A Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of CN1
Primary Purpose
Advanced Solid Tumor, B Cell Lymphoma
Status
Completed
Phase
Phase 1
Locations
Austria
Study Type
Interventional
Intervention
CN1
Sponsored by
About this trial
This is an interventional treatment trial for Advanced Solid Tumor
Eligibility Criteria
Inclusion Criteria:
- Age ≥ 18 years and ≤ 75 years old, male or female;
- Subjects with histologically or cytologically diagnosed advanced malignant solid tumors or B-cell lymphoma who have failed on, or are intolerant to, standard therapy, for whom there are no standard of care regimens, or who are otherwise not eligible for standard therapy at this stage;
- Subjects with Eastern Cooperative Oncology Group (ECOG) performance score of 0-1;
- Females must be non-pregnant and non-lactating, and must use an acceptable, highly effective double contraception from screening until the end of the follow-up period.
- Subjects must be able to understand and sign the paper informed consent before any study specific procedure.
Exclusion Criteria:
- Received anti-tumor treatment such as radiotherapy, chemotherapy, biotherapy, endocrine therapy, immunotherapy, etc., within 4 weeks prior to the first dose of study drug.
- Received other investigational agents (not yet approved by any regulatory agency) within 4 weeks prior to the first dose of study drug;
- Major organ surgery (excluding puncture biopsy) or significant trauma within 4 weeks prior to the first dose of study drug;
Systemic application of corticosteroids (prednisone > 10 mg/day or equivalent) or other immunosuppressive agents within 14 days prior to the first dose of study drug;
- Exceptions: topical, ocular, intra-articular, intranasal, and inhaled corticosteroids, or short-term corticosteroids for prophylaxis (e.g., contrast allergy prophylaxis).
- Use of live attenuated vaccine within 4 weeks prior to the first dose of study drug;
- Clinically symptomatic metastases to the central nervous system or meninges, or other evidence of uncontrolled metastases to the central nervous system or meninges of the subject;
- Active infection and in current need of, or likely to need, intravenous anti-infective therapy;
- History of immunodeficiency, including history of any positive test result for human immunodeficiency virus (HIV) antibody;
- Active hepatitis B or hepatitis C virus infection.
- Subjects with active or previous autoimmune diseases (e.g. systemic lupus erythematosus, rheumatoid arthritis, vasculitis, etc.), except subjects with clinically stable autoimmune thyroid disease;
- Subjects with mental disorders or other conditions that pose high non-compliance risks in the opinion of the investigator;
Sites / Locations
- Mater Medical Centre
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Single Arm
Arm Description
Five planned CN1 dose levels of 0.03 mg/kg, 0.3 mg/kg, 1 mg/kg, 3 mg/kg, and 10 mg/kg. Subjects will receive CN1 by intravenous infusion (IV) on Day 1 (D1) of each cycle (once every 3 weeks per cycle).
Outcomes
Primary Outcome Measures
To determine dose-limiting toxicity (DLT), maximum tolerated dose (MTD), and/or recommended Phase II dose (RP2D) of CN1 administered to patients with advanced solid tumor or B-cell lymphoma.
DLT is measured in the observation period of 21 days after the first dose i.e. starting dose level 0.03 mg/kg. if the enrolled subject does not experience a study drug related Grade 2 or higher adverse event (AE) per NCI-Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0, the subject will start to receive the next designated dose level of 0.3 mg/kg in the second 21 days dosing cycle.
Secondary Outcome Measures
To assess the safety and tolerability of CN1 in patients with advanced solid tumor or B-cell lymphoma through Physical Exam
Measured by incidence of abnormal physical examination findings.
To assess the safety and tolerability of CN1 in patients with advanced solid tumor or B-cell lymphoma through Adverse Events/Serious Adverse Events
Measured by incidence of Adverse Events/Serious Adverse Events. All AEs will be summarized according to the Medical Dictionary for Regulatory Activities (MedDRA) v23.0 or higher and the severity will be categorized by CTCAE v5.0. The summary of all AEs will be focused on the treatment-emergent adverse events (TEAEs). A TEAE is defined as any AE that starts after the first dose of study drug till 90 +/- 7 days after the last dose of study drug.
To assess the pharmacokinetic (PK) profile of CN1 in patients with advanced solid tumor or B-cell lymphoma through Area under the plasma concentration-time curve
The following parameter is used for evaluation during PK assessments: Area under the plasma concentration-time curve (AUC0-t, AUC0- ∞, AUC0-τ)
To assess the pharmacokinetic (PK) profile of CN1 in patients with advanced solid tumor or B-cell lymphoma through Tmax
The following parameter is used for evaluation during PK assessments: Time to maximum (Tmax)
To assess the pharmacokinetic (PK) profile of CN1 in patients with advanced solid tumor or B-cell lymphoma through Apparent volume of distribution at steady state
The following parameter is used for evaluation during PK assessments: Apparent volume of distribution at steady state (Vss)
To assess the pharmacokinetic (PK) profile of CN1 in patients with advanced solid tumor or B-cell lymphoma through Accumulation factor based on AUC 0-τ
The following parameter is used for evaluation during PK assessments: Accumulation factor based on AUC 0-τ (R AUC0-τ)
To assess the immunogenicity to CN1 in patients with advanced solid tumor or B-cell lymphoma through ADA testing
A validated analysis method will be used for detection of anti-drug antibodies (ADA).
To explore the anti-tumor efficacy of CN1 in patients with advanced solid tumor or B-cell lymphoma through ORR analysis
Assessed by the number of participants with objective response (ORR)
To explore the anti-tumor efficacy of CN1 in patients with advanced solid tumor or B-cell lymphoma through DCR analysis.
Assessed by the number of participants with Disease Control (DCR)
To explore the anti-tumor efficacy of CN1 in patients with advanced solid tumor or B-cell lymphoma through DoR analysis.
Assessed by the number of participants with Duration of Response (DoR)
Full Information
NCT ID
NCT04418141
First Posted
May 13, 2020
Last Updated
October 15, 2021
Sponsor
Curon Biopharmaceutical (Australia) Co Pty Ltd
Collaborators
Novotech (Australia) Pty Limited
1. Study Identification
Unique Protocol Identification Number
NCT04418141
Brief Title
A Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of CN1
Official Title
A Phase I, Open Label, Multi-Center, Dose Escalation Clinical Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of CN1 in Patients With Advanced Solid Tumors or B-cell Lymphoma
Study Type
Interventional
2. Study Status
Record Verification Date
October 2021
Overall Recruitment Status
Completed
Study Start Date
July 2, 2020 (Actual)
Primary Completion Date
October 7, 2021 (Actual)
Study Completion Date
October 7, 2021 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Curon Biopharmaceutical (Australia) Co Pty Ltd
Collaborators
Novotech (Australia) Pty Limited
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 study is the first-in-human clinical trial of CN1 to evaluate the safety, tolerability, pharmacokinetic (PK) profile and preliminary efficacy of CN1 in patients with advanced solid tumors or B-cell lymphoma. This study will provide a basis for further clinical development of CN1.
Detailed Description
CN1 could promote T cell activation and cytokine secretion, thereby enhancing the function of CD4+ and CD8+ T cells, and could also regulate Treg cells, thus CN1 is considered to enhance the anti-tumor immune response and have potential antitumor activity.
In this multicenter, open-label, dose-escalation Phase I study six dose levels are planned. Participants will receive CN1 by IV infusion on Day 1 of each cycle (every 3 weeks). After completion of treatment cycles, the participant will be assessed by the Principal Investigator and/or Safety Monitoring Committee (SMC).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Advanced Solid Tumor, B Cell Lymphoma
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
13 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Single Arm
Arm Type
Experimental
Arm Description
Five planned CN1 dose levels of 0.03 mg/kg, 0.3 mg/kg, 1 mg/kg, 3 mg/kg, and 10 mg/kg.
Subjects will receive CN1 by intravenous infusion (IV) on Day 1 (D1) of each cycle (once every 3 weeks per cycle).
Intervention Type
Drug
Intervention Name(s)
CN1
Intervention Description
Participants will receive CN1 by IV infusion on Day 1 of each cycle (every 3 weeks). The 5 planned dose levels are 0.03 mg/kg, 0.3 mg/kg, 1 mg/kg, 3 mg/kg and 10 mg/kg.
Primary Outcome Measure Information:
Title
To determine dose-limiting toxicity (DLT), maximum tolerated dose (MTD), and/or recommended Phase II dose (RP2D) of CN1 administered to patients with advanced solid tumor or B-cell lymphoma.
Description
DLT is measured in the observation period of 21 days after the first dose i.e. starting dose level 0.03 mg/kg. if the enrolled subject does not experience a study drug related Grade 2 or higher adverse event (AE) per NCI-Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0, the subject will start to receive the next designated dose level of 0.3 mg/kg in the second 21 days dosing cycle.
Time Frame
21 Days after the first dose i.e. starting dose level 0.03 mg/kg
Secondary Outcome Measure Information:
Title
To assess the safety and tolerability of CN1 in patients with advanced solid tumor or B-cell lymphoma through Physical Exam
Description
Measured by incidence of abnormal physical examination findings.
Time Frame
From baseline(Week 1) to 90 days after the last dose
Title
To assess the safety and tolerability of CN1 in patients with advanced solid tumor or B-cell lymphoma through Adverse Events/Serious Adverse Events
Description
Measured by incidence of Adverse Events/Serious Adverse Events. All AEs will be summarized according to the Medical Dictionary for Regulatory Activities (MedDRA) v23.0 or higher and the severity will be categorized by CTCAE v5.0. The summary of all AEs will be focused on the treatment-emergent adverse events (TEAEs). A TEAE is defined as any AE that starts after the first dose of study drug till 90 +/- 7 days after the last dose of study drug.
Time Frame
From baseline(Week 1) to 90 days after the last dose
Title
To assess the pharmacokinetic (PK) profile of CN1 in patients with advanced solid tumor or B-cell lymphoma through Area under the plasma concentration-time curve
Description
The following parameter is used for evaluation during PK assessments: Area under the plasma concentration-time curve (AUC0-t, AUC0- ∞, AUC0-τ)
Time Frame
Measurement is through treatment completion starting from Week 1 up to End of Treatment, assessed up to an average of 10 weeks.
Title
To assess the pharmacokinetic (PK) profile of CN1 in patients with advanced solid tumor or B-cell lymphoma through Tmax
Description
The following parameter is used for evaluation during PK assessments: Time to maximum (Tmax)
Time Frame
Measurement is through treatment completion starting from Week 1 up to End of Treatment, assessed up to an average of 10 weeks.
Title
To assess the pharmacokinetic (PK) profile of CN1 in patients with advanced solid tumor or B-cell lymphoma through Apparent volume of distribution at steady state
Description
The following parameter is used for evaluation during PK assessments: Apparent volume of distribution at steady state (Vss)
Time Frame
Measurement is through treatment completion starting from Week 1 up to End of Treatment, assessed up to an average of 10 weeks.
Title
To assess the pharmacokinetic (PK) profile of CN1 in patients with advanced solid tumor or B-cell lymphoma through Accumulation factor based on AUC 0-τ
Description
The following parameter is used for evaluation during PK assessments: Accumulation factor based on AUC 0-τ (R AUC0-τ)
Time Frame
Measurement is through treatment completion starting from Week 1 up to End of Treatment, assessed up to an average of 10 weeks.
Title
To assess the immunogenicity to CN1 in patients with advanced solid tumor or B-cell lymphoma through ADA testing
Description
A validated analysis method will be used for detection of anti-drug antibodies (ADA).
Time Frame
Measurement is through treatment completion starting from Week 1 up to End of Treatment, assessed up to an average of 10 weeks.
Title
To explore the anti-tumor efficacy of CN1 in patients with advanced solid tumor or B-cell lymphoma through ORR analysis
Description
Assessed by the number of participants with objective response (ORR)
Time Frame
Measurement is from Week 1, until the 90 days after the last dose, date of first documented progression or unacceptable toxicity, withdrawal of consent, subject being lost to follow-up, or death, whichever occurs first.
Title
To explore the anti-tumor efficacy of CN1 in patients with advanced solid tumor or B-cell lymphoma through DCR analysis.
Description
Assessed by the number of participants with Disease Control (DCR)
Time Frame
Measurement is from Week 1, until the 90 days after the last dose, date of first documented progression or unacceptable toxicity, withdrawal of consent, subject being lost to follow-up, or death, whichever occurs first.
Title
To explore the anti-tumor efficacy of CN1 in patients with advanced solid tumor or B-cell lymphoma through DoR analysis.
Description
Assessed by the number of participants with Duration of Response (DoR)
Time Frame
Measurement is from Week 1, until the 90 days after the last dose, date of first documented progression or unacceptable toxicity, withdrawal of consent, subject being lost to follow-up, or death, whichever occurs first.
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:
Age ≥ 18 years and ≤ 75 years old, male or female;
Subjects with histologically or cytologically diagnosed advanced malignant solid tumors or B-cell lymphoma who have failed on, or are intolerant to, standard therapy, for whom there are no standard of care regimens, or who are otherwise not eligible for standard therapy at this stage;
Subjects with Eastern Cooperative Oncology Group (ECOG) performance score of 0-1;
Females must be non-pregnant and non-lactating, and must use an acceptable, highly effective double contraception from screening until the end of the follow-up period.
Subjects must be able to understand and sign the paper informed consent before any study specific procedure.
Exclusion Criteria:
Received anti-tumor treatment such as radiotherapy, chemotherapy, biotherapy, endocrine therapy, immunotherapy, etc., within 4 weeks prior to the first dose of study drug.
Received other investigational agents (not yet approved by any regulatory agency) within 4 weeks prior to the first dose of study drug;
Major organ surgery (excluding puncture biopsy) or significant trauma within 4 weeks prior to the first dose of study drug;
Systemic application of corticosteroids (prednisone > 10 mg/day or equivalent) or other immunosuppressive agents within 14 days prior to the first dose of study drug;
Exceptions: topical, ocular, intra-articular, intranasal, and inhaled corticosteroids, or short-term corticosteroids for prophylaxis (e.g., contrast allergy prophylaxis).
Use of live attenuated vaccine within 4 weeks prior to the first dose of study drug;
Clinically symptomatic metastases to the central nervous system or meninges, or other evidence of uncontrolled metastases to the central nervous system or meninges of the subject;
Active infection and in current need of, or likely to need, intravenous anti-infective therapy;
History of immunodeficiency, including history of any positive test result for human immunodeficiency virus (HIV) antibody;
Active hepatitis B or hepatitis C virus infection.
Subjects with active or previous autoimmune diseases (e.g. systemic lupus erythematosus, rheumatoid arthritis, vasculitis, etc.), except subjects with clinically stable autoimmune thyroid disease;
Subjects with mental disorders or other conditions that pose high non-compliance risks in the opinion of the investigator;
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
John Park
Organizational Affiliation
Macquarie University Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Jim Coward
Organizational Affiliation
Icon Cancer Centre (Brisbane)
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Daniel Brungs
Organizational Affiliation
Illawarra Cancer Care Centre (Wollongong)
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Gary Richardson
Organizational Affiliation
Cabrini Hospital (Melbourne)
Official's Role
Principal Investigator
Facility Information:
Facility Name
Mater Medical Centre
City
Brisbane
State/Province
Queensland
ZIP/Postal Code
4101
Country
Austria
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
A Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of CN1
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