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临床试验/NCT03050047
NCT03050047Unknown1 期

A Multicenter Open-Label Single-Arm Multi-Cohort Phase I Study of Pharmacokinetics, Pharmacodynamics, Safety, and Immunogenicity of BCD-100 (JSC BIOCAD, Russia) in Patients With Advanced Solid Tumors

Biocad4 个研究点 分布在 1 个国家目标入组 15 人开始时间: 2016年8月30日最近更新:
适应症
干预措施

试验速览

阶段
1 期
发起方
Biocad
入组人数
15
试验地点
4
主要终点
ORR (CR + PR)

研究概览

简要总结

A Multicenter Open-Label Single-Arm Multi-Cohort Phase I Study of Pharmacokinetics, Pharmacodynamics, Safety, and Immunogenicity of BCD-100 (JSC BIOCAD, Russia) in Patients with Advanced Solid Tumors

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Sequential
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者
否

入选标准

  • •Patient provides a written informed consent and is able to follow the requirements of the Protocol;
  • •Age ≥ 18 years
  • •Histologically confirmed cancer (well-documented test results; preferably, block specimens available):
  • •unresectable (stage III/IV) or metastatic (stage IV) melanoma (the drug will be used as the first of subsequent therapy lines);
  • •Locally advanced or metastatic NSCLC (squamous cell carcinoma/adenocarcinoma), progressive after at least the first-line therapy (the drug will be used as a second or subsequent therapy lines);
  • •Metastatic clear cell renal carcinoma, progressive after at least the first-line therapy (the drug will be used as a second or subsequent therapy lines);
  • •In addition, by investigator's decision, patients with the following malignancies can also be enrolled in the study :
  • •Pleural mesothelioma progressive after at least one therapy line (the drug will be used as a second or subsequent therapy lines);
  • •Metastatic bladder cancer progressive after at least one therapy line (the drug will be used as a second or subsequent therapy lines);
  • •Triple negative breast cancer (ER-, PR-, HER2-) progressive after at least the first-line therapy (the drug will be used as a second or subsequent therapy lines);
  • •ECOG score of 0 to 2;
  • •Measurable disease (at least one lesion) according to RECIST v. 1.1 ;
  • •Resolved toxicity events from the previous therapy or adverse consequences of surgical interventions to ≤ grade 1 CTCAE v. 4.03, except for chronic/irreversible adverse events not affecting the safety of the study therapy (e.g. alopecia);
  • •No severe pathology of organs or systems;
  • •Life expectancy of at least 12 weeks from the screening;
  • •Patients of childbearing potential enrolled in the study must agree to use reliable contraception methods throughout the study period, beginning 2 weeks before the inclusion in the study and up to 8 weeks after the last dose of BCD-100.

排除标准

  • •Severe concomitant illnesses or life-threatening consequences (including pleural/pericardial/peritoneal effusion that requires medical intervention , pulmonary lymphangitis, or involvement of >50% renal parenchyma);
  • •Brain metastases, progressive or associated with clinical symptoms (e.g. cerebral edema or spinal cord compression). Exclusions: metastases that do not progress and do not require steroids and/or anticonvulsants within at least 4 weeks before randomization ;
  • •Severe cardiovascular disorders within 6 months before screening;
  • •Autoimmune diseases;
  • •Conditions requiring steroids or any other immunosuppressants;
  • •Blood disorders: ANC ≤1,500/mm3; platelets ≤100,000/mm3; or Hb ≤90 g/L;
  • •Renal function impairment: creatinine ≥1.5 × ULN;
  • •Hepatic function impairment: bilirubin ≥1.5 × ULN; AST and ALT ≥2.5 × ULN (5 × ULN for patients with liver metastases), AlkPh ≥ 5 × ULN;
  • •Prior anticancer treatment within 28 days before starting the study drug (surgery, radiation therapy , or chemotherapy);
  • •Known history of more than 6 lines of systemic anticancer chemotherapy (including neoadjuvant and adjuvant CTs);
  • •Prior treatment with anti-PD1/PDL1 agents or CTLA4 inhibitors;
  • •Concurrent malignancy except for radically resected cervical carcinoma in situ or radically resected basal cell/squamous cell carcinoma;
  • •Conditions limiting patient's ability to follow the Protocol requirements (dementia, neurological or psychiatric disorders, drug or alcohol abuse, etc.);
  • •Simultaneous participation in any other clinical trial; participation in other clinical trials within 30 days before inclusion in the present study; previous participation in the present study.
  • •Acute infections or active chronic infections;
  • •Documented HIV infection;
  • •Positive screening results for Hbs-antigen, hepatitis B core antibodies (anti-HBc Ab) and/or hepatitis C antibodies ;
  • •Positive results of microprecipitation reaction together with positive TPHA assay results at the screening;
  • •Body weight > 95 kg.
  • •Intravenous administration of the drug is impossible;
  • •Intravenous administration of contrast agents is impossible;
  • •Hypersensitivity to any component of BCD-
  • •Known history of hypersensitivity to monoclonal antibodies;
  • •Pregnancy or breastfeeding;

研究组 & 干预措施

BCD-100 10 mg/kg

Experimental

Patients who receive BCD-100 in a dose of 10 mg/kg

干预措施: BCD-100 (Biological)

BCD-100 3 mg/kg

Experimental

Patients who receive BCD-100 in a dose of 3 mg/kg

干预措施: BCD-100 (Biological)

BCD-100 1 mg/kg

Experimental

Patients who receive BCD-100 in a dose of 1 mg/kg

干预措施: BCD-100 (Biological)

BCD-100 0.3 mg/kg

Experimental

Patients who receive BCD-100 in a dose of 0.3 mg/kg

干预措施: BCD-100 (Biological)

结局指标

主要结局

ORR (CR + PR)

时间窗: 85 days

Pilot efficacy assessment is not the primary objective of this study and will be conducted by surrogate endpoints describing the direct antitumor effect of the drug. • ORR (CR + PR) after 85 days of therapy with BCD-100.

次要结局

未报告次要终点

研究者

发起方
Biocad
申办方类型
Industry
责任方
Sponsor

研究点 (4)

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