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Safety, Tolerability and Pharmacokinetics Study of QLH11906 in Patients With Advanced Solid Tumors Harboring MAPK Pathway Alterations.

Primary Purpose

Advanced Solid Tumors Harboring MAPK Pathway Alterations

Status
Recruiting
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
QLH11906
Sponsored by
Qilu Pharmaceutical Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Advanced Solid Tumors Harboring MAPK Pathway Alterations

Eligibility Criteria

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

Inclusion Criteria:

  1. The subjects participated voluntarily, signed the informed consent, and were able to abide by the research procedures.
  2. Subjects with advanced (metastatic or unresectable) solid tumors with histologically confirmed MAPK signaling pathway alteration.
  3. Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1.
  4. Subjects are able to swallow and retain oral medication without any clinically significant gastrointestinal abnormalities that alter absorption.
  5. Subjects (including women and men) agree to use effective contraception for contraception from the time of signing the informed consent form to 180 days after the last use of the study drug. Female subjects of childbearing age cannot be pregnant or breastfeeding.

Exclusion Criteria:

  1. Subjects received systemic anticancer therapy within 2 weeks prior to the first dose.
  2. Subjects received radical radiotherapy within 4 weeks before the first administration, or received local palliative radiotherapy for bone metastases within 1 week.
  3. Subjects who have received inhibitors or inducers of CYP3A4 within 1 week before the first dose; or within 5 half-lives of the drug; or subjects who need to continue to receive these drugs during the study period.
  4. Active bacterial, fungal, or viral infection requiring systemic therapy within 1 week prior to the first dose.
  5. Subjects with symptomatic central nervous system (CNS) metastases and/or cancerous meningitis.
  6. Cardiovascular and cerebrovascular diseases with clinical significance.
  7. Clinically uncontrollable serous effusion (eg, pleural effusion that cannot be controlled by drainage or other methods).
  8. Active gastrointestinal disease or other conditions that significantly interfere with drug absorption.
  9. Known immediate or delayed hypersensitivity reactions or idiosyncratic reactions to the investigational treatment-related chemotherapeutic drugs and their excipients.
  10. Human immunodeficiency virus (HIV) positive test result and Treponema pallidum antibody positive.
  11. Hepatitis B virus surface antigen (HBsAg) positive and viral deoxyribonucleic acid (HBV DNA) > 2000 IU/ml or 104 copies/ml (only the centers that can perform qualitative examination, the HBV DNA test result is positive or high detection limit); hepatitis C virus antibody positive and viral ribonucleic acid (HCV RNA) positive.
  12. Other malignant tumors occurred within 2 years before study enrollment. (Except: Bowen's disease; cured basal cell or squamous cell skin cancer; prostate cancer with a Gleason score of 6; treated cervical carcinoma in situ.)
  13. Pregnant or lactating women.
  14. Any pre-existing serious or unstable disease (except for the above-mentioned malignant tumors), mental disease or any disease or medical condition that the investigator considers may interfere with the subject's safety, obtaining informed consent, or complying with research procedures.
  15. Concurrent participation in other clinical trials using experimental therapies.

Sites / Locations

  • Shandong Cancer HospitalRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

QLH11906

Arm Description

QLH11906 Tablets

Outcomes

Primary Outcome Measures

MTD/MAD
The Maximum Tolerated Dose (MTD) will be determined during dose escalation using a Bayesian Optimal Interval (BOIN) design.The maximum administrated dose (MAD) is defined as the highest dose of all groups if MTD can not be determined.
RP2D
Recommended dose for phase II trials

Secondary Outcome Measures

Adverse Events (AEs) /Serious Adverse Events (SAEs)
Area under the concentration-time curve(AUC)
Pharmacokinetic (PK) parameters of QLH11906 monotherapy, including Area under the concentration-time curve(AUC)
Overall response rate (ORR)
The efficacy evaluated by the investigator in accordance with RECIST 1.1 criteria, including objective response rate(ORR).
Duration of response (DoR)
The efficacy evaluated by the investigator in accordance with RECIST 1.1 criteria, including duration of response(DOR).
Disease control rate (DCR)
The efficacy evaluated by the investigator in accordance with RECIST 1.1 criteria, including disease control rate(DCR).
Maximum concentration (Cmax)
Pharmacokinetic (PK) of QLH11906 monotherapy, including Maximum concentration (Cmax)

Full Information

First Posted
August 1, 2022
Last Updated
August 3, 2022
Sponsor
Qilu Pharmaceutical Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05488821
Brief Title
Safety, Tolerability and Pharmacokinetics Study of QLH11906 in Patients With Advanced Solid Tumors Harboring MAPK Pathway Alterations.
Official Title
A Phase I Clinical Study to Evaluate the Safety, Tolerability and Pharmacokinetics of the Oral Pan-RAF Inhibitor QLH11906 in Subjects With Advanced Solid Tumors Harboring MAPK Pathway Alterations.
Study Type
Interventional

2. Study Status

Record Verification Date
August 2022
Overall Recruitment Status
Recruiting
Study Start Date
June 14, 2022 (Actual)
Primary Completion Date
July 1, 2024 (Anticipated)
Study Completion Date
July 1, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Qilu Pharmaceutical 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 an open label, phase 1 clinical study to evaluate the safety and tolerability of different doses of QLH11906 monotherapy in patients with relapsed/refractory, unresectable locally advanced or metastatic advanced solid tumors with abnormal MAPK pathway, and determine the Maximum Tolerated Dose (MTD) or Maximum Administered Dose (MAD, if MTD cannot be determined) and Recommended Dose in Phase II Clinical Studies (Recommended Phase II Dose, RP2D).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Advanced Solid Tumors Harboring MAPK Pathway Alterations

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
QLH11906
Arm Type
Experimental
Arm Description
QLH11906 Tablets
Intervention Type
Drug
Intervention Name(s)
QLH11906
Intervention Description
QLH11906 only
Primary Outcome Measure Information:
Title
MTD/MAD
Description
The Maximum Tolerated Dose (MTD) will be determined during dose escalation using a Bayesian Optimal Interval (BOIN) design.The maximum administrated dose (MAD) is defined as the highest dose of all groups if MTD can not be determined.
Time Frame
Up to 24 approximately months
Title
RP2D
Description
Recommended dose for phase II trials
Time Frame
Up to 24 approximately months
Secondary Outcome Measure Information:
Title
Adverse Events (AEs) /Serious Adverse Events (SAEs)
Time Frame
Up to 24 approximately months
Title
Area under the concentration-time curve(AUC)
Description
Pharmacokinetic (PK) parameters of QLH11906 monotherapy, including Area under the concentration-time curve(AUC)
Time Frame
Up to 24 approximately months
Title
Overall response rate (ORR)
Description
The efficacy evaluated by the investigator in accordance with RECIST 1.1 criteria, including objective response rate(ORR).
Time Frame
Up to 24 approximately months
Title
Duration of response (DoR)
Description
The efficacy evaluated by the investigator in accordance with RECIST 1.1 criteria, including duration of response(DOR).
Time Frame
Up to 24 approximately months
Title
Disease control rate (DCR)
Description
The efficacy evaluated by the investigator in accordance with RECIST 1.1 criteria, including disease control rate(DCR).
Time Frame
Up to 24 approximately months
Title
Maximum concentration (Cmax)
Description
Pharmacokinetic (PK) of QLH11906 monotherapy, including Maximum concentration (Cmax)
Time Frame
Up to 24 approximately months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: The subjects participated voluntarily, signed the informed consent, and were able to abide by the research procedures. Subjects with advanced (metastatic or unresectable) solid tumors with histologically confirmed MAPK signaling pathway alteration. Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1. Subjects are able to swallow and retain oral medication without any clinically significant gastrointestinal abnormalities that alter absorption. Subjects (including women and men) agree to use effective contraception for contraception from the time of signing the informed consent form to 180 days after the last use of the study drug. Female subjects of childbearing age cannot be pregnant or breastfeeding. Exclusion Criteria: Subjects received systemic anticancer therapy within 2 weeks prior to the first dose. Subjects received radical radiotherapy within 4 weeks before the first administration, or received local palliative radiotherapy for bone metastases within 1 week. Subjects who have received inhibitors or inducers of CYP3A4 within 1 week before the first dose; or within 5 half-lives of the drug; or subjects who need to continue to receive these drugs during the study period. Active bacterial, fungal, or viral infection requiring systemic therapy within 1 week prior to the first dose. Subjects with symptomatic central nervous system (CNS) metastases and/or cancerous meningitis. Cardiovascular and cerebrovascular diseases with clinical significance. Clinically uncontrollable serous effusion (eg, pleural effusion that cannot be controlled by drainage or other methods). Active gastrointestinal disease or other conditions that significantly interfere with drug absorption. Known immediate or delayed hypersensitivity reactions or idiosyncratic reactions to the investigational treatment-related chemotherapeutic drugs and their excipients. Human immunodeficiency virus (HIV) positive test result and Treponema pallidum antibody positive. Hepatitis B virus surface antigen (HBsAg) positive and viral deoxyribonucleic acid (HBV DNA) > 2000 IU/ml or 104 copies/ml (only the centers that can perform qualitative examination, the HBV DNA test result is positive or high detection limit); hepatitis C virus antibody positive and viral ribonucleic acid (HCV RNA) positive. Other malignant tumors occurred within 2 years before study enrollment. (Except: Bowen's disease; cured basal cell or squamous cell skin cancer; prostate cancer with a Gleason score of 6; treated cervical carcinoma in situ.) Pregnant or lactating women. Any pre-existing serious or unstable disease (except for the above-mentioned malignant tumors), mental disease or any disease or medical condition that the investigator considers may interfere with the subject's safety, obtaining informed consent, or complying with research procedures. Concurrent participation in other clinical trials using experimental therapies.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Lianghua Fang
Phone
86-13645192882
Email
lianghua.fang@qilu-pharma.com
Facility Information:
Facility Name
Shandong Cancer Hospital
City
Shandong
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jinming Yu, MD,PhD
Phone
0531-67626971
Email
sdyujinming@126.com

12. IPD Sharing Statement

Learn more about this trial

Safety, Tolerability and Pharmacokinetics Study of QLH11906 in Patients With Advanced Solid Tumors Harboring MAPK Pathway Alterations.

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