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Clinical Trials/NCT05039931
NCT05039931
Withdrawn
Phase 1

An Open-Label, Multi-Center, Phase I Study to Evaluate the Safety, Tolerability,Pharmacokinetic/Pharmacodynamics and Anti-tumor Activity of Tetra-specific Antibody GNC-035 in Participants With Locally Advanced or Metastatic Solid Tumors

Sichuan Baili Pharmaceutical Co., Ltd.1 site in 1 countrySeptember 15, 2021
InterventionsGNC-035
DrugsGNC-035

Overview

Phase
Phase 1
Intervention
GNC-035
Conditions
Breast Cancer
Sponsor
Sichuan Baili Pharmaceutical Co., Ltd.
Locations
1
Primary Endpoint
MTD or MAD
Status
Withdrawn
Last Updated
last year

Overview

Brief Summary

In this study, the safety, tolerability and preliminary effectiveness of GNC-035 in participants with locally advanced or metastatic solid tumors will be investigated to assess the dose-limiting toxicity (DLT), maximum tolerated dose (MTD) or maximum administered dose (MAD) for MTD is not reached of GNC-035.

Registry
clinicaltrials.gov
Start Date
September 15, 2021
End Date
June 2023
Last Updated
last year
Study Type
Interventional
Study Design
Single Group
Sex
All

Investigators

Responsible Party
Sponsor

Eligibility Criteria

Inclusion Criteria

  • The participants could understand and sign the informed consent form, and must participate voluntarily
  • No gender limit
  • Age: ≥18 years old
  • Histologically or cytologically documented, locally advanced or metastatic solid tumour,and disease progression confirmed by imaging or other objective evidence after having received standard treatment; or patients with refractory solid tumors who cannot tolerate standard treatment or have contraindications to standard treatment
  • Measurable disease at baseline as assessed by the Investigator per RECIST v1.1
  • ECOG Performance Status ≤ 1
  • Life expectancy estimated to be at least 3 months
  • Acceptable bone marrow function: Absolute neutrophil count (ANC) ≥ 1.5 × 109/L, platelet count ≥ 80 × 109/L, and hemoglobin ≥ 90 g/L.
  • Acceptable renal function:
  • Creatinine (Cr) ≤ 1.5ULN or creatinine clearance (Ccr) ≥ 50 mL/min (calculated by the study site), urine protein ≤ 2 + or ≤ 1000 mg/24h (urine).

Exclusion Criteria

  • Active infection requiring intravenous antibiotics and not treated within 1 week prior to enrollment, except for prophylactic antibiotics for needle stick or biopsy
  • Human immunodeficiency virus antibody (HIVAb) positive, active tuberculosis, active hepatitis B virus infection (HBsAg positive or HBcAb positive with HBV-DNA detection ≥ 10e4), or hepatitis C virus infection (HCV antibody positive with HCV-RNA ≥ ULN)
  • Toxicity from prior anticancer therapy has not been reduced to Grade I as defined in CTCAE v5.0 (with the exception of symptoms related to myelosuppression, such as neutropenia, anemia, thrombocytopenia) or to the levels specified in the inclusion criteria. Alopecia and irreversible toxicity from prior anticancer therapy (defined as stable for ≥ 2 months) allowed in the opinion of the investigator/sponsor; irAE in patients who have received prior immunotherapy and who are no longer able to receive immunotherapy as recommended by guidelines
  • Patients at risk for active autoimmune diseases, or with a history of autoimmune diseases, may have central nervous system involvement, including but not limited to Crohn's disease, ulcerative colitis, systemic lupus erythematosus, sarcoidosis, Wegener's syndrome, polyangitic granulomatosis, Graves' disease, rheumatoid arthritis, hypophysitis, uveitis, autoimmune hepatitis, systemic sclerosis, Hashimoto's thyroiditis, autoimmune vasculitis, autoimmune neuropathy (Guillain - Barré syndrome), etc.
  • Pulmonary disease defined as ≥ Grade 3 according to NCI-CTCAEv5.0, including patients with resting dyspnea, or requiring continuous oxygen therapy, or with a history of interstitial lung disease (ILD)
  • Patients with prior organ transplant
  • Left ventricular ejection fraction ≤ 50%, or history of significant cardiac disease within 1 year
  • History or presence of thrombotic events such as deep venous thrombosis, arterial thrombosis, and pulmonary embolism
  • Received chemotherapy, molecular targeted therapy, etc., at 14 or 5 half-lives (whichever is shorter) of the first dose. Patients who have received radiotherapy, antibody therapy (such as PD-L1) or study drug within 28 days
  • Patients who had undergone major surgery within 28 days prior to dosing in this study, or who were scheduled to undergo major surgery during this study ("major surgery"was defined by the investigator)

Arms & Interventions

GNC-035

Patients receive GNC-035 as a 24-hour continuous intravenous infusion (cIV, QD) for 2 weeks (a 2-week cycle). Participants with no intolerable AEs could continue for another three cycles.

Intervention: GNC-035

Outcomes

Primary Outcomes

MTD or MAD

Time Frame: Up to 2 weeks

Maximum tolerated dose or maximum administrated dose

TEAE

Time Frame: Up to 2 years

Treatment-Emergent Adverse Event

DLT

Time Frame: Up to 2 weeks

Dose limiting toxicity

The recommended dose for future clinical study

Time Frame: Up to 2 weeks

The recommended dose for future clinical study

Secondary Outcomes

  • Tmax(Up to 2 weeks)
  • Incidence and titer of ADA(Up to 2 years)
  • DCR(Up to 2 years)
  • AESI(Up to 2 years)
  • Cmax(Up to 2 weeks)
  • ORR(Up to 2 years)
  • DOR(Up to 2 years)
  • T1/2(Up to 2 weeks)
  • PFS(Up to 2 years)

Study Sites (1)

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