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Trial Title:
Intratumoral CAN1012(Selective TLR7 Agonist) in Subjects With Solid Tumors
NCT ID:
NCT05580991
Condition:
Solid Tumor
Conditions: Official terms:
Neoplasms
Study type:
Interventional
Study phase:
Phase 1
Overall status:
Active, not recruiting
Study design:
Allocation:
N/A
Intervention model:
Single Group Assignment
Primary purpose:
Treatment
Masking:
None (Open Label)
Intervention:
Intervention type:
Drug
Intervention name:
CAN1012
Description:
CAN1012 IT injection (once every 4 weeks)
Arm group label:
CAN1012
Summary:
To evaluate CAN1012 when administered by IT injection to subjects with advanced solid
tumors who are not candidates for standard therapy.
Criteria for eligibility:
Criteria:
Inclusion Criteria:
1. Male or female age >18 years at screening.
2. Metastatic or locally advanced solid tumor that has progressed on, is refractory to,
or for which there is no efficacious standard of care therapy.
3. At least one measurable lesion (RECIST 1.1)
4. At least one lesion that can receive intratumor injection multiple times
5. Performance status of 0 or 1 on the ECOG Performance Scale.
6. Life expectancy >12 weeks at Baseline.
7. Demonstrate adequate organ function as defined below. All screening laboratory
assessments should be performed within 14 days of treatment initiation and include
the following:
1. Absolute neutrophil count (ANC) >=1.5 × 10^9/L; Platelets >=100 ×
10^9/L;Hemoglobin >=9 g/dL;
2. Measured or calculated creatinine clearance (CrCl) >=60 mL/min;
3. Total bilirubin ≤1.5 × ULN OR direct bilirubin ≤ULN for subjects with total
bilirubin levels > 1.5× ULN; Aspartate aminotransferase (AST) and alanine
aminotransferase (ALT) ≤ 2.5 × ULN OR ≤5 × ULN for subjects with liver
metastases."
8. Women of childbearing potential must have negative serum pregnancy test within 3
days prior to receiving the first study drug administration.For women of
childbearing potential, must be willing to use an adequate method of contraception
from 30 days prior to the first study drug administration and 120 days following
last day of study drug administration.Male subjects of childbearing potential must
be surgically sterile or must agree to use adequate method of contraception during
the study and at least 120 days following the last day of study drug administration.
9. Able and willing to provide written informed consent and willing to comply with the
study's requirements.
Exclusion Criteria:
1. Have a history of allergies in the past, and known to be allergic to CAN1012
injection or any of its components.
2. Have received TLR7/8 agonists in the past (except for topical dermal medications).
3. A history of another malignancy within the past 3 years that is progressing or
requires active treatment. Exceptions include basal cell carcinoma of the skin,
squamous cell carcinoma of the skin that has undergone curative therapy, or in situ
cervical cancer.
"4. Unstable/inadequate cardiac function defined as follows:
1. New York Heart Association Class 3 or 4 congestive heart failure
2. uncontrolled hypertension
3. acute coronary syndrome within 6 months
4. clinical important cardiac arrhythmia
5. mean corrected QT (QTc) interval corrected for heart rate > 450 msec (m) or > 470
msec (md)." 5. Has known active infection with the human immunodeficiency virus,
Hepatitis B(e.g., hepatitis B surface antigen [HBsAg] reactive) or Hepatitis C
(e.g., hepatitis C virus [HCV] ribonucleic acid [qualitative] is detected), or
active coronavirus disease 2019(COVID-19) infection. Note: Subjects who have been
vaccinated against Hepatitis B and who are positive only for the Hepatitis B surface
antibody are permitted to participate inthe study.
6. Participated in a clinical study of an investigational agent within 4 weeks of
screening.
7. Have received chemotherapy, radiotherapy, biological therapy, endocrine
therapy, targeted therapy, immunotherapy and other anti-tumor therapy within 4
weeks before the first administration of the research drug [among them, the
following provisions are: nitrosourea (such as carmustine, lomustine, etc.) or
mitomycin C is within 6 weeks before the first administration of the research
drug; Oral fluorouracil, small molecule targeted drugs are 5 half-lives
(whichever is longer) for 2 weeks before the first administration of the study
drug or the known drug; Traditional Chinese medicines with antitumor
indications are within 2 weeks before the first administration of the study
drug].
8. Has an active infection requiring systemic therapy within 4 weeks before the
first dose of the drug under study, including but not limited to complications
of infection that require hospitalization, bacteremia, severe pneumonia, etc.
9. Patients with symptoms or who have undergone radiation therapy or surgery
within 3 months prior to the first administration of the study (those with
brain metastases and instability shall not be included).
10. Injections of primary or metastatic lesions should be avoided in the central
nervous system, thoracic cavity, heart and large blood vessels, liver, lungs,
spleen and pancreas.
11. Unresolved toxicities from prior therapy, defined as having not resolved to
Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0 (v5.0) Grade
0 or 1, with exception of endocrinopathies from prior therapy, alopecia, and
vitiligo.
12. Treatment with systemic corticosteroids at doses exceeding 10 mg/day prednisone
or equivalent.
13. Uncontrolled concurrent illness 14. Patients with clinically significant lung
diseases in the past, including but not limited to interstitial lung disease,
pulmonary fibrosis and severe radiation pneumonitis.
15. A history of coagulopathy resulting in uncontrolled bleeding or other bleeding
disorders.
16. Concomitant or planned use of sensitive substrates of major cytochrome P450
enzymes (see Appendix 4).
17. Has known psychiatric, substance abuse, or other disorders that would interfere
with cooperation with the requirements of the study in the opinion of the
investigator.
18. Persons with a known history of alcohol or drug dependence. 19. Is pregnant or
breastfeeding. 20. The investigator believes that the subject is unsuitable for
other reasons to participate in this clinical trial.
Gender:
All
Minimum age:
18 Years
Maximum age:
N/A
Healthy volunteers:
No
Locations:
Facility:
Name:
Canwell Biotech Limited
Address:
City:
Guangzhou
Zip:
510535
Country:
China
Start date:
September 9, 2022
Completion date:
December 31, 2024
Lead sponsor:
Agency:
Canwell Biotech Limited
Agency class:
Industry
Source:
Canwell Biotech Limited
Record processing date:
ClinicalTrials.gov processed this data on November 12, 2024
Source: ClinicalTrials.gov page:
https://clinicaltrials.gov/ct2/show/NCT05580991