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临床试验/NCT06741644
NCT06741644
招募中
1 期

A Phase I/II, Dose-Escalation and Dose-Expansion Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Antitumor Activities of CS2009, a Tri-specific Antibody Targeting PD-1/VEGFA/CTLA-4, as Monotherapy and Combination Therapy in Participants With Advanced Solid Tumors

CStone Pharmaceuticals35 个研究点 分布在 2 个国家目标入组 660 人2025年2月24日

概览

阶段
1 期
干预措施
CS2009
疾病 / 适应症
Advanced Solid Tumors
发起方
CStone Pharmaceuticals
入组人数
660
试验地点
35
主要终点
[Dose Escalation] Maximum tolerated dose (MTD) of CS2009
状态
招募中
最后更新
17天前

概览

简要总结

This is a first-in-human (FIH), open-label, and multi-center Phase I/II study designed to evaluate the safety, tolerability, pharmacokinetics, and preliminary anti-tumor activity of CS2009 as Monotherapy and Combination Therapy in Participants with Advanced Solid Tumors. The study is comprised of a Phase I dose escalation and Phase II dose expansion.

注册库
clinicaltrials.gov
开始日期
2025年2月24日
结束日期
2028年1月1日
最后更新
17天前
研究类型
Interventional
研究设计
Sequential
性别
All

研究者

责任方
Sponsor

入排标准

入选标准

  • Evidence of a personally signed and dated informed consent document.
  • Willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures.
  • Age ≥ 18 years on the day of signing informed consent.
  • Pathologically or cytologically confirmed, unresectable advanced solid tumors, including but not limited to non-small cell lung cancer (NSCLC), small cell lung cancer (SCLC), renal cell carcinoma (RCC), hepatocellular carcinoma (HCC), gastric cancer (GC), ovarian cancer (OC), cervical cancer (CC), etc.
  • Failure of established standard of care for advanced disease, or no available standard of care.
  • Pathologically or cytologically confirmed unresectable advanced solid tumors, including non-small cell lung cancer (NSCLC), small cell lung cancer (SCLC), etc.
  • Participants with at least one measurable lesion as defined per RECIST v1.1 solid tumor.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or
  • Adequate organ function.
  • Fertile male participants and female participants of childbearing potential must be willing to use an effective method of birth control from providing signed consent and for 180 days after the last investigational product administration.

排除标准

  • History of a second malignancy active within the previous 3 years except for locally curable cancers that have been apparently cured.
  • Known primary central nervous system (CNS) tumor or solid tumor CNS metastasis that is either symptomatic, untreated, or requires therapy.
  • Presence of uncontrolled pleural effusion, pericardial effusion, or ascites requiring repeated drainage within 4 weeks prior to the first dose of investigational product.
  • Receipt of systemic corticosteroid treatment or any other form of immune suppressing treatment within 7 days prior to the first dose of investigational product.
  • Active or prior history of definite inflammatory bowel disease.
  • History of (non-infectious) interstitial lung disease (ILD)/pneumonitis that required steroids, or presence of active or suspected ILD/pneumonitis.
  • Active infections requiring systemic therapy within 2 weeks prior to the first dose of investigational product.
  • Positive for human immunodeficiency virus (HIV) or presence of acquired immune deficiency syndrome (AIDS).
  • Active Hepatitis B or C infection.
  • Active pulmonary tuberculosis (TB).

研究组 & 干预措施

Dose Escalation

Participants will be administered escalating doses of CS2009.

干预措施: CS2009

Dose Expansion

Participants will be administered the recommended dose(s) of CS2009 with or without chemotherapy according to dose-escalation data.

干预措施: CS2009

Dose Expansion

Participants will be administered the recommended dose(s) of CS2009 with or without chemotherapy according to dose-escalation data.

干预措施: Pemetrexed

Dose Expansion

Participants will be administered the recommended dose(s) of CS2009 with or without chemotherapy according to dose-escalation data.

干预措施: Carboplatin

Dose Expansion

Participants will be administered the recommended dose(s) of CS2009 with or without chemotherapy according to dose-escalation data.

干预措施: Paclitaxel

Dose Expansion

Participants will be administered the recommended dose(s) of CS2009 with or without chemotherapy according to dose-escalation data.

干预措施: Etoposide

Dose Expansion

Participants will be administered the recommended dose(s) of CS2009 with or without chemotherapy according to dose-escalation data.

干预措施: Nab-paclitaxel

Dose Expansion

Participants will be administered the recommended dose(s) of CS2009 with or without chemotherapy according to dose-escalation data.

干预措施: Oxaliplatin

Dose Expansion

Participants will be administered the recommended dose(s) of CS2009 with or without chemotherapy according to dose-escalation data.

干预措施: Capecitabine

Dose Expansion

Participants will be administered the recommended dose(s) of CS2009 with or without chemotherapy according to dose-escalation data.

干预措施: Docetaxel

Dose Expansion

Participants will be administered the recommended dose(s) of CS2009 with or without chemotherapy according to dose-escalation data.

干预措施: Irinotecan

Dose Expansion

Participants will be administered the recommended dose(s) of CS2009 with or without chemotherapy according to dose-escalation data.

干预措施: 5-FU

Dose Expansion

Participants will be administered the recommended dose(s) of CS2009 with or without chemotherapy according to dose-escalation data.

干预措施: Cisplatin

Dose Expansion

Participants will be administered the recommended dose(s) of CS2009 with or without chemotherapy according to dose-escalation data.

干预措施: Leucovorin

结局指标

主要结局

[Dose Escalation] Maximum tolerated dose (MTD) of CS2009

时间窗: Cycle 1 (Up to 21 Days)

Participants will receive CS2009 via intravenous (IV) infusion on Day 1 of repeated 21-day cycles (Q3W). The MTD will be determined, if any, by the number of participants who experience a dose limiting toxicity (DLT).

[Dose Escalation] Tentative recommended Phase II dose (RP2D) of CS2009

时间窗: Cycle 1 (Up to 21 Days)

The selection of tentative RP2D will be based on consideration of overall safety information together with available pharmacokinetic, pharmacodynamic, and efficacy data. The tentative RP2D may be the MTD or a lower dose within the tolerable dose range.

[Dose Escalation] Number of participants with adverse events (AEs)

时间窗: Up to approximately 2 years

[Dose Expansion] Objective response rate (ORR) evaluated by investigators per RECIST v1.1

时间窗: Up to approximately 2 years

次要结局

  • [Dose Escalation & Expansion] Area under the curve (AUC) of CS2009(Up to approximately 2 years)
  • [Dose Escalation & Expansion] Maximum concentration (Cmax) of CS2009(Up to approximately 2 years)
  • [Dose Escalation & Expansion] Elimination half-life (t1/2) of CS2009(Up to approximately 2 years)
  • [Dose Escalation & Expansion] Minimum concentration (Cmin) of CS2009(Up to approximately 2 years)
  • [Dose Escalation & Expansion] Number of participants with anti-CS2009 antibodies(Up to approximately 2 years)
  • [Dose Escalation] Objective response rate (ORR) evaluated by investigators per RECIST v1.1(Up to approximately 2 years)
  • [Dose Expansion] Number of participants with adverse events (AEs)(Up to approximately 2 years)

研究点 (35)

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