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A Phase Ib Study of RC148 as Monotherapy or Combination for Locally Advanced or Metastatic NSCLC

Phase 1
Recruiting
Conditions
Non-Small Cell Lung Cancer
Interventions
Drug: RC148 plus Carboplatin and Paclitaxel/pemetrexed
Registration Number
NCT06883630
Lead Sponsor
RemeGen Co., Ltd.
Brief Summary

This study will evaluate the efficacy, safety, pharmacokinetics and immunogenicity of RC148 injection as a single agent or in combination for the treatment of locally advanced or metastatic non-small cell lung cancer

Detailed Description

Primary objective: to evaluate the efficacy of RC148 injection as monotherapy or combination therapy in patients locally advanced or metastatic non-small cell lung cancer;

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
150
Inclusion Criteria
  1. Voluntarily participate in the study and signed the ICF;
  2. Be willing to and able to act on the trial and the follow up procedures;
  3. Male or female, aged 18-80 years;
  4. Expected survival ≥ 3 months;
  5. ECOG PS score 0 or 1;
  6. All participants to be enrolled in cohorts 1-5 must be diagnosed with histopathologically or cytologically confirmed, unresectable locally advanced or metastatic NSCLC (stage IIIB//IIIC/IV according to the 8th edition of UICC/AJCC) and not amendable to curative surgery or radiation as assessed by investigator.
Exclusion Criteria
  1. Histopathologically or cytologically confirmed small cell lung cancer;
  2. Received major surgeries and still in recovery within 28 days before the first dose;
  3. Received any live vaccine within 28 days prior to the first dose or plan to be vaccinated during the study (except for COVID-19 vaccine);
  4. Received immune checkpoint inhibitor (anti-PD-1/PD-L1/CTLA-4 antibody) or other immune checkpoint inhibitor treatment within 28 days prior to the first dose, or experienced prior permanent immunotherapy discontinuation due to immunotoxicity;
  5. Participated in other clinical trials and received other investigational anti-tumor therapy within 28 days prior to the first dose;
  6. Poor compliance and unable to complete the study procedures as assessed by investigator;
  7. Have any other medical conditions, abnormal physical examinations or laboratory examinations that would be suspected interfere with participation or evaluation of the trial or increase the risk to the participant, in view of the investigator.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
AGA-, NSCLC without systemic therapyRC148 plus Carboplatin and Paclitaxel/pemetrexedCombination Therapy
AGA-,PD-1+, NSCLC without systemic therapyRC148Monotherapy
EGFR mu, Non-squamous NSCLC after EGFR-TKIs treatmentRC148 plus Carboplatin and Paclitaxel/pemetrexedCombination Therapy
Primary Outcome Measures
NameTimeMethod
Objective Response Rate (ORR)24 months

Tumor assessment will be performed until radiographic disease progression, initiation of new anticancer therapy, withdrawal of consent, death, loss to follow-up, or other end of study criterion is met, whichever is earlier.

Secondary Outcome Measures
NameTimeMethod
Disease Control Rate (DCR)24 months

Tumor assessment will be performed until radiographic disease progression, initiation of new anticancer therapy, withdrawal of consent, death, loss to follow-up, or other end of study criterion is met, whichever is earlier.

Duration of Response (DOR)24 months

Tumor assessment will be performed until radiographic disease progression, initiation of new anticancer therapy, withdrawal of consent, death, loss to follow-up, or other end of study criterion is met, whichever is earlier.

Progression-free survival (PFS)24 months

Tumor assessment will be performed until radiographic disease progression, initiation of new anticancer therapy, withdrawal of consent, death, loss to follow-up, or other end of study criterion is met, whichever is earlier.

Overall survival (OS)24 months

Tumor assessment will be performed until radiographic disease progression, initiation of new anticancer therapy, withdrawal of consent, death, loss to follow-up, or other end of study criterion is met, whichever is earlier.

Number of participants with adverse events (AEs)24 months

An AE is any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment.

Incidence of RC148 anti-drug antibody (ADA)24 months

Serum samples will be collected from participants for ADA analysis of RC148. The blood sampling time points and time windows are described in protocol

Maximum observed concentration (Cmax) of RC14824 months

Serum concentrations of RC148 in individual subjects at different time points after RC148 administration

Trial Locations

Locations (24)

Shunde Hospital of Southern Medical University

🇨🇳

Foshan, Guangdong, China

Beijing Tiantan Hospital of Capital Medical University

🇨🇳

Beijing, Beijing, China

Peking University Cancer Hospital

🇨🇳

Beijing, Beijing, China

The First People's Hospital of Shunde

🇨🇳

Foshan, Guangdong, China

Sun Yat-sen University Cancer Center

🇨🇳

Guangzhou, Guangdong, China

The First affiliated Hospital of Guangzhou Medical University

🇨🇳

Guangzhou, Guangdong, China

Jiangmen Central Hospital

🇨🇳

Jiangmen, Guangdong, China

The Second Affiliated Hospital of Guilin Medical College

🇨🇳

Gulin, Guangxi, China

Affiliated Cancer Hospital of Guangxi Medical University

🇨🇳

Nanning, Guangxi, China

Harbin Medical University Cancer Hospital

🇨🇳

Harbin, Heilongjiang, China

Nanyang Second General Hospital

🇨🇳

Hanyang, Henan, China

The First Affiliated Hospital of Xinxiang Medical College

🇨🇳

Xinxiang, Henan, China

Henan cancer hospital

🇨🇳

Zhengzhou, Henan, China

Union Hospital Tongji Medical College Huazhong University Of Science And Technologe

🇨🇳

Wuhan, Hubei, China

Hunan Cancer Hospital

🇨🇳

Changsha, Hunan, China

The Affiliated Hospital of Xuzhou Medical University

🇨🇳

Xuzhou, Jiangsu, China

Shengjing Hospital of China Medical University

🇨🇳

Shenyang, Liaoning, China

Binzhou Medical University Hospital

🇨🇳

Binzhou, Shandong, China

Jinan Central Hospital

🇨🇳

Jinan, Shandong, China

Linyi Cancer Hospital

🇨🇳

Linyi, Shandong, China

Tianjin Medical University Cancer Institute Hospital

🇨🇳

Tianjin, Tianjin, China

Yunnan Cancer Hospital

🇨🇳

Kunming, Yunnan, China

Zhejiang Cancer Hospital

🇨🇳

Hangzhou, Zhejiang, China

Taizhou Hospital of Zhejiang Province

🇨🇳

Taizhou, Zhejiang, China

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