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A Study of Intratumoral KL340399 in Patients With Advanced Solid Tumors

Primary Purpose

Advanced Solid Tumors

Status
Recruiting
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
KL340399 Intratumoral
Sponsored by
Sichuan Kelun Pharmaceutical Research Institute Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Advanced Solid Tumors

Eligibility Criteria

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

Inclusion Criteria:

  1. Patient is at least ≥18 years of age (male or female);
  2. Patients with histologically and/or cytologically confirmed advanced solid tumors who have failed standard of care, or who have no available standard of care regimen, or who are unqualified for standard of care. Presence of at least one measurable lesion for intratumoral ;
  3. Eastern Cooperative Oncology Group (ECOG) score of 0 or 1, estimated survival ≥ 3 months;
  4. Adequate organ and bone marrow function (no blood components and cytokines are allowed within 14 days prior to the first dose) ;
  5. More than 4 weeks from the last radiotherapy, chemotherapy, surgery, hormone treatment, target therapy, and toxicity from previous antitumor therapy returned to baseline or CTCAE≤ grade 1;
  6. Patients of childbearing potential (male or female) must use effective medical contraception during the study and for 3 months after the end of dosing;
  7. Patients voluntarily participate in the study, sign the ICF, and will be able to comply with the protocol-specified visits and relevant procedures.

Exclusion Criteria:

  1. Known history of severe allergies, or allergy to any component of KL340399;
  2. Received any previous therapy of STING-activating, or received any immunostimulant therapy within 28 days;
  3. Have other malignancies within 5 years;
  4. Concomitant or known metastases to brain or central nervous system;
  5. Active autoimmune disease;
  6. History of major cardiovascular diseases;
  7. Uncontrolled systemic diseases;
  8. Known of coagulation disorders, hemorrhagic disease;
  9. Confirmed serious lung disease or lung disease;
  10. Subjects with third space fluid that can not be controled by drainage or other methods;
  11. Known active infection;
  12. Known HIV, active hepatitis B/C virus;
  13. Pregnant or lactating women;
  14. Received immunotherapy and had immune related adverse reactions ≥ grade 3;
  15. Have received stem cell transplantation or organ transplantation;
  16. Receive any live or attenuated live vaccine within 4 weeks;
  17. History of serious dementia, altered mental status, or any psychiatric disorder;
  18. Evidence of alcohol or drug abuse;
  19. Participated in any other clinical trials and received treatment within 4 weeks;
  20. Have other factors based on which the investigator considers that the subjects are not appropriate to participate in the study.

Sites / Locations

  • Beijing Cancer HospitalRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Dose Escalation

Arm Description

KL340399 weekly on Days 1, 8 and 15 on repeated 21-day cycles in escalating doses.

Outcomes

Primary Outcome Measures

Number of subjects achieving Dose-limiting toxicity (DLT)
DLT is defined as an adverse event (AE) that meets protocol defined DLT criteria during cycle 1 and is at least possibly related to study drug.
Maximum Tolerated Dose (MTD)
The maximum tolerated dose (MTD) is refers to the highest dose at which the patient's DLT incidence exceeding 33% during the first cycle.
Incidence of Adverse Events [Safety and Tolerability]
Incidence of adverse events of KL340399 as a monotherapy as determined by patient reporting, clinical laboratory test changes from baseline, and clinically significant changes in physical examination data.
Recommended Phase 2 Dose (RP2D)
The recommended phase 2 dose (RP2D) will be based on a consideration of the totality of data including but not limited to safety data (including DLTs), PK, PD and preliminary efficacy, as available.

Secondary Outcome Measures

Objective Response Rate (ORR)
The sum of the number of cases with Complete Response (CR) and Partial Response (PR) in all treated tumor patients (CR + PR) divided by the total number of cases.
Progression Free Survival (PFS)
PFS: Time from start of treatment to progression of disease (PD) or death, whichever occurs first, in patients with tumors.
Duration of Response (DOR)
DOR: Time from the start of the first assessment of CR or PR in tumor patients to PD or death due to any reason.
Overall Survival (OS)
OS: Time from start of treatment to death due to any reason.

Full Information

First Posted
September 18, 2022
Last Updated
September 18, 2022
Sponsor
Sichuan Kelun Pharmaceutical Research Institute Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05549804
Brief Title
A Study of Intratumoral KL340399 in Patients With Advanced Solid Tumors
Official Title
A Phase 1 Clinical Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Preliminary Efficacy of KL340399 Intratumoral in Patients With Advanced Solid Tumors
Study Type
Interventional

2. Study Status

Record Verification Date
September 2022
Overall Recruitment Status
Recruiting
Study Start Date
August 30, 2022 (Actual)
Primary Completion Date
August 30, 2024 (Anticipated)
Study Completion Date
August 30, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sichuan Kelun Pharmaceutical Research Institute 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 single center, open-label, dose increasing study to evaluate the safety, tolerability, pharmacokinetic(PK) profile, and antitumor efficacy of KL340399 intratumoral in patients with advanced solid tumors.
Detailed Description
This is a single center, open-label, dose increasing study to evaluate the safety, tolerability, pharmacokinetic(PK) profile, and antitumor efficacy of KL340399 intratumoral in patients with advanced solid tumors.The dose increasing method of "BLRM" is used to explore the safety, tolerance and determine the maximum tolerated dose(MTD).

6. Conditions and Keywords

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

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Dose Escalation
Arm Type
Experimental
Arm Description
KL340399 weekly on Days 1, 8 and 15 on repeated 21-day cycles in escalating doses.
Intervention Type
Drug
Intervention Name(s)
KL340399 Intratumoral
Intervention Description
KL340399 is a STING-activating. The strength of KL340399 is 0.2 mg/vial or 0.2 mg/vial.
Primary Outcome Measure Information:
Title
Number of subjects achieving Dose-limiting toxicity (DLT)
Description
DLT is defined as an adverse event (AE) that meets protocol defined DLT criteria during cycle 1 and is at least possibly related to study drug.
Time Frame
From data of initial dose until up to 21 days for treatment
Title
Maximum Tolerated Dose (MTD)
Description
The maximum tolerated dose (MTD) is refers to the highest dose at which the patient's DLT incidence exceeding 33% during the first cycle.
Time Frame
From data of initial dose until up to 21 days for treatment
Title
Incidence of Adverse Events [Safety and Tolerability]
Description
Incidence of adverse events of KL340399 as a monotherapy as determined by patient reporting, clinical laboratory test changes from baseline, and clinically significant changes in physical examination data.
Time Frame
Up to 24 months
Title
Recommended Phase 2 Dose (RP2D)
Description
The recommended phase 2 dose (RP2D) will be based on a consideration of the totality of data including but not limited to safety data (including DLTs), PK, PD and preliminary efficacy, as available.
Time Frame
Up to 24 months
Secondary Outcome Measure Information:
Title
Objective Response Rate (ORR)
Description
The sum of the number of cases with Complete Response (CR) and Partial Response (PR) in all treated tumor patients (CR + PR) divided by the total number of cases.
Time Frame
Up to 24 months
Title
Progression Free Survival (PFS)
Description
PFS: Time from start of treatment to progression of disease (PD) or death, whichever occurs first, in patients with tumors.
Time Frame
Up to 24 months
Title
Duration of Response (DOR)
Description
DOR: Time from the start of the first assessment of CR or PR in tumor patients to PD or death due to any reason.
Time Frame
Up to 24 months
Title
Overall Survival (OS)
Description
OS: Time from start of treatment to death due to any reason.
Time Frame
Up to 24 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patient is at least ≥18 years of age (male or female); Patients with histologically and/or cytologically confirmed advanced solid tumors who have failed standard of care, or who have no available standard of care regimen, or who are unqualified for standard of care. Presence of at least one measurable lesion for intratumoral ; Eastern Cooperative Oncology Group (ECOG) score of 0 or 1, estimated survival ≥ 3 months; Adequate organ and bone marrow function (no blood components and cytokines are allowed within 14 days prior to the first dose) ; More than 4 weeks from the last radiotherapy, chemotherapy, surgery, hormone treatment, target therapy, and toxicity from previous antitumor therapy returned to baseline or CTCAE≤ grade 1; Patients of childbearing potential (male or female) must use effective medical contraception during the study and for 3 months after the end of dosing; Patients voluntarily participate in the study, sign the ICF, and will be able to comply with the protocol-specified visits and relevant procedures. Exclusion Criteria: Known history of severe allergies, or allergy to any component of KL340399; Received any previous therapy of STING-activating, or received any immunostimulant therapy within 28 days; Have other malignancies within 5 years; Concomitant or known metastases to brain or central nervous system; Active autoimmune disease; History of major cardiovascular diseases; Uncontrolled systemic diseases; Known of coagulation disorders, hemorrhagic disease; Confirmed serious lung disease or lung disease; Subjects with third space fluid that can not be controled by drainage or other methods; Known active infection; Known HIV, active hepatitis B/C virus; Pregnant or lactating women; Received immunotherapy and had immune related adverse reactions ≥ grade 3; Have received stem cell transplantation or organ transplantation; Receive any live or attenuated live vaccine within 4 weeks; History of serious dementia, altered mental status, or any psychiatric disorder; Evidence of alcohol or drug abuse; Participated in any other clinical trials and received treatment within 4 weeks; Have other factors based on which the investigator considers that the subjects are not appropriate to participate in the study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Lili Mao, Dr.
Phone
861013261859885
Email
yunzhongmanbu7848@163.com
First Name & Middle Initial & Last Name or Official Title & Degree
Lu Si, Dr.
Phone
861088196956
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jun Guo, Dr.
Organizational Affiliation
Peking University Cancer Hospital & Institute
Official's Role
Principal Investigator
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
Jun Guo, Dr.
Phone
010-88196317
First Name & Middle Initial & Last Name & Degree
Jun Guo, Dr.

12. IPD Sharing Statement

Learn more about this trial

A Study of Intratumoral KL340399 in Patients With Advanced Solid Tumors

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