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Trial Title:
A Study of Sirolimus for Injection (Albumin-bound) in Patients With Advanced Solid Tumors
NCT ID:
NCT05508620
Condition:
Malignant Solid Tumors
Conditions: Official terms:
Neoplasms
Sirolimus
Study type:
Interventional
Study phase:
Phase 1
Overall status:
Not yet recruiting
Study design:
Allocation:
N/A
Intervention model:
Single Group Assignment
Primary purpose:
Treatment
Masking:
None (Open Label)
Intervention:
Intervention type:
Drug
Intervention name:
Sirolimus for Injection (Albumin-bound)
Description:
Intravenous infusion
Arm group label:
Sirolimus for Injection (Albumin-bound)
Summary:
This is an open-label, multi-center phase 1b study to evaluate the safety and efficacy of
Sirolimus for injection (albumin-bound) in patients with malignant solid tumors with TSC1
or TSC2 genetic alterations.
Detailed description:
This study will be conducted in two stages.
Stage 1: To evaluate the safety, tolerability and pharmacokinetics of Sirolimus for
injection (albumin-bound), and determine the maximum tolerated dose (MTD) and recommended
phase 2 dose (RP2D). The Rolling-six design will be used for dose escalation.
Stage 2: To assess the antitumor activities of Sirolimus for injection (albumin-bound) in
patients with malignant solid tumors harboring genetic alterations in TSC1 or TSC2.
Criteria for eligibility:
Criteria:
Inclusion Criteria:
- Patients must have histologically or cytologically confirmed diagnosis of malignant
solid tumors, with TSC1 or TSC2 genetic alterations, and have no standard treatment
or have failed standard treatments.
- Patients must have archival tumor tissues or agreed to have a tumor biopsy (if not,
the sponsor's consent is required for enrollment).
- At least 1 measurable lesion as defined by RECIST 1.1.
- Eastern Cooperative Oncology Group (ECOG) Performance Status 0 or 1.
- Life expectancy of ≥3 months.
- Adequate marrow and organ function.
- Fasting serum triglyceride must be <300 mg/dL or <3.42 mmol/L; fasting serum
cholesterol must be<350 mg/dL or <9.07 mmol/L.
- Fasting blood glucose must be<6.1 mmol/L and HbA1c< 6.5% in dose escalation, in
other stage must be < 7.8 mmol/L and be< 8% respectively.
- Women of child-bearing potential, or men whose partners are women of childbearing
age must agree to use reliable contraceptive methods during the trial period and at
least 6 months after the last administration; women of childbearing age must have a
negative serum pregnancy test within 7 days prior to the first administration,
should not be breast feeding.
- Patients should understand and willingness to sign a written informed consent form
prior to study entry.
Exclusion Criteria:
- Prior treatment with an mTOR inhibitor.
- Anti-tumor treatment within 4 weeks prior to first dose of study treatment.
- Participation in another therapeutic clinical trial with 4 weeks before study
treatment.
- Major surgery within 4 weeks prior to study treatment, or have not fully recovered
from any previous procedure.
- Unresolved toxicity from prior anti-tumor therapy greater than Grade 1 as per Common
Terminology Criteria for Adverse Events (CTCAE) version 5.0.
- Patients with primary brain tumors or PEComa.
- Active uncontrolled or symptomatic central nervous system metastasis (CNS) or
meningeal metastasis.
- History of serious cardiovascular disease.
- History of serious lung disease, such as interstitial lung disease and/or
pneumonitis, or pulmonary hypertension, or pre-existing severely impaired lung
function.
- Hydrothorax, ascites or pleural effusion with clinical symptoms or required
treatment.
- Patients with hepatocellular carcinoma (HCC): Child-Pugh class B or C; or HCC with
≥50% liver occupation; or has a history or current evidence of hepatic
encephalopathy; portal vein invasion at the main portal branch (Vp4).
- Live vaccine (including live attenuated vaccine) within 30 days before signing the
informed consent.
- Infection that required systemic anti-infective therapy within 2 weeks before
enrollment.
- History of autoimmune disease or immunodeficiency disease.
- Active Hepatitis B or Hepatitis C.
- Use of strong inhibitors or inducers of CYP3A4 within 2 weeks prior to start of
treatment initiation, or requiring concomitant treatment during the study.
- Other server disease that may increase the risk of patients, or interfere the
compliance of study procedures, or other reasons which, in the judgment of the
investigator, would make the patient inappropriate for entry into this study.
Gender:
All
Minimum age:
18 Years
Maximum age:
N/A
Healthy volunteers:
No
Start date:
October 2022
Completion date:
December 2024
Lead sponsor:
Agency:
CSPC ZhongQi Pharmaceutical Technology Co., Ltd.
Agency class:
Industry
Source:
CSPC ZhongQi Pharmaceutical Technology Co., Ltd.
Record processing date:
ClinicalTrials.gov processed this data on November 12, 2024
Source: ClinicalTrials.gov page:
https://clinicaltrials.gov/ct2/show/NCT05508620