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Clinical Trials/NCT05425602
NCT05425602
Not yet recruiting
Phase 1

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

Maxinovel Pty., Ltd.0 sites108 target enrollmentJuly 31, 2022

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.

Registry
clinicaltrials.gov
Start Date
July 31, 2022
End Date
December 30, 2024
Last Updated
3 years ago
Study Type
Interventional
Study Design
Single Group
Sex
All

Investigators

Responsible Party
Sponsor

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)

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