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A Study of Irinotecan Hydrochloride Liposome in Combination With 5-FU/LV in Advanced Solid Tumors

Phase 1
Completed
Conditions
Advanced Solid Tumors
Interventions
Registration Number
NCT05086848
Lead Sponsor
Jiangsu HengRui Medicine Co., Ltd.
Brief Summary

This is a dose-escalation and expansion, open label, single centre, phase Ib study. In this study, the tolerability, safety, pharmacokinetics and efficacy of irinotecan hydrochloride liposome injection in combination with 5-FU/LV were studied in patients with advanced solid tumors. Meanwhile, to determine the dose-limiting toxicity (DLT) and maximum tolerated dose (MTD) of irinotecan hydrochloride liposome.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
15
Inclusion Criteria
  1. Histologically or cytologically confirmed solid tumors documented as advanced or metastatic disease;
  2. Subjects must be considered relapsed or refractory to standard therapies, have been intolerant to standard therapies, or have refused standard therapy;
  3. ECOG: 0-1;
  4. Adequate organ and bone marrow function;
  5. sign an informed consent.
Exclusion Criteria
  1. Patients with brain malignant tumor or active CNS metastasis;
  2. UGT1A1*28 homozygous mutants;
  3. Clinically significant GI disorders;
  4. Significant cardiovascular disease;
  5. Active infection or uncontrolled fever;
  6. Pregnant or breast feeding patients;
  7. Allergic to a drug ingredient or component;
  8. The investigators determined that other conditions were inappropriate for participation in this clinical trial.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Treatment group:Irinotecan liposome、5-fluorouracil、LeucovorinIrinotecan liposome plus 5-fluorouracil, Leucovorin
Primary Outcome Measures
NameTimeMethod
Adverse Event (AE)Assessed from study inclusion to 30 days after last dose

Assessed by CTCAE v4.03

Dose Limiting Toxicities (DLT)DLTs will be evaluated during 28-day period following the first dose of study treatment

Dose Limiting Toxicities for patients in combination treatment

Maximal tolerated dose (MTD)after the last patient in each cohort up to 12 months

Maximum tolerated dose for patients in combination treatment

Secondary Outcome Measures
NameTimeMethod
Progression Free SurvivalThe maximum time in follow up was 12 months

Progression-free survival was defined as the time from the date of randomization to the date of disease progression, or death (any cause) on or prior to the clinical cutoff date, whichever occurs first.

Time to reach maximum plasma concentration (Tmax)up to 168 hours after the first dose

Tmax of total irinotecan, free irinotecan and SN-38

Maximum observed plasma concentration (Cmax)up to 168 hours after the first dose

Cmax of total irinotecan, free irinotecan and SN-38

Objective Response Ratemaximum time on study 12 months

Objective response rate was based on response evaluation criteria in solid tumors 1.1 (RECIST 1.1)

Area under the plasma concentration versus time curve from time zero to time of last observed concentration (AUC0-t)up to 168 hours after the first dose

AUC0-t of total irinotecan, free irinotecan and SN-38

Area under the plasma concentration versus time curve from time zero to infinity (AUC0-inf)up to 168 hours after the first dose

AUC0-inf of total irinotecan, free irinotecan and SN-38

Elimination half-life (T1/2)up to 168 hours after the first dose

T1/2 of total irinotecan, free irinotecan and SN-38

Clearance of drug from plasma (CL)up to 168 hours after the first dose

CL of total irinotecan

Volume of distribution (Vss)up to 168 hours after the first dose

Vss of total irinotecan

Trial Locations

Locations (1)

Fudan University Cancer Hospital

🇨🇳

Shanghai, Shanghai, China

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