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Clinical Trials/NCT04678921
NCT04678921
Completed
Phase 1

A Phase 1 Study of TJ210001 Administered in Subjects With Relapsed or Refractory Advanced Solid Tumors

I-Mab Biopharma US Limited4 sites in 1 country16 target enrollmentDecember 17, 2020

Overview

Phase
Phase 1
Intervention
TJ210001
Conditions
Solid Tumor
Sponsor
I-Mab Biopharma US Limited
Enrollment
16
Locations
4
Primary Endpoint
Incidence and Severity of Adverse Events
Status
Completed
Last Updated
3 years ago

Overview

Brief Summary

This is an open label, multi-center, multiple dose Phase 1 study to evaluate the safety, tolerability, MTD or MAD, PK, and PD of TJ210001 in subjects with relapsed or refractory advanced solid tumors. Beginning with Dose Level 1, TJ210001 will be given every week starting on Cycle 1 Day 1 (C1D1). The criteria for dose escalation/de-escalation will be based on the Bayesian optimal interval (BOIN) design with sequentially enrolled cohorts. The BOIN design is implemented in a simple way similar to the traditional 3+3 design but is more flexible and possesses superior operating characteristics that are comparable to those of the more complex model-based designs, such as the continual reassessment method (CRM).

Registry
clinicaltrials.gov
Start Date
December 17, 2020
End Date
November 21, 2022
Last Updated
3 years ago
Study Type
Interventional
Study Design
Sequential
Sex
All

Investigators

Responsible Party
Sponsor

Eligibility Criteria

Inclusion Criteria

  • Males or females, of any race, age ≥ 18 years;
  • Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1;
  • Willingness and ability to consent for self to participate in study and the ability to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures;
  • Histologically confirmed advanced or metastatic cancer in patients who are refractory to or intolerant to all available therapy. Patients who received prior PD-1/PD-L1 checkpoint inhibitor or prior CTLA-4 inhibitor therapy may enroll if they did not experience Grade 3 immune-related toxicity (exceptions may be allowed provided these toxicities have resolved e.g. Grade 3 endocrinopathy that is resolved or clinically stable with hormone replacement therapy). There is no limit to the number of prior treatment regimens;
  • At least one measurable lesion as defined by RECIST 1.1;
  • Resolution of all acute adverse events resulting from prior cancer therapies to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) v5.0 Grade ≤ 1 or baseline (except alopecia or neuropathy);
  • Considered by the Investigator to be an appropriate candidate for a Phase 1 clinical study, with a life expectancy of ≥ 12 weeks;
  • Adequate organ function as defined by the following criteria:
  • Absolute neutrophil count (ANC) ≥ 1500/μL (≥1.5 × 109/L) without growth factor support for 7 days (14 days if on pegfilgrastim) prior to study treatment;
  • Platelets ≥ 100,000/μL (≥ 100 ×109/L) without transfusion support within 14 days prior to study treatment;

Exclusion Criteria

  • Has an active autoimmune disease requiring systemic treatment within the past 2 years (i.e., with use of disease modifying agents, corticosteroids or immunosuppressive drugs). Replacement therapy (e.g., thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency) is not considered a form of systemic treatment and is permitted;
  • Current treatment on another therapeutic clinical trial;
  • Receipt of systemic anticancer therapy, including investigational agents, within 28 days prior to study treatment (Note: if anticancer therapy was given within 28 days prior to starting study treatment, patients are not excluded if ≥ 5 times the elimination half-life of the drug has elapsed.);
  • Prior treatment with C5aR inhibitors;
  • Prior T-cell or NK-cell therapy;
  • Major surgical procedure or significant traumatic injury within 4 weeks prior to study treatment, and must have fully recovered from any such procedure; and no date of surgery (if applicable) or anticipated need for a major surgical procedure planned within the next 6 months (The following are not considered to be major procedures and are permitted up to 14 days prior to study treatment: thoracentesis, paracentesis, port placement, laparoscopy, thoracoscopy, tube thoracostomy, bronchoscopy, endoscopic ultrasonographic procedures, mediastinoscopy, incisional biopsies, and routine dental procedures. Core biopsy and skin biopsy do not require a waiting period prior to dosing.);
  • Chest radiotherapy ≤ 28 days, wide field radiotherapy ≤ 28 days (defined as \> 50% of volume of pelvic bones or equivalent), or limited field radiation for palliation ≤ 14 days prior to study treatment - such patients must have recovered adequately from any side effects of such therapy;
  • Hypertension defined as blood pressure (BP) systolic \> 150 or diastolic \> 90 mm Hg (Note: Initiation or adjustment of antihypertensive medication prior to study dosing is allowed provided that the average of the three most recent BP readings prior to study enrollment is ≤ 150/90 mm Hg.);
  • Ascites, pericardial or pleural effusions that required intervention within 1 month prior to study treatment;
  • Has known active CNS metastases and/or carcinomatous meningitis. Subjects with previously treated brain metastases may participate provided they are radiologically stable, i.e., without evidence of progression for at least 4 weeks by repeat imaging (note that the repeat imaging should be performed during study screening), clinically stable and without requirement of steroid treatment for at least 14 days prior to first dose of study treatment;

Arms & Interventions

Dose Level 1

1mg/kg Q1W

Intervention: TJ210001

Dose Level 2

3 mg/kg Q1W

Intervention: TJ210001

Dose Level 3

10mg/kg Q1W

Intervention: TJ210001

Dose Level 4

15 mg/kg Q1W

Intervention: TJ210001

Outcomes

Primary Outcomes

Incidence and Severity of Adverse Events

Time Frame: 90 days post last dose

The CTCAE criteria will be used to assess adverse events on this trial.

Maximum Tolerated Dose

Time Frame: 21 days

Based on DLT Definitions

Secondary Outcomes

  • Anti-drug Antibodies (ADA)(90 days post last dose)
  • Response Rate(Up to 2 years)
  • Pharmacokinetic Profile(90 days post last dose)

Study Sites (4)

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