Phase I Clinical Trial on the Tolerability and Pharmacokinetics of Recombinant Humanized Anti-PD-L1 Monoclonal Antibody MSB2311 Injection in the Treatment of Patients With Advanced Solid Tumors
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 入组人数
- 42
- 试验地点
- 1
- 主要终点
- Maximum tolerated dose(MTD) or recommended phase2 dose(RP2D)
研究概览
简要总结
This is a first-in-human (FIH), open-label, Phase 1 dose-Escalation Study of MSB2311, a humanized anti-PD-L1 monoclonal antibody, in subjects with advanced solid tumors. Qualified subjects will be enrolled to receive their assigned dose regimen of MSB2311 until disease progression or intolerable toxicity, withdrawal of consent, or end of study, whichever occurs first. The maximum treatment duration is 2 years. During the study, subjects will be evaluated for safety and toxicity, PK/PD, immunogenicity and anti-tumor activity of MSB2311.
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 75 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Voluntary informed consent, knowledge of the study and willingness to follow and has ability to complete all trial procedures
- •There is a histologically or cytologically confirmed, locally advanced or metastatic tumor that is not resectable
- •b period participants shall provide the archive paraffin embedding tumor tissue samples
- •The eastern United States cooperative tumor group (ECOG) score was 0 or 1
- •Expect to survive at least 3 months
- •Subjects must have measurable lesions (at least 1 lesion) and minimum tumor-specific antigen levels where applicable
- •If you have received antitumor therapy, you need to meet certain conditions
- •There are suitable organs and hematopoietic functions
- •Male subjects and female subjects of child-bearing age shall agree to take effective, investigator-approved contraceptive measures from the date of signing the informed consent until 3 months after the last administration
排除标准
- •The patient has had a malignant tumor other than the tumor treated in this study within 5 years prior to the first administration, unless the medical examiner of the study group and sponsor agrees that the old tumor has been cured or will not metastasise or cause death in this study
- •Adverse reactions to previous treatments did not return to CTCAE v4.03 rating ≤ 1, except for residual alopecia effect
- •Patients who had been treated with anti-pd-1 or pd-l1 antibodies, or who had been treated with antibodies/drugs that target any other t-cell co-regulatory proteins within 12 weeks of the first administration of the drug in this study
- •Patients with primary CNS tumors or CNS metastases known or identified during screening
- •Subjects with active or pre-existing autoimmune disease that may recur or patients at high risk
- •Patients who had major surgery in the first 4 weeks of screening and who were expected to have major surgery during the study period including a 28-day screening period
- •Subjects who require systemic treatment with corticosteroids or other immunosuppressive drugs within 14 days prior to enrollment or during the study period
- •Sudden pulmonary disease, interstitial pulmonary disease or pneumonia, or other uncontrolled systemic disease, including diabetes, pulmonary fibrosis, acute pulmonary disease, cardiovascular disease, including hypertension, except local interstitial pneumonia induced by radiotherapy
- •A history of human immunodeficiency virus infection, or other acquired or congenital immunodeficiency, or a history of organ transplantation, or stem cell transplantation
- •Had a history of tuberculosis, or had tuberculosis disease at the time of screening
- •Patients with chronic hepatitis b or active hepatitis c.Hepatitis b carriers, stable hepatitis b after drug treatment and cured hepatitis c patients can be included in the group
- •Patients who have been seriously infected within 4 weeks prior to first administration, or who have developed signs or symptoms of any active infection within the previous 2 weeks, or who require antibiotic treatment within the previous 2 weeks;Unexplained fever occurred before the first administration and the body temperature exceeded 38.5℃
- •Subjects who have previously been known to have a severe allergic reaction to a macromolecular protein preparation/monoclonal antibody or to any component of the test drug
- •Immune-related adverse events (irAE) grade ≥3 occurred after receiving immunotherapy
- •Participated in clinical trials of other drugs within 4 weeks before enrollment
- •A history of alcohol, drug or substance abuse within the last 1 year
- •Has a clear history of neurological or psychiatric disorders, such as epilepsy, dementia, poor compliance
- •A woman who is pregnant or breastfeeding
研究组 & 干预措施
10 mg/kg Q2W
10 mg/kg IV every 2 weeks
干预措施: 10 mg/kg Q2W (Drug)
20 mg/kg Q3W
20 mg/kg IV every 3weeks
干预措施: 20 mg/kg Q3W (Drug)
结局指标
主要结局
Maximum tolerated dose(MTD) or recommended phase2 dose(RP2D)
时间窗: Up to 90 days following the last dose
Measured by number of subjects experiencing DLT in each escalation cohort
Safety and tolerability of MSB2311
时间窗: Up to 90 days following the last dose
Measured by number adverse events that are related to treatment
次要结局
- Area under the plasma concentration versus time curve (AUC) for MSB2311(Up to 30 days following the last dose)
- Terminal elimination half-life (t1/2)(Up to 30 days following the last dose)
- Overall survival (OS) as measured by RESISTv1.1(Up to 90 days following the last dose)
- Best overall response as measured by RESISTv1.1(Up to 90 days following the last dose)
- Peak Plasma concentration (Cmax)for MSB2311(Up to 30 days following the last dose)
- Time to the Maximum Observed Plasma Concentration (Tmax)(Up to 30 days following the last dose)
- Objective response rate (ORR) as measured by RESISTv1.1(Up to 90 days following the last dose)
- Duration of response (DOR) as measured by RESISTv1.1(Up to 90 days following the last dose)
- Progression-free survival (PFS) as measured by RESISTv1.1(Up to 90 days following the last dose)
