A Phase I, Multicenter, Multinational, Open-label, First-in-Human Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Efficacy of GenSci128 Tablet in Patients With Locally Advanced or Metastatic Solid Tumors Harboring a TP53 Y220C Mutation
试验速览
- 阶段
- 1 期
- 状态
- 招募中
- 入组人数
- 82
- 试验地点
- 1
- 主要终点
- Incidence and severity of adverse events (AEs) and dose limiting toxicities (DLTs)
研究概览
简要总结
The purpose of this study is to Evaluate the Safety, Tolerability, Pharmacokinetics and Efficacy of GenSci128 Tablet in Patients with Locally Advanced or Metastatic Solid Tumors Harboring a TP53 Y220C Mutation
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Single Group
- 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
- 否
入选标准
- •Has the ability to understand and the willingness to sign a written informed consent document (prior to the initiation dose of GenSci128 and any study procedures)
- •Is willing and able to comply with the scheduled visits, treatment plan, laboratory tests and other specified study procedures
- •Has confirmed TP53 Y220C mutation in tumor tissue
- •Has histologically or cytologically confirmed locally advanced or metastatic solid tumors and have progressed following standard therapy, or for whom, in the opinion of the investigator, no available and effective standard therapy exists.
- •Has at least one measurable lesion by RECIST v1.1
- •Has an ECOG status of 0 or 1
- •Has a life expectancy of ≥ 3 months.
排除标准
- •Has diagnosed as primary central nervous system (CNS) tumor.
- •Has CNS metastases, unless asymptomatic, neurologically stable and not requiring steroids treatment for at least 2 weeks prior to initiation dose of GenSci
- •Has a history of leptomeningeal disease or spinal cord compression.
- •Has stroke or transient ischemic attack within 6 months prior to initiation dose of GenSci
- •Has active infection requiring intravenous (IV) antibiotics or other uncontrolled inter-current illness requiring hospitalization. Minor infections, e.g., periodontal infection or urinary tract infection (UTI), which may be treated with short term oral antibiotics are allowed.
- •Uncontrolled hypertension (Blood pressure ≥ 150/90 mmHg despite optimal medical management)
- •Has a history of prior organ transplant or allogeneic stem cell transplant.
- •Has received a selective reactivator of p53 Y220C mutation.
- •Has uncontrollable pleural effusion, pericardial effusion, or ascites requiring frequent drainage (recurrence ≤ 14 days after intervention).
- •Has known human immunodeficiency virus (HIV) infection (positive HIV 1/2 antibodies) or known chronic hepatitis B or C [participants positive for hepatitis B surface antigen (HBsAg) or hepatitis B core antibody (HBcAb) will be eligible if they are negative for HBV-DNA; participants positive for hepatitis C virus (HCV) IgG will be eligible if they are negative for HCV-RNA].
- •Is persisting toxicity related to prior anticancer therapy (NCI CTCAE V5.0 Grade>1). However, alopecia and sensory neuropathy Grade ≤2, or other Grade ≤2 adverse events not constituting a safety risk, based on the investigator's judgment are acceptable.
- •Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or GenSci128 administration or may interfere with the interpretation of study results, in the judgment of the investigator, would make the participant inappropriate for entry into this study.
研究组 & 干预措施
150mg dose level
干预措施: GenSci128 tablets (Drug)
300mg dose level
干预措施: GenSci128 tablets (Drug)
600mg dose level
干预措施: GenSci128 tablets (Drug)
1200mg dose level
干预措施: GenSci128 tablets (Drug)
1800mg dose level
干预措施: GenSci128 tablets (Drug)
2500mg dose level
干预措施: GenSci128 tablets (Drug)
结局指标
主要结局
Incidence and severity of adverse events (AEs) and dose limiting toxicities (DLTs)
时间窗: 3 weeks
Part 1 is a dose escalation study ,to assess the safety and tolerability of GenSci128 in participants with locally advanced or metastatic solid tumors harboring a TP53 Y220C mutation
maximal tolerance dose (MTD)、recommended dose of expansion (RDE)
时间窗: up to 3 months
Part 1 is a dose escalation study ,to determine the maximum tolerated dose (MTD), if any, and recommend dose of expansion (RDE) for GenSci128 in participants with locally advanced or metastatic solid tumors harboring a TP53 Y220C mutation
recommended phase 2 dose (RP2D)
时间窗: up to 3 months
Part 2 is a dose expansion study,Determining Recommended Phase II Dose
次要结局
未报告次要终点
