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GR1405 Injection in Patients With Advanced Solid Tumor or Lymphoma

Primary Purpose

Tumor, Solid, Lymphoma

Status
Unknown status
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
GR1405 injection
Sponsored by
Chinese Academy of Medical Sciences
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Tumor, Solid focused on measuring programmed death ligand-1 (PD-L1)

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Patients with local advanced, recurrent or metastatic solid tumors confirmed by cytology or histology Lymphoma patients with pathological confirmation, and the above pat reients failed to standard treatment failure or had no standard treatment;
  2. Aged 18 to 75 years men and women;
  3. At least one measurable or evaluable lesion according to Response Evaluation Criteria in Solid Tumors v1.1(RECIST v1.1 )(solid tumor) or Lugano 2014 criteria (lymphoma);
  4. Eastern Cooperative Oncology Group(ECOG)≤ 1
  5. Female or male subjects of reproductive age and their mate are willing to take effective contraceptive measures for the entire treatment period and 6 months after the treatment;
  6. With sufficient organ and bone marrow function;
  7. At least 4 weeks after the last anti-tumor treatment before the first administration;
  8. The patient or his legal representative signs a written informed consent.

Exclusion Criteria:

  1. Have experienced any National Cancer Institute Common Terminology Criteria for Adverse events (NCI CTCAE) v4.03 or greater than 3 grade irAE during previous immunotherapy treatment;
  2. Has received any anti-PD-1(programmed death 1) or anti-PD-L1 antibody treatment;
  3. Subjects with other malignant tumors previously or concurrently ;
  4. Female patients with pregnancy or lactation;
  5. Women/men who have fertility refusal to adopt contraception during the trial period;
  6. Subjects with serious disease or complications, such as gastrointestinal bleeding, intestinal obstruction, intestinal paralysis, interstitial pneumonia, pulmonary fibrosis, renal failure, glaucoma, uncontrolled diabetes (CTCAE= 4.03: fasting blood glucose level ≥ 2), and with active infection;
  7. Had history of acute myocardial infarction, unstable angina pectoris, stroke or transient ischemic attack 6 months before the screening ,grade 2 or above congestive heart failure devised by the New York Heart Association (NYHA);
  8. Subjects with symptomatic brain metastases or mental disorders;
  9. Subjects with abnormal levels of serum calcium, magnesium, potassium and have clinical significance;
  10. Subjects with history of immunodeficiency, including human immunodeficiency virus(HIV)-positive, suffering from other acquired, congenital immunodeficiency disease, or history of organ transplantation;
  11. Subjects with active hepatitis B (HBsAg and/or HBcAb positive, and HBV DNA titer in peripheral blood was greater than 1 x 103 IU/ml), and/or hepatitis C;
  12. Subjects who have alcohol addiction and/or drug abuse;
  13. Subjects with bleeding or coagulation dysfunction in the past 3 months (Prothrombin time(PT)>1.5×upper limit of normal(ULN); activated partial thromboplastin time(APTT)>1.5×ULN; thrombin time(TT)>1.5×ULN);
  14. Subjects with allergic constitution or allergic to known components of the drug;
  15. Those who received other clinical trial drug therapy within 1 month before the first administration;
  16. Receive a live attenuated vaccine within 4 weeks prior to the first dose of study treatment or during the study period;
  17. Other subjects judged by the investigator to be ineligible for enrollment in the study.

Sites / Locations

  • Cancer Institute/Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

GR1405 injection 3 mg/kg

GR1405 injection 10 mg/kg

GR1405 injection 20 mg/kg

GR1405 injection 30 mg/kg

Arm Description

According to the patient's weight, the dose of this group is 3mg/kg.

According to the patient's weight, the dose of this group is 10mg/kg.

According to the patient's weight, the dose of this group is 20mg/kg.

According to the patient's weight, the dose of this group is 30mg/kg.

Outcomes

Primary Outcome Measures

Maximum tolerated dose (MTD)
Maximum tolerated dose of GR1405 injection
Adverse Events
Number of Participants With Treatment-Emergent Adverse Events as Assessed by CTCAE v4.03

Secondary Outcome Measures

maximum concentration (Cmax)
the maximum exposure to a biologically active physica
Duration of response (DOR)
DOR by RECIST v. 1.1 or Lugano 2014, the time between the initial response to therapy and subsequent disease progression or relapse
Objective Response Rate(ORR)
Objective Response Rate(ORR) by RECIST v. 1.1 or Lugano 2014, ORR=complete response(CR) + partial response(PR)
Progression free survival(PFS)
Progression free survival(PFS) by RECIST v. 1.1 or Lugano 2014, a patient lives with the disease but it does not get worse. In a clinical trial, measuring the progression-free survival is one way to see how well a new treatment works
Immunogenicity
the ability to elicit an immune response of GR1405 injection,
Recommended dose for Phase II trial(RP2D)
The MTD is one dose level below the lowest dose tested in which 2 or more patients experienced dose-limiting toxicity(DLT) attributable to the study drug. The MTD will be the RP2D
AUC0-t
Area under the curve in the period from 0 to t
AUC0-∞
Area under the curve in the period from 0 to ∞
AUCss
Area under the curve of Steady-State Plasma Concentrations
T max
the time of occurrence of peak drug concentration
t 1/2
the time of half-life of the drug
apparent volume of distribution (Vz)
the volume of fluid that would be required to contain the amount of drug in the body
clearance(CL)
the rate of elimination of the drug in vivo

Full Information

First Posted
November 2, 2018
Last Updated
November 4, 2018
Sponsor
Chinese Academy of Medical Sciences
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1. Study Identification

Unique Protocol Identification Number
NCT03731390
Brief Title
GR1405 Injection in Patients With Advanced Solid Tumor or Lymphoma
Official Title
A Phase I Clinical Study for Evaluating the Safety, Pharmacokinetics, and Preliminary Efficacy of Repeated Doses, Dose Escalation of GR1405 Injection in Patients With Advanced Solid Tumor or Lymphoma
Study Type
Interventional

2. Study Status

Record Verification Date
November 2018
Overall Recruitment Status
Unknown status
Study Start Date
November 2018 (Anticipated)
Primary Completion Date
October 2019 (Anticipated)
Study Completion Date
October 2021 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Chinese Academy of Medical Sciences

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 Phase I clinical study for evaluating the safety, pharmacokinetics, and preliminary efficacy of repeated doses, dose escalation of GR1405 injection in patients with advanced solid tumor or lymphoma
Detailed Description
To evaluate the tolerability, safety, pharmacokinetics, and preliminary efficacy of GR1405 injection monotherapy in an open, non-controlled, escalating trial design in patients with advanced solid tumors or lymphomas. Four dose levels (3 mg/kg, 10 mg/kg, 20 mg/kg, and 30 mg/kg) were evaluated at this stage.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Tumor, Solid, Lymphoma
Keywords
programmed death ligand-1 (PD-L1)

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
GR1405 injection 3 mg/kg
Arm Type
Experimental
Arm Description
According to the patient's weight, the dose of this group is 3mg/kg.
Arm Title
GR1405 injection 10 mg/kg
Arm Type
Experimental
Arm Description
According to the patient's weight, the dose of this group is 10mg/kg.
Arm Title
GR1405 injection 20 mg/kg
Arm Type
Experimental
Arm Description
According to the patient's weight, the dose of this group is 20mg/kg.
Arm Title
GR1405 injection 30 mg/kg
Arm Type
Experimental
Arm Description
According to the patient's weight, the dose of this group is 30mg/kg.
Intervention Type
Drug
Intervention Name(s)
GR1405 injection
Other Intervention Name(s)
PD-L1 monoclonal antibody
Intervention Description
Intravenous administration according to the patient's weight. All dose groups were administered once every 2 weeks.
Primary Outcome Measure Information:
Title
Maximum tolerated dose (MTD)
Description
Maximum tolerated dose of GR1405 injection
Time Frame
2 weeks
Title
Adverse Events
Description
Number of Participants With Treatment-Emergent Adverse Events as Assessed by CTCAE v4.03
Time Frame
Approximately 3 years
Secondary Outcome Measure Information:
Title
maximum concentration (Cmax)
Description
the maximum exposure to a biologically active physica
Time Frame
Approximately 2 years
Title
Duration of response (DOR)
Description
DOR by RECIST v. 1.1 or Lugano 2014, the time between the initial response to therapy and subsequent disease progression or relapse
Time Frame
Approximately 3 years
Title
Objective Response Rate(ORR)
Description
Objective Response Rate(ORR) by RECIST v. 1.1 or Lugano 2014, ORR=complete response(CR) + partial response(PR)
Time Frame
Approximately 3 years
Title
Progression free survival(PFS)
Description
Progression free survival(PFS) by RECIST v. 1.1 or Lugano 2014, a patient lives with the disease but it does not get worse. In a clinical trial, measuring the progression-free survival is one way to see how well a new treatment works
Time Frame
Approximately 3 years
Title
Immunogenicity
Description
the ability to elicit an immune response of GR1405 injection,
Time Frame
Approximately 3 years
Title
Recommended dose for Phase II trial(RP2D)
Description
The MTD is one dose level below the lowest dose tested in which 2 or more patients experienced dose-limiting toxicity(DLT) attributable to the study drug. The MTD will be the RP2D
Time Frame
Approximately 3 years
Title
AUC0-t
Description
Area under the curve in the period from 0 to t
Time Frame
Approximately 2 years
Title
AUC0-∞
Description
Area under the curve in the period from 0 to ∞
Time Frame
Approximately 2 years
Title
AUCss
Description
Area under the curve of Steady-State Plasma Concentrations
Time Frame
Approximately 2 years
Title
T max
Description
the time of occurrence of peak drug concentration
Time Frame
Approximately 2 years
Title
t 1/2
Description
the time of half-life of the drug
Time Frame
Approximately 2 years
Title
apparent volume of distribution (Vz)
Description
the volume of fluid that would be required to contain the amount of drug in the body
Time Frame
Approximately 2 years
Title
clearance(CL)
Description
the rate of elimination of the drug in vivo
Time Frame
Approximately 2 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients with local advanced, recurrent or metastatic solid tumors confirmed by cytology or histology Lymphoma patients with pathological confirmation, and the above pat reients failed to standard treatment failure or had no standard treatment; Aged 18 to 75 years men and women; At least one measurable or evaluable lesion according to Response Evaluation Criteria in Solid Tumors v1.1(RECIST v1.1 )(solid tumor) or Lugano 2014 criteria (lymphoma); Eastern Cooperative Oncology Group(ECOG)≤ 1 Female or male subjects of reproductive age and their mate are willing to take effective contraceptive measures for the entire treatment period and 6 months after the treatment; With sufficient organ and bone marrow function; At least 4 weeks after the last anti-tumor treatment before the first administration; The patient or his legal representative signs a written informed consent. Exclusion Criteria: Have experienced any National Cancer Institute Common Terminology Criteria for Adverse events (NCI CTCAE) v4.03 or greater than 3 grade irAE during previous immunotherapy treatment; Has received any anti-PD-1(programmed death 1) or anti-PD-L1 antibody treatment; Subjects with other malignant tumors previously or concurrently ; Female patients with pregnancy or lactation; Women/men who have fertility refusal to adopt contraception during the trial period; Subjects with serious disease or complications, such as gastrointestinal bleeding, intestinal obstruction, intestinal paralysis, interstitial pneumonia, pulmonary fibrosis, renal failure, glaucoma, uncontrolled diabetes (CTCAE= 4.03: fasting blood glucose level ≥ 2), and with active infection; Had history of acute myocardial infarction, unstable angina pectoris, stroke or transient ischemic attack 6 months before the screening ,grade 2 or above congestive heart failure devised by the New York Heart Association (NYHA); Subjects with symptomatic brain metastases or mental disorders; Subjects with abnormal levels of serum calcium, magnesium, potassium and have clinical significance; Subjects with history of immunodeficiency, including human immunodeficiency virus(HIV)-positive, suffering from other acquired, congenital immunodeficiency disease, or history of organ transplantation; Subjects with active hepatitis B (HBsAg and/or HBcAb positive, and HBV DNA titer in peripheral blood was greater than 1 x 103 IU/ml), and/or hepatitis C; Subjects who have alcohol addiction and/or drug abuse; Subjects with bleeding or coagulation dysfunction in the past 3 months (Prothrombin time(PT)>1.5×upper limit of normal(ULN); activated partial thromboplastin time(APTT)>1.5×ULN; thrombin time(TT)>1.5×ULN); Subjects with allergic constitution or allergic to known components of the drug; Those who received other clinical trial drug therapy within 1 month before the first administration; Receive a live attenuated vaccine within 4 weeks prior to the first dose of study treatment or during the study period; Other subjects judged by the investigator to be ineligible for enrollment in the study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
yuankai Shi, M.D.
Phone
86 010-87788293
Email
syuankaipumc@126.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
yuankai Shi, M.D.
Organizational Affiliation
Chinese Academy of Medical Sciences
Official's Role
Principal Investigator
Facility Information:
Facility Name
Cancer Institute/Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College
City
Beijing
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
28434648
Citation
El-Khoueiry AB, Sangro B, Yau T, Crocenzi TS, Kudo M, Hsu C, Kim TY, Choo SP, Trojan J, Welling TH Rd, Meyer T, Kang YK, Yeo W, Chopra A, Anderson J, Dela Cruz C, Lang L, Neely J, Tang H, Dastani HB, Melero I. Nivolumab in patients with advanced hepatocellular carcinoma (CheckMate 040): an open-label, non-comparative, phase 1/2 dose escalation and expansion trial. Lancet. 2017 Jun 24;389(10088):2492-2502. doi: 10.1016/S0140-6736(17)31046-2. Epub 2017 Apr 20.
Results Reference
background
PubMed Identifier
27939400
Citation
Balar AV, Galsky MD, Rosenberg JE, Powles T, Petrylak DP, Bellmunt J, Loriot Y, Necchi A, Hoffman-Censits J, Perez-Gracia JL, Dawson NA, van der Heijden MS, Dreicer R, Srinivas S, Retz MM, Joseph RW, Drakaki A, Vaishampayan UN, Sridhar SS, Quinn DI, Duran I, Shaffer DR, Eigl BJ, Grivas PD, Yu EY, Li S, Kadel EE 3rd, Boyd Z, Bourgon R, Hegde PS, Mariathasan S, Thastrom A, Abidoye OO, Fine GD, Bajorin DF; IMvigor210 Study Group. Atezolizumab as first-line treatment in cisplatin-ineligible patients with locally advanced and metastatic urothelial carcinoma: a single-arm, multicentre, phase 2 trial. Lancet. 2017 Jan 7;389(10064):67-76. doi: 10.1016/S0140-6736(16)32455-2. Epub 2016 Dec 8. Erratum In: Lancet. 2017 Aug 26;390(10097):848.
Results Reference
background
PubMed Identifier
28822576
Citation
Schachter J, Ribas A, Long GV, Arance A, Grob JJ, Mortier L, Daud A, Carlino MS, McNeil C, Lotem M, Larkin J, Lorigan P, Neyns B, Blank C, Petrella TM, Hamid O, Zhou H, Ebbinghaus S, Ibrahim N, Robert C. Pembrolizumab versus ipilimumab for advanced melanoma: final overall survival results of a multicentre, randomised, open-label phase 3 study (KEYNOTE-006). Lancet. 2017 Oct 21;390(10105):1853-1862. doi: 10.1016/S0140-6736(17)31601-X. Epub 2017 Aug 16.
Results Reference
background

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GR1405 Injection in Patients With Advanced Solid Tumor or Lymphoma

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