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A Study to Evaluate the Safety and Efficacy of PLM60 in Advanced HCC

Primary Purpose

Advanced Hepatocellular Carcinoma

Status
Unknown status
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
Liposome-entrapped Mitoxantrone Hydrochloride Injection
Sponsored by
CSPC ZhongQi Pharmaceutical Technology Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Advanced Hepatocellular Carcinoma

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Signed informed consent from the patient;
  • ECOG performance status of 0 or 1;
  • Histologically/cytologically confirmed diagnosis of advanced HCC;
  • Adequate washout period for previous anti-tumor therapy;
  • Measurable disease according to RECIST v1.1;
  • Life expectancy ≥ 12 weeks;
  • Adequate organ function;
  • Child-Pugh grade A or partial grade B; BCLC stage B or C;V

Exclusion Criteria:

  • Prior treatment with Mitoxantrone or Liposome-entrapped Mitoxantrone, or other anthracyclines, with the total cumulative dose of > 360 mg/m2 ;
  • Any drug-related adverse event derived from any previous anti-tumor treatment, excluding alopecia, Pigmentation, or other toxicity with little safety risk for subjects, that has not recovered to grade1 or less;
  • Active central nervous system (CNS) metastases (brain or leptomeningeal metastases, etc.);
  • Any history of other malignancy within 5 years;
  • Untreated hepatitis infection;
  • HIV positive;
  • History of liver transplantation, severe cirrhosis, hepatic encephalopathy;
  • Inadequate cardiac function;
  • Pregnant or lactating women.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    PLM60

    Arm Description

    Three dose levels will be tested according to the "3 + 3" dose-escalation design.The dose-limiting toxicity (DLT) will be assessed from the first administration of PLM60 to the end of the first cycle (28 days).

    Outcomes

    Primary Outcome Measures

    Dose-limited toxicity (DLT)
    To identify the dose-limited toxicity (DLT).
    Maximum tolerated dose (MTD)
    To identify the maximum tolerated dose (MTD).
    Recommended Phase II Dose (RP2D)
    To identify the Recommended Phase II Dose (RP2D)

    Secondary Outcome Measures

    Area under the plasma concentration versus time curve (AUC)
    To preliminarily evaluate the AUC in patients with advanced HCC.
    Peak Plasma Concentration (Cmax)
    To preliminarily evaluate Cmax in patients with advanced HCC.
    Time of peak plasma concentration (Tmax)
    To preliminarily evaluate Tmax in patients with advanced HCC.
    Median overall survival (OS)
    To preliminarily evaluate ORR in patients with advanced HCC.
    Median progression free survival (PFS)
    To preliminarily evaluate PFS in patients with advanced HCC.
    Overall response rate (ORR)
    To preliminarily evaluate ORR in patients with advanced HCC.
    Duration of Response (DoR)
    To preliminarily evaluate DoR in patients with advanced HCC.

    Full Information

    First Posted
    March 12, 2020
    Last Updated
    June 14, 2021
    Sponsor
    CSPC ZhongQi Pharmaceutical Technology Co., Ltd.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04331743
    Brief Title
    A Study to Evaluate the Safety and Efficacy of PLM60 in Advanced HCC
    Official Title
    A Single-arm, Open-label, Single-center Phase Ib Study to Evaluate the Safety and Efficacy of Liposome-entrapped Mitoxantrone Hydrochloride Injection (PLM60) in Advanced Hepatocellular Carcinoma (HCC)
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    June 2021
    Overall Recruitment Status
    Unknown status
    Study Start Date
    June 5, 2021 (Anticipated)
    Primary Completion Date
    May 15, 2023 (Anticipated)
    Study Completion Date
    June 1, 2023 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    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
    This is a dose escalation study based on 3+3 design with the aim to establish MTD and provide RP2D. PLM60 is to administered by multi-cycle intravenous infusion.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Advanced Hepatocellular Carcinoma

    7. Study Design

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

    8. Arms, Groups, and Interventions

    Arm Title
    PLM60
    Arm Type
    Experimental
    Arm Description
    Three dose levels will be tested according to the "3 + 3" dose-escalation design.The dose-limiting toxicity (DLT) will be assessed from the first administration of PLM60 to the end of the first cycle (28 days).
    Intervention Type
    Drug
    Intervention Name(s)
    Liposome-entrapped Mitoxantrone Hydrochloride Injection
    Other Intervention Name(s)
    PLM60
    Intervention Description
    Intravenous infusion
    Primary Outcome Measure Information:
    Title
    Dose-limited toxicity (DLT)
    Description
    To identify the dose-limited toxicity (DLT).
    Time Frame
    1year
    Title
    Maximum tolerated dose (MTD)
    Description
    To identify the maximum tolerated dose (MTD).
    Time Frame
    1 year
    Title
    Recommended Phase II Dose (RP2D)
    Description
    To identify the Recommended Phase II Dose (RP2D)
    Time Frame
    1 year
    Secondary Outcome Measure Information:
    Title
    Area under the plasma concentration versus time curve (AUC)
    Description
    To preliminarily evaluate the AUC in patients with advanced HCC.
    Time Frame
    2 years
    Title
    Peak Plasma Concentration (Cmax)
    Description
    To preliminarily evaluate Cmax in patients with advanced HCC.
    Time Frame
    2 years
    Title
    Time of peak plasma concentration (Tmax)
    Description
    To preliminarily evaluate Tmax in patients with advanced HCC.
    Time Frame
    2 years
    Title
    Median overall survival (OS)
    Description
    To preliminarily evaluate ORR in patients with advanced HCC.
    Time Frame
    2 years
    Title
    Median progression free survival (PFS)
    Description
    To preliminarily evaluate PFS in patients with advanced HCC.
    Time Frame
    2 years
    Title
    Overall response rate (ORR)
    Description
    To preliminarily evaluate ORR in patients with advanced HCC.
    Time Frame
    2 years
    Title
    Duration of Response (DoR)
    Description
    To preliminarily evaluate DoR in patients with advanced HCC.
    Time Frame
    2 years

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    70 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Signed informed consent from the patient; ECOG performance status of 0 or 1; Histologically/cytologically confirmed diagnosis of advanced HCC; Adequate washout period for previous anti-tumor therapy; Measurable disease according to RECIST v1.1; Life expectancy ≥ 12 weeks; Adequate organ function; Child-Pugh grade A or partial grade B; BCLC stage B or C;V Exclusion Criteria: Prior treatment with Mitoxantrone or Liposome-entrapped Mitoxantrone, or other anthracyclines, with the total cumulative dose of > 360 mg/m2 ; Any drug-related adverse event derived from any previous anti-tumor treatment, excluding alopecia, Pigmentation, or other toxicity with little safety risk for subjects, that has not recovered to grade1 or less; Active central nervous system (CNS) metastases (brain or leptomeningeal metastases, etc.); Any history of other malignancy within 5 years; Untreated hepatitis infection; HIV positive; History of liver transplantation, severe cirrhosis, hepatic encephalopathy; Inadequate cardiac function; Pregnant or lactating women.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Kun Lou
    Phone
    0311-67808817
    Email
    loukun@mail.ecspc.com
    First Name & Middle Initial & Last Name or Official Title & Degree
    Xuefang Xia
    Phone
    010-63930702
    Email
    xiaxuefang@mail.ecspc.com

    12. IPD Sharing Statement

    Plan to Share IPD
    Undecided

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    A Study to Evaluate the Safety and Efficacy of PLM60 in Advanced HCC

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