 年
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研究者根据实体瘤疗效评估标准 (RECIST) 1.1 版确定确认完全缓解 (CR) 或部分缓解 (PR) 的参与者比例
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最长 2 年
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剂量递增和扩展:由研究者根据实体瘤疗效评估标准 (RECIST) 1.1 版评估疗效持续时间 (DOR)
大体时间:最长 2 年
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缓解持续时间(DOR)定义为从首次满足完全缓解(CR)/部分缓解(PR)(以首先记录者为准)的测量标准到疾病复发或进展的第一个日期的时间。
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最长 2 年
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剂量递增和扩展:研究者根据 RECIST 1.1 版评估疾病控制率 (DCR)
大体时间:最长 2 年
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疾病控制率定义为达到 CR 或 PR 或已证明疾病稳定的参与者的百分比
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最长 2 年
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剂量递增和扩展:肿瘤生物标志物与疗效之间的相关性
大体时间:最长 2 年
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客观缓解率 (ORR) 定义为研究者根据 RECIST 版本 1.1 确定的确认完全缓解 (CR) 或部分缓解 (PR) 的参与者比例。
将使用免疫组织化学 (IHC) 测试肿瘤生物标志物,并使用肿瘤比例评分 (TPS) 和/或组合阳性评分 (CPS) 算法进行评分。
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最长 2 年
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Dose Escalation and Expansion: Progression-Free Survival (PFS) assessed by investigator per RECIST Version 1.1
大体时间:Up to 2 years
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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
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Up to 2 years
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Dose Escalation and Expansion: Time-To-Progression (TTP) assessed by investigator per RECIST Version 1.1
大体时间:Up to 2 years
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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
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Up to 2 years
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Dose Escalation and Expansion: Overall Survival (OS)
大体时间:Up to 2 years
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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
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Up to 2 years
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合作者和调查者
研究记录日期
研究主要日期
学习开始 (估计的)
初级完成 (估计的)
研究完成 (估计的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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