Study of QLS31905 and/or QL1706 Combination With Chemotherapy in the Advanced Malignant Solid Tumors

Registration Number
NCT06446388
Lead Sponsor
Qilu Pharmaceutical Co., Ltd.
Brief Summary

This study aims to evaluate the efficacy and safety of QLS31905 and/or QL1706 plus chemotherapy in patients with Claudin18.2-positive advanced solid tumors.

Detailed Description

Not available

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
360
Inclusion Criteria
  • Subjects voluntarily participate in the study and sign the informed consent form;
  • Eastern Cooperative Oncology Group (ECOG) performance status score of 0-1;
  • Expected survival time ≥ 3 months;
  • Histologically or cytologically confirmed locally advanced unresectable or metastatic solid tumors;
  • No prior systemic anti-tumor treatment for locally advanced unresectable or metastatic disease;
  • Tumor tissue samples determined to be positive for Claudin18.2 by immunohistochemistry (IHC);
  • At least one measurable lesion per RECIST v1.1;
  • Patients with adequate cardiac, liver, renal function, etc.
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Exclusion Criteria
  • History of malignancies other than the target cancer within 5 years prior to the first dose of the investigational product ;
  • Underwent major organ surgery (excluding needle biopsy) or had significant trauma within 28 days prior to enrollment, or requires elective surgery during the study;
  • Known central nervous system metastases;
  • Patients with hepatitis B; patients with hepatitis C; patients who test positive for syphilis, or patients with a known history of HIV or positive HIV screening test; Patients with a known history of psychoactive drug abuse, alcohol abuse, or substance abuse;
  • Patients with added risks associated with the study or may interfere with the interpretation of study results as determined by the investigator, or deemed unsuitable by the investigator and/or sponsor.
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
QLS31905 + oxaliplatin + capecitabineQLS31905Gastric/gastroesophageal junction cancer participants will be treated with QLS31905 at doses determined by the phase I study in combination with oxaliplatin and capecitabine.
QLS31905 + oxaliplatin + capecitabineOxaliplatinGastric/gastroesophageal junction cancer participants will be treated with QLS31905 at doses determined by the phase I study in combination with oxaliplatin and capecitabine.
QLS31905 + oxaliplatin + capecitabineCapecitabineGastric/gastroesophageal junction cancer participants will be treated with QLS31905 at doses determined by the phase I study in combination with oxaliplatin and capecitabine.
QL1706 + oxaliplatin + capecitabineOxaliplatinGastric/gastroesophageal junction cancer participants will be treated with QL1706 in combination with oxaliplatin and capecitabine.
QL1706 + oxaliplatin + capecitabineCapecitabineGastric/gastroesophageal junction cancer participants will be treated with QL1706 in combination with oxaliplatin and capecitabine.
QL1706 + oxaliplatin + capecitabineQL1706Gastric/gastroesophageal junction cancer participants will be treated with QL1706 in combination with oxaliplatin and capecitabine.
QLS31905 + oxaliplatin + capecitabine + QL1706QLS31905Gastric/gastroesophageal junction cancer participants will be treated with QLS31905 at doses determined by the phase I study in combination with oxaliplatin and capecitabine+ QL1706.
QLS31905 + oxaliplatin + capecitabine + QL1706OxaliplatinGastric/gastroesophageal junction cancer participants will be treated with QLS31905 at doses determined by the phase I study in combination with oxaliplatin and capecitabine+ QL1706.
QLS31905 + oxaliplatin + capecitabine + QL1706CapecitabineGastric/gastroesophageal junction cancer participants will be treated with QLS31905 at doses determined by the phase I study in combination with oxaliplatin and capecitabine+ QL1706.
QLS31905 + gemcitabine+cisplatinQLS31905Biliary tract cancer will be treated with QLS31905 at doses determined by the phase I study in combination with gemcitabine and cisplatin.
QL1706 + gemcitabine+cisplatinCisplatinBiliary tract cancer will be treated with QL1706 in combination with gemcitabine and cisplatin.
QL1706 + gemcitabine+cisplatinQL1706Biliary tract cancer will be treated with QL1706 in combination with gemcitabine and cisplatin.
QLS31905 + gemcitabine+cisplatin+ QL1706QLS31905Biliary tract cancer will be treated with QLS31905 at doses determined by the phase I study in combination with gemcitabine and cisplatin+ QL1706.
QLS31905 + gemcitabine+cisplatin+ QL1706CisplatinBiliary tract cancer will be treated with QLS31905 at doses determined by the phase I study in combination with gemcitabine and cisplatin+ QL1706.
QLS31905 + standard chemotherapyQLS31905Other solid tumor participants will be treated with QLS31905 at doses determined by the phase I study in combination with standard chemotherapy recommended by guidelines.
QLS31905 + standard chemotherapyChemotherapy drugOther solid tumor participants will be treated with QLS31905 at doses determined by the phase I study in combination with standard chemotherapy recommended by guidelines.
QL1706 + standard chemotherapyQL1706Other solid tumor participants will be treated with QL1706 in combination with standard chemotherapy recommended by guidelines.
QL1706 + standard chemotherapyChemotherapy drugOther solid tumor participants will be treated with QL1706 in combination with standard chemotherapy recommended by guidelines.
QLS31905 + standard chemotherapy + QL1706QLS31905Other solid tumor participants will be treated with QLS31905 at doses determined by the phase I study in combination with standard chemotherapy and QL1706.
QLS31905 + standard chemotherapy + QL1706QL1706Other solid tumor participants will be treated with QLS31905 at doses determined by the phase I study in combination with standard chemotherapy and QL1706.
QLS31905 + standard chemotherapy + QL1706Chemotherapy drugOther solid tumor participants will be treated with QLS31905 at doses determined by the phase I study in combination with standard chemotherapy and QL1706.
QLS31905 + oxaliplatin + capecitabine + QL1706QL1706Gastric/gastroesophageal junction cancer participants will be treated with QLS31905 at doses determined by the phase I study in combination with oxaliplatin and capecitabine+ QL1706.
QLS31905 + gemcitabine+cisplatinCisplatinBiliary tract cancer will be treated with QLS31905 at doses determined by the phase I study in combination with gemcitabine and cisplatin.
QLS31905 + gemcitabine+cisplatinGemcitabineBiliary tract cancer will be treated with QLS31905 at doses determined by the phase I study in combination with gemcitabine and cisplatin.
QL1706 + gemcitabine+cisplatinGemcitabineBiliary tract cancer will be treated with QL1706 in combination with gemcitabine and cisplatin.
QLS31905 + gemcitabine+cisplatin+ QL1706GemcitabineBiliary tract cancer will be treated with QLS31905 at doses determined by the phase I study in combination with gemcitabine and cisplatin+ QL1706.
QLS31905 + gemcitabine+cisplatin+ QL1706QL1706Biliary tract cancer will be treated with QLS31905 at doses determined by the phase I study in combination with gemcitabine and cisplatin+ QL1706.
Primary Outcome Measures
NameTimeMethod
Objective response rate (ORR)Approximately 24 months

ORR is defined as the proportion of participants who have a best overall response of Complete Response (CR) or Partial Response (PR)

Secondary Outcome Measures
NameTimeMethod
Overall Survival (OS)Approximately 24 months

OS is defined as the duration from the first dose of the investigational product to the time point when death occurs due to any cause.

Duration of Response (DOR)Approximately 24 months

DOR is defined as the time from the date of the first response (CR/PR) until the date of radiological progressive disease or death due to any cause (whichever occurs first).

Progression Free Survival(PFS)Approximately 24 months

PFS is defined as the duration from the subject's first dose of the investigational product to the first imaging confirmation of radiological progressive disease or death due to any cause (whichever occurs first).

Maximum concentration (Cmax)Approximately 24 months

Cmax will be derived from the PK serum samples collected.

Safety assessed by incidence of serious adverse events (SAE)Approximately 24 months

Adverse Event (AE) is considered "serious" if the investigator or sponsor view any of the following outcomes: Death, life-threatening, persistent or significant disability/incapacity, congenital anomaly or birth defect,hospitalization, or medically important event.

Safety assessed by Adverse Events (AEs)Approximately 24 months

An AE is any untoward medical occurrence in a subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom,or disease (new or exacerbated) temporally associated with the use of a med...

Number of participants with laboratory value abnormalitiesApproximately 24 months

Number of participants with potentially clinically significant laboratory values.

Time of the maximum concentration (Tmax)Approximately 24 months

Tmax will be derived from the PK serum samples collected.

Terminal elimination half-life (T1/2)Approximately 24 months

T1/2 will be derived from the PK serum samples collected.

Clearance (CL)Approximately 24 months

CL will be derived from the PK serum samples collected.

Apparent volume of distribution during the terminal phase (Vz)Approximately 24 months

Vz will be derived from the PK serum samples collected.

Number of anti-drug antibody (ADA) Positive ParticipantsApproximately 24 months

Immunogenicity will be measured by the number of participants that are ADA positive.

Trial Locations

Locations (1)

Beijing Cancer Hospital

🇨🇳

Beijing, Beijing, China

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