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A Study of CS5001 in Patients With Advanced Solid Tumors and Lymphomas

Primary Purpose

Advanced Solid Tumor, Advanced Lymphoma

Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
CS5001
Sponsored by
CStone Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Advanced Solid Tumor

Eligibility Criteria

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

Inclusion Criteria:

  • For solid tumor patients of dose escalation, they must have pathologically confirmed, unresectable advanced solid tumor with disease progression on or after at least 1 line of prior systemic therapy.
  • For Lymphoma patients of dose escalation, they must have pathologically confirmed Hodgkin and non-Hodgkin B-cell lymphoma as defined per 2016 World Health Organization(WHO) classification, with disease progression on or after at least 2 lines of prior systemic therapy.
  • For dose expansion, pathologically confirmed Mantle Cell Lymphoma(MCL, following at least two prior lines of systemic therapy including Bruton Tyrosine Kinase inhibitors), Diffuse Large B Cell Lymphoma(DLBCL, following at least two prior lines of systemic therapies), and Triple Negative Breast Cancer(TNBC, following at least 2 lines of systemic therapy for advanced disease) will be enrolled.
  • For dose escalation, with at least one evaluable lesion as defined per Response Evaluation Criteria in Solid Tumours(RECIST) v1.1 solid tumor or per 2014 Lugano Classification Criteria for lymphoma, respectively. For dose expansion, with at least one measurable lesion as defined per RECIST v1.1 solid tumor or per 2014 Lugano Classification Criteria for lymphoma, respectively.
  • Life expectancy > 3 months.
  • Eastern Cooperative Oncology Group(ECOG) performance status 0 or 1.
  • Have adequate organ function.
  • Is willing to provide tumor tissue and control blood sample.
  • Female subjects of childbearing potential must have a negative serum pregnancy test.
  • Both male and female subjects must be willing to use adequate contraception.

Exclusion Criteria:

  • Has disease that is suitable for local treatment administered with curative intent. For lymphoma, candidacy for hematopoietic stem cell transplantation based on the Investigator's judgment.
  • Has a history of a second malignancy active within the previous 3 years except for locally curable cancers that have been apparently cured.
  • For dose expansion: Participation in other studies involving therapies targeting ROR1 prior to study entry and/or during study participation.
  • Has known central nervous system (CNS) lymphoma or solid tumor CNS metastasis that is either symptomatic, untreated, or requires therapy.
  • Has other acute or chronic medical or psychiatric conditions.
  • Has a diagnosis of immunodeficiency, or has an active autoimmune disease or other conditions that require systemic steroid therapy.
  • Has peripheral edema, pericardial effusion, or ascites indicated for medical intervention or limiting activity of daily life. Or with a known history of peripheral vasculopathies.
  • Patients with any active infections requiring systemic therapy within 2 weeks prior to the administration of the first dose of the study drug.
  • Patients known to be human immunodeficiency virus (HIV)-positive or have acquired immune deficiency syndrome (AIDS).
  • Significant cardiovascular disease within 6 months prior to the first dose of the study drug.
  • Significant screening electrocardiogram (ECG) abnormalities.
  • Has received major surgery, chemotherapy, definitive radiotherapy, target therapy, immunotherapy, or other anti-cancer therapy within 21 days prior to the administration of the first dose of the study drug.
  • Administration of a live vaccine within 28 days prior to the administration of the first dose of the study drug.
  • Has active graft versus host disease.
  • With known active alcohol or drug abuse.
  • Women who are pregnant or breastfeeding.

Sites / Locations

  • North Shore Hematology Oncology AssociatesRecruiting
  • Columbia U. - Herbert Irving Comprehensive Cancer CenterRecruiting
  • BUMC - Mary Crowley Cancer Research Centers (MCCRC)Recruiting
  • Scientia Clinical Research LimitedRecruiting
  • Ashford Cancer Centre ResearchRecruiting
  • Henan Cancer Hospital
  • Union Hospital Tongji Medical College Huazhong University of Science and TechnologyRecruiting
  • Beijing Cancer HospitalRecruiting
  • Beijing Cancer HospitalRecruiting
  • Fudan University Shanghai Cancer HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Dose escalation

Dose expansion

Arm Description

Outcomes

Primary Outcome Measures

Maximum Tolerated Dose (MTD) of CS5001 if any (for dose escalation part)
Participants will receive CS5001 for injection once every three weeks. The MTD will be determined by the number of participants who experience a dose limiting toxicity (DLT).
Recommended Phase 2 Dose(RP2D) of CS5001 (for dose escalation part)
The selection of RP2D will be based on consideration of overall safety information together with available pharmacokinetic, pharmacodynamic, and efficacy data. The RP2D may be the MTD or may be a lower dose within the tolerable dose range.
Incident and severity of adverse events

Secondary Outcome Measures

Concentration of CS5001 total antibody, prodrug and the free cytotoxin
Concentration of anti-CS5001 antibodies

Full Information

First Posted
March 4, 2022
Last Updated
May 16, 2023
Sponsor
CStone Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT05279300
Brief Title
A Study of CS5001 in Patients With Advanced Solid Tumors and Lymphomas
Official Title
A Phase I, Dose-Escalation and Dose-Expansion Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Antitumor Activities of CS5001, an Anti-ROR1 Antibody Drug Conjugate, in Patients With Advanced Solid Tumors and Lymphomas
Study Type
Interventional

2. Study Status

Record Verification Date
January 2023
Overall Recruitment Status
Recruiting
Study Start Date
March 28, 2022 (Actual)
Primary Completion Date
December 31, 2023 (Anticipated)
Study Completion Date
March 31, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
CStone Pharmaceuticals

4. Oversight

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

5. Study Description

Brief Summary
This is a first-in-human (FIH) study to evaluate the safety and preliminary efficacy of experimental drug CS5001 in patients with advanced hematological and solid tumors.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Advanced Solid Tumor, Advanced Lymphoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
156 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Dose escalation
Arm Type
Experimental
Arm Title
Dose expansion
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
CS5001
Intervention Description
CS5001 will be administered every 3 weeks (21 days) by intravenous (IV) infusion, and 3 weeks (21 days) is considered as one treatment cycle.
Primary Outcome Measure Information:
Title
Maximum Tolerated Dose (MTD) of CS5001 if any (for dose escalation part)
Description
Participants will receive CS5001 for injection once every three weeks. The MTD will be determined by the number of participants who experience a dose limiting toxicity (DLT).
Time Frame
About 6 months
Title
Recommended Phase 2 Dose(RP2D) of CS5001 (for dose escalation part)
Description
The selection of RP2D will be based on consideration of overall safety information together with available pharmacokinetic, pharmacodynamic, and efficacy data. The RP2D may be the MTD or may be a lower dose within the tolerable dose range.
Time Frame
About 6 months
Title
Incident and severity of adverse events
Time Frame
Until 90 days since the last dose of investigational product or until initiation of a new anti-cancer treatment, whichever occurs first
Secondary Outcome Measure Information:
Title
Concentration of CS5001 total antibody, prodrug and the free cytotoxin
Time Frame
Up to 30 days since the last dose of or until initiation of a new anti-cancer treatment, whichever occurs first
Title
Concentration of anti-CS5001 antibodies
Time Frame
Up to 30 days since the last dose of or until initiation of a new anti-cancer treatment, whichever occurs first
Other Pre-specified Outcome Measures:
Title
Anti-tumor activity of CS5001 at RP2D in patient with selected advanced cancers (For dose expansion part)
Time Frame
About up to 12 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: For solid tumor patients of dose escalation, they must have pathologically confirmed, unresectable advanced solid tumor with disease progression on or after at least 1 line of prior systemic therapy. For Lymphoma patients of dose escalation, they must have pathologically confirmed Hodgkin and non-Hodgkin B-cell lymphoma as defined per 2016 World Health Organization(WHO) classification, with disease progression on or after at least 2 lines of prior systemic therapy. For dose expansion, pathologically confirmed Mantle Cell Lymphoma(MCL, following at least two prior lines of systemic therapy including Bruton Tyrosine Kinase inhibitors), Diffuse Large B Cell Lymphoma(DLBCL, following at least two prior lines of systemic therapies), and Triple Negative Breast Cancer(TNBC, following at least 2 lines of systemic therapy for advanced disease) will be enrolled. For dose escalation, with at least one evaluable lesion as defined per Response Evaluation Criteria in Solid Tumours(RECIST) v1.1 solid tumor or per 2014 Lugano Classification Criteria for lymphoma, respectively. For dose expansion, with at least one measurable lesion as defined per RECIST v1.1 solid tumor or per 2014 Lugano Classification Criteria for lymphoma, respectively. Life expectancy > 3 months. Eastern Cooperative Oncology Group(ECOG) performance status 0 or 1. Have adequate organ function. Is willing to provide tumor tissue and control blood sample. Female subjects of childbearing potential must have a negative serum pregnancy test. Both male and female subjects must be willing to use adequate contraception. Exclusion Criteria: Has disease that is suitable for local treatment administered with curative intent. For lymphoma, candidacy for hematopoietic stem cell transplantation based on the Investigator's judgment. Has a history of a second malignancy active within the previous 3 years except for locally curable cancers that have been apparently cured. For dose expansion: Participation in other studies involving therapies targeting ROR1 prior to study entry and/or during study participation. Has known central nervous system (CNS) lymphoma or solid tumor CNS metastasis that is either symptomatic, untreated, or requires therapy. Has other acute or chronic medical or psychiatric conditions. Has a diagnosis of immunodeficiency, or has an active autoimmune disease or other conditions that require systemic steroid therapy. Has peripheral edema, pericardial effusion, or ascites indicated for medical intervention or limiting activity of daily life. Or with a known history of peripheral vasculopathies. Patients with any active infections requiring systemic therapy within 2 weeks prior to the administration of the first dose of the study drug. Patients known to be human immunodeficiency virus (HIV)-positive or have acquired immune deficiency syndrome (AIDS). Significant cardiovascular disease within 6 months prior to the first dose of the study drug. Significant screening electrocardiogram (ECG) abnormalities. Has received major surgery, chemotherapy, definitive radiotherapy, target therapy, immunotherapy, or other anti-cancer therapy within 21 days prior to the administration of the first dose of the study drug. Administration of a live vaccine within 28 days prior to the administration of the first dose of the study drug. Has active graft versus host disease. With known active alcohol or drug abuse. Women who are pregnant or breastfeeding.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Ada Chen
Phone
021-60332435
Email
chenli@cstonepharma.com
Facility Information:
Facility Name
North Shore Hematology Oncology Associates
City
East Setauket
State/Province
New York
ZIP/Postal Code
11733
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Zuniga Richard
Phone
631-675-5075
Email
Research@nycancer.com
Facility Name
Columbia U. - Herbert Irving Comprehensive Cancer Center
City
New York
State/Province
New York
ZIP/Postal Code
10032
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Richard Carvajal
Phone
212-305-8602
Email
cancerclinicaltrials@cumc.columbia.edu
Facility Name
BUMC - Mary Crowley Cancer Research Centers (MCCRC)
City
Dallas
State/Province
Texas
ZIP/Postal Code
75201-7307
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Barve Minal
Phone
972-566-3000
Email
Referral@MaryCrowley.org
Facility Name
Scientia Clinical Research Limited
City
Randwick
State/Province
New South Wales
ZIP/Postal Code
2031
Country
Australia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Charlotte Lemech
Phone
61 02 9382 5800
Email
charlotte.lemech@scientiaclinicalresearch.com.au
Facility Name
Ashford Cancer Centre Research
City
Adelaide
State/Province
South Australia
Country
Australia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sarwan Bishnoi
Phone
08 8292 2220
Email
sarwan.bishnoi@icon.team
Facility Name
Henan Cancer Hospital
City
Zhengzhou
State/Province
Henan
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Keshu Zhou
Facility Name
Union Hospital Tongji Medical College Huazhong University of Science and Technology
City
Wuhan
State/Province
Hubei
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Liling Zhang
Facility Name
Beijing Cancer Hospital
City
Beijing
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yuqing Song
Facility Name
Beijing Cancer Hospital
City
Beijing
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Lin Shen
Facility Name
Fudan University Shanghai Cancer Hospital
City
Shanghai
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jian Zhang

12. IPD Sharing Statement

Plan to Share IPD
No

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A Study of CS5001 in Patients With Advanced Solid Tumors and Lymphomas

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