A Study to Assess LBL-007 in Combination With Toripalimab and Axitinib Tablets Subjects With Advanced Melanoma
- Conditions
- Advanced Melanoma
- Interventions
- Registration Number
- NCT04640545
- Lead Sponsor
- Nanjing Leads Biolabs Co.,Ltd
- Brief Summary
A phase I clinical study evaluating LBL-007 in the treatment of subjects with advanced solid tumors
- Detailed Description
This trial is a multi-center, single-arm, open-label, dose-escalation and expansion phase I study of LBL-007 combined with Toripalimab and Axitinib in the treatment of unresectable or metastatic melanoma.
It is divided into Study Part A and Study Part B. The safety, tolerability, kinetic characteristics, immunogenicity and preliminary efficacy of the subjects were evaluated. Both study part A and study part B are studied in two phases: dose escalation and dose expansion
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 88
- Willingness to provide written informed consent and follow the study treatment plan and visit plan;
- Aged ≥ 18 years at time of signing informed consent, male or female;
- Eastern Cooperative Oncology Group (ECOG) performance status score 0 or 1;
- Have life expectancy of at least 12 weeks ;
- Subject with at least one measurable tumor lesion,according to the evaluation standard of solid tumor efficacy (RECIST 1.1).
Exclusion criteria:
- Subjects are allergic to LBL-007, PD-1 and similar compounds or any component in the prescription;
- Subjects with active central nervous system metastases (regardless of whether they have received treatment), including symptomatic brain metastases, meningeal metastases, or spinal cord compression, but asymptomatic brain metastases (no progression and/or at least 4 weeks after radiotherapy) No neurological symptoms or signs after surgical resection, and dexamethasone or mannitol treatment is not required);
- Have received major surgery within 4 weeks before the first administration;
- Subjects can not tolerate intravenous administration and have difficulty in venous blood collection (if there is a history of fainting needles and bleeding);
- Women during pregnancy or lactation;
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description LBL-007+Toripalimab+Axitinib Tablets LBL-007 Study Part A： LBL-007 Dose A/Dose B/Dose C/Dose D Q2W iv+Toripalimab 3mg/kg Q2W iv； Study Part B： LBL-007 Dose A/Dose B/Dose C/Dose D Q2W iv+Toripalimab 3mg/kg Q2W iv+Axitinib Tablets 5mg + Axitinib Tablets 1mg LBL-007+Toripalimab+Axitinib Tablets Axitinib Tablets Study Part A： LBL-007 Dose A/Dose B/Dose C/Dose D Q2W iv+Toripalimab 3mg/kg Q2W iv； Study Part B： LBL-007 Dose A/Dose B/Dose C/Dose D Q2W iv+Toripalimab 3mg/kg Q2W iv+Axitinib Tablets 5mg + Axitinib Tablets 1mg LBL-007+Toripalimab+Axitinib Tablets Toripalimab Study Part A： LBL-007 Dose A/Dose B/Dose C/Dose D Q2W iv+Toripalimab 3mg/kg Q2W iv； Study Part B： LBL-007 Dose A/Dose B/Dose C/Dose D Q2W iv+Toripalimab 3mg/kg Q2W iv+Axitinib Tablets 5mg + Axitinib Tablets 1mg
- Primary Outcome Measures
Name Time Method Maximum tolerated dose (MTD) During the first two Cycles(each cycle is 14 days) MTD is defined as the hightest dose level at which no more than 1 out of 6 subjects experiences a DLT during the first two cycles.
Number of subjcects with adverse events and serious adverse events All subjects signed the informed consent form to the completion of the follow-up period of drug withdrawal (28+7 days after drug withdrawal or before the start of new anti-tumor therapy) The safety profile of LBL-007 and Toripalimab will be assessed by monitoring the adverse event(AE) per the National Cancer Institute Common Terminology Criteria for Adverse Events(NCI CTCAE)v5.0
Dose-limiting toxicities (DLT) During the first two Cycles(each cycle is 14 days) DLT is defined as a toxicities(adverse event at least possibly related to LBL-007 and Toripalimab )occurring during the DLT observation period(the initial 28 days).
- Secondary Outcome Measures
Name Time Method Objective Response Rate (ORR) All subjects signed the informed consent form to the completion of the follow-up period of drug withdrawal (28+7 days after drug withdrawal or before the start of new anti-tumor therapy) Defined as the percentage of subjects having a Complete Response or Partial Response(ORR, including after immunotherapy complete response (iCR) and partial response (iPR)),will be determined by investigator assessment of radiographic disease assessments per RECIST v1.1. and iRECIST.
Disease Control Rate(DCR) All subjects signed the informed consent form to the completion of the follow-up period of drug withdrawal (28+7 days after drug withdrawal or before the start of new anti-tumor therapy) Defined as percentage of participants having CR, PR, iCR，iPR or SD as best on-study response
Duration of Response(DOR) All subjects signed the informed consent form to the completion of the follow-up period of drug withdrawal (28+7 days after drug withdrawal or before the start of new anti-tumor therapy) Defined as the time from earliest date of disease response (CR 、PR、iCR、iPR) until earliest date of disease progression, as determined by investigator assessment of radiographic disease per RECIST v1.1 and iRECIST, or death from any cause, if occurring sooner than progression.
Steady state Maximum serum concentration (Cmax,ss) All subjects signed the informed consent form to the completion of the follow-up period of drug withdrawal (28+7 days after drug withdrawal or before the start of new anti-tumor therapy) To determine the PK profile of LBL-007 in combination with Toripalimab
Steady state Time to reach maximum serum concentration (Tmax,ss) All subjects signed the informed consent form to the completion of the follow-up period of drug withdrawal (28+7 days after drug withdrawal or before the start of new anti-tumor therapy) To determine the PK profile of LBL-007 in combination with Toripalimab
Pharmacodynamic (PD) index All subjects signed the informed consent form to the completion of the follow-up period of drug withdrawal (28+7 days after drug withdrawal or before the start of new anti-tumor therapy) The PD evaluation index is the LAG-3 receptor occupancy rate in peripheral blood
Immunogenicity index All subjects signed the informed consent form to the completion of the follow-up period of drug withdrawal (28+7 days after drug withdrawal or before the start of new anti-tumor therapy) The immunogenicity evaluation indicators are the incidence of anti-drug antibodies (ADA) and the incidence of neutralizing antibodies (if applicable) in the subject.
Steady state Area under the serum concentration versus time curve（AUCss） All subjects signed the informed consent form to the completion of the follow-up period of drug withdrawal (28+7 days after drug withdrawal or before the start of new anti-tumor therapy) To determine the PK profile of LBL-007 in combination with Toripalimab
Trial Locations
- Locations (8)
Beijing Cancer Hospital
🇨🇳Beijing, Beijing, China
Union Hospital Tongji Medical College Huazhong University of Science and Technology
🇨🇳Wuhan, Hubei, China
Hunan Cancer Hospital
🇨🇳Changsha, Hunan, China
Jilin Cancer Hospital
🇨🇳Changchun, Jilin, China
the First Hospital of Jilin University
🇨🇳Changchun, Jilin, China
West China Hospital of Sichuan University
🇨🇳Chengdu, Sichuan, China
Nanjing Drum Tower Hospital
🇨🇳Nanjing, Jiangsu, China
Fujian Cancer Hospital
🇨🇳Fuzhou, Fujian, China