A I / II Clinical Study to Evaluate the Safety, Tolerance, Pharmacokinetic Characteristics and Efficacy of MAX-40279 (Multi-target Tyrosine Kinase Inhibitor) Combined With KN046 (Anti-PD-L1 / CTLA-4 Bispecific Antibody) in Patients With Advanced / Metastatic Solid Tumors
Overview
- Phase
- Phase 1
- Intervention
- Not specified
- Conditions
- Advanced / Metastatic Solid Tumors
- Sponsor
- Maxinovel Pty., Ltd.
- Enrollment
- 108
- Primary Endpoint
- Maximum Tolerated Dose (MTD) or Recommended Phase 2 Dose (RP2D)
- Status
- Not yet recruiting
- Last Updated
- 3 years ago
Overview
Brief Summary
This include two parts, Stage 1 is a dose climbing study and Stage 2 is a dose extending study.
Detailed Description
This study is a study of MAX-40279 in patients with advanced / metastatic solid tumors. This study include two Parts, the Part 1 will assess the safety and efficacy of the dose climbing level of MAX-40279, and recommend a dose extending level of MAX-40279 for stage 2.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Signed informed consent form.
- •Males and/or females over age 18 and
- •Histologically or cytologically documented local advanced / metastatic solid tumors who have failed standard treatment or cannot obtain standard treatment in the dose escalation stage; dose expansion stage group A: relapsed and refractory advanced gastric cancer; dose expansion stage group B: relapsed and refractory extensive stage small cell lung cancer; dose expansion stage group C: other relapsed and refractory solid tumors except group A
- •At least one measurable lesion according to the Response Evaluation Criteria in Solid Tumors (RECIST 1.1).
- •Eastern Cooperative Oncology Group (ECOG) performance status of 0-
- •Expected survival of more than 3 months.
Exclusion Criteria
- •The adverse reactions of previous anti-tumor treatment have not recovered to CTCAE 5.0 grade evaluation ≤ 1 (except alopecia and other adverse reactions without safety risks judged by the investigator)
- •Subject is known to have previous serious allergic reactions to macromolecular protein preparations/monoclonal antibodies, or known to any component of the test drug
- •Active systemic infectious diseases requiring intravenous antibiotic treatment 2 months before the first medication
- •Subject has poorly controlled cardiovascular and cerebrovascular clinical symptoms or diseases, including but not limited to: such as: (1) NYHA class II or higher heart failure or LVEF \< 50%; (2) unstable angina pectoris; (3) myocardial infarction and cerebral infarction within 6 months; (4) clinically significant supraventricular or ventricular arrhythmias are still poorly controlled without clinical intervention or clinical intervention
- •brain metastases, spinal cord compression, carcinomatous meningitis with clinical symptoms, or other evidence of uncontrolled brain and spinal cord metastases, Patients who are not suitable by the investigator's judgment
- •Patients who have experienced ≥ grade 3 immune-related adverse events in immunotherapy (except grade 3 hypothyroidism that can be controlled by drugs)
- •Patients who have other malignant tumors within 5 years before enrollment,Exceptions: a. radical cervical carcinoma in situ or non-melanoma skin cancer; b. radical second primary cancer without recurrence within five years; c. the investigator believes that the double primary cancer can benefit from this study; d. the investigator has clearly excluded which primary tumor source the metastasis
Outcomes
Primary Outcomes
Maximum Tolerated Dose (MTD) or Recommended Phase 2 Dose (RP2D)
Time Frame: through study Stage1 completion,an average of 6 months
ORR
Time Frame: through study Stage2 completion,an average of 24 months
PFS
Time Frame: through study Stage2 completion,an average of 24 months
vital signs
Time Frame: through study Stage2 completion,an average of 24 months
12 ECG
Time Frame: through study Stage2 completion,an average of 24 months
DLT
Time Frame: through study Stage1 completion,an average of 6 months
Adverse events (AEs), serious adverse events (SAEs)
Time Frame: through study Stage2 completion,an average of 24 months
laboratory tests
Time Frame: through study Stage2 completion,an average of 24 months
physical examination abnormalities
Time Frame: through study Stage2 completion,an average of 24 months
Secondary Outcomes
- duration of response (DOR)(through study Stage1 completion,an average of 6 months)
- Rac (AUC0-t, ss/AUC0-t)(through study Stage1 completion,an average of 6 months)
- Cmax(through study Stage1 completion,an average of 6 months)
- DoR(through study Stage2 completion,an average of 24 months)
- (AUC0-t and AUC0-t, ss)(through study Stage1 completion,an average of 6 months)
- Tmax(through study Stage1 completion,an average of 6 months)
- Overall response rate (ORR)(through study Stage1 completion,an average of 6 months)
- DcR(through study Stage2 completion,an average of 24 months)
- Anti-KN046 antibody (ADA)(through study Stage2 completion,an average of 24 months)
- laboratory tests(through study Stage1 completion,an average of 6 months)
- Adverse events (AEs), serious adverse events (SAEs)(through study Stage1 completion,an average of 6 months)
- progression-free survival (PFS)(through study Stage1 completion,an average of 6 months)
- OS(through study Stage2 completion,an average of 24 months)
- 12 ECG(through study Stage1 completion,an average of 6 months)
- Anti-KN046 antibody (ADA(through study Stage1 completion,an average of 6 months)
- Duration of response (DOR) Overall survival (OS); Anti-KN046 antibody (ADA); Plasma concentrations of MAX-40279 and KN046 [Stage 2](through study Stage2 completion,an average of 24 months)
- disease control rate (DCR)(through study Stage1 completion,an average of 6 months)
- overall survival (OS)(through study Stage1 completion,an average of 6 months)
- vital signs(through study Stage1 completion,an average of 6 months)
- physical examination abnormalities(through study Stage1 completion,an average of 6 months)