A Study of CS5001 in Patients With Advanced Solid Tumors and Lymphomas
- Registration Number
- NCT05279300
- Lead Sponsor
- CStone Pharmaceuticals
- Brief Summary
This is a first-in-human (FIH) study to evaluate the safety and preliminary efficacy of experimental drug CS5001 in patients with advanced hematological and solid tumors.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 156
- For solid tumor patients of dose escalation, they must have pathologically confirmed, unresectable advanced solid tumor with disease progression on or after at least 1 line of prior systemic therapy.
- For Lymphoma patients of dose escalation, they must have pathologically confirmed Hodgkin and non-Hodgkin B-cell lymphoma as defined per 2016 World Health Organization(WHO) classification, with disease progression on or after at least 2 lines of prior systemic therapy.
- For dose expansion, pathologically confirmed Mantle Cell Lymphoma(MCL, following at least two prior lines of systemic therapy including Bruton Tyrosine Kinase inhibitors), Diffuse Large B Cell Lymphoma(DLBCL, following at least two prior lines of systemic therapies), and Triple Negative Breast Cancer(TNBC, following at least 2 lines of systemic therapy for advanced disease) will be enrolled.
- For dose escalation, with at least one evaluable lesion as defined per Response Evaluation Criteria in Solid Tumours(RECIST) v1.1 solid tumor or per 2014 Lugano Classification Criteria for lymphoma, respectively. For dose expansion, with at least one measurable lesion as defined per RECIST v1.1 solid tumor or per 2014 Lugano Classification Criteria for lymphoma, respectively.
- Life expectancy > 3 months.
- Eastern Cooperative Oncology Group(ECOG) performance status 0 or 1.
- Have adequate organ function.
- Has disease that is suitable for local treatment administered with curative intent. For lymphoma, candidacy for hematopoietic stem cell transplantation based on the Investigator's judgment.
- Has a history of a second malignancy active within the previous 3 years except for locally curable cancers that have been apparently cured.
- For dose expansion: Participation in other studies involving therapies targeting ROR1 prior to study entry and/or during study participation.
- Has known central nervous system (CNS) lymphoma or solid tumor CNS metastasis that is either symptomatic, untreated, or requires therapy.
- Has other acute or chronic medical or psychiatric conditions.
- Has a diagnosis of immunodeficiency, or has an active autoimmune disease or other conditions that require systemic steroid therapy.
- Has peripheral edema, pericardial effusion, or ascites indicated for medical intervention or limiting activity of daily life. Or with a known history of peripheral vasculopathies.
- Patients with any active infections requiring systemic therapy within 2 weeks prior to the administration of the first dose of the study drug.
- Patients known to be human immunodeficiency virus (HIV)-positive or have acquired immune deficiency syndrome (AIDS).
- Significant cardiovascular disease within 6 months prior to the first dose of the study drug.
- Significant screening electrocardiogram (ECG) abnormalities.
- Has received major surgery, chemotherapy, definitive radiotherapy, target therapy, immunotherapy, or other anti-cancer therapy within 21 days prior to the administration of the first dose of the study drug.
- Administration of a live vaccine within 28 days prior to the administration of the first dose of the study drug.
- Has active graft versus host disease.
- With known active alcohol or drug abuse.
- Women who are pregnant or breastfeeding.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SEQUENTIAL
- Arm && Interventions
Group Intervention Description Dose escalation CS5001 - Dose expansion CS5001 -
- Primary Outcome Measures
Name Time Method Maximum Tolerated Dose (MTD) of CS5001 if any (for dose escalation part) About 6 months Participants will receive CS5001 for injection once every three weeks. The MTD will be determined by the number of participants who experience a dose limiting toxicity (DLT).
Incident and severity of adverse events Until 90 days since the last dose of investigational product or until initiation of a new anti-cancer treatment, whichever occurs first Recommended Phase 2 Dose(RP2D) of CS5001 (for dose escalation part) About 6 months The selection of RP2D will be based on consideration of overall safety information together with available pharmacokinetic, pharmacodynamic, and efficacy data. The RP2D may be the MTD or may be a lower dose within the tolerable dose range.
- Secondary Outcome Measures
Name Time Method Concentration of anti-CS5001 antibodies Up to 30 days since the last dose of or until initiation of a new anti-cancer treatment, whichever occurs first Concentration of CS5001 total antibody, prodrug and the free cytotoxin Up to 30 days since the last dose of or until initiation of a new anti-cancer treatment, whichever occurs first
Trial Locations
- Locations (32)
First Affiliated Hospital of Zhejiang University School of Medicine
π¨π³Hangzhou, Zhejiang, China
Epworth Foundation trading as Epworth HealthCare
π¦πΊMelbourne, Victoria, Australia
Sun YatSen University Cancer Center
π¨π³Guangzhou, Guang Dong, China
Henan Provincial People's Hospital
π¨π³Zhengzhou, Henan, China
Anhui Provincial Cancer Hospital
π¨π³Hefei, Anhui, China
Central Adelaide Local Health Network Incorporated
π¦πΊAdelaide, South Australia, Australia
The Fourth Hospital of Hebei Medical University
π¨π³Shijiazhuang, Hebei, China
Yanda Lu Dao Pei Hospital
π¨π³Beijing, Beijing, China
Fujian Cancer Hospital
π¨π³Fuzhou, Fujian, China
Hunan Cancer Hospital
π¨π³Changsha, Hunan, China
Jiangsu province hospital
π¨π³Nanjing, Jiangsu, China
Jiangxi Cancer Hospital
π¨π³Nanchang, Jiangxi, China
The Second Hospital of Dalian Medical University
π¨π³Dalian, Liaoning, China
Ashford Cancer Centre Research
π¦πΊAdelaide, South Australia, Australia
Columbia U. - Herbert Irving Comprehensive Cancer Center
πΊπΈNew York, New York, United States
Yunnan Cancer Hospital
π¨π³Kunming, Yunnan, China
North Shore Hematology Oncology Associates
πΊπΈEast Setauket, New York, United States
BUMC - Mary Crowley Cancer Research Centers (MCCRC)
πΊπΈDallas, Texas, United States
The first Affiliated Hospital of Xi'an Jiaotong University
π¨π³Xi'an, Shaanxi, China
Shanxi Provincial Cancer Hospital
π¨π³Taiyuan, Shanxi, China
Scientia Clinical Research Limited
π¦πΊRandwick, New South Wales, Australia
Anhui Provincial Hospital,
π¨π³Hefei, Anhui, China
Henan Cancer Hospital
π¨π³Zhengzhou, Henan, China
Beijing Cancer Hospital
π¨π³Beijing, Beijing, China
Guangdong Province Hospital
π¨π³Guangzhou, Guangdong, China
Guangxi Medical University Affiliated Tumour Hospital
π¨π³Nanning, Guangxi, China
Hubei Cancer Hospital
π¨π³Wuhan, Hubei, China
Union Hospital Tongji Medical College Huazhong University of Science and Technology
π¨π³Wuhan, Hubei, China
Fudan University Shanghai Cancer Hospital
π¨π³Shanghai, Shanghai, China
Shandong Cancer Hospital
π¨π³Jinan, Shandong, China
Shanghai East Hospital
π¨π³Shanghai, Shanghai, China
Shanghai Pulmonary Hospital
π¨π³Shanghai, Shanghai, China