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Trial Title:
Safety/Tolerability, PK and Efficacy of IMB071703 Injection in Patients With Advanced Solid Tumors
NCT ID:
NCT06292858
Condition:
Recurrent or Metastatic, Advanced Solid Tumors
Conditions: Official terms:
Neoplasms
Recurrence
Study type:
Interventional
Study phase:
Phase 1
Overall status:
Recruiting
Study design:
Allocation:
N/A
Intervention model:
Sequential Assignment
Primary purpose:
Treatment
Masking:
None (Open Label)
Intervention:
Intervention type:
Drug
Intervention name:
IMB071703 injection
Description:
Intratumoral injection
Arm group label:
Experimental
Summary:
A Phase Ia Study to Evaluate the Safety/Tolerability, Pharmacokinetics and Preliminary
Efficacy of IMB071703 Injection in Subjects with Recurrent or Metastatic,Advanced Solid
Tumors
Criteria for eligibility:
Criteria:
Inclusion Criteria:
1. Voluntarily participating in this clinical study and signing a written informed
consent form and being able to comply with clinical visits and study-related
procedures.
2. Male or female subjects ≥ 18 and ≤ 75-year age when signing the informed consent
form.
3. Expected survival time of not less than 3 months (as judged by the investigator)
4. Subjects with histologically or cytologically confirmed advanced malignant solid
tumors, ie, recurrent or metastatic, advanced solid tumors, who have failed the
standard therapy or who are not suitable for standard therapy at this stage.
5. Subjects are able to provide tumor tissue samples (archived tumor tissue within one
year as much as possible or fresh specimens of core needle aspiration).
6. According to RECIST V1.1 criteria, (dose escalation phase), at least one evaluable
tumor lesion; (dose expansion phase) at least one measurable tumor lesion (tumor
lesions located in the previously radiotherapy area or other localized regional
treatment area are generally not considered measurable unless the lesion has clearly
progressed or persists after three months of radiotherapy).
7. Patients are required to have injectable lesions that meet the current dosage
administered in the dose level. Superficial lesions are preferred, and deep lesions
that can be injected under the ultrasound/CT guidance [injectable lesions cannot
have previously been treated with radiotherapy or other intratumoral injections, and
lesions with a high risk of bleeding (eg, adjacent to large blood vessels, the
presence of large blood vessels in the tumor or vascular encasement) should not be
considered injectable lesions].
8. Eastern Cooperative Oncology Group (ECOG) physical performance score 0-1.
9. Bone marrow reserve and organ function must meet the following requirements (no
blood transfusion and no supportive treatment with blood components or granulocyte
colony cytokines within 14 days before the first treatment).
Exclusion Criteria:
Subjects with any of the following conditions are not eligible for this study:
1. Received or are receiving any anti-CD40 and/or CD137 therapy.
2. Subjects who have received or plan to receive allogeneic organ transplantation or
allogeneic hematopoietic stem cell transplantation/bone marrow transplantation.
3. Patients with active autoimmune diseases
4. Used live attenuated vaccines within 4 weeks before the first dosage of study drug.
5. Received immunotherapy and experienced ≥ Grade 3 irAEs or ≥ Grade 2 immune-related
myocarditis.
6. Used immunomodulatory drugs within 14 days before the first dosage of study drug,
including but not limited to thymosin, interleukin-2, interferon, etc.
7. Received systemic corticosteroids (prednisone > 10 mg/day or equivalent dosage of
similar drug) or other immunosuppressive agents within 14 days before the first
dosage of study drug (except for the following: topical, ocular, intra-articular,
intranasal, and inhaled corticosteroids are allowed; short-term use of
corticosteroids for prophylaxis, eg, to prevent contrast agent from allergy).
8. Received anti-tumor therapy such as systemic chemotherapy, radiotherapy, targeted
therapy, endocrine therapy, biological therapy and immunotherapy within 4 weeks
before the first dosage of study drug, except for the following items: nitrosourea
or mitomycin C within 6 weeks before the first dosage of study drug; oral
fluoropyrimidines, small-molecule targeted drugs and traditional Chinese medicines
with anti-tumor indications within 2 weeks before the first dosage of study drug;
local palliative radiotherapy within 2 weeks before the first dosage of study drug;
9. Received other unmarketed study drugs or treatments within 4 weeks before the first
dosage of investigational drug.
10. Received major organ surgery (excluding diagnostic needle biopsy treatment) or
significant trauma within 4 weeks before the first dosage of study drug, or the need
for elective surgery during the study.
11. Serious wounds/ulcers/fractures that cannot be healed within 4 weeks before the
first dosage of study drug.
12. The adverse events caused by previous anti-tumor therapy have not recovered to CTCAE
5.0 Grade ≤ 1 before the administration (except for toxicity that is judged by the
investigator to have no safety risk, such as alopecia, Grade 2 peripheral
neurotoxicity and stable hypothyroidism with hormone replacement therapy).
13. Metastases to central nervous system or metastases to meninges.
14. History of other malignancy within 5 years of the enrollment (except for the
following neoplastic diseases: adequately treated papillary thyroid carcinoma,
cervix carcinoma in situ, basal or squamous cell skin cancer, or ductal carcinoma in
situ of the breast treated with radical surgery).
15. Active infection requiring systemic intravenous anti-infective therapy or fever of
unknown origin exceeding 38℃ at enrollment.
16. Receiving therapeutic dosages of anticoagulants (except prophylactic
anticoagulation) or history of bleeding ≥ Grade 3 within 3 months.
17. Subjects meet any of the following:
- HIV infection (HIV antibody positive)
- Active HBV infection (HBV DNA > 500 copies/mL or 100 IU/mL)
- Active HCV infection (HCV antibody positive, HCV-RNA positive)
- Treponema Pallidum infection (TP-Ab positive)
- Subjects with known active tuberculosis (TB)
18. History of serious cardiovascular and cerebrovascular diseases, including but not
limited to:
- Subjects with severe heart rhythm or conduction abnormalities, such as
ventricular arrhythmia requiring clinical intervention, II-III degree
atrioventricular block.
- According to New York Heart Association (NYHA) criteria, patients with grade
II-IV cardiac insufficiency.
- Acute coronary syndrome, congestive heart failure, aortic dissection, stroke or
other Grade 3 or higher cardiovascular and cerebrovascular events within 6
months before the first dosage.
- Clinically uncontrolled hypertension (systolic blood pressure > 140 mmHg and/or
diastolic blood pressure > 90 mmHg despite optimal anti-hypertensive therapy).
- Any factors that increase the risk of QTc prolongation or arrhythmia, such as
heart failure, uncorrectable hypokalemia, congenital long QT syndrome, need to
use any concomitant medication known to prolong the QT interval.
19. Clinically uncontrolled third space fluid
20. Known ≥ Grade 2 uveitis and retinopathy.
21. Subjects who are known to be allergic to IMB071703 injection or its excipients
22. Subjects with known, documented, or suspected drug abuse
23. Pregnant or lactating women
24. Subjects who, in the opinion of the investigator, have psychiatric disorders, poor
compliance, inability to tolerate venous blood sampling, history of other serious
systemic diseases, or other reasons that would make them inappropriate for
participating in this clinical study.
Gender:
All
Minimum age:
18 Years
Maximum age:
75 Years
Healthy volunteers:
No
Locations:
Facility:
Name:
Department of Oncology, Shanghai East Hospital, Tongji University
Address:
City:
Shanghai
Zip:
200120
Country:
China
Status:
Recruiting
Contact:
Last name:
Ye Guo, Doctor
Start date:
February 24, 2023
Completion date:
August 2025
Lead sponsor:
Agency:
Beijng Immunoah Pharma Tech Co., Ltd.
Agency class:
Industry
Source:
Beijng Immunoah Pharma Tech Co., Ltd.
Record processing date:
ClinicalTrials.gov processed this data on November 12, 2024
Source: ClinicalTrials.gov page:
https://clinicaltrials.gov/ct2/show/NCT06292858