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临床试验/NCT07737600
NCT07737600尚未招募1 期

Phase Ib/II Clinical Study of the Safety, Tolerability, Pharmacokinetics, and Efficacy of MRG007 Combination Therapy in Patients With Advanced Colorectal Cancer

Lepu Biopharma Co., Ltd.1 个研究点 分布在 1 个国家目标入组 316 人开始时间: 2026年8月1日最近更新:
适应症
相关药物

试验速览

阶段
1 期
状态
尚未招募
入组人数
316
试验地点
1
主要终点
Dose Limiting Toxicity (DLT)

研究概览

简要总结

This is a Phase Ib/II clinical study to evaluate the safety, tolerability, pharmacokinetics (PK), and efficacy of MRG007 combination therapy in patients with advanced colorectal cancer.

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 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Expected survival of ≥ 3 months.
  • Tumor tissue specimens must be provided for relevant biomarker testing. If archived tissue specimens are unavailable, a new biopsy must be performed.
  • Pathologically confirmed, unresectable locally advanced or metastatic colorectal adenocarcinoma.
  • At least one measurable lesion according to RECIST v1.1 criteria. Measurable lesions should not have received prior radiotherapy; however, measurable lesions located within a prior radiation field or after local therapy may be selected as target lesions if disease progression is confirmed.
  • Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1
  • Adequate organ function must be demonstrated.
  • Sexually active males and females of childbearing potential must agree to use highly effective contraceptive measures from the time of signing the informed consent form until 6 months after the last dose of the investigational drug. Females of childbearing potential include premenopausal females and postmenopausal females within 1 year after menopause. Females of childbearing potential must have a negative serum pregnancy test result ≤ 7 days prior to the first dose and before randomization.

排除标准

  • Trial participants with known deficient mismatch repair/microsatellite instability-high (dMMR/MSI-H).
  • Trial participants with synchronous or multiple primary malignancies.
  • Residual toxicity ≥ Grade 2 resulting from prior anti-tumor therapy.
  • Symptomatic central nervous system (CNS) metastases and/or leptomeningeal metastases.
  • History of severe cardiovascular disease.
  • Cerebrovascular accident, pulmonary embolism, or deep vein thrombosis occurring within 3 months prior to the first dose of the investigational drug; thrombosis associated with implanted venous ports or catheters; or superficial vein thrombosis, except for patients with stable thrombosis after standard anticoagulation therapy. Prophylactic use of low-dose low-molecular-weight heparin is permitted.
  • Clinically symptomatic moderate or larger volume pleural, ascitic, or pelvic effusions requiring clinical intervention, or clinically symptomatic pericardial effusion.
  • History of gastrointestinal perforation and/or fistula within 6 months prior to the first dose of the investigational drug that has not healed following surgical treatment; risk of bowel obstruction or bowel perforation; extensive bowel resection; poorly controlled Crohn's disease, ulcerative colitis, or other gastrointestinal autoimmune or inflammatory diseases; presence of pyloric obstruction and/or persistent recurrent vomiting.
  • Active chronic hepatitis B, active hepatitis C, or human immunodeficiency virus (HIV) infection.
  • Hypersensitivity to any component or excipient of MRG007, or known ≥ Grade 3 hypersensitivity to other prior anti-CDH17 antibodies or other monoclonal antibodies.
  • Body weight loss ≥ 10% during the screening period. Any severe and/or uncontrolled systemic disease that, in the opinion of the investigator and the sponsor, renders the participant unsuitable for participation in this study.

结局指标

主要结局

Dose Limiting Toxicity (DLT)

时间窗: From the first dose to 30 days after the last dose

Serious Adverse Events (SAEs)

时间窗: From the first dose to 30 days after the last dose

Adverse Event (AE)

时间窗: From the first dose to 30 days after the last dose

Recommended Phase 2 Dose(RP2D) and/or Maximum Tolerated Dose (MTD)

时间窗: From the first dose to 30 days after the last dose

Objective Response Rate (ORR)

时间窗: Assessments will be performed every 6 weeks (± 7 days) following the first dose.

次要结局

  • PK/Immunogenicity(up to 2 yesrs)
  • Duration of Response (DOR)(Through study completion, an average 2 years)
  • Disease Control Rate (DCR)(Through study completion, an average 2 years)
  • Progression-Free Survival (PFS)(Through study completion, an average 2 years)
  • Overall Survival (OS)(Through study completion, an average 2 years)
  • Serum Concentration(up to 2 years)
  • Neutralizing antibody (NAb)(up to 2 years)
  • Anti-Drug Antibody (ADA)(up to 2 years)

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (1)

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