A Phase 1 Study to Evaluate JS019 in Advanced Solid Tumors or Lymphomas
Primary Purpose
Advanced Solid Tumors or Lymphomas
Status
Recruiting
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
JS019
Sponsored by

About this trial
This is an interventional treatment trial for Advanced Solid Tumors or Lymphomas
Eligibility Criteria
Inclusion Criteria:
- Be able to understand and willing to sign the Informed Consent Form;
- Male or female aged 18~75 years (included);
- Patients with pathologically confirmed advanced malignant solid tumors or lymphomas;
- Failed or unsuitable for standard treatment, received at least one line of systemic treatment;
- Eastern Cooperative Oncology Group (ECOG) physical fitness score: 0~1;
- Expected survival period ≥ 12 weeks;
- At least one measurable lesion according to criteria RECIST v1.1 or Lugano 2014;
Exclusion Criteria:
- Patients with known hypersensitivity to the components of JS019;
- Patients who have received the treatment with anti-CD39 antibodies or inhibitors;
- Patients who participated in other clinical studies within 4 weeks prior to the first administration of JS019, except patients are in the follow-up period of observational (non-interventional) clinical study or interventional study;
- Patients who have received major surgery within 4 weeks before the first dose or expected to undergo major surgery during the study (as judged by the investigator) or are in the recovery period from surgery;
- Patients who have received anti-tumor therapy, such as chemotherapy, radiotherapy, targeted therapy, immunotherapy, or biological therapy, within 4 weeks or 5 half-lives of the therapy (whichever is shorter) prior to the first dose of JS019. Patients who have received traditional Chinese medicine or Chinese patent medicine preparations with anti-tumor indications within 2 weeks before the first dose of JS019. Can accept hormone therapy for non-tumor-related diseases (such as insulin therapy for diabetes and hormone replacement therapy, etc.);
- Patients who have discontinued immunotherapy due to immune-related AEs.
- Patients who have used immunosuppressive drugs within 4 weeks prior to the first dose of JS019, with the exception of intranasal and inhaled corticosteroids or systemic corticosteroids ≤10 mg/day prednisone or equivalent.
Sites / Locations
- Beijing Cancer HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm Type
Experimental
Experimental
Experimental
Experimental
Arm Label
JS019 0.3 mg/kg
JS019 1 mg/kg
JS019 3 mg/kg
JS019 10 mg/kg
Arm Description
repeat dose every 21 days up
repeat dose every 21 days up
repeat dose every 21 days up
repeat dose every 21 days up
Outcomes
Primary Outcome Measures
Safety and tolerability
Incidence of DLT, incidence and severity of adverse events (AEs) and serious adverse events (SAEs), clinically significant abnormal changes in laboratory tests and other tests
Maximum tolerated dose (MTD, if possible) and the recommended phase 2 dose (RP2D)
Maximum tolerated dose (MTD) : The highest dose at which <1/3 patients experience DLT events.
Phase II recommended dose: safety, pharmacokinetics, and preliminary efficacy data of dose escalation will be integrated. When the Maximum tolerated dose(MTD) is determined, the Maximum tolerated dose(MTD) is usually used as the Phase II recommended dose(RP2D), or the dose lower than the Maximum tolerated dose(MTD) is selected as the Phase II recommended dose(RP2D) based on the comprehensive data.
Secondary Outcome Measures
Pharmacokinetics (PK)
Drug concentrations in individual subjects at different time points after administration
Immunogenicity
Incidence of anti-drug antibodies (ADA), titer of ADA-positive samples.
Pharmacodynamics (PD)
CD39 receptor occupancy in peripheral blood.
Objective response rate (ORR)
The percentage of cases with remission (PR + CR) after treatment was assessable
Duration of response (DOR)
The time from the first assessment of CR or PR to the first assessment of PD or death due to any cause.
Disease control rate (DCR)
The percentage of cases with remission (PR + CR) and stable lesions (SD) after treatment was assessable.
Time to response (TTR)
time from the start of treatment to progression of diease.
Progression-free survival (PFS)
PFS is defined as time from the start of treatment to progression of disease or death.
Overall survival (OS)
Overall survival is defined as time from the start of treatment until death due to any reason.
Full Information
NCT ID
NCT05374226
First Posted
May 5, 2022
Last Updated
May 9, 2022
Sponsor
Suzhou Kebo Ruijun Biotechnology Co., Ltd
1. Study Identification
Unique Protocol Identification Number
NCT05374226
Brief Title
A Phase 1 Study to Evaluate JS019 in Advanced Solid Tumors or Lymphomas
Official Title
A Phase 1 Clinical Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Preliminary Efficacy of Recombinant Fully Human Anti-CD39 Monoclonal Antibody JS019 in Patients With Advanced Solid Tumors or Lymphomas
Study Type
Interventional
2. Study Status
Record Verification Date
April 2022
Overall Recruitment Status
Recruiting
Study Start Date
March 31, 2022 (Actual)
Primary Completion Date
December 11, 2023 (Anticipated)
Study Completion Date
March 7, 2024 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Suzhou Kebo Ruijun Biotechnology 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
This is a phase 1 clinical study to evaluate the safety, tolerability, pharmacokinetics and preliminary efficacy of JS019 as monotherapy in patients with advanced malignant solid tumors/lymphomas.
The study includes JS019 monotherapy dose escalation, dose expansion and indication expansion stages to investigate the safety, tolerability, pharmacokinetics and preliminary anti-tumor efficacy of JS019 as monotherapy.
Detailed Description
Monotherapy Dose Escalation Stage:
In this stage, the safety and tolerability, PK characteristics, immunogenicity and PD of JS019 are investigated. Four dose levels are preset: 0.3 mg/kg, 1 mg/kg, 3 mg/kg, and 10 mg/kg. The subjects are treated with JS019 by intravenous infusion, once every 3 weeks (Q3W). A treatment cycle is 21 days, and the DLT observation period is 21 days after the first administration. During the study, necessary adjustments may be made to the escalating dose and dosing interval based on the safety, PK and other results obtained.
Monotherapy Dose Expansion Stage:
SMC will select 1~2 dose levels (dose levels in the monotherapy dose escalation stage or intermediate dose levels) of JS019 as monotherapy. Each dose level includes 6~9 subjects with advanced malignancies to further evaluate the safety, pharmacokinetics, immunogenicity, pharmacodynamics and efficacy of JS019 as monotherapy, and determine the RP2D of JS019 as monotherapy.
Monotherapy Indication Expansion Stage Based on the determined RP2D of JS019 as monotherapy, 2-4 specific malignancies are selected for indication expansion; about 20-30 patients are included for each indication. It is planned to include expansion cohorts to explore the efficacy and safety of JS019 as monotherapy. The actual cohorts included may be adjusted based on the results of the previous studies.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Advanced Solid Tumors or Lymphomas
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
172 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
JS019 0.3 mg/kg
Arm Type
Experimental
Arm Description
repeat dose every 21 days up
Arm Title
JS019 1 mg/kg
Arm Type
Experimental
Arm Description
repeat dose every 21 days up
Arm Title
JS019 3 mg/kg
Arm Type
Experimental
Arm Description
repeat dose every 21 days up
Arm Title
JS019 10 mg/kg
Arm Type
Experimental
Arm Description
repeat dose every 21 days up
Intervention Type
Biological
Intervention Name(s)
JS019
Intervention Description
Four dose levels are preset: 0.3 mg/kg, 1 mg/kg, 3 mg/kg, and 10 mg/kg. The subjects are treated with JS019 by intravenous infusion, once every 3 weeks (Q3W). A treatment cycle is 21 days, and the DLT observation period is 21 days after the first administration.
Primary Outcome Measure Information:
Title
Safety and tolerability
Description
Incidence of DLT, incidence and severity of adverse events (AEs) and serious adverse events (SAEs), clinically significant abnormal changes in laboratory tests and other tests
Time Frame
2 years
Title
Maximum tolerated dose (MTD, if possible) and the recommended phase 2 dose (RP2D)
Description
Maximum tolerated dose (MTD) : The highest dose at which <1/3 patients experience DLT events.
Phase II recommended dose: safety, pharmacokinetics, and preliminary efficacy data of dose escalation will be integrated. When the Maximum tolerated dose(MTD) is determined, the Maximum tolerated dose(MTD) is usually used as the Phase II recommended dose(RP2D), or the dose lower than the Maximum tolerated dose(MTD) is selected as the Phase II recommended dose(RP2D) based on the comprehensive data.
Time Frame
2 years
Secondary Outcome Measure Information:
Title
Pharmacokinetics (PK)
Description
Drug concentrations in individual subjects at different time points after administration
Time Frame
2 years
Title
Immunogenicity
Description
Incidence of anti-drug antibodies (ADA), titer of ADA-positive samples.
Time Frame
2 years
Title
Pharmacodynamics (PD)
Description
CD39 receptor occupancy in peripheral blood.
Time Frame
2 years
Title
Objective response rate (ORR)
Description
The percentage of cases with remission (PR + CR) after treatment was assessable
Time Frame
2 years
Title
Duration of response (DOR)
Description
The time from the first assessment of CR or PR to the first assessment of PD or death due to any cause.
Time Frame
2 years
Title
Disease control rate (DCR)
Description
The percentage of cases with remission (PR + CR) and stable lesions (SD) after treatment was assessable.
Time Frame
2 years
Title
Time to response (TTR)
Description
time from the start of treatment to progression of diease.
Time Frame
2 years
Title
Progression-free survival (PFS)
Description
PFS is defined as time from the start of treatment to progression of disease or death.
Time Frame
2 years
Title
Overall survival (OS)
Description
Overall survival is defined as time from the start of treatment until death due to any reason.
Time Frame
2 years
Other Pre-specified Outcome Measures:
Title
Biomarkers
Description
The expression levels of CD39, P2X7, PD-L1 and CD8+ in tumor tissue, and the correlation between their expression levels and efficacy.
Time Frame
2 years
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:
Be able to understand and willing to sign the Informed Consent Form;
Male or female aged 18~75 years (included);
Patients with pathologically confirmed advanced malignant solid tumors or lymphomas;
Failed or unsuitable for standard treatment, received at least one line of systemic treatment;
Eastern Cooperative Oncology Group (ECOG) physical fitness score: 0~1;
Expected survival period ≥ 12 weeks;
At least one measurable lesion according to criteria RECIST v1.1 or Lugano 2014;
Exclusion Criteria:
Patients with known hypersensitivity to the components of JS019;
Patients who have received the treatment with anti-CD39 antibodies or inhibitors;
Patients who participated in other clinical studies within 4 weeks prior to the first administration of JS019, except patients are in the follow-up period of observational (non-interventional) clinical study or interventional study;
Patients who have received major surgery within 4 weeks before the first dose or expected to undergo major surgery during the study (as judged by the investigator) or are in the recovery period from surgery;
Patients who have received anti-tumor therapy, such as chemotherapy, radiotherapy, targeted therapy, immunotherapy, or biological therapy, within 4 weeks or 5 half-lives of the therapy (whichever is shorter) prior to the first dose of JS019. Patients who have received traditional Chinese medicine or Chinese patent medicine preparations with anti-tumor indications within 2 weeks before the first dose of JS019. Can accept hormone therapy for non-tumor-related diseases (such as insulin therapy for diabetes and hormone replacement therapy, etc.);
Patients who have discontinued immunotherapy due to immune-related AEs.
Patients who have used immunosuppressive drugs within 4 weeks prior to the first dose of JS019, with the exception of intranasal and inhaled corticosteroids or systemic corticosteroids ≤10 mg/day prednisone or equivalent.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
lin shen, Doctor of medicine
Phone
8610-88196561
Email
linshenpku@163.com
Facility Information:
Facility Name
Beijing Cancer Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100142
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
lin shen, Doctor of medicine
Phone
8610-88196561
Email
linshenpku@163.com
12. IPD Sharing Statement
Learn more about this trial
A Phase 1 Study to Evaluate JS019 in Advanced Solid Tumors or Lymphomas
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