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A Clinical Trial to Assess the Efficacy and Safety of JMT103 in Patients With Refractory HCM

Primary Purpose

Hypercalcemia of Malignancy

Status
Unknown status
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
JMT103
Sponsored by
Shanghai JMT-Bio Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hypercalcemia of Malignancy

Eligibility Criteria

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

Inclusion Criteria:

  1. Fully informed and signed informed consent.
  2. Male or female, Adults (>/=18 years).
  3. Hypercalcemia of Malignancy (HCM) as defined as documented histologically or cytologically confirmed cancer and a corrected serum calcium (CSC) > 12.5 mg/dL (3.1 mmol /L).
  4. Last IV bisphosphonate treatment must be >/= 7 days and </= 30 days before the screening corrected serum calcium; or Last hydration therapy must be >/= 24 hours before the screening corrected serum calcium(Incompatible bisphosphonate).
  5. Adequate organ function.

Exclusion Criteria:

  1. Pregnancy.
  2. Hyperparathyroidism, or other granulomatous disease.
  3. Hepatitis b surface antigen positive.
  4. Hepatitis c antibody positive, or HIV antibody positive.
  5. Receiving dialysis for renal failure.
  6. Known sensitivity to JMT103 composition.
  7. Treatment with thiazides, calcitonin, mithramycin, or gallium nitrate within their window of expected therapeutic effect (as determined by the physician) prior to the date of screening CSC.
  8. Treatment with cinacalcet within 4 weeks prior to the date of screening CSC.
  9. Currently participating another clinical study,or Four weeks or less since receiving an investigational product in another clinical study.
  10. In the opinion of the investigator , being unsuitable for inclusion in the study,or subjects withdraw informed consent.
  11. Treatment with monoclonal antibody to RANK ligand (RANKL) within 180 days prior to the date of the screening CSC.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    JMT103

    Arm Description

    Eligible subjects will receive JMT103 at a dose of 2 mg/kg subcutaneously (SC) every 4 weeks (Q4W) with a loading dose of 2 mg/kg SC on study days 8 and 15.

    Outcomes

    Primary Outcome Measures

    Percentage of Participants With corrected serum calcium (CSC) ≤ 11.5 mg/dL Within 10 Days after First Dose of JMT103
    Percentage of Participants With corrected serum calcium (CSC) ≤ 11.5 mg/dL Within 10 Days after First Dose of JMT103

    Secondary Outcome Measures

    Percentage of Participants With corrected serum calcium (CSC) ≤ 11.5 mg/dL(2.9 mmol/L) by each visit.
    Percentage of Participants With corrected serum calcium (CSC) ≤ 11.5 mg/dL(2.9 mmol/L) by each visit.
    Percentage of Participants With corrected serum calcium (CSC) ≤ 10.8 mg/dL(2.7 mmol/L) by each visit.
    Percentage of Participants With corrected serum calcium (CSC) ≤ 10.8 mg/dL(2.7 mmol/L) by each visit.
    Time to Response
    Time to Response
    Time to Complete Response
    Time to Complete Response
    Duration of Response
    Duration of Response
    Change in Corrected Serum Calcium (CSC)
    Change in Corrected Serum Calcium (CSC)
    Change in urine N-telopeptide/urine creatinine (uNTx/uCr)
    Change in urine N-telopeptide/urine creatinine (uNTx/uCr)

    Full Information

    First Posted
    November 27, 2019
    Last Updated
    December 11, 2019
    Sponsor
    Shanghai JMT-Bio Inc.
    Collaborators
    CSPC ZhongQi Pharmaceutical Technology Co., Ltd.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04198480
    Brief Title
    A Clinical Trial to Assess the Efficacy and Safety of JMT103 in Patients With Refractory HCM
    Official Title
    A Phase I/II, Single Arm, Open Label, Multi-center Clinical Trial to Assess the Efficacy and Safety of JMT103 in Patients With Refractory Hypercalcemia of Malignancy
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    November 2019
    Overall Recruitment Status
    Unknown status
    Study Start Date
    January 24, 2020 (Anticipated)
    Primary Completion Date
    July 30, 2021 (Anticipated)
    Study Completion Date
    December 31, 2021 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Shanghai JMT-Bio Inc.
    Collaborators
    CSPC ZhongQi Pharmaceutical Technology 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
    The purpose of this study is to determine the potential of JMT103 to treat hypercalcemia of malignancy in patients with elevated serum calcium who do not respond to recent treatment with intravenous bisphosphonates.
    Detailed Description
    This is a Phase I/II, Single arm, Open Label, Multi-center Clinical Trial to Assess the Efficacy and Safety of JMT103 in Patients With refractory Hypercalcemia of Malignancy.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Hypercalcemia of Malignancy

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1, Phase 2
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    17 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    JMT103
    Arm Type
    Experimental
    Arm Description
    Eligible subjects will receive JMT103 at a dose of 2 mg/kg subcutaneously (SC) every 4 weeks (Q4W) with a loading dose of 2 mg/kg SC on study days 8 and 15.
    Intervention Type
    Drug
    Intervention Name(s)
    JMT103
    Intervention Description
    2 mg/kg subcutaneously (SC) every 4 weeks with a loading dose of 2 mg/kg SC on study days 8 and 15.
    Primary Outcome Measure Information:
    Title
    Percentage of Participants With corrected serum calcium (CSC) ≤ 11.5 mg/dL Within 10 Days after First Dose of JMT103
    Description
    Percentage of Participants With corrected serum calcium (CSC) ≤ 11.5 mg/dL Within 10 Days after First Dose of JMT103
    Time Frame
    10 Days after First Dose of JMT103
    Secondary Outcome Measure Information:
    Title
    Percentage of Participants With corrected serum calcium (CSC) ≤ 11.5 mg/dL(2.9 mmol/L) by each visit.
    Description
    Percentage of Participants With corrected serum calcium (CSC) ≤ 11.5 mg/dL(2.9 mmol/L) by each visit.
    Time Frame
    through study completion, an average of 57 Days
    Title
    Percentage of Participants With corrected serum calcium (CSC) ≤ 10.8 mg/dL(2.7 mmol/L) by each visit.
    Description
    Percentage of Participants With corrected serum calcium (CSC) ≤ 10.8 mg/dL(2.7 mmol/L) by each visit.
    Time Frame
    through study completion, an average of 57 Days
    Title
    Time to Response
    Description
    Time to Response
    Time Frame
    through study completion, an average of 57 Days
    Title
    Time to Complete Response
    Description
    Time to Complete Response
    Time Frame
    through study completion, an average of 57 Days
    Title
    Duration of Response
    Description
    Duration of Response
    Time Frame
    through study completion, an average of 57 Days
    Title
    Change in Corrected Serum Calcium (CSC)
    Description
    Change in Corrected Serum Calcium (CSC)
    Time Frame
    through study completion, an average of 57 Days
    Title
    Change in urine N-telopeptide/urine creatinine (uNTx/uCr)
    Description
    Change in urine N-telopeptide/urine creatinine (uNTx/uCr)
    Time Frame
    through study completion, an average of 57 Days

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Fully informed and signed informed consent. Male or female, Adults (>/=18 years). Hypercalcemia of Malignancy (HCM) as defined as documented histologically or cytologically confirmed cancer and a corrected serum calcium (CSC) > 12.5 mg/dL (3.1 mmol /L). Last IV bisphosphonate treatment must be >/= 7 days and </= 30 days before the screening corrected serum calcium; or Last hydration therapy must be >/= 24 hours before the screening corrected serum calcium(Incompatible bisphosphonate). Adequate organ function. Exclusion Criteria: Pregnancy. Hyperparathyroidism, or other granulomatous disease. Hepatitis b surface antigen positive. Hepatitis c antibody positive, or HIV antibody positive. Receiving dialysis for renal failure. Known sensitivity to JMT103 composition. Treatment with thiazides, calcitonin, mithramycin, or gallium nitrate within their window of expected therapeutic effect (as determined by the physician) prior to the date of screening CSC. Treatment with cinacalcet within 4 weeks prior to the date of screening CSC. Currently participating another clinical study,or Four weeks or less since receiving an investigational product in another clinical study. In the opinion of the investigator , being unsuitable for inclusion in the study,or subjects withdraw informed consent. Treatment with monoclonal antibody to RANK ligand (RANKL) within 180 days prior to the date of the screening CSC.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    XIUGAO YANG
    Phone
    +86-13811660565
    Email
    yangxiugao@mail.ecspc.com
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Jin LI, PHD
    Organizational Affiliation
    Shanghai East Hospital
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

    A Clinical Trial to Assess the Efficacy and Safety of JMT103 in Patients With Refractory HCM

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