A Phase I, Open-label, Dose-escalation and Expansion Study to Evaluate the Safety, Tolerability, Pharmacokinetic and Pharmacodynamic of HSK42360-Na in Patients With BRAF V600 Mutation Locally Advanced or Metastatic Solid Tumors
Trial Snapshot
- Phase
- Phase 1
- Status
- Recruiting
- Enrollment
- 159
- Locations
- 2
- Primary Endpoint
- MTD
Study Overview
Brief Summary
This is a phase I, open-label, dose-escalation and expansion study to evaluate the safety, tolerability, PK and PD of HSK42360-Na when given orally in patients with active BRAF V600 mutation locally advanced or metastatic Solid Tumors.
Study Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Age ≥ 18 years#Male and female patients, at time of signing informed consent form (ICF).
- •ECOG performance status 0-1, or KPS (Karnofsky Performance Status) Score≥
- •Life expectancy ≥ 3 months.
- •Patients with locally advanced or metastatic solid tumors confirmed by histology or cytology, who have failed standard treatment (disease progression after treatment or intolerable treatment); patients who have previously received BRAF and/or MEK inhibitor therapy are allowed to be included in this study.
- •Positive BRAF V600 mutation result confirmed prior to the administration of HSK42360-Na.
- •Patients will provide blood or tumor sample according to their own willingness.
- •Measurable or non-measurable disease by RECIST 1.1 or RANO criteria.
- •Brain metastasis patients with inactive CNS lesions; Original intracranial tumor patient with inactive CNS lesions, or patients treated with ≤4mg/day corticosteroid and without convulsion for ≥2 weeks.
- •Adequate hematologic, hepatic, and renal function.
- •Women of childbearing potential and men must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry, for the duration of study participation, and for 90 days after the last dose.
Exclusion Criteria
- •malignant tumor within 2 years, with the exception of cutaneous squamous cell carcinoma, cervical carcinoma in situ, papillary thyroid carcinoma, or other tumors with low malignancy.
- •Uncontrollable pleural effusion, ascites, or pericardial effusion per protocol.
- •Treatment with any of the following:
- •Prior treatment with anti-tumor drug within 4 weeks or approximately 5 × t1/2 prior to the first dose of HSK42360-Na, whichever is shorter; Prior treatment with nitrosourea or mitomycin C within 6 weeks prior to the first dose of HSK42360-Na; Prior treatment with palliative radiotherapy or anti-tumor herbs within 2 weeks prior to the first dose of HSK42360-Na; Prior treatment with radiotherapy, electric field therapy, or other anti-tumor therapies within 4 weeks prior to the first dose of HSK42360-Na.
- •Any unresolved toxicities from prior therapy greater than Common Terminology Criteria for Adverse Events (CTCAE) grade 1 at the time of starting study treatment, with the exception of alopecia, dermal toxicity, and other toxicity considering no safety risks by investigator.
- •Any disease which would preclude drug absorption, metabolism or pharmacokinetics, e.g. active peptic ulcer or chronic gastroesophageal reflux disease.
- •Patients who have clinically significant or uncontrolled cardiac disease, include: QTc interval ≥ 450(male)/470(female) msec; any clinically significant arrhythmia; left ventricular ejection fraction < 50%; myocardial infarction, unstable angina, or class III/IV cardiac failure by the NYHA that occurred within 6 months prior to the first dose of HSK42360-Na.
- •Any thromboembolic events within 6 months prior to the first dose of HSK42360-Na; any familial or acquired thrombophilia.
- •Uncontrolled hypertension (systolic pressure≥160mmHg, or diastolic pressure≥100mmHg), diabetes (fasting blood-glucose≥10mmol/L), seizures, chronic obstructive pulmonary disease (COPD), interstitial pneumonia, pulmonary interstitial fibrosis, Parkinson's disease, active bleeding, or systemic active infection.
- •Any unstable systemic disease, e.g. severe metabolic disease: liver cirrhosis, renal failure, or uremia.
- •Treatment with inhibitors/inducers for CYP3A4, or substrates of CYP3A4, CYP2C9, CYP2C8, OATP1B1, OATP1B3, OAT1, OAT3, P-gp or BCRP within 14 days or approximately 5 × t1/2 prior to the first dose of HSK42360-Na, whichever is shorter.
- •Patient with cognitive dysfunction, or history of mental illness, other uncontrolled comorbidities, alcohol dependence, hormone dependence or drug abuse.
- •Autologous transplantation surgery within 3 months prior to the first dose of HSK42360-Na; Allogeneic transplantation, or stem-cell Transplant surgery within 6 months prior to the first dose of HSK42360-Na; Major surgery or significant traumatic injury occurring within 4 weeks prior to the first dose of HSK42360-Na.
- •Patient with a history of immunodeficiency, including HIV positive, or other acquired/congenital immunodeficiency diseases.
- •Any disease of the eyes > CTCAE v5.0 Grade
- •Patient with active hepatitis B or hepatitis C.
- •Patient with active syphilis infection.
- •Allergic to any HSK42360-Na active constituent or ingredients.
- •Participate in other clinical trials within 4 weeks prior to the first dose of HSK42360-Na.
- •Positive pregnancy test, or breastfeeding.
- •Any other circumstances that would, in the investigator's judgment, prevent the subject's participation in the clinical study due to safety concerns or compliance with clinical study procedures.
Arms & Interventions
Phase Ia: HSK42360-Na as monotherapy
Phase 1a (Part A): dose escalation of HSK42360-Na as monotherapy at various dose levels
Intervention: HSK42360-Na (Drug)
Phase Ib: HSK42360-Na as monotherapy
Phase 1b: dose expansion for HSK40118 as monotherapy at a dose determined during Phase 1a
Intervention: HSK42360-Na (Drug)
Outcomes
Primary Outcomes
MTD
Time Frame: Up to approximately 52 months
MTD determination: dose limiting toxicity (DLT) rate
DLTs
Time Frame: Up to approximately 52 months
Incidence of dose-limiting toxicities (DLTs) at Cycle 0 and Cycle1
AEs
Time Frame: Up to approximately 52 months
Rate and severity of adverse events of HSK42360-Na as monotherapy
RP2D
Time Frame: Up to approximately 52 months
The RP2D is determined based on multiple parameters
ECOG Performance Status Scale
Time Frame: Up to approximately 52 months
Change of the grade as a part of HSK43260 safety data. Scores range from 0 to 5, with lower scores indicating better patient performance status.
Karnofsky Performance Scale, KPS
Time Frame: Up to approximately 52 months
Change of the grade as a part of HSK43260 safety data. Scores range from 0 to 100, with higher scores indicating better patient performance status.
Secondary Outcomes
- Overall response rate (ORR)(Up to approximately 52 months)
- Disease control rate (DCR)(Up to approximately 52 months)
- Duration of response (DOR)(Up to approximately 52 months)
- Progression free survival (PFS)(Up to approximately 52 months)
- Overall survival (OS)(Up to approximately 52 months)
- Area under the curve (AUC) of HSK42360-Na(Circle 0 (single-dose circle, 3 days) and circle 1 (multiple-dose circle, 21days))
- maximum plasma concentration (Cmax) of HSK42360-Na(Circle 0 (single-dose circle, 3 days) and circle 1 (multiple-dose circle, 21days))
- half-life (t1/2) of HSK42360-Na(Circle 0 (single-dose circle, 3 days) and circle 1 (multiple-dose circle, 21days))
- Tmax(Time to maximum plasma concentration) of HSK42360-Na(Circle 0 (single-dose circle, 3 days) and circle 1 (multiple-dose circle, 21days))
