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A Phase I Trial of SIM1811-03 in Subjects With Advanced Tumors

Primary Purpose

Advanced Solid Tumor, Cutaneous T Cell Lymphoma

Status
Recruiting
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
SIM1811-03 or in combination with Sintilimab injectiont
Sponsored by
Jiangsu Simcere Biologics Co., Ltd
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

Key Inclusion Criteria: Written informed consent must be obtained prior to any procedures that are not considered standard of care. ≥18 years old on the day of signing informed consent, male or female; Histologically and/or cytologically documented advanced/metastatic solid tumors or histologically confirmed CTCL; Have relapsed or refractory advanced solid tumors or CTCL, whose disease has progressed during or after standard therapy At least one measurable tumor lesion (RECIST 1.1) for participants with solid tumors. Tumor lesions previously treated with radiotherapy or local therapy should not be considered as measurable unless progression is documented. Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1 Life expectancy of ≥ 12 weeks. Adequate organ and marrow functions 9) Provide archived or fresh biopsy tumor tissue samples or tissue sections 10) Females of childbearing potential require strict contraception during the study. Exclusion Criteria: 1) Participated in an interventional clinical trial or has used investigational devices within 28 days prior to first dose of study drug or received systemic anti-cancer treatments. 2)Toxicity due to previous antineoplastic therapy has not recovered to grade 0 or 1 unless such AEs are not considered to pose safety risks. 3) Required use of corticosteroids for more than 7 consecutive days within 14 days prior to the first dose of study treatment. 4) Participated with active or history of or risk of autoimmune disease 5) Major surgery (except biopsy) or unhealed wound within 4 weeks prior to first dose of study drug. 6) Other known malignancies within 2 years prior to enrollment. 7) Has known active central nervous system (CNS) metastases. 8) History of interstitial lung disease, drug-induced interstitial lung disease, radiation pneumonitis, symptomatic interstitial lung disease or evidence of active pneumonia that is not considered appropriate by the investigator. 9) Participants with a history of active pulmonary tuberculosis infection within 1 year prior to first dose of study drug. 10) History of hemorrhagic disease requiring transfusion within the last 3 months.

Sites / Locations

  • Sun Yat-Sen University Cancer CenterRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

SIM1811-03 monotherapy or SIM1811-03 in combination with Sintilimab injection

Arm Description

All participants receive SIM1811-03 or SIM1811-03 in combination with Sintilimab injection

Outcomes

Primary Outcome Measures

Part I The maximum tolerated dose (MTD) or recommended dose (RD)
Part I (dose escalation): To estimate the maximum tolerated dose (MTD) or recommended dose (RD) of SIM1811-03 Monotherapy or in combination with sintilimab
Part II ORR for Solid Tumor
Solid tumors: objective response rate (ORR) assessed by Investigator per RECIST 1.1 from baseline to disease progression
Part II ORR for CTCL
CTCL: ORR assessed by Investigator per global response score

Secondary Outcome Measures

safety and tolerability (incidence of AE and SAE)
Incidence and severity of adverse events (AEs) and serious adverse events (SAEs)
Pharmacokinetics profile of SIM1811-03 and in combination with Sintilimab
Serum concentrations of study drugs
Pharmacokinetics profile of SIM1811-03 and in combination with Sintilimab
Area under the concentration-time curve (AUC)
Pharmacokinetics profile of SIM1811-03 and in combination with Sintilimab
Maximum concentration (Cmax)
Pharmacokinetics profile of SIM1811-03 and in combination with Sintilimab
Pre-dose (trough) concentration (Ctrough)
Pharmacokinetics profile of SIM1811-03 and in combination with Sintilimab
Time to maximum concentration (Tmax)
Pharmacokinetics profile of SIM1811-03 and in combination with Sintilimab
Half-life (T1/2)
Antidrug antibodies of SIM1811-03 and Sintilimab
Incidence of serum antidrug antibodies.
Neutralizing antibodies of SIM1811-03 and Sintilimab
Incidence of neutralizing antibodies to study drugs.

Full Information

First Posted
January 31, 2023
Last Updated
September 18, 2023
Sponsor
Jiangsu Simcere Biologics Co., Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT05781386
Brief Title
A Phase I Trial of SIM1811-03 in Subjects With Advanced Tumors
Official Title
An Open-label, Phase I Trial of SIM1811-03 to Assess the Safety, Efficacy and Pharmacokinetics/Pharmacodynamics in Subjects With Advanced Tumors
Study Type
Interventional

2. Study Status

Record Verification Date
March 2023
Overall Recruitment Status
Recruiting
Study Start Date
March 6, 2022 (Actual)
Primary Completion Date
June 30, 2025 (Anticipated)
Study Completion Date
December 30, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Jiangsu Simcere Biologics Co., Ltd

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a first in human, open-label, dose escalation and expansion Phase I study of SIM1811-03 in adult patients with advanced tumors. SIM1811-03 is a first-in-class IgG1-based humanized anti-tumor necrosis factor type 2 receptor (TNFR2) monoclonal antibody for the treatment of malignant tumors.
Detailed Description
This is a phase I trial to evaluate the safety, efficacy, and pharmacokinetic/ pharmacodynamic characteristics of SIM1811-03 in participants with advanced tumors. The trial is composed of two parts, Part I and Part II. Part I is a dose escalation part to determine the MTD and/or RD of SIM1811-03 or SIM1811-03 in combination with Sintilimab Injection . Part II is a dose expansion part at RD level SIM1811-03 determined in Part I to assess the anti-tumor activity of SIM1811-03 or SIM1811-03 in combination with Sintilimab Injection in participants with advanced solid tumors or CTCL. The tumor types in Part II will be adjusted based on the response observed in Part I.

6. Conditions and Keywords

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

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
SIM1811-03 monotherapy or SIM1811-03 in combination with Sintilimab injection
Arm Type
Experimental
Arm Description
All participants receive SIM1811-03 or SIM1811-03 in combination with Sintilimab injection
Intervention Type
Drug
Intervention Name(s)
SIM1811-03 or in combination with Sintilimab injectiont
Intervention Description
SIM1811-03 is a first-in-class igG-1 based humanized anti-tumor necrosis factor type 2 receptor (TNFR2) monoclonal antibody for the treatment of malignant tumor. Sintilimab is an IgG4 humanized monoclonal antibody against programmed cell death protein 1 (PD-1)
Primary Outcome Measure Information:
Title
Part I The maximum tolerated dose (MTD) or recommended dose (RD)
Description
Part I (dose escalation): To estimate the maximum tolerated dose (MTD) or recommended dose (RD) of SIM1811-03 Monotherapy or in combination with sintilimab
Time Frame
Within 28 days after the first dose in Q2W; Within 21 days after the first dose in Q3W
Title
Part II ORR for Solid Tumor
Description
Solid tumors: objective response rate (ORR) assessed by Investigator per RECIST 1.1 from baseline to disease progression
Time Frame
Q2W: Participants will be evaluated every 8 weeks from baseline to Treatment Cycle 12 (an average of 1 year); Q3W:Participants will be evaluated every 6 weeks from baseline to Treatment Cycle 12 (an average of 1 year)
Title
Part II ORR for CTCL
Description
CTCL: ORR assessed by Investigator per global response score
Time Frame
Q2W:Participants will be evaluated every 8 weeks from baseline to Treatment Cycle 12 (an average of 1 year); Q3W:Participants will be evaluated every 6 weeks from baseline to Treatment Cycle 12 (an average of 1 year)
Secondary Outcome Measure Information:
Title
safety and tolerability (incidence of AE and SAE)
Description
Incidence and severity of adverse events (AEs) and serious adverse events (SAEs)
Time Frame
All AEs/SAEs will be collected in this study from the time the subject signs the informed consent form until 90 days after the last dose
Title
Pharmacokinetics profile of SIM1811-03 and in combination with Sintilimab
Description
Serum concentrations of study drugs
Time Frame
from Cycle 1 to Last dose (an average of 1 year)
Title
Pharmacokinetics profile of SIM1811-03 and in combination with Sintilimab
Description
Area under the concentration-time curve (AUC)
Time Frame
from Cycle 1 to Last dose (an average of 1 year)
Title
Pharmacokinetics profile of SIM1811-03 and in combination with Sintilimab
Description
Maximum concentration (Cmax)
Time Frame
from Cycle 1 to Last dose (an average of 1 year)
Title
Pharmacokinetics profile of SIM1811-03 and in combination with Sintilimab
Description
Pre-dose (trough) concentration (Ctrough)
Time Frame
from Cycle 1 to Last dose (an average of 1 year)
Title
Pharmacokinetics profile of SIM1811-03 and in combination with Sintilimab
Description
Time to maximum concentration (Tmax)
Time Frame
from Cycle 1 to Last dose (an average of 1 year)
Title
Pharmacokinetics profile of SIM1811-03 and in combination with Sintilimab
Description
Half-life (T1/2)
Time Frame
Collection point would Predose, 0 hour, 24 hours, 168hours, 336 hours post-dose from Cycle 1 to Last dose (an average of 1 year)
Title
Antidrug antibodies of SIM1811-03 and Sintilimab
Description
Incidence of serum antidrug antibodies.
Time Frame
before staring the treatment for the first 7 treatment cycles (each cycle would be 28 days/21 days)
Title
Neutralizing antibodies of SIM1811-03 and Sintilimab
Description
Incidence of neutralizing antibodies to study drugs.
Time Frame
before staring the treatment for the first 7 treatment cycles (each cycle would be 28 days/21 days)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria: Written informed consent must be obtained prior to any procedures that are not considered standard of care. ≥18 years old on the day of signing informed consent, male or female; Histologically and/or cytologically documented advanced/metastatic solid tumors or histologically confirmed CTCL; Have relapsed or refractory advanced solid tumors or CTCL, whose disease has progressed during or after standard therapy At least one measurable tumor lesion (RECIST 1.1) for participants with solid tumors. Tumor lesions previously treated with radiotherapy or local therapy should not be considered as measurable unless progression is documented. Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1 Life expectancy of ≥ 12 weeks. Adequate organ and marrow functions 9) Provide archived or fresh biopsy tumor tissue samples or tissue sections 10) Females of childbearing potential require strict contraception during the study. Exclusion Criteria: 1) Participated in an interventional clinical trial or has used investigational devices within 28 days prior to first dose of study drug or received systemic anti-cancer treatments. 2)Toxicity due to previous antineoplastic therapy has not recovered to grade 0 or 1 unless such AEs are not considered to pose safety risks. 3) Required use of corticosteroids for more than 7 consecutive days within 14 days prior to the first dose of study treatment. 4) Participated with active or history of or risk of autoimmune disease 5) Major surgery (except biopsy) or unhealed wound within 4 weeks prior to first dose of study drug. 6) Other known malignancies within 2 years prior to enrollment. 7) Has known active central nervous system (CNS) metastases. 8) History of interstitial lung disease, drug-induced interstitial lung disease, radiation pneumonitis, symptomatic interstitial lung disease or evidence of active pneumonia that is not considered appropriate by the investigator. 9) Participants with a history of active pulmonary tuberculosis infection within 1 year prior to first dose of study drug. 10) History of hemorrhagic disease requiring transfusion within the last 3 months.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Jiongyan Li, MD
Phone
86(25)8556 6666
Email
lijiongyan@zaiming.com
First Name & Middle Initial & Last Name or Official Title & Degree
Jing Wang
Email
wangjing16f919@zaiming.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ruihua Xu, MD
Organizational Affiliation
Sun Yat-sen University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Sun Yat-Sen University Cancer Center
City
Guanzhou
State/Province
Guangdong
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ruihua Xu, MD
Phone
86-20-8734-3468
Email
xurh@sysucc.org.cn

12. IPD Sharing Statement

Plan to Share IPD
No

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A Phase I Trial of SIM1811-03 in Subjects With Advanced Tumors

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