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Phase 1 Trial of the TQB2928 Injection in Patients With Advanced Cancers

Primary Purpose

Advanced Solid Tumors and Hematological Malignancies

Status
Unknown status
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
TQB2928 Injection
Sponsored by
Chia Tai Tianqing Pharmaceutical Group Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Advanced Solid Tumors and Hematological Malignancies

Eligibility Criteria

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

Inclusion Criteria:

  • 1. Evidence of a personally signed and dated informed consent document indicating that the patient has been informed of all pertinent aspects of the study.

    2. Histologically or cytologically confirmed, locally advanced unresectable or metastatic solid tumors, or hematological malignancies, or lymphoma.

    3. Solid tumors or hematological malignancies that failed from standard therapy, or lymphoma patients who have had at least two regimens of systemic therapy failures, or who refused other systemic therapy.

    4. At least 1 measurable lesion according to tumor-appropriate response criteria.

    5. Must have adequate organ and bone marrow function. 6. Resolved acute effects of any prior therapy to baseline severity or Grade ≤1 per CTCAE v5.0 except for AEs not constituting a safety risk by investigator judgment.

    7. Serum pregnancy test (for females of childbearing potential) negative within 7 days before enrollment.

    8. Male and female patients of childbearing potential and at risk for pregnancy must agree to use two highly effective method(s) of contraception throughout the study and for at least 90 days (180 days if required by local regulation) after the last dose of assigned treatment.

    9. Willingness and ability to comply with the study scheduled visits, treatment plans, laboratory tests and other procedures.

Exclusion Criteria:

  • 1. Patients with known symptomatic brain metastases requiring steroids. 2. Concurrent secondary malignancy. 3. Uncontrolled pleural effusion or pericardial effusion with clinical significance and requiring repeated drainage as assessed by the Investigators.

    4. Prior treatment with monospecific or bispecific antibodies or fusion proteins targeting CD47 or signal regulatory protein alpha (SIRPα).

    5. Therapeutic or experimental monoclonal antibodies within 28 days prior to enrollment.

    6. Immunosuppressive regimens involving systemic corticosteroids (except <10 mg daily prednisone equivalent) within 14 days before the first dose of study treatment.

    7. Prior allogeneic hematopoietic stem cell transplant. 8. Major surgical procedure, laparoscopic procedure, open biopsy or significant traumatic injury within 28 days prior to enrollment.

    9. RBC transfusion dependence, defined as requiring more than 2 units of RBC transfusions during the 4-week period prior to screening. RBC transfusions are permitted during screening and prior to enrollment to meet the hemoglobin inclusion criteria.

    10. Vaccination within 4 weeks prior to enrollment except for administration of inactivated vaccines (for example, inactivated influenza vaccines) 11. Active and clinically significant bacterial, fungal or viral infection including tuberculosis, hepatitis B (HBV), hepatitis C (HCV), known human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS)-related illness.

    12. History of hemolytic anemia or Evans syndrome within 3 months. 13. Autoimmune hemolytic anemia (AIHA) assessed by Positive Direct Antiglobulin Test (DAT).

    14. Autoimmune disorders (e.g., Crohn's Disease, rheumatoid arthritis, scleroderma, systemic lupus erythematosus) and other diseases that compromise or impair the immune system.

    15. Unstable or serious concurrent medical conditions in the previous 6 months. 16. Significant medical diseases or conditions, as assessed by the Investigators, that would substantially increase the risk-benefit ratio of participating in the study.

    17. Other severe acute or chronic medical or psychiatric condition, including recent (within the past year) or active suicidal ideation or behavior, or laboratory abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the patient inappropriate for entry into this study.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    TQB2928 injection

    Arm Description

    Dose Escalation: intravenous (IV) infusion of TQB2928 as monotherapy

    Outcomes

    Primary Outcome Measures

    Dose Limiting Toxicities (DLTs)
    DLTs will be assessed during the first 28 days of treatment for dose-escalation and are defined as toxicities that meet pre-defined severity criteria, and assessed as having a suspected relationship to study drug, and unrelated to disease, disease progression, inter-current illness, or concomitant medications that occurs within the first cycle (28 days) of treatment.
    Maximum tolerated dose (MTD)
    MTD is defined as the highest dosing schedule cohort level at which no more than 1 of 6 patients experience a Dose Limiting Toxicity (DLT).

    Secondary Outcome Measures

    Number of patients with adverse events (AEs) and serious adverse events (SAEs)
    Assessed by CTCAE v5.0
    Pharmacokinetics: Cmax
    Maximum observed concentration (Cmax) of TQB2928 after administration
    Pharmacokinetics: Cmin
    Minimum observed concentration (Cmin) of TQB2928 at steady state
    Pharmacokinetics: Tmax
    Time to maximum concentration (Tmax)
    Pharmacokinetics: AUC
    The area under the curve (AUC) of serum concentration of TQB2928
    Pharmacokinetics: T1/2
    Terminal half-life (T1/2)
    Percentage of ADA positive patients
    Number of patients who develop detectable anti-drug antibody (ADA), and percentage of ADA positive patients will be calculated to evaluate immunogenicity of TQB2928.
    Objective Response Rate (ORR)
    Defined as the percentage of Complete Response (CR) plus partial response (PR) assessed by iRECIST v1.1 criteria for solid tumors, Lugano2014 criteria and lymphoma response to immunomodulatory therapy criteria (LYRIC) for lymphoma, and AML IWG 2003 response criteria for acute myeloid leukemia (AML).
    Disease control rate (DCR)
    Defined as the proportion of subjects with CR, PR, or SD.
    Duration of Response (DOR)
    Defined as the time from first documented response to documented disease progression.
    Progression-free survival (PFS)
    Defined as the time from the first dose of TQB2928 to the first occurrence of disease progression or death from any cause.

    Full Information

    First Posted
    April 21, 2021
    Last Updated
    April 21, 2021
    Sponsor
    Chia Tai Tianqing Pharmaceutical Group Co., Ltd.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04854681
    Brief Title
    Phase 1 Trial of the TQB2928 Injection in Patients With Advanced Cancers
    Official Title
    A Phase 1 Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of TQB2928 Injection in Patients With Advanced Solid Tumors or Hematological Malignancies
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    April 2021
    Overall Recruitment Status
    Unknown status
    Study Start Date
    August 1, 2021 (Anticipated)
    Primary Completion Date
    July 1, 2022 (Anticipated)
    Study Completion Date
    December 1, 2022 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Chia Tai Tianqing Pharmaceutical Group Co., Ltd.

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No

    5. Study Description

    Brief Summary
    TQB2928 is a promising new molecular entity that mediates blockade of CD47 and SIRPα and enhances the phagocytosis of cancer cells by macrophages. In preclinical in vivo models, TQB2928 was active against a wide range of solid tumors and hematologic malignancies. This is the first-in-human phase 1 trial of TQB2928 in patients with advanced solid tumors and hematological malignancies.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Advanced Solid Tumors and Hematological Malignancies

    7. Study Design

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

    8. Arms, Groups, and Interventions

    Arm Title
    TQB2928 injection
    Arm Type
    Experimental
    Arm Description
    Dose Escalation: intravenous (IV) infusion of TQB2928 as monotherapy
    Intervention Type
    Drug
    Intervention Name(s)
    TQB2928 Injection
    Intervention Description
    4 weekly IV infusions (Days 1, 8, 15, and 22) of TQB2928 in each 28-day treatment cycle until unacceptable toxicity, documentation of confirmed progressive disease (PD), or subject withdrawal.
    Primary Outcome Measure Information:
    Title
    Dose Limiting Toxicities (DLTs)
    Description
    DLTs will be assessed during the first 28 days of treatment for dose-escalation and are defined as toxicities that meet pre-defined severity criteria, and assessed as having a suspected relationship to study drug, and unrelated to disease, disease progression, inter-current illness, or concomitant medications that occurs within the first cycle (28 days) of treatment.
    Time Frame
    During the first 28 days
    Title
    Maximum tolerated dose (MTD)
    Description
    MTD is defined as the highest dosing schedule cohort level at which no more than 1 of 6 patients experience a Dose Limiting Toxicity (DLT).
    Time Frame
    During the first 28 days
    Secondary Outcome Measure Information:
    Title
    Number of patients with adverse events (AEs) and serious adverse events (SAEs)
    Description
    Assessed by CTCAE v5.0
    Time Frame
    From the time of informed consent signed through 90 days after the last dose
    Title
    Pharmacokinetics: Cmax
    Description
    Maximum observed concentration (Cmax) of TQB2928 after administration
    Time Frame
    From the time of informed consent signed through 90 days after the last dose
    Title
    Pharmacokinetics: Cmin
    Description
    Minimum observed concentration (Cmin) of TQB2928 at steady state
    Time Frame
    From the time of informed consent signed through 90 days after the last dose
    Title
    Pharmacokinetics: Tmax
    Description
    Time to maximum concentration (Tmax)
    Time Frame
    From the time of informed consent signed through 90 days after the last dose
    Title
    Pharmacokinetics: AUC
    Description
    The area under the curve (AUC) of serum concentration of TQB2928
    Time Frame
    From the time of informed consent signed through 90 days after the last dose
    Title
    Pharmacokinetics: T1/2
    Description
    Terminal half-life (T1/2)
    Time Frame
    From the time of informed consent signed through 90 days after the last dose
    Title
    Percentage of ADA positive patients
    Description
    Number of patients who develop detectable anti-drug antibody (ADA), and percentage of ADA positive patients will be calculated to evaluate immunogenicity of TQB2928.
    Time Frame
    From the time of informed consent signed through 90 days after the last dose
    Title
    Objective Response Rate (ORR)
    Description
    Defined as the percentage of Complete Response (CR) plus partial response (PR) assessed by iRECIST v1.1 criteria for solid tumors, Lugano2014 criteria and lymphoma response to immunomodulatory therapy criteria (LYRIC) for lymphoma, and AML IWG 2003 response criteria for acute myeloid leukemia (AML).
    Time Frame
    up to 2 years
    Title
    Disease control rate (DCR)
    Description
    Defined as the proportion of subjects with CR, PR, or SD.
    Time Frame
    up to 2 years
    Title
    Duration of Response (DOR)
    Description
    Defined as the time from first documented response to documented disease progression.
    Time Frame
    up to 2 years
    Title
    Progression-free survival (PFS)
    Description
    Defined as the time from the first dose of TQB2928 to the first occurrence of disease progression or death from any cause.
    Time Frame
    up to 2 years

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: 1. Evidence of a personally signed and dated informed consent document indicating that the patient has been informed of all pertinent aspects of the study. 2. Histologically or cytologically confirmed, locally advanced unresectable or metastatic solid tumors, or hematological malignancies, or lymphoma. 3. Solid tumors or hematological malignancies that failed from standard therapy, or lymphoma patients who have had at least two regimens of systemic therapy failures, or who refused other systemic therapy. 4. At least 1 measurable lesion according to tumor-appropriate response criteria. 5. Must have adequate organ and bone marrow function. 6. Resolved acute effects of any prior therapy to baseline severity or Grade ≤1 per CTCAE v5.0 except for AEs not constituting a safety risk by investigator judgment. 7. Serum pregnancy test (for females of childbearing potential) negative within 7 days before enrollment. 8. Male and female patients of childbearing potential and at risk for pregnancy must agree to use two highly effective method(s) of contraception throughout the study and for at least 90 days (180 days if required by local regulation) after the last dose of assigned treatment. 9. Willingness and ability to comply with the study scheduled visits, treatment plans, laboratory tests and other procedures. Exclusion Criteria: 1. Patients with known symptomatic brain metastases requiring steroids. 2. Concurrent secondary malignancy. 3. Uncontrolled pleural effusion or pericardial effusion with clinical significance and requiring repeated drainage as assessed by the Investigators. 4. Prior treatment with monospecific or bispecific antibodies or fusion proteins targeting CD47 or signal regulatory protein alpha (SIRPα). 5. Therapeutic or experimental monoclonal antibodies within 28 days prior to enrollment. 6. Immunosuppressive regimens involving systemic corticosteroids (except <10 mg daily prednisone equivalent) within 14 days before the first dose of study treatment. 7. Prior allogeneic hematopoietic stem cell transplant. 8. Major surgical procedure, laparoscopic procedure, open biopsy or significant traumatic injury within 28 days prior to enrollment. 9. RBC transfusion dependence, defined as requiring more than 2 units of RBC transfusions during the 4-week period prior to screening. RBC transfusions are permitted during screening and prior to enrollment to meet the hemoglobin inclusion criteria. 10. Vaccination within 4 weeks prior to enrollment except for administration of inactivated vaccines (for example, inactivated influenza vaccines) 11. Active and clinically significant bacterial, fungal or viral infection including tuberculosis, hepatitis B (HBV), hepatitis C (HCV), known human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS)-related illness. 12. History of hemolytic anemia or Evans syndrome within 3 months. 13. Autoimmune hemolytic anemia (AIHA) assessed by Positive Direct Antiglobulin Test (DAT). 14. Autoimmune disorders (e.g., Crohn's Disease, rheumatoid arthritis, scleroderma, systemic lupus erythematosus) and other diseases that compromise or impair the immune system. 15. Unstable or serious concurrent medical conditions in the previous 6 months. 16. Significant medical diseases or conditions, as assessed by the Investigators, that would substantially increase the risk-benefit ratio of participating in the study. 17. Other severe acute or chronic medical or psychiatric condition, including recent (within the past year) or active suicidal ideation or behavior, or laboratory abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the patient inappropriate for entry into this study.

    12. IPD Sharing Statement

    Learn more about this trial

    Phase 1 Trial of the TQB2928 Injection in Patients With Advanced Cancers

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