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A Trial to Evaluate the Safety, Tolerability, Pharmacokinetics and Preliminary Efficacy of DR30303 in Patients With Advanced Solid Tumors

Primary Purpose

Malignant Neoplasm of Digestive System

Status
Recruiting
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
DR30303
Sponsored by
Zhejiang Doer Biologics Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Malignant Neoplasm of Digestive System focused on measuring Malignant neoplasm of digestive system

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Fully informed of this study and voluntarily sign informed consent form (ICF). Aged 18 to 75 years, gender is not limited. Part 1: Dose escalation stage - the subject have histologically or cytologically confirmed locally advanced or metastatic malignant solid tumors who have failed or are intolerant to prior systemic therapy. Part 2: Dose expansion stage- CLDN18.2 positive confirmed by central laboratory locally advanced unresectable or metastatic gastric cancer (GC)/gastroesophageal junction (GEJ ) or Pancreatic cancer those who had failed or were intolerant to at least 1 line of systemic therapy. The Eastern Cooperative Oncology Group (ECOG) score is 0 to 1. Expected survival ≥ 3 months. Adequate organ function. Referring to the RECIST 1.1 standard, there is at least one measurable lesion. Exclusion Criteria: Radical radiotherapy was performed within 12 weeks before the first dose of study drug. Subjects who have received other systemic anti-tumor therapy within 4 weeks before the first dose of study drug. Subjects who received or are scheduled to receive live attenuated vaccine within 4 weeks. Received systemic steroids equivalent to >10mg/d prednisone within 2 weeks before the first dose of study drug, except inhaled steroids. Subjects who have undergone or are expected to undergo major surgery, or have severe unhealed wounds, etc. prior to the first dose of study drug. Ever received any treatments targeting Claudin18.2. Subject who have a history of allergy to any component in the DR30303. Subject with uncontrolled intracranial metastases. Uncontrollable pleural effusion, pericardial effusion and ascites effusion existed before enrollment. hepatitis B virus (HBV), hepatitis C virus (HCV), HIV or syphilis infection. Diseases or associated risks that are judged by the investigator to be inappropriate for enrollment, such as poorly controlled diabetes,etc. Subjects with interstitial lung disease requiring treatment such as oral or intravenous corticosteroids. Subjects with previous or concomitant malignancies, with the following exceptions: non- melanoma skin carcinoma in situ, superficial bladder cancer, etc. Clinically significant cardiovascular and cerebrovascular diseases within 6 months before the first dose of study drug, such as New York Heart Association (NYHA) class III or IV congestive heart failure, etc. Female patients who are breastfeeding. The investigator assesses that the subject is unable or unwilling to comply with the requirements of the research protocol. Participated in other clinical studies within the past 4 Weeks.

Sites / Locations

  • Sir Run Run Shaw Hospital,Zhejiang University School of MedicineRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

DR30303

Arm Description

DR30303 injection treatment. This phase 1 trial will include two stages, a dose escalation stage and an expansion stage.

Outcomes

Primary Outcome Measures

Part 1:Incidence of dose limiting toxicities (DLTs)
Part 1:Number, severity and duration of treatment-emergent adverse events (TEAEs) according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0
Part 1:Maximum Tolerated Dose (MTD) and/or Biological effective dose (BED) based on safety, tolerability, PK profile and preliminary efficacy data
Part 2: Recommended Phase 2 Dose (RP2D) based on safety, tolerability, PK profile, and preliminary efficacy data
Part 2: Number, severity and duration of treatment-emergent adverse events (TEAEs) according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0

Secondary Outcome Measures

Objective response rate (ORR) per Response Evaluation Criteria in Solid Tumors (RECIST 1.1)
These measure are defined as the proportion of subjects with complete response (CR) or partial response (PR)
Disease control rate (DCR) per Response Evaluation Criteria in Solid Tumors (RECIST 1.1)
These measure are defined as the proportion of subjects with CR, PR and stable disease (SD)
Duration of response (DOR) per Response Evaluation Criteria in Solid Tumors (RECIST 1.1)
These measure are defined as the duration from the first occurrence of confirmed CR or PR until the date of disease progression or death (from any cause)
Clinical Benefit Rate
Defined as Proportion of subjects with CR, PR and duration of SD ≥ 12 weeks
Duration of disease control (DDC) per RECIST v1.1
For subjects with CR, PR, or SD, duration was calculated from the first assessment as CR, PR, or SD until the date of disease progression or death (from any cause)
Progression free survival (PFS) per RECIST v1.1
These measure are defined as time from start of treatment to tumor progression or death from any cause
6-month and 12-month survival rates
Overall survival (OS) per RECIST v1.1
These measure are defined as time from start of treatment to death from any cause
Pharmacokinetic (PK) of DR30303: Maximum serum concentration (Cmax)
PK of DR30303: Area Under the concentration-time Curve from time zero to the last quantifiable concentration (AUC0-last)
PK of DR30303: Area Under the concentration-time Curve from time zero to infinity (AUC0-inf)
PK of DR30303: Time of the maximum concentration (tmax)
PK of DR30303: Terminal elimination half-life (t1/2)
Immunogenicity by measurement of Incidence of anti-drug antibodies (ADA)

Full Information

First Posted
November 8, 2022
Last Updated
June 7, 2023
Sponsor
Zhejiang Doer Biologics Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05639153
Brief Title
A Trial to Evaluate the Safety, Tolerability, Pharmacokinetics and Preliminary Efficacy of DR30303 in Patients With Advanced Solid Tumors
Official Title
An Open, Phase I, Dose Escalation and Dose Expansion Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Preliminary Efficacy of DR30303 in Patients With Advanced Solid Tumors
Study Type
Interventional

2. Study Status

Record Verification Date
June 2023
Overall Recruitment Status
Recruiting
Study Start Date
May 13, 2022 (Actual)
Primary Completion Date
September 30, 2023 (Anticipated)
Study Completion Date
April 30, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Zhejiang Doer Biologics 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 study is an open-label Phase 1, First in Human trial of DR30303, a recombinant humanized monoclonal antibody that targets Claudin18.2 (CLDN18.2). It is composed of humanized variable domain of heavy chain of antibody (VHH) fused with engineered immunoglobulin gamma-1(IgG1) Fc. It is being testing against advanced and/or metastatic solid tumors.
Detailed Description
This study is an open, phase I study to evaluate the safety, tolerability, pharmacokinetics and preliminary efficacy of DR30303 in patients with advanced solid tumors. The study is composed of two parts: part 1 is Dose escalation stage and part 2 is Dose expansion stage.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Malignant Neoplasm of Digestive System
Keywords
Malignant neoplasm of digestive system

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
DR30303
Arm Type
Experimental
Arm Description
DR30303 injection treatment. This phase 1 trial will include two stages, a dose escalation stage and an expansion stage.
Intervention Type
Drug
Intervention Name(s)
DR30303
Intervention Description
DR30303 dose level of escalation IV every 3 weeks (Q3W) Day 1, as well as dose expansion with recommended dose level from dose escalation.
Primary Outcome Measure Information:
Title
Part 1:Incidence of dose limiting toxicities (DLTs)
Time Frame
up to 21 days following first dose
Title
Part 1:Number, severity and duration of treatment-emergent adverse events (TEAEs) according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0
Time Frame
up to 28 days following last dose
Title
Part 1:Maximum Tolerated Dose (MTD) and/or Biological effective dose (BED) based on safety, tolerability, PK profile and preliminary efficacy data
Time Frame
from date of last dose until the date of will receive DR30303 for 1 year or last documented progression,whichever occurs first
Title
Part 2: Recommended Phase 2 Dose (RP2D) based on safety, tolerability, PK profile, and preliminary efficacy data
Time Frame
from date of first dose start until the date of first documented progression,or the date of death from any cause, or the date of will receive DR30303 for 1 year whichever came first
Title
Part 2: Number, severity and duration of treatment-emergent adverse events (TEAEs) according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0
Time Frame
up to 28 days following last dose
Secondary Outcome Measure Information:
Title
Objective response rate (ORR) per Response Evaluation Criteria in Solid Tumors (RECIST 1.1)
Description
These measure are defined as the proportion of subjects with complete response (CR) or partial response (PR)
Time Frame
from date of first dose start until the date of first documented progression,or the date of death from any cause, or the date of will receive DR30303 for 1 year whichever came first
Title
Disease control rate (DCR) per Response Evaluation Criteria in Solid Tumors (RECIST 1.1)
Description
These measure are defined as the proportion of subjects with CR, PR and stable disease (SD)
Time Frame
from date of first dose start until the date of first documented progression,or the date of death from any cause, or the date of will receive DR30303 for 1 year whichever came first
Title
Duration of response (DOR) per Response Evaluation Criteria in Solid Tumors (RECIST 1.1)
Description
These measure are defined as the duration from the first occurrence of confirmed CR or PR until the date of disease progression or death (from any cause)
Time Frame
from date of first dose start until the date of first documented progression,or the date of death from any cause, or the date of will receive DR30303 for 1 year whichever came first
Title
Clinical Benefit Rate
Description
Defined as Proportion of subjects with CR, PR and duration of SD ≥ 12 weeks
Time Frame
from date of first dose start until the date of first documented progression,or the date of death from any cause, or the date of will receive DR30303 for 1 year whichever came first
Title
Duration of disease control (DDC) per RECIST v1.1
Description
For subjects with CR, PR, or SD, duration was calculated from the first assessment as CR, PR, or SD until the date of disease progression or death (from any cause)
Time Frame
from date of first dose start until the date of first documented progression,or the date of death from any cause, or the date of will receive DR30303 for 1 year whichever came first
Title
Progression free survival (PFS) per RECIST v1.1
Description
These measure are defined as time from start of treatment to tumor progression or death from any cause
Time Frame
from date of first dose start until the date of first documented progression,or the date of death from any cause, or the date of will receive DR30303 for 1 year whichever came first
Title
6-month and 12-month survival rates
Time Frame
from date of first dose start until the date of first documented progression , 6 months,12 months whichever came first
Title
Overall survival (OS) per RECIST v1.1
Description
These measure are defined as time from start of treatment to death from any cause
Time Frame
from date of first dose start until the date of first documented progression or death from any cause,or the date of will receive DR30303 for 1 year whichever came first
Title
Pharmacokinetic (PK) of DR30303: Maximum serum concentration (Cmax)
Time Frame
up to 28 days following last dose
Title
PK of DR30303: Area Under the concentration-time Curve from time zero to the last quantifiable concentration (AUC0-last)
Time Frame
up to 28 days following last dose
Title
PK of DR30303: Area Under the concentration-time Curve from time zero to infinity (AUC0-inf)
Time Frame
up to 28 days following last dose
Title
PK of DR30303: Time of the maximum concentration (tmax)
Time Frame
up to 28 days following last dose
Title
PK of DR30303: Terminal elimination half-life (t1/2)
Time Frame
up to 28 days following last dose
Title
Immunogenicity by measurement of Incidence of anti-drug antibodies (ADA)
Time Frame
up to 28 days following last dose

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: Fully informed of this study and voluntarily sign informed consent form (ICF). Aged 18 to 75 years, gender is not limited. Part 1: Dose escalation stage - the subject have histologically or cytologically confirmed locally advanced or metastatic malignant solid tumors who have failed or are intolerant to prior systemic therapy. Part 2: Dose expansion stage- CLDN18.2 positive confirmed by central laboratory locally advanced unresectable or metastatic gastric cancer (GC)/gastroesophageal junction (GEJ ) or Pancreatic cancer those who had failed or were intolerant to at least 1 line of systemic therapy. The Eastern Cooperative Oncology Group (ECOG) score is 0 to 1. Expected survival ≥ 3 months. Adequate organ function. Referring to the RECIST 1.1 standard, there is at least one measurable lesion. Exclusion Criteria: Radical radiotherapy was performed within 12 weeks before the first dose of study drug. Subjects who have received other systemic anti-tumor therapy within 4 weeks before the first dose of study drug. Subjects who received or are scheduled to receive live attenuated vaccine within 4 weeks. Received systemic steroids equivalent to >10mg/d prednisone within 2 weeks before the first dose of study drug, except inhaled steroids. Subjects who have undergone or are expected to undergo major surgery, or have severe unhealed wounds, etc. prior to the first dose of study drug. Ever received any treatments targeting Claudin18.2. Subject who have a history of allergy to any component in the DR30303. Subject with uncontrolled intracranial metastases. Uncontrollable pleural effusion, pericardial effusion and ascites effusion existed before enrollment. hepatitis B virus (HBV), hepatitis C virus (HCV), HIV or syphilis infection. Diseases or associated risks that are judged by the investigator to be inappropriate for enrollment, such as poorly controlled diabetes,etc. Subjects with interstitial lung disease requiring treatment such as oral or intravenous corticosteroids. Subjects with previous or concomitant malignancies, with the following exceptions: non- melanoma skin carcinoma in situ, superficial bladder cancer, etc. Clinically significant cardiovascular and cerebrovascular diseases within 6 months before the first dose of study drug, such as New York Heart Association (NYHA) class III or IV congestive heart failure, etc. Female patients who are breastfeeding. The investigator assesses that the subject is unable or unwilling to comply with the requirements of the research protocol. Participated in other clinical studies within the past 4 Weeks.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Senior Clinical Operations Director
Phone
+86 151 9440 2868
Email
yg@doerbio.com
First Name & Middle Initial & Last Name or Official Title & Degree
Chief Operating Officer
Phone
+86 05 71 28 25 62 06
Email
yf@doerbio.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Hongming Pan, MD,PhD
Organizational Affiliation
Sir Run Run Shaw Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Yanshan Huang, PhD
Organizational Affiliation
Zhejiang Doer Biologics Co., Ltd.
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Junfang Xu, MD
Organizational Affiliation
Huadong Medicine Co., Ltd.
Official's Role
Study Director
Facility Information:
Facility Name
Sir Run Run Shaw Hospital,Zhejiang University School of Medicine
City
Hanzhou
State/Province
Zhejiang
ZIP/Postal Code
311100
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Pan Hongming
Phone
+86 571 8600 6922
Email
shonco@sina.cn

12. IPD Sharing Statement

Learn more about this trial

A Trial to Evaluate the Safety, Tolerability, Pharmacokinetics and Preliminary Efficacy of DR30303 in Patients With Advanced Solid Tumors

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