A Phase Ib/II Study of AK112#PD-1/VEGF Bispecific Antibody# in Combination With AK117#Anti-CD47 Antibody# in Advanced Malignant Tumors
试验速览
- 阶段
- 1 期
- 状态
- 进行中(未招募)
- 发起方
- 入组人数
- 154
- 试验地点
- 1
- 主要终点
- Objective Response Rate (ORR)
研究概览
简要总结
Phase Ib/II open label, multicenter study to evaluate the efficacy and safety of AK112 (anti-PD-1 and VEGF bispecific antibody) combined with AK117#AntiCD47 Antibody# in advanced malignant tumors
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 75 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •18 to 75 years old.
- •Have a life expectancy of at least 3 months.
- •Have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or
- •Phase Ib: Histologically or cytologically confirmed selected advanced solid tumor.
- •Phase II: Subjects were patients with recurrent/metastatic HNSCC diagnosed histologically and/or cytologically that could not be completely resected surgically and could not be treated with radical simultaneous radiotherapy, or local and or neck recurrence after radical surgery that had progressed with radiotherapy or were unsuitable for radiotherapy.
- •Cohort 1 and 2 :
- •Recurrent or metastatic HNSCC (non-nasopharyngeal carcinoma) that has not received systemic antitumour therapy for previous recurrent or metastatic stage and has positive PD-L1 expression (CPS ≥ 1); for subjects who have received previous adjuvant/neoadjuvant chemotherapy for non-metastatic disease with curative intent or radical radiotherapy for locally advanced disease, if disease progression occurs after the end of the last chemotherapy session ≥ 6 months, are eligible to participate in this cohort.
- •Cohort 3: Recurrent or metastatic HNSCC (non-nasopharyngeal carcinoma) that has not received systemic antitumour therapy for prior recurrent or metastatic stages; for subjects who have received prior adjuvant/neoadjuvant chemotherapy for non-metastatic disease with curative intent, or radical radiotherapy for locally advanced disease, are eligible to participate in this cohort if disease progression occurs ≥6 months after the end of the last chemotherapy treatment.
- •Cohort 4: Recurrent or metastatic nasopharyngeal carcinoma that has not received systemic antitumour therapy for prior recurrent or metastatic stages; for subjects who have received prior adjuvant/neoadjuvant chemotherapy for non-metastatic disease with curative intent or radical radiotherapy for locally advanced disease, they are eligible for this cohort if disease progression occurs ≥ 6 months after the end of the last chemotherapy treatment. Note: Subjects with recurrent or residual primary foci after radiotherapy are excluded, and subjects with adenocarcinoma or sarcoma of the nasopharynx are excluded.
- •Have at least one measurable lesion based on Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 assessed by investigator.
- •Has adequate organ function.
排除标准
- •Undergone major surgery within 30 days prior to the first dose of study treatment.
- •Active central nervous system (CNS) metastases.
- •History of active autoimmune disease that has required systemic treatment in the past 2 years (i.e.,corticosteroids or immunosuppressive drugs).
- •Active Hepatitis B or Hepatitis C.
- •Received previous immunotherapy, including immune checkpoint inhibitors, immune checkpoint agonists, immune cell therapy and other treatments targeting the mechanism of tumor immunity.
- •History of severe bleeding tendency or coagulation disorder.
研究组 & 干预措施
Phase Ib#Dosage regimen 1#
Subjects receive AK112 (20 mg/kg Q3W) + AK117 (30 mg/kg QW)
干预措施: AK112 (Drug)
Phase Ib#Dosage regimen 1#
Subjects receive AK112 (20 mg/kg Q3W) + AK117 (30 mg/kg QW)
干预措施: AK117 (Drug)
Phase Ib#Dosage regimen 2#
Subjects receive AK112 (20 mg/kg Q3W) + AK117 (45 mg/kg QW)
干预措施: AK112 (Drug)
Phase Ib#Dosage regimen 2#
Subjects receive AK112 (20 mg/kg Q3W) + AK117 (45 mg/kg QW)
干预措施: AK117 (Drug)
Phase II#Cohort 1#
Head and neck squamous cell carcinoma (HNSCC): AK112 (20 mg/kg Q3W)
干预措施: AK112 (Drug)
Phase II#Cohort 2#
HNSCC: AK112 (20 mg/kg Q3W) + AK117 (recommended Phase 2 dose)
干预措施: AK112 (Drug)
Phase II#Cohort 2#
HNSCC: AK112 (20 mg/kg Q3W) + AK117 (recommended Phase 2 dose)
干预措施: AK117 (Drug)
Phase II#Cohort 3#
HNSCC: AK112 (20 mg/kg Q3W) + AK117 (recommended Phase 2 dose)+Carboplatin/Cisplatin+5-fluorouracil
干预措施: AK112 (Drug)
Phase II#Cohort 3#
HNSCC: AK112 (20 mg/kg Q3W) + AK117 (recommended Phase 2 dose)+Carboplatin/Cisplatin+5-fluorouracil
干预措施: AK117 (Drug)
Phase II#Cohort 3#
HNSCC: AK112 (20 mg/kg Q3W) + AK117 (recommended Phase 2 dose)+Carboplatin/Cisplatin+5-fluorouracil
干预措施: Carboplatin (Drug)
Phase II#Cohort 3#
HNSCC: AK112 (20 mg/kg Q3W) + AK117 (recommended Phase 2 dose)+Carboplatin/Cisplatin+5-fluorouracil
干预措施: Cisplatin (Drug)
Phase II#Cohort 3#
HNSCC: AK112 (20 mg/kg Q3W) + AK117 (recommended Phase 2 dose)+Carboplatin/Cisplatin+5-fluorouracil
干预措施: 5-Fluorouracil (Drug)
Phase II#Cohort 4 regimen 1#
Nasopharyngeal Carcinoma: AK112 (10 mg/kg d1 Q3W) + AK117(recommended Phase 2 dose)+ Cisplatin (80 mg/m2 d1 Q3W)+Gemcitabine (1000 mg/m2 d1, d8 Q3W)
干预措施: AK112 (Drug)
Phase II#Cohort 4 regimen 1#
Nasopharyngeal Carcinoma: AK112 (10 mg/kg d1 Q3W) + AK117(recommended Phase 2 dose)+ Cisplatin (80 mg/m2 d1 Q3W)+Gemcitabine (1000 mg/m2 d1, d8 Q3W)
干预措施: AK117 (Drug)
Phase II#Cohort 4 regimen 1#
Nasopharyngeal Carcinoma: AK112 (10 mg/kg d1 Q3W) + AK117(recommended Phase 2 dose)+ Cisplatin (80 mg/m2 d1 Q3W)+Gemcitabine (1000 mg/m2 d1, d8 Q3W)
干预措施: Cisplatin (Drug)
Phase II#Cohort 4 regimen 1#
Nasopharyngeal Carcinoma: AK112 (10 mg/kg d1 Q3W) + AK117(recommended Phase 2 dose)+ Cisplatin (80 mg/m2 d1 Q3W)+Gemcitabine (1000 mg/m2 d1, d8 Q3W)
干预措施: Gemcitabine (Drug)
Phase II#Cohort 4 regimen 2#
Nasopharyngeal Carcinoma: AK112 (10 mg/kg d1 Q3W) + Cisplatin (100 mg/m2 d1 Q3W)+Gemcitabine (1000 mg/m2 d1, d8 Q3W)
干预措施: AK112 (Drug)
Phase II#Cohort 4 regimen 2#
Nasopharyngeal Carcinoma: AK112 (10 mg/kg d1 Q3W) + Cisplatin (100 mg/m2 d1 Q3W)+Gemcitabine (1000 mg/m2 d1, d8 Q3W)
干预措施: Cisplatin (Drug)
Phase II#Cohort 4 regimen 2#
Nasopharyngeal Carcinoma: AK112 (10 mg/kg d1 Q3W) + Cisplatin (100 mg/m2 d1 Q3W)+Gemcitabine (1000 mg/m2 d1, d8 Q3W)
干预措施: Gemcitabine (Drug)
结局指标
主要结局
Objective Response Rate (ORR)
时间窗: Up to approximately 2 years
Number of patients with Adverse Events (AEs)
时间窗: Up to approximately 2 years
Characterization of incidence, severity and abnormal clinically significant laboratory findings of AEs
Number of patients experiencing dose-limiting toxicities (DLTs)
时间窗: During the first 3 weeks
次要结局
- Time to response (TTR)(Up to approximately 2 years)
- Progression free survival (PFS)(Up to approximately 2 years)
- Overall survival (OS)(Up to approximately 2 years)
- Duration of Response (DOR)(Up to approximately 2 years)
- Disease control rate (DCR)(Up to approximately 2 years)
