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临床试验/NCT07126665
NCT07126665招募中1 期

An Open-label Phase I/II Clinical Study of MHB088C for Injection Combined With MHB039A for Injection in Patients With Advanced Malignant Solid Tumors

Minghui Pharmaceutical (Hangzhou) Ltd1 个研究点 分布在 1 个国家目标入组 116 人开始时间: 2025年9月18日最近更新:
干预措施
相关药物

试验速览

阶段
1 期
状态
招募中
发起方
入组人数
116
试验地点
1
主要终点
(Dose-Escalation Stage): Dose-Limiting Toxicity (DLT) and Maximum tolerated dose (MTD) for MHB088C and MHB039A combination therapy

研究概览

简要总结

This is a first-in-human, open-label, multicenter Phase I/II study of MHB088C combined with MHB039A in patients with advanced malignant solid tumors. The study was designed to evaluate the safety, tolerability, pharmacokinetics (PK), and preliminary efficacy of MHB088C and MHB039A combination therapy.

详细描述

This first-in-human clinical trial of MHB088C and MHB039A combination therapy comprises two parts: a dose escalation phase and indication expansion phase. The dose escalation phase is an open-label, multicenter study including dose escalation and PK expansion cohorts. The primary objectives are to evaluate the safety, tolerability, pharmacokinetics, and preliminary antitumor activity of MHB088C combined with MHB039A in patients with advanced solid tumors, and to determine the maximum tolerated dose (MTD). Additional patients may be enrolled in the PK expansion part at dose levels that have completed DLT (dose-limiting toxicity) evaluation.

Based on the safety, PK, and preliminary efficacy data from the completed DLT-evaluated dose levels, the sponsor will initiate the indication expansion phase to further evaluate the safety and efficacy of MHB088C and MHB039A combination therapy in patients with specific types of advanced solid tumors.

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

  • Voluntarily agrees to participate in the study and signs the informed consent form.
  • Age ≥ 18 years, no restriction on gender.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0-
  • Estimated life expectancy ≥ 3 months.
  • For the dose escalation stage: Histologically or cytologically confirmed advanced solid tumors that are refractory to standard therapy, intolerant to standard therapy, or have no standard treatment options.
  • For the dose expansion stage: Histologically or cytologically confirmed locally advanced or metastatic advanced solid tumors, not suitable for radical surgery and/or radical concurrent/sequential radiotherapy and chemotherapy.
  • At least one measurable lesion per RECIST v1.1 criteria.
  • Adequate bone marrow reserve and organ function.
  • Eligible participants of childbearing potential (males and females) must agree to take highly reliable contraceptive measures with their partners during the study and within at least 12 weeks after the last dose.

排除标准

  • History of ≥2 primary malignancies within 5 years prior to informed consent.
  • Received chemotherapy within 3 weeks, radiotherapy within 4 weeks, or biologic, endocrine, or immunotherapy within 4 weeks before dosing.
  • Medication of other unmarketed investigational drugs or therapies within 4 weeks before dosing.
  • Brain metastases, leptomeningeal disease, brainstem metastases, or spinal cord compression.
  • Underwent major organ surgery (excluding biopsy) or significant trauma within 4 weeks before the first dose of investigational drug or requiring elective surgery during the study.
  • Previous or concurrent gastrointestinal perforation, surgical procedures and wound healing complications, as well as bleeding events.
  • Received intravenous thrombolysis treatment within 2 weeks, except for preventive anticoagulation and antiplatelet therapy.
  • Vaccinated within 4 weeks before dosing.
  • Treated with systemic corticosteroids within 14 days before dosing.
  • Severe lung disease affecting pulmonary function.
  • Active systemic infection requiring treatment within 7 days before dosing.
  • Uncontrolled third-space effusion.
  • Serious cardiovascular or cerebrovascular diseases.
  • Known hypersensitivity or delayed allergic reaction to the investigational product or its components.
  • Drug abuse or other medical/psychiatric condition that may interfere with study participation or results.
  • Known alcohol or drug dependence.
  • Pregnant or breastfeeding women, or individuals planning to conceive.

研究组 & 干预措施

Dose escalation phase: cohort 1

Experimental

Subjects will receive MHB088C Q2W in combination with MHB039A Q2W by intravenous administration.

干预措施: MHB088C for Injection (Drug)

Dose escalation phase: cohort 1

Experimental

Subjects will receive MHB088C Q2W in combination with MHB039A Q2W by intravenous administration.

干预措施: MHB039A for Injection (Drug)

Dose escalation phase: cohort 2

Experimental

Subjects will receive MHB088C Q2W in combination with MHB039A Q2W by intravenous administration.

干预措施: MHB088C for Injection (Drug)

Dose escalation phase: cohort 2

Experimental

Subjects will receive MHB088C Q2W in combination with MHB039A Q2W by intravenous administration.

干预措施: MHB039A for Injection (Drug)

Indication expansion phase: cohort 3

Experimental

Subjects will receive MHB088C Q2W in combination with MHB039A Q2W by intravenous administration.

干预措施: MHB088C for Injection (Drug)

Indication expansion phase: cohort 3

Experimental

Subjects will receive MHB088C Q2W in combination with MHB039A Q2W by intravenous administration.

干预措施: MHB039A for Injection (Drug)

Indication expansion phase: cohort 4

Experimental

Subjects will receive MHB088C Q2W in combination with MHB039A Q2W by intravenous administration.

干预措施: MHB088C for Injection (Drug)

Indication expansion phase: cohort 4

Experimental

Subjects will receive MHB088C Q2W in combination with MHB039A Q2W by intravenous administration.

干预措施: MHB039A for Injection (Drug)

结局指标

主要结局

(Dose-Escalation Stage): Dose-Limiting Toxicity (DLT) and Maximum tolerated dose (MTD) for MHB088C and MHB039A combination therapy

时间窗: Up to day 21 from the first dose for Q3W administration, or up to day 28 from the first dose for Q2W administration.

To determine the MTD for further evaluation of IV administration of MHB088C and MHB039A combination therapy in subjects with advanced solid tumors.

(Dose-Expansion Stage): Objective tumor response (ORR) determined by investigators according to RECIST v1.1

时间窗: Baseline up until documented progressive disease, death, lost to follow-up, or withdrawal by the participant, up to approximately 5 years

Objective tumor response for target lesions will be assessed by imaging/measurement compared with the overall tumor burden at baseline (Day -28 to -1). ORR is evaluated by the number of participants with best overall response of CR and PR (Confirmed CR/PR assessment require at least 1 repeat).

次要结局

  • Incidence and severity of adverse events (AEs)(Baseline up until documented progressive disease, death, lost to follow-up, or withdrawal by the participant, up to approximately 5 years.)
  • Pharmacokinetic (PK) parameters of total antibody, ADC, and free toxin at various time points(From pre-dose to 22 days after the first dose)
  • Duration of response (DOR) determined by investigators according to RECIST v1.1(Baseline up until documented progressive disease, death, lost to follow-up, or withdrawal by the participant, up to approximately 5 years)
  • Disease control rate (DCR) determined by investigators according to RECIST v1.1(Baseline up until documented progressive disease, death, lost to follow-up, or withdrawal by the participant, up to approximately 5 years)
  • Progression-free survival (PFS) determined by investigators according to RECIST v1.1(Baseline up until documented progressive disease, death, lost to follow-up, or withdrawal by the participant, up to approximately 5 years)
  • Overall survival (OS)(Baseline up until death up to approximately 5 years)

研究者

发起方
Minghui Pharmaceutical (Hangzhou) Ltd
申办方类型
Industry
责任方
Sponsor

研究点 (1)

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