A Phase I Study to Evaluate the Safety, Tolerability and Pharmacokinetics of KY-0118 in Subjects With Locally Advanced or Metastatic Solid Tumors
Overview
- Phase
- Phase 1
- Intervention
- KY-0118
- Conditions
- Neoplasms
- Sponsor
- Novatim Immune Therapeutics (Zhejiang) Co., Ltd.
- Enrollment
- 189
- Locations
- 8
- Primary Endpoint
- Number of patients with dose-limiting toxicity (DLT)
- Status
- Recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
This dose escalation and dose expansion study is to evaluate and characterize the tolerability, safety, pharmacokinetics and efficacy profile of single agent KY-0118 in Locally Advanced or Metastatic Solid Tumor Patients.
Detailed Description
For Phase Ia It aims to evaluate the safety, tolerability, pharmacokinetic characteristics, pharmacodynamic effect, immunogenicity in subjects with locally advanced or metastatic solid tumor patients , and determine the appropriate dose of KY-0118. For Phase Ib it aims is to further evaluate the efficacy, safety, tolerability, pharmacokinetic properties, pharmacodynamic effects and immunogenicity of KY-0118 with appropriate dose groups (approximately 3-5 dose groups) in different Administration manner.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age ≥18 years old and ≤75 years old, male or female;
- •Subjects with a documented (histologically- or cytologically-proven) solid tumor malignancy that is locally advanced or metastatic; progression or are intolerant to existing standard therapy or subjects without standard therapy;
- •Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1;Expected survival time≥ 12 weeks;
- •At least one measurable lesion per RECIST 1.1 (without local treatment or progress after local treatment);
- •Adequate organ function;
- •Toxicity from prior anticancer therapy recovered to ≤ grade 1 prior to the first dose of study drugs;
- •Signed informed consent and willingly adherence to the experimental treatment protocol and visit plan.
Exclusion Criteria
- •Specific anti-tumor treatment prior to use of study treatment;
- •Immunosuppressants or systemic hormone therapy were being used and were not discontinued within 2 weeks prior to enrollment;
- •IL-2 treatment within 6 months prior to the first dose of study drugs;
- •Any immune related adverse events (irAE) that have occurred during previous immunotherapy medication, with a grade of ≥ 3 or leading to termination of immunotherapy;
- •Primary Central Nervous System (CNS) Malignant Tumors or Active CNS Metastasis with Local Treatment Failure;
- •Any severe and/or uncontrolled diseases, including but not limited to: uncontrolled hypertension or pulmonary hypertension or unstable angina; Chronic heart failure; Valve disease; Severe arrhythmia; Had myocardial infarction or bypass or stent surgery within 6 months before screening;
- •History of arteriovenous thromboembolism within 6 months prior to screening;
- •Moderate or severe respiratory distress at rest due to advanced malignant tumors or their complications or severe primary lung diseases;or a current need for continuous oxygen therapy, or a current history of interstitial lung disease (ILD) or pneumonia, severe chronic obstructive pulmonary disease, severe pulmonary insufficiency, symptomatic bronchospasm, etc. ;
- •Uncontrolled bleeding or known tendency to bleed; Patients with chronic Crohn's disease and ulcerative colitis;Patients with hereditary nonpolyposis colorectal cancer or familial adenomatous polyposis syndrome;Patients with a history of intestinal perforation and fistula, but not cured after surgical treatment;Esophagogastric varices;
- •Third space effusion that cannot be controlled by puncture and drainage treatment and require repeated drainage or have obvious symptoms;
Arms & Interventions
KY-0118
Intervention: KY-0118
Cohort1: KY-0118
Intervention: KY-0118
Cohort2: KY-0118
Intervention: KY-0118
Outcomes
Primary Outcomes
Number of patients with dose-limiting toxicity (DLT)
Time Frame: 21 days during the first 3-week cycle
Adverse Event
Time Frame: Up to 28 days post last dose
Incidence of untoward medical occurrences (adverse event = AE) in a participant who received study drug. Adverse events will be evaluated by dosing cohort and recorded according to NCI CTCAE Version 5.0.
Secondary Outcomes
- Ctrough(Up to 7 days post last dose)
- IL-6(Up to 7 days post last dose)
- CL(Up to 7 days post last dose)
- Cmax(Up to 7 days post last dose)
- Tmax(Up to 7 days post last dose)
- T1/2(Up to 7 days post last dose)
- AUC(Up to 7 days post last dose)
- NK cells count(Up to 7 days post last dose)
- TNF-ɑ(Up to 7 days post last dose)
- Progression-free survival (PFS)(Up to 28 days post last dose)
- Duration of response(DOR)(Up to 28 days post last dose)
- Disease control rate (DCR)(Up to 28 days post last dose)
- The incidence of ADA of KY-0118(Up to 7 days post last dose)
- The incidence of NAb of KY-0118(Up to 7 days post last dose)
- PD-1 receptor occupancy rate(Up to 7 days post last dose)
- IL-2 receptor occupancy rate(Up to 7 days post last dose)
- Ki67 phenotype(Up to 7 days post last dose)
- Regulatory t cells(Tregs)(Up to 7 days post last dose)
- CD4+ T lymphocyte count(Up to 7 days post last dose)
- CD8+ T lymphocyte count(Up to 7 days post last dose)
- IFN-γ(Up to 7 days post last dose)
- Granzyme B(Up to 7 days post last dose)
- Perforin(Up to 7 days post last dose)
- Objective response rate (ORR)(Up to 28 days post last dose)