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A Study of HS-10516 in Patients With Advanced Clear Cell Renal Cell Carcinoma

Primary Purpose

Renal Cell Carcinoma

Status
Not yet recruiting
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
HS-10516
Sponsored by
Jiangsu Hansoh Pharmaceutical Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Renal Cell Carcinoma focused on measuring Advanced Clear Cell Renal Cell Carcinoma, Kidney Cancer, Renal Cancer, Recurrent Renal Cell Carcinoma

Eligibility Criteria

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

Inclusion Criteria: Male or female from 18 to 75 year-old Histologically confirmed locally advanced or metastasis clear cell renal cell carcinoma whose standard treatment failed or proven unavailable or intolerant Has at least one non-CNS target lesion per RESIST v1.1 Has an Eastern Cooperative Oncology Group performance status of 0-1 Has a life expectancy of ≥ 12 weeks Should use adequate contraceptive measures throughout the study Females subject must not be pregnant at screening Has the ability to understand and willingness to sign a written informed consent before the performance of the study Exclusion Criteria: Received or being received treatment as follows: Hypoxia-induced factor inhibitors Traditional Chinese medicine indicated for tumors within 2 weeks prior to the first dose of study treatment. Cytotoxic chemotherapeutic drugs, investigational drugs or other systematic anti-tumor therapies within 3 weeks before the first dose of study treatment Colony-stimulating factors (CSFs) within 4 weeks before the first dose of study treatment Local radiotherapy within 2 weeks prior to the first dose of study treatment; more than 30% of bone marrow radiotherapy or large-area irradiation within 4 weeks before the first dose of study treatment. Major surgery within 4 weeks prior to the first dose of study treatment. Has a pulse oximetry reading less than 92% at screening, requires intermittent supplemental oxygen, or requires chronic supplemental oxygen Has failed to recover from a ≥ grade 2 adverse event due to prior anti-tumor therapy Has another malignancy or a history of another malignancy Has inadequate bone marrow reserve or organ dysfunction Has a clinically significant bleeding events or tendency within 1 month prior to the first dose of study treatment Has severe infections within 4 weeks prior to the first dose of study treatment Has digestive system diseases may influencing ADME of study drug Has a history of severe hypersensitivity reaction, or proven allergic to HS-10516 or its metabolics Has any disease or condition would compromise subject safety or interfere with study assessments by investigator's decision

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Experimental

    Arm Label

    Phase Ia dose escalation

    Phase Ib dose expansion arm

    Arm Description

    Participants will be assigned to pre-specified dose level to identify the MTD/MAD of HS-10516.

    Participants will be assigned to the recommended dose level determined in Phase Ia to evaluate the safety, pharmacokinetics and antitumor efficacy of HS-10516

    Outcomes

    Primary Outcome Measures

    Phase Ia: MTD/MAD of HS-10516
    Maximum Tolerated Dose or Maximum Acceptable Dose determined by the Number of Participants with Dose Limiting Toxicity (DLT) events during the DLT monitoring period (first 35 days of dosing) in the Dose Escalation Phase
    Phase Ib: Objective Response Rate (ORR) by Independent Review Committee (IRC)
    ORR defined as the percentage of participants with a confirmed complete response (CR) or partial response (PR) based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. ORR will be assessed by IRC.

    Secondary Outcome Measures

    The Number of Participants with Adverse Events
    An adverse event (AE) is defined as any untoward medical occurrence in a patient and which does not necessarily have a causal relationship with this treatment. The investigator assessed the relationship of each event to the use of study drug as either probably related, possibly related, probably not related or not related.
    Observed maximum plasma concentration (Cmax) of HS-10516
    Cmax will be obtained following administration of the first dose of HS-10516 during first 2 cycles.
    Time to reach maximum plasma concentration (Tmax) of HS-10516
    Tmax will be obtained following administration of the first dose of HS-10516 during first 2 cycles.
    Area under plasma concentration versus time curve from zero to last sampling time (AUC0-t) following the first dose of HS-10516
    Area under the plasma concentration versus time curve from time zero to the last sampling time when the concentration was no less than the lower limit of quantification (LLQ). AUC0-t was calculated according to the mixed log-linear trapezoidal rule.
    ORR by investigators
    ORR defined as the percentage of participants with a confirmed complete response (CR) or partial response (PR) based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.
    Disease Control Rate (DCR)
    DCR defined as the percentage of participants with a confirmed complete response (CR) or partial response (PR) or a stable disease (SD) of 8 weeks or longer based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.
    Duration of Response (DoR)
    DoR is defined as the time from the date of first documented CR or PR, assessed by investigator and based on RECIST v. 1.1, to the documented date of progressive disease (PD) or death, whichever occurred first.
    Progression Free Survival (PFS)
    PFS defined as the time from the date the participant started study drug to the date the participant experiences an event of disease progression or death.
    Overall Survival (OS)
    OS defined as the time from the date the participant started study drug to death for any reason.

    Full Information

    First Posted
    September 15, 2023
    Last Updated
    September 24, 2023
    Sponsor
    Jiangsu Hansoh Pharmaceutical Co., Ltd.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT06049030
    Brief Title
    A Study of HS-10516 in Patients With Advanced Clear Cell Renal Cell Carcinoma
    Official Title
    A Phase Ia/Ib Study of HS-10516 to Investigate the Safety, Tolerance, Pharmacokinetic and Efficacy in Patients With Advanced Clear Cell Renal Cell Carcinoma
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    September 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    September 25, 2023 (Anticipated)
    Primary Completion Date
    September 25, 2024 (Anticipated)
    Study Completion Date
    September 25, 2025 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Jiangsu Hansoh 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
    The aim of the Phase Ia portion is to identify the maximum tolerated dose or maximum acceptable dose MTD/MAD of HS-10516. The phase Ib portion will evaluate the preliminary efficacy of HS-10516 in ccRCC.
    Detailed Description
    This is a Phase Ia/Ib open label multicenter study of HS-10516 in Chinese patients aged 18 years or older with advanced clear cell renal cell carcinoma who have failed or are unavailable/intolerant to standard of care. HS-10516 as a single agent, is administrated orally once daily. The aim of phase Ia, a dose escalation study, is to identify the MTD/MAD of HS-10516. The goal of Phase Ib, a dose expansion study, is to evaluate the safety, pharmacokinetics and antitumor efficacy of HS-10516.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Renal Cell Carcinoma
    Keywords
    Advanced Clear Cell Renal Cell Carcinoma, Kidney Cancer, Renal Cancer, Recurrent Renal Cell Carcinoma

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1
    Interventional Study Model
    Sequential Assignment
    Masking
    None (Open Label)
    Allocation
    Non-Randomized
    Enrollment
    190 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Phase Ia dose escalation
    Arm Type
    Experimental
    Arm Description
    Participants will be assigned to pre-specified dose level to identify the MTD/MAD of HS-10516.
    Arm Title
    Phase Ib dose expansion arm
    Arm Type
    Experimental
    Arm Description
    Participants will be assigned to the recommended dose level determined in Phase Ia to evaluate the safety, pharmacokinetics and antitumor efficacy of HS-10516
    Intervention Type
    Drug
    Intervention Name(s)
    HS-10516
    Intervention Description
    Oral HIF-2α inhibitor
    Primary Outcome Measure Information:
    Title
    Phase Ia: MTD/MAD of HS-10516
    Description
    Maximum Tolerated Dose or Maximum Acceptable Dose determined by the Number of Participants with Dose Limiting Toxicity (DLT) events during the DLT monitoring period (first 35 days of dosing) in the Dose Escalation Phase
    Time Frame
    Approximately 2 months
    Title
    Phase Ib: Objective Response Rate (ORR) by Independent Review Committee (IRC)
    Description
    ORR defined as the percentage of participants with a confirmed complete response (CR) or partial response (PR) based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. ORR will be assessed by IRC.
    Time Frame
    Approximately 1 year
    Secondary Outcome Measure Information:
    Title
    The Number of Participants with Adverse Events
    Description
    An adverse event (AE) is defined as any untoward medical occurrence in a patient and which does not necessarily have a causal relationship with this treatment. The investigator assessed the relationship of each event to the use of study drug as either probably related, possibly related, probably not related or not related.
    Time Frame
    Approximately 2 years
    Title
    Observed maximum plasma concentration (Cmax) of HS-10516
    Description
    Cmax will be obtained following administration of the first dose of HS-10516 during first 2 cycles.
    Time Frame
    Approximately 2 months
    Title
    Time to reach maximum plasma concentration (Tmax) of HS-10516
    Description
    Tmax will be obtained following administration of the first dose of HS-10516 during first 2 cycles.
    Time Frame
    Approximately 2 months
    Title
    Area under plasma concentration versus time curve from zero to last sampling time (AUC0-t) following the first dose of HS-10516
    Description
    Area under the plasma concentration versus time curve from time zero to the last sampling time when the concentration was no less than the lower limit of quantification (LLQ). AUC0-t was calculated according to the mixed log-linear trapezoidal rule.
    Time Frame
    Approximately 1 year
    Title
    ORR by investigators
    Description
    ORR defined as the percentage of participants with a confirmed complete response (CR) or partial response (PR) based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.
    Time Frame
    Approximately 1 year
    Title
    Disease Control Rate (DCR)
    Description
    DCR defined as the percentage of participants with a confirmed complete response (CR) or partial response (PR) or a stable disease (SD) of 8 weeks or longer based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.
    Time Frame
    Approximately 1 year
    Title
    Duration of Response (DoR)
    Description
    DoR is defined as the time from the date of first documented CR or PR, assessed by investigator and based on RECIST v. 1.1, to the documented date of progressive disease (PD) or death, whichever occurred first.
    Time Frame
    Approximately 1 year
    Title
    Progression Free Survival (PFS)
    Description
    PFS defined as the time from the date the participant started study drug to the date the participant experiences an event of disease progression or death.
    Time Frame
    Approximately 2 years
    Title
    Overall Survival (OS)
    Description
    OS defined as the time from the date the participant started study drug to death for any reason.
    Time Frame
    Approximately 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: Male or female from 18 to 75 year-old Histologically confirmed locally advanced or metastasis clear cell renal cell carcinoma whose standard treatment failed or proven unavailable or intolerant Has at least one non-CNS target lesion per RESIST v1.1 Has an Eastern Cooperative Oncology Group performance status of 0-1 Has a life expectancy of ≥ 12 weeks Should use adequate contraceptive measures throughout the study Females subject must not be pregnant at screening Has the ability to understand and willingness to sign a written informed consent before the performance of the study Exclusion Criteria: Received or being received treatment as follows: Hypoxia-induced factor inhibitors Traditional Chinese medicine indicated for tumors within 2 weeks prior to the first dose of study treatment. Cytotoxic chemotherapeutic drugs, investigational drugs or other systematic anti-tumor therapies within 3 weeks before the first dose of study treatment Colony-stimulating factors (CSFs) within 4 weeks before the first dose of study treatment Local radiotherapy within 2 weeks prior to the first dose of study treatment; more than 30% of bone marrow radiotherapy or large-area irradiation within 4 weeks before the first dose of study treatment. Major surgery within 4 weeks prior to the first dose of study treatment. Has a pulse oximetry reading less than 92% at screening, requires intermittent supplemental oxygen, or requires chronic supplemental oxygen Has failed to recover from a ≥ grade 2 adverse event due to prior anti-tumor therapy Has another malignancy or a history of another malignancy Has inadequate bone marrow reserve or organ dysfunction Has a clinically significant bleeding events or tendency within 1 month prior to the first dose of study treatment Has severe infections within 4 weeks prior to the first dose of study treatment Has digestive system diseases may influencing ADME of study drug Has a history of severe hypersensitivity reaction, or proven allergic to HS-10516 or its metabolics Has any disease or condition would compromise subject safety or interfere with study assessments by investigator's decision
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Yun Chen
    Phone
    +86 18652105250
    Email
    cheny22@hspharm.com
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Jun Guo, M.D.
    Organizational Affiliation
    Peking University Cancer Hospital & Institute
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    No

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    A Study of HS-10516 in Patients With Advanced Clear Cell Renal Cell Carcinoma

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