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Trial Title:
PE0116 and PE0105 Injection in Treatment of Patients With Advanced Solid Tumor
NCT ID:
NCT05801237
Condition:
Locally Advanced/Metastatic Solid Tumors
Conditions: Official terms:
Neoplasms
Antineoplastic Agents, Immunological
Antibodies
Immunoglobulins
Antibodies, Monoclonal
Study type:
Interventional
Study phase:
Phase 1/Phase 2
Overall status:
Recruiting
Study design:
Allocation:
N/A
Intervention model:
Single Group Assignment
Primary purpose:
Treatment
Masking:
None (Open Label)
Intervention:
Intervention type:
Drug
Intervention name:
PE0116&PE0105
Description:
This is a Phase I Clinical Trial to Evaluate the Tolerability, Safety, Pharmacokinetics
and Preliminary Antitumor Activity of PE0116 and PE0105 Injection in Treatment of
Patients with Advanced Solid Tumor
Arm group label:
Dose Escalation
Other name:
Recombinant Anti-4-1BB Human Monoclonal Antibody Injection
Other name:
Recombinant Anti-PD1 Human Monoclonal Antibody Injection
Summary:
This is a Phase I Clinical Trial to Evaluate the Tolerability, Safety, Pharmacokinetics
and Preliminary Antitumor Activity of PE0116 and PE0105 Injection in Treatment of
Patients with Advanced Solid Tumor.
Criteria for eligibility:
Criteria:
Inclusion Criteria:
1. Patients who voluntarily sign the informed consent form, understand the study and
are willing to follow and able to complete all study procedures;
2. Male or female, 75 ≥ age ≥ 18 years;
3. Patients who have histologically or cytologically confirmed metastatic or
unresectable locally advanced, recurrent solid tumors that are refractory to or
intolerable with standard treatment, or for which no standard effective treatment is
available;
4. Patients who have an Eastern Cooperative Oncology Group (ECOG) performance status of
0 or 1;
5. Patients who have a life expectancy of at least 3 months;
6. Patients who have at least one evaluable lesion in Phase Ia study, and have
measurable lesions in Phase Ib (according to RECIST v1.1). Tumor lesions in the area
of prior radiotherapy (or other local therapy) with unequivocal progression after
radiotherapy as confirmed by imaging can be considered as measurable lesions;
7. Patients who are ≥ 4 weeks after receiving anti-tumor therapy, such as chemotherapy,
radiotherapy, biotherapy, endocrine therapy and immunotherapy, before the first dose
of study drug, with the following exceptions:
1. ≥ 6 weeks after receiving nitrosourea or mitomycin C before the first dose of
study drug;
2. ≥ 2 weeks or 5 half-life periods (whichever is longer) of oral fluorouracils
and small molecule targeted agents before the first dose of study drug;
3. ≥ 2 weeks after receiving traditional Chinese medicine with anti-tumor
indications before the first dose of study drug;
8. Patients who have suitable organ and hematopoietic function without severe heart,
lung, liver, renal dysfunction and immunodeficiency according to the following
laboratory tests:
1. Absolute neutrophil count (ANC) ≥ 1.5 × 10^9/L;
2. Absolute white blood cell count (WBC) ≥ 3.0 × 10^9/L;
3. Platelets ≥ 75 x 10^9/L;
4. Hemoglobin ≥ 90 g/L;
5. Serum creatinine ≤ 1.5 times the upper limit of normal (ULN);
6. AST and ALT ≤ 2.5 × ULN, or ≤ 5 × ULN for patients with liver cancer or
metastases to liver;
7. Serum total bilirubin (TBIL) ≤ 1.5 × ULN;
8. International normalized ratio (INR) ≤ 1.5 × ULN and activated partial
thromboplastin time (APPT) ≤ 1.5 × ULN (except for patients receiving
anticoagulant therapy);
9. Myocardial enzyme CK and CKMB test values are within the normal range, or
mildly abnormal but judged by the investigator to be suitable for enrollment;
10. Thyroid function (FT3, FT4, and TSH) test values are within the normal range,
or mildly abnormal but judged by the investigator to be suitable for
enrollment.
9. Male subjects and female subjects of childbearing potential should agree to use
effective contraception from the signing of the informed consent form until 3 months
after the last dose.
Exclusion Criteria:
1. Subjects who have central nervous system metastasis with clinical symptoms (e.g.,
brain edema, hormone intervention required, or progression of brain metastasis)
and/or carcinomatous meningitis. However, subjects who have received prior treatment
for brain or meningeal metastases can be included if they have remained stable
clinically for at least 2 months and systemic hormone therapy (prednisone at a dose
of > 10 mg/day or other hormone at an equivalent dose) has been discontinued for
more than 4 weeks;
2. Subjects who fail to recover from adverse reactions of prior therapies to ≤ CTCAE
V5.0 Grade 1. (Patients with residual alopecia, chromatosis and peripheral
neurotoxicity that has recovered to ≤ CTCAE Grade 2, and with long-term toxicity
caused by radiotherapy that cannot recover as judged by the investigator may be
included);
3. Subjects with systemic diseases that have not been stably controlled after
treatment, such as history of severe cardiovascular and cerebrovascular diseases,
diabetes mellitus, hypertension, etc.;
4. Subjects who have any active auto-immune disease or evidence of auto-immune disease,
or systemic syndrome previously requiring treatment with systemic steroids or
immunosuppressive drugs. (Patients with inactive vitiligo, psoriasis and
post-treatment childhood asthma/atopy within 2 years, or thyroid disease that has
been controlled with alternative therapy/non-immunosuppression may be included);
5. For subjects requiring systemic treatment with corticosteroids (at doses equivalent
to > 10 mg prednisone/day) or other immunosuppressive agents within 14 days prior to
enrollment or during the study period, enrollment is allowed under the following
situations:
1. Subjects are allowed to use topical or inhaled glucocorticoids;
2. Short-term (≤ 7 days) use of glucocorticoids for the prophylaxis or treatment
of non-autoimmune allergic diseases is permitted;
6. Subjects who have a history of infection with human immunodeficiency virus, or other
acquired, congenital immunodeficiency diseases, or a history of organ
transplantation, or a history of stem cell transplantation;
7. Patients with tuberculosis that is active at screening;
8. Patients with active chronic hepatitis B or active hepatitis C. Patients as
hepatitis B virus carriers, and with stable hepatitis B after drug treatment (DNA
titers should not be higher than 1000 copies/mL), and cured hepatitis C (HCV RNA
test results are required to be below the lower limit of the testing site) can be
enrolled;
9. Patients who have received treatment with anti-4-1BB targeting drugs;
10. Patients with a known history of severe allergic reactions (CTCAE v5.0 ≥ Grade 3) to
macromolecular protein preparations/monoclonal antibodies, or to any component of
the study drug;
11. Patients who are expected to have major surgery during the study, including the
28-day screening period;
12. Patients with serious infection within 4 weeks prior to the first dose, or with
active infection requiring oral or intravenous antibiotics within the first 2 weeks;
13. Patients who have participated in clinical trial of another drug within 4 weeks
prior to enrollment and enrolled for drug treatment, or are less than 4 weeks after
end of treatment (EOT);
14. Patients who have a history of alcohol abuse, drug addiction or drug abuse in the
past 1 year;
15. Present with ≥ grade 3 irAE or ≥ grade 2 immune-associated myocarditis during
previous immunotherapy;
16. Previous or current history of other primary malignant tumors; Except basal cell
carcinoma of skin, superficial bladder carcinoma, squamous cell carcinoma of skin or
cervical carcinoma in situ; Or those who have received radical treatment and have
not relapsed within 5 years of treatment;
17. A history of moderate or severe dyspnea at rest due to advanced malignancy or its
complications or severe primary lung disease, or a current need for continuous
oxygen therapy, or a current ILD or pneumonia;
18. Patients who used live attenuated vaccine within 4 weeks prior to the first dose or
plan to use such vaccine during the course of the study;
19. Patients with a previous history of definite neurological or mental disorders,
including epilepsy, dementia and poor compliance;
20. Pregnant or breastfeeding women; eligible patients (males and females) of
childbearing potential who do not agree to use a reliable method of contraception
(hormonal or barrier method, or abstinence) during the trial and for at least 3
months after the last dose; and female patients of childbearing potential who have a
positive blood or urine pregnancy test within 7 days prior to enrollment.
21. Subjects who, in the opinion of the investigator, are not suitable for the study for
other reasons.
Gender:
All
Minimum age:
18 Years
Maximum age:
75 Years
Healthy volunteers:
No
Locations:
Facility:
Name:
Fudan University Shanghai Cancer Center
Address:
City:
Shanghai
Country:
China
Status:
Recruiting
Contact:
Last name:
Hui Ni
Start date:
September 21, 2023
Completion date:
December 2026
Lead sponsor:
Agency:
Shanghai HyaMab Biotech Co.,Ltd.
Agency class:
Industry
Source:
Shanghai HyaMab Biotech Co.,Ltd.
Record processing date:
ClinicalTrials.gov processed this data on November 12, 2024
Source: ClinicalTrials.gov page:
https://clinicaltrials.gov/ct2/show/NCT05801237