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Assessment of TK006 in Patients With Breast Cancer-related Bone Metastases

Primary Purpose

Breast Cancer

Status
Unknown status
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
TK006
Sponsored by
Jiangsu T-Mab Biopharma Co.,Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Breast Cancer

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Patients provide written informed consent voluntarily;
  2. 18~65 years old;
  3. Patients with pathology confirmed breast cancer radiological evidence with bone metastasis;
  4. Eastern Cooperative Oncology Group(ECOG) performance status≤2
  5. Anticipated life span≥6-month;
  6. Adequate reservation of hematopoiesis, liver and kidney functions:

    • Absolute neutrophil count (ANC) ≥1.5×10^9/L
    • Absolute platelet count (PLT) ≥100×10^9/L
    • Hemoglobin (Hb) ≥90 g/L
    • Total bilirubin (TBIL) ≤1.0 time the upper limit of normal (ULN)
    • Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤2.0 ULN
    • Serum creatinine (sCr) ≤2.0 ULN
  7. Albumin-adjusted calcium≥2.0 mmol/L, ≤2.9 mmol/ L(Calcium supplements are not allowed within 8 hours before examination).

Exclusion Criteria:

  1. Hypersensitivity to any investigational medicine or supplements in this study.
  2. Women in Pregnancy or nursing.
  3. Anti-human immunodeficiency virus (HIV) antibody positive.
  4. Patients with hepatitis B virus DNA ≥10^5 copies/mL or active hepatitis C would not be selected. Stable hepatitis B or hepatitis C defined as AST/ALT≤2 ULN will not be selected as well if patients are not treated with antiviral therapy while receving immunosuppressive therapy or chemotherapy meanwhile.
  5. Prior malignancies (excluding the targeted breast cancer, basal cell carcinoma, or cervical cancer in situ) within 3 years.
  6. Uncontrolled systemic diseases, or organic or mental disorders that could affect compliance.
  7. Central nervous system metastasis that is symptomatic or require treatment.
  8. Unresolved toxicities ≥2 grades from previous chemo-therapy (excluding alopecia).
  9. Major surgery of bone or trauma within 4 weeks before the first dosing.
  10. Fracture of long bone within 90-day before the first dosing.
  11. Radiation therapy to bone within 2 weeks or treatment with radioisotopes within 8 weeks before the first dosing.
  12. Treatment with diphosphonate within 30-day or administration of calcitonin, parathyroid hormone-related peptides, mithramycin, gallium nitrate or strontium ranelate within 6-month before the first dosing. Plan to receive systemic treatment with glucocorticosteroids over a long period during the trial.
  13. Hyperthyroidism or hypothyroidism, unless hypothyroidism patients are receiving regular treatment with thyroid hormone and:

1) Thyroid stimulating hormone (TSH) is normal, or 2) TSH>4.78μIU/Ml, ≤10.0μIU/mL and thyroxine (T4) is normal. 14. Disorders of hypoparathyroidism or hyperparathyroidism, osteomalacia, rheumatoid arthritis, acute attack of osteoarthritis, gout, Paget's disease, malabsorption syndrome, ascites, or other diseases that could affect bone metabolism.

15. Previous or existing osteomyelitis or osteonecrosis of jaw, odontia or jaw diseases which are in active or require invasive operations, unhealing wound of oral surgery, or planned invasive dental operations during this trial.

16. Has been selected for the study of other test devices or test drugs, or the duration of the clinical studies that have taken less than 30 days or 5 half-lives or biological effects, whichever is longer.

17. Other situations which are not suitable for participation judged by the principal investigator (PI).

Sites / Locations

  • the first affiliated hospital with Nanjing UniversityRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

60 mg single dose cohort

120 mg single dose cohort

180 mg single dose cohort

120 mg Q4W cohort

Arm Description

patients would receive a 60 mg single dose of TK006.

patients would receive a 120 mg single dose of TK006.

patients would receive a 180 mg single dose of TK006.

patients would receive 120 mg TK006 every 4 weeks, for a total of 3 doses.

Outcomes

Primary Outcome Measures

Frequency of adverse events (AEs) and serious adverse events (SAEs) which are related to TK006 assessed by CTCAE v4.03
Collect the information of AEs and SAEs, vital sign, physical examination, laboratory examination and electrocardiogram during the trial.

Secondary Outcome Measures

Area under the plasma concentration-time curve from time zero to time 'last' where last is the last time point after administration [AUClast]
Calculated by the linear trapezoidal method.
Area under the plasma concentration-time curve from time zero to infinity [AUC0-inf]
Calculated by the linear trapezoidal and extrapolation method.
Maximum observed maximum plasma concentration [Cmax]
The maximum (or peak) serum concentration that TK006 achieves after the drug has been administrated and before the administration of a second dose.
Time to reach the maximum observed plasma concentration [Tmax]
The time at which the Cmax is observed.
Terminal elimination half-life[T1/2]
The time required to divide the plasma concentration by two after reaching pseudo-equilibrium, and not the time required to eliminate half the administered dose.
bioavailability corrected apparent volume of the central compartment cleared of drug per unit [Cl/F]
The apparent volume of the central compartment cleared of drug per unit time was estimated using the formula: Cl/F = Dose / AUC0-∞
bioavailability corrected apparent volume of distribution [Vd/F]
Apparent volume of distribution based on the terminal elimination phase.
urine creatinine corrected cross-linked N-telopeptides of type I collagen [uNTX/Cr]
For singel dose cohort, detecting the level of uNTX at screening period, day 0 (before dosing)、day 1, day 7, day 14, day 28, day 56, day 84 and day 112 For multiple dose cohort:detecting the level of uNTX at screening period, day 0 (before dosing)、day 1, day 7, day 14, day 28 (before dosing), day 56 (before dosing), day 84 and day 140. Assessing the change of uNTX level to baseline and the uNTX should be corrected by urine creatinine.
serum bone alkaline phosphatase [bALP]
Assessing the change of serum bALP level to baseline. For singel dose cohort, detecting the level of uNTX at screening period, day 0 (before dosing)、day 1, day 7, day 14, day 28, day 56, day 84 and day 112 For multiple dose cohort:detecting the level of uNTX at screening period, day 0 (before dosing)、day 1, day 7, day 14, day 28 (before dosing), day 56 (before dosing), day 84 and day 140.
anti-drug antibody [ADA]
Quantitative assay the ADA. For single cohort, the ADA titer would be detected at day 0 (before dosing) and day 56. For multiple dose cohort, the ADA titer would be detected at day 0 (before dosing), day 28 (before dosing), day 56 (before dosing), day 84 and day 140.

Full Information

First Posted
July 28, 2017
Last Updated
August 21, 2017
Sponsor
Jiangsu T-Mab Biopharma Co.,Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT03239756
Brief Title
Assessment of TK006 in Patients With Breast Cancer-related Bone Metastases
Official Title
Phase 1 Trial of a Fully Human Monoclonal Antibody of Receptor Activator for Nuclear Factor-κ B Ligand (RNAKL, TK006) Safety, Pharmacokinetics, and Pharmacodynamics in Patients With Breast Cancer-related Bone Metastases
Study Type
Interventional

2. Study Status

Record Verification Date
August 2017
Overall Recruitment Status
Unknown status
Study Start Date
July 20, 2017 (Actual)
Primary Completion Date
August 2018 (Anticipated)
Study Completion Date
August 2018 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Jiangsu T-Mab Biopharma Co.,Ltd

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a single-center, open-label, dose-escalating study to evaluate the safety, pharmacokinetics, immunogenicity, and preliminary efficacy of single and multiple subcutaneous injection TK006 in patients with breast cancer-related bone metastases.
Detailed Description
This is an single-center, open-label, dose-escalating study to evaluate the safety, pharmacokinetics, immunogenicity, and preliminary efficacy of single and multiple subcutaneous injection TK006 in patients with breast cancer-related bone metastases. It contains 4 cohorts:60 mg single-dose conhort, 120 mg single-dose conhort, 180 mg single-dose conhort and 120 mg Q4W (one dose every 4 weeks, 3 dose totally) conhort.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Breast Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
40 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
60 mg single dose cohort
Arm Type
Experimental
Arm Description
patients would receive a 60 mg single dose of TK006.
Arm Title
120 mg single dose cohort
Arm Type
Experimental
Arm Description
patients would receive a 120 mg single dose of TK006.
Arm Title
180 mg single dose cohort
Arm Type
Experimental
Arm Description
patients would receive a 180 mg single dose of TK006.
Arm Title
120 mg Q4W cohort
Arm Type
Experimental
Arm Description
patients would receive 120 mg TK006 every 4 weeks, for a total of 3 doses.
Intervention Type
Biological
Intervention Name(s)
TK006
Other Intervention Name(s)
fully human monoclonal anti-RANKL antibody
Intervention Description
Subcutaneous injection
Primary Outcome Measure Information:
Title
Frequency of adverse events (AEs) and serious adverse events (SAEs) which are related to TK006 assessed by CTCAE v4.03
Description
Collect the information of AEs and SAEs, vital sign, physical examination, laboratory examination and electrocardiogram during the trial.
Time Frame
single dose cohort:112 days, multiple dose cohort:140 days
Secondary Outcome Measure Information:
Title
Area under the plasma concentration-time curve from time zero to time 'last' where last is the last time point after administration [AUClast]
Description
Calculated by the linear trapezoidal method.
Time Frame
single dose cohort:112 days, multiple dose cohort:140 days
Title
Area under the plasma concentration-time curve from time zero to infinity [AUC0-inf]
Description
Calculated by the linear trapezoidal and extrapolation method.
Time Frame
single dose cohort:112 days, multiple dose cohort:140 days
Title
Maximum observed maximum plasma concentration [Cmax]
Description
The maximum (or peak) serum concentration that TK006 achieves after the drug has been administrated and before the administration of a second dose.
Time Frame
single dose cohort:112 days, multiple dose cohort:140 days
Title
Time to reach the maximum observed plasma concentration [Tmax]
Description
The time at which the Cmax is observed.
Time Frame
single dose cohort:112 days, multiple dose cohort:140 days
Title
Terminal elimination half-life[T1/2]
Description
The time required to divide the plasma concentration by two after reaching pseudo-equilibrium, and not the time required to eliminate half the administered dose.
Time Frame
single dose cohort:112 days, multiple dose cohort:140 days
Title
bioavailability corrected apparent volume of the central compartment cleared of drug per unit [Cl/F]
Description
The apparent volume of the central compartment cleared of drug per unit time was estimated using the formula: Cl/F = Dose / AUC0-∞
Time Frame
single dose cohort:112 days, multiple dose cohort:140 days
Title
bioavailability corrected apparent volume of distribution [Vd/F]
Description
Apparent volume of distribution based on the terminal elimination phase.
Time Frame
single dose cohort:112 days, multiple dose cohort:140 days
Title
urine creatinine corrected cross-linked N-telopeptides of type I collagen [uNTX/Cr]
Description
For singel dose cohort, detecting the level of uNTX at screening period, day 0 (before dosing)、day 1, day 7, day 14, day 28, day 56, day 84 and day 112 For multiple dose cohort:detecting the level of uNTX at screening period, day 0 (before dosing)、day 1, day 7, day 14, day 28 (before dosing), day 56 (before dosing), day 84 and day 140. Assessing the change of uNTX level to baseline and the uNTX should be corrected by urine creatinine.
Time Frame
single dose cohort:112 days, multiple dose cohort:140 days
Title
serum bone alkaline phosphatase [bALP]
Description
Assessing the change of serum bALP level to baseline. For singel dose cohort, detecting the level of uNTX at screening period, day 0 (before dosing)、day 1, day 7, day 14, day 28, day 56, day 84 and day 112 For multiple dose cohort:detecting the level of uNTX at screening period, day 0 (before dosing)、day 1, day 7, day 14, day 28 (before dosing), day 56 (before dosing), day 84 and day 140.
Time Frame
single dose cohort:112 days, multiple dose cohort:140 days
Title
anti-drug antibody [ADA]
Description
Quantitative assay the ADA. For single cohort, the ADA titer would be detected at day 0 (before dosing) and day 56. For multiple dose cohort, the ADA titer would be detected at day 0 (before dosing), day 28 (before dosing), day 56 (before dosing), day 84 and day 140.
Time Frame
single dose cohort:112 days, multiple dose cohort:140 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients provide written informed consent voluntarily; 18~65 years old; Patients with pathology confirmed breast cancer radiological evidence with bone metastasis; Eastern Cooperative Oncology Group(ECOG) performance status≤2 Anticipated life span≥6-month; Adequate reservation of hematopoiesis, liver and kidney functions: Absolute neutrophil count (ANC) ≥1.5×10^9/L Absolute platelet count (PLT) ≥100×10^9/L Hemoglobin (Hb) ≥90 g/L Total bilirubin (TBIL) ≤1.0 time the upper limit of normal (ULN) Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤2.0 ULN Serum creatinine (sCr) ≤2.0 ULN Albumin-adjusted calcium≥2.0 mmol/L, ≤2.9 mmol/ L(Calcium supplements are not allowed within 8 hours before examination). Exclusion Criteria: Hypersensitivity to any investigational medicine or supplements in this study. Women in Pregnancy or nursing. Anti-human immunodeficiency virus (HIV) antibody positive. Patients with hepatitis B virus DNA ≥10^5 copies/mL or active hepatitis C would not be selected. Stable hepatitis B or hepatitis C defined as AST/ALT≤2 ULN will not be selected as well if patients are not treated with antiviral therapy while receving immunosuppressive therapy or chemotherapy meanwhile. Prior malignancies (excluding the targeted breast cancer, basal cell carcinoma, or cervical cancer in situ) within 3 years. Uncontrolled systemic diseases, or organic or mental disorders that could affect compliance. Central nervous system metastasis that is symptomatic or require treatment. Unresolved toxicities ≥2 grades from previous chemo-therapy (excluding alopecia). Major surgery of bone or trauma within 4 weeks before the first dosing. Fracture of long bone within 90-day before the first dosing. Radiation therapy to bone within 2 weeks or treatment with radioisotopes within 8 weeks before the first dosing. Treatment with diphosphonate within 30-day or administration of calcitonin, parathyroid hormone-related peptides, mithramycin, gallium nitrate or strontium ranelate within 6-month before the first dosing. Plan to receive systemic treatment with glucocorticosteroids over a long period during the trial. Hyperthyroidism or hypothyroidism, unless hypothyroidism patients are receiving regular treatment with thyroid hormone and: 1) Thyroid stimulating hormone (TSH) is normal, or 2) TSH>4.78μIU/Ml, ≤10.0μIU/mL and thyroxine (T4) is normal. 14. Disorders of hypoparathyroidism or hyperparathyroidism, osteomalacia, rheumatoid arthritis, acute attack of osteoarthritis, gout, Paget's disease, malabsorption syndrome, ascites, or other diseases that could affect bone metabolism. 15. Previous or existing osteomyelitis or osteonecrosis of jaw, odontia or jaw diseases which are in active or require invasive operations, unhealing wound of oral surgery, or planned invasive dental operations during this trial. 16. Has been selected for the study of other test devices or test drugs, or the duration of the clinical studies that have taken less than 30 days or 5 half-lives or biological effects, whichever is longer. 17. Other situations which are not suitable for participation judged by the principal investigator (PI).
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Yu M X
Phone
15021830072
Email
yumingxia@sh-qingfeng.net
First Name & Middle Initial & Last Name or Official Title & Degree
Jiang H B
Phone
13062892252
Email
jianghaibiao@sh-qingfeng.net
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jiang H Y
Organizational Affiliation
Jiangsu T-Mab Biopharma Co.,Ltd
Official's Role
Study Director
Facility Information:
Facility Name
the first affiliated hospital with Nanjing University
City
Nanjing
State/Province
Jiangsu
ZIP/Postal Code
210029
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yin Y M
Phone
13951842727
Email
ym.yin@hotmail.com

12. IPD Sharing Statement

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Assessment of TK006 in Patients With Breast Cancer-related Bone Metastases

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