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Safety, Tolerability, Pharmacokinetics and Efficacy of SCT-I10A in Patients With Advanced Solid Tumors or Lymphoma

Primary Purpose

Advanced Solid Tumors or Lymphoma

Status
Unknown status
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
SCT-I10A
Sponsored by
Sinocelltech Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Advanced Solid Tumors or Lymphoma focused on measuring Neoplasms, Solid Tumors, Lymphoma, PD-1, SCT-I10A

Eligibility Criteria

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

Inclusion Criteria:

  • Able to provide written informed consent before screening;
  • Males or females. Aged 18 to 75 years old;
  • Life expectancy≥12 weeks before starting treatment (clinical assessment);
  • With an Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1;
  • Histologically or cytologically confirmed advanced solid tumor or lymphoma;
  • Advanced solid tumor or lymphoma with standard treatment failed or no effective therapy;
  • According to RECIST 1.1 or Lugano 2014 criteria, patients must have at least one measurable lesion that can be accurately assessed;
  • Adequate organ and bone marrow function as defined below:

Absolute neutrophil count (ANC) greater than/equal to 1.5×l09/L; Platelets greater than/equal to 75×109/L; Hemoglobin greater than/equal to 80g/L; Aspartate aminotransferase (AST)/alanine aminotransferase (ALT) less than/equal to 2.5 times ULN, or less than/equal to 5 times ULN if known liver metastases; Total bilirubin less than/equal to 1.5 times ULN; Serum creatinine less than/equal to 1.5 times ULN or Ccr>50ml/min; Thyroid stimulating hormone (TSH) hormone levels less than/equal to ULN.

Exclusion Criteria:

  • Patients who are allergic to analogue of SCT-I10A and/or its inactive ingredients;
  • Patients have been treated with anti-PD-L1 and anti-PD-1 antibody;
  • Patients are currently enrolled in other research devices or in research drugs, or less than 4 weeks from other research drugs or devices;
  • Within 4 weeks prior to the first dose of study drug, patients have received anti-tumor drugs (such as chemotherapy, endocrine therapy, targeted therapy, immune therapy, tumor embolization). Within 6 weeks prior to the first dose of study drug, patients have been treated with biological products, nitrosourea or mitomycin C;
  • Within 2 weeks prior to the first dose of study drug, patients have received corticosteroids or other immunosuppressive agents;
  • Within 4 weeks prior to the first dose of study drug, patients have received live attenuated vaccine (LAV), or who planned to use LAV during the study period;
  • Within 4 weeks prior to the first dose of study drug, patients have received major surgery, or had wounds, ulcers or fractures that haven't healed;
  • Prior to the first dose of study drug, patients had toxicity due to previous anti-tumor treatment, which hasn't return to Grade 0-1 according to the NCI CTCAEv4.03;
  • Patient with cerebrospinal meningitis metastasis or central nervous system metastasis with untreated or uncontrolled with other treatment;
  • Patients with an active, known or suspected autoimmune disease or a history of autoimmune disease;
  • Patients with a history of allogeneic organ transplantation or allogeneic hematopoietic stem cell transplantation;
  • Within 6 months prior to study, patients had uncontrolled concurrent diseases, including but not limited to acute myocardial infarction, unstable angina pectoris, stroke, or transient ischemic attack, congestive heart failure (NYHA, greater than II), left ventricular ejection fraction (LVEF) <50%, and with related heart disease. Patients with chronic or acute disease, psychological or psychiatric disorders, laboratory abnormalities which may affect subject compliance and outcomes in this clinical study;
  • Patients with HIV, active hepatitis B (HBV DNA≥104 copies/ml) or active hepatitis C (HCV RNA≥103 copies/ml), etc.;
  • Patients who have interstitial lung disease, such as interstitial pneumonia, pulmonary fibrosis, or CT or MRI reminder ILD.
  • Patients with clinical symptoms, required clinical intervention or stable time less than 4 weeks of serous cavity effusion (such as pleural effusion and ascites);
  • Patients with other primary malignancies;
  • Pregnant or lactating women;
  • Patients who were not willing to accept effective contraceptive measures during treatment and within 6 months after treatment;
  • Subjects who are considered not suitable for the study by investigator.

Sites / Locations

  • The Fifth Medical Center of PLA General HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Low dose group

Middle dose group

High dose group

Arm Description

SCT-I10A will be administered at a dose of 60mg, Q3W up to 24 months.

SCT-I10A will be administered at a dose of 200mg, Q3W up to 24 months.

SCT-I10A will be administered at a dose of 600mg, Q3W up to 24 months.

Outcomes

Primary Outcome Measures

Safety/Tolerability
Incidence of adverse events and outlier of laboratory tests, positive rate of immunogenicity

Secondary Outcome Measures

Objective response rate (ORR)
ORR is defined as proportion of patients achieving complete response (CR) or partial response (PR) according to RECIST v1.1 or Lugano 2014 criteria during trial treatment.
Duration of response (DOR)
DOR is defined as time from the date when a patient first meets the criteria for CR or PR according to RECIST v1.1 or Lugano 2014 criteria, until the date that progressive disease (PD) is objectively documented or death, whichever occurs first.
Disease control rate (DCR)
PFS is defined as the time from first dose of SCT200 until the date of first documentation of progression or date of death, whichever occurs first,according to RECIST v1.1 or Lugano 2014 criteria.
Progression free survival (PFS)
PFS is defined as the time from first dose of SCT200 until the date of first documentation of progression or date of death, whichever occurs first,according to RECIST v1.1 or Lugano 2014 criteria.
Overall survival (OS)
OS is defined as time from first dose of SCT200 until the date of death from any cause.

Full Information

First Posted
January 24, 2019
Last Updated
January 28, 2019
Sponsor
Sinocelltech Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT03821363
Brief Title
Safety, Tolerability, Pharmacokinetics and Efficacy of SCT-I10A in Patients With Advanced Solid Tumors or Lymphoma
Official Title
Recombinant Humanized Anti- PD-1 Monoclonal Antibody(SCT-I10A) in Patients With Advanced Solid Tumors or Lymphoma :a Phase Ⅰ, Open-label, Multicenter Study
Study Type
Interventional

2. Study Status

Record Verification Date
July 2018
Overall Recruitment Status
Unknown status
Study Start Date
December 13, 2018 (Actual)
Primary Completion Date
July 2020 (Anticipated)
Study Completion Date
July 2020 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sinocelltech 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
The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics and preliminary efficacy of recombinant humanized anti- PD-1 monoclonal antibody(SCT-I10A)in patients with advanced solid tumors or lymphoma treated after failure of standard therapy.
Detailed Description
This open label, multicenter phase I study is designed to evaluate the safety, tolerability, pharmacokinetics and preliminary efficacy in advanced solid tumors or lymphoma treated with anti- PD-1 monoclonal antibody SCT-I10A. The trial will be divided into two parts: dose-exploration and indication expansion.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Advanced Solid Tumors or Lymphoma
Keywords
Neoplasms, Solid Tumors, Lymphoma, PD-1, SCT-I10A

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Model Description
Groups of participants are assigned to receive interventions based on prior milestones being reached in the study, such as in some dose escalation and adaptive design studies
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
206 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Low dose group
Arm Type
Experimental
Arm Description
SCT-I10A will be administered at a dose of 60mg, Q3W up to 24 months.
Arm Title
Middle dose group
Arm Type
Experimental
Arm Description
SCT-I10A will be administered at a dose of 200mg, Q3W up to 24 months.
Arm Title
High dose group
Arm Type
Experimental
Arm Description
SCT-I10A will be administered at a dose of 600mg, Q3W up to 24 months.
Intervention Type
Biological
Intervention Name(s)
SCT-I10A
Intervention Description
Experimental: Anti- PD-1 monoclonal antibody(SCT-I10A)
Primary Outcome Measure Information:
Title
Safety/Tolerability
Description
Incidence of adverse events and outlier of laboratory tests, positive rate of immunogenicity
Time Frame
24 months
Secondary Outcome Measure Information:
Title
Objective response rate (ORR)
Description
ORR is defined as proportion of patients achieving complete response (CR) or partial response (PR) according to RECIST v1.1 or Lugano 2014 criteria during trial treatment.
Time Frame
24 months
Title
Duration of response (DOR)
Description
DOR is defined as time from the date when a patient first meets the criteria for CR or PR according to RECIST v1.1 or Lugano 2014 criteria, until the date that progressive disease (PD) is objectively documented or death, whichever occurs first.
Time Frame
24 months
Title
Disease control rate (DCR)
Description
PFS is defined as the time from first dose of SCT200 until the date of first documentation of progression or date of death, whichever occurs first,according to RECIST v1.1 or Lugano 2014 criteria.
Time Frame
24 months
Title
Progression free survival (PFS)
Description
PFS is defined as the time from first dose of SCT200 until the date of first documentation of progression or date of death, whichever occurs first,according to RECIST v1.1 or Lugano 2014 criteria.
Time Frame
24 months
Title
Overall survival (OS)
Description
OS is defined as time from first dose of SCT200 until the date of death from any cause.
Time Frame
24 months

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: Able to provide written informed consent before screening; Males or females. Aged 18 to 75 years old; Life expectancy≥12 weeks before starting treatment (clinical assessment); With an Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1; Histologically or cytologically confirmed advanced solid tumor or lymphoma; Advanced solid tumor or lymphoma with standard treatment failed or no effective therapy; According to RECIST 1.1 or Lugano 2014 criteria, patients must have at least one measurable lesion that can be accurately assessed; Adequate organ and bone marrow function as defined below: Absolute neutrophil count (ANC) greater than/equal to 1.5×l09/L; Platelets greater than/equal to 75×109/L; Hemoglobin greater than/equal to 80g/L; Aspartate aminotransferase (AST)/alanine aminotransferase (ALT) less than/equal to 2.5 times ULN, or less than/equal to 5 times ULN if known liver metastases; Total bilirubin less than/equal to 1.5 times ULN; Serum creatinine less than/equal to 1.5 times ULN or Ccr>50ml/min; Thyroid stimulating hormone (TSH) hormone levels less than/equal to ULN. Exclusion Criteria: Patients who are allergic to analogue of SCT-I10A and/or its inactive ingredients; Patients have been treated with anti-PD-L1 and anti-PD-1 antibody; Patients are currently enrolled in other research devices or in research drugs, or less than 4 weeks from other research drugs or devices; Within 4 weeks prior to the first dose of study drug, patients have received anti-tumor drugs (such as chemotherapy, endocrine therapy, targeted therapy, immune therapy, tumor embolization). Within 6 weeks prior to the first dose of study drug, patients have been treated with biological products, nitrosourea or mitomycin C; Within 2 weeks prior to the first dose of study drug, patients have received corticosteroids or other immunosuppressive agents; Within 4 weeks prior to the first dose of study drug, patients have received live attenuated vaccine (LAV), or who planned to use LAV during the study period; Within 4 weeks prior to the first dose of study drug, patients have received major surgery, or had wounds, ulcers or fractures that haven't healed; Prior to the first dose of study drug, patients had toxicity due to previous anti-tumor treatment, which hasn't return to Grade 0-1 according to the NCI CTCAEv4.03; Patient with cerebrospinal meningitis metastasis or central nervous system metastasis with untreated or uncontrolled with other treatment; Patients with an active, known or suspected autoimmune disease or a history of autoimmune disease; Patients with a history of allogeneic organ transplantation or allogeneic hematopoietic stem cell transplantation; Within 6 months prior to study, patients had uncontrolled concurrent diseases, including but not limited to acute myocardial infarction, unstable angina pectoris, stroke, or transient ischemic attack, congestive heart failure (NYHA, greater than II), left ventricular ejection fraction (LVEF) <50%, and with related heart disease. Patients with chronic or acute disease, psychological or psychiatric disorders, laboratory abnormalities which may affect subject compliance and outcomes in this clinical study; Patients with HIV, active hepatitis B (HBV DNA≥104 copies/ml) or active hepatitis C (HCV RNA≥103 copies/ml), etc.; Patients who have interstitial lung disease, such as interstitial pneumonia, pulmonary fibrosis, or CT or MRI reminder ILD. Patients with clinical symptoms, required clinical intervention or stable time less than 4 weeks of serous cavity effusion (such as pleural effusion and ascites); Patients with other primary malignancies; Pregnant or lactating women; Patients who were not willing to accept effective contraceptive measures during treatment and within 6 months after treatment; Subjects who are considered not suitable for the study by investigator.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
jianming xu, MD
Phone
+8613910866712
Email
jmxu2003@163.com
Facility Information:
Facility Name
The Fifth Medical Center of PLA General Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100071
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
jianming xu, MD
Phone
+8613910866712
Email
jmxu2003@163.com

12. IPD Sharing Statement

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Safety, Tolerability, Pharmacokinetics and Efficacy of SCT-I10A in Patients With Advanced Solid Tumors or Lymphoma

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