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临床试验/NCT07172802
NCT07172802招募中1 期

An Open-label, Multicenter, Dose Escalation and Expansion Phase 1/2 Study to Evaluate the Safety, Tolerability and Pharmacokinetics, and Anti-tumor Activity of GI-108, an Anti-CD73-IgG4 Fc-IL-2v Bispecific Fusion Protein, as a Single Agent in Patients With Advanced or Metastatic Solid Tumors

GI Innovation, Inc.3 个研究点 分布在 1 个国家目标入组 76 人开始时间: 2025年4月22日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
1 期
状态
招募中
入组人数
76
试验地点
3
主要终点
Incidence of Dose-Limiting Toxicities (DLTs) (Dose escalation phase)

研究概览

简要总结

The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics, and therapeutic activity of GI-108, as a single agent, in patients with advanced or metastatic solid tumors

详细描述

This is an open-label, multicenter, dose escalation and expansion, phase 1/2 study to evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD) and anti-tumor activity of GI-108 as a single agent in advanced or metastatic solid tumors. A control arm is not included.

The study is composed of two phases:

  • Dose escalation phase
  • Dose expansion phase The dose escalation phase will enroll up to 36 patients with advanced or metastatic solid tumors. At least 3 dose-limiting toxicity (DLT) evaluable patients will be enrolled in each cohort during the dose escalation to establish a maximum tolerated dose (MTD) or tentative recommended phase 2 dose (RP2D). Enrollment in each cohort may be extended to enroll additional 4~7 patients (aiming to recruit upto 10 patients including DLT evaluable patients per cohort), potentially enriched in certain tumor types and/or characteristics to confirm safety, PK and/or pharmacodynamics (PD) of GI-108. The Safety Monitoring Committee (SMC) will determine extension of each cohort based on the review of all available clinical data including efficacy, safety, PK and/or PD. Of the 4 planned cohorts in the dose escalation phase, up to 3 cohorts may be extended to include additional patients based on safety, efficacy PK and/or PD data. The evidence of enrollment extension should be documented for each cohort during dose escalation phase.

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

  • Males and females aged ≥ 18 years (or ≥ 19 years according to local regulatoryguidelines) at the time of screening.
  • Has adequate organ and marrow function as defined in protocol.
  • Measurable disease as per RECIST v1.
  • ECOG performance status 0-
  • Adverse events related to any prior chemotherapy, radiotherapy, immunotherapy,other prior systemic anti-cancer therapy, or surgery must have resolved to Grade≤1, except alopecia and Grade 2 peripheral neuropathy.
  • HIV infected patients must be on anti-retroviral therapy (ART) and have a well-controlled HIV infection/disease as defined in protocol.

排除标准

  • Has known active CNS metastases and/or carcinomatous meningitis. An active second malignancy.
  • Has active or a known history of Hepatitis B or known active Hepatitis C virus infection.
  • Has active tuberculosis or has a known history of active tuberculosis. Active or uncontrolled infections, or severe infection within 4 weeks before study treatment administration.
  • History of chronic liver disease or evidence of hepatic cirrhosis, except patients with liver metastasis.
  • Has an active autoimmune disease that has required systemic treatment in past 2 years.
  • Previous immunotherapies related to mode of action of GI-
  • Has a diagnosis of immunodeficiency or is receiving chronic systemic steroidtherapy or any other form of immunosuppressive medications within 2 weeksprior to Cycle 1 Day 1.

研究组 & 干预措施

GI-108

Experimental

Dose escalation: GI-108 intravenous (IV), multiple ascending doses Dose optimization: GI-108 intravenous (IV), sRP2D

干预措施: GI-108 (Drug)

结局指标

主要结局

Incidence of Dose-Limiting Toxicities (DLTs) (Dose escalation phase)

时间窗: Study Day 1, assessed up to DLT period (3 weeks after treatment)

Number and proportion of subjects experiencing DLTs during dose escalation, used to determine MTD and/or RP2D.

Incidence and Severity of Immune-Related Adverse Events (irAEs) (Dose escalation phase)

时间窗: From Day 1 through study completion (up to ~24 months)

Number and proportion of subjects with immune-related AEs, graded per CTCAE v5.0.

Objective Response Rate (ORR) according to RECIST version 1.1 (Dose expansion phase)

时间窗: Study Day 1, assessed up to approximately 24 months

Based on Investigator review of radiographic imaging

次要结局

  • Objective Response Rate (ORR) according to RECIST version 1.1 (Dose escalation phase)(Study Day 1, assessed up to approximately 24 months)
  • Incidence and Severity of Immune-Related Adverse Events (irAEs) (Dose expansion phase)(Day 1 through study completion, up to ~24 months)
  • Disease Control Rate (DCR)(Study Day 1, assessed up to approximately 24 months)
  • Duration of objective response (DoR)(Study Day 1, assessed up to approximately 24 months)
  • Progression-free survival (PFS)(6-month, 12-month, and 18-month)
  • Overall survival (OS)(12-month and 18-month)
  • Peak plasma concentration (Cmax) of GI-108(Study Day 1, assessed up to approximately 24 months)
  • Half-life of GI-108 (T1/2)(Study Day 1, assessed up to approximately 24 months)
  • Area under the plasma concentration versus time curve (AUC) of GI-108(Study Day 1, assessed up to approximately 24 months)
  • Clearance of GI-108(Study Day 1, assessed up to approximately 24 months)
  • Volume of distribution (Vd) of GI-108 after administration(Study Day 1, assessed up to approximately 24 months)

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (3)

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