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A Clinical Trial of TQB3909 Tablets in Patients With Breast Cancer

Primary Purpose

Advanced Breast Cancer

Status
Recruiting
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
TQB3909 tablets
Sponsored by
Chia Tai Tianqing Pharmaceutical Group Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Advanced Breast Cancer

Eligibility Criteria

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

Inclusion Criteria: Evidence of a personally signed and dated informed consent document indicating that the patient has been informed of all pertinent aspects of the study. Age: 18 to 75 years old; female patient, an Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1. Histopathologically confirmed HR positive and HER2 negative advanced or metastatic breast cancer. Patients who have been treated with endocrine therapy and have experienced disease progression. Patients previously treated with any CDK4/6 inhibitor and not treated with BCL-2 inhibitor. Has at least one measurable lesion according to Response Evaluation Criteria In Solid Tumors (RECIST) v1.1 criteria The main organs function well; Female patient had no plans to become pregnant and voluntarily took effective contraceptive measures from agree with the study to at least 6 months after the last dose of study drug. Exclusion Criteria: 1. Concomitant disease and medical history: There were other malignant tumors in 3 years before the first medication. Has multiple factors affecting oral medication; Unalleviated toxicity ≥ grade 1 due to any previous therapy; Major surgical treatment, open biopsy and obvious traumatic injury were performed within 28 days before the study; e.Arteriovenous thrombotic events occurred within 6 months before the first medication, such as cerebrovascular accident (including transient ischemic attack, cerebral hemorrhage, cerebral infarction), deep venous thrombosis and pulmonary embolism; f.Have a history of psychotropic drug abuse and can not quit or have mental disorders; g.Subjects with any severe and / or uncontrolled disease included: Cirrhosis, active hepatitis, history of immunodeficiency; Tumor-related symptoms and treatment: Has central nervous system metastases (CNS) and/or cancerous meningitis or leptomeningeal carcinomatosis; have received radiotherapy, other antineoplastic therapy within 2 weeks prior to the first dose; Has uncontrollable pleural effusion, pericardial effusion, or ascites requiring recurrent drainage procedures. Known hypersensitivity to TQB3909, LHRH agonists (e.g., goserelin), or any excipients. Subjects who have received the vaccine within 28 days prior to the first dose, or are planning to receive the vaccine during the study period. Has Participated in other clinical trials within 4 weeks before first dose. According to the judgement of the investigators, there are other factors that may lead to the termination of the study.

Sites / Locations

  • Hunan Cancer HospitalRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

TQB3909 tablets

Arm Description

200-1000mg of TQB3909 tablets once a day; Oral administration under fast condition, 28 days as a cycle.

Outcomes

Primary Outcome Measures

Dose Limiting Toxicity (DLT)
DLT will be defined as toxicities that meet pre-defined severity criteria(according to the NCI CTCAE v5.0 toxicity assessment criteria), and assessed as having a suspected relationship to study drug that occurred from the first dose to the end of the first treatment cycle.
Maximum tolerated dose (MTD)
MTD was defined as the highest dose at which dose-limiting toxicity (DLT) occurred in less than 33% of patients.
Recommended Phase II Dose (RP2D)
DLT describes side effects of a drug or other treatment that are serious enough to evaluate RP2D of TQB3909 tablets in adult patients with Breast cancers

Secondary Outcome Measures

Time to reach maximum (peak)plasma concentration (Tmax)
To characterize the pharmacokinetics of TQB3909 by assessment of time to reach maximum plasma concentration after single and multiple dosing.
Peak concentration (Cmax)
Maximum observed concentration (Cmax) of TQB3909
Terminal half-life (T1/2)
Pharmacokinetics parameters to evaluate the half life of TQB3909 (T1/2)
Area under the plasma concentration-time curve from time zero to time t (AUC0-t)
To characterize the pharmacokinetics of TQB3909 by assessment of area under the plasma concentration time curve from the first dose to a certain time point.
Maximum (peak) steady-state plasma drug concentration during a dosage interval (Cmax,ss)
Cmax,ss is the steady state maximum concentration of TQB3909.
Minimum steady-state plasma drug concentration during a dosage interval (Cmin,ss)
Cmin,ss is the minimum plasma concentration of TQB3909.
Clinilca Benefit Rate (CBR)
Percentage of participants achieving complete response (CR) and partial response (PR) and stable disease (SD).
Objective Response Rate (ORR)
Defined as the percentage of Complete Response (CR) plus partial response (PR) assessed by Response Evaluation Criteria In Solid Tumors (RECIST) v1.1 criteria

Full Information

First Posted
December 7, 2022
Last Updated
March 16, 2023
Sponsor
Chia Tai Tianqing Pharmaceutical Group Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05775575
Brief Title
A Clinical Trial of TQB3909 Tablets in Patients With Breast Cancer
Official Title
A Phase Ib/II Study to Investigate the Safety, Tolerance and Pharmacokinetics of TQB3909 With HR-positive, HER2-negative Advanced Breast Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
September 2022
Overall Recruitment Status
Recruiting
Study Start Date
March 2, 2023 (Actual)
Primary Completion Date
December 2023 (Anticipated)
Study Completion Date
December 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Chia Tai Tianqing Pharmaceutical Group 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
TQB3909 is an inhibitor targeting B-cell lymphoma (BCL)-2 protein. By binding to BCL-2 protein, TQB3909 releases Pro apoptotic proteins such as BCL-2-Anatagonist/Killer 1(BAK), BCL-2 associated X (BAX) protein and BCL-2 associated death (BAD) protein, promotes the release of cytochrome c from mitochondria, phosphatidylserine eversion, stimulates caspase 3/7 activity and caspase 3/9 cleavage, and induces apoptosis.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Advanced Breast Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
65 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
TQB3909 tablets
Arm Type
Experimental
Arm Description
200-1000mg of TQB3909 tablets once a day; Oral administration under fast condition, 28 days as a cycle.
Intervention Type
Drug
Intervention Name(s)
TQB3909 tablets
Intervention Description
TQB3909 is an inhibitor targeting BCL-2 protein
Primary Outcome Measure Information:
Title
Dose Limiting Toxicity (DLT)
Description
DLT will be defined as toxicities that meet pre-defined severity criteria(according to the NCI CTCAE v5.0 toxicity assessment criteria), and assessed as having a suspected relationship to study drug that occurred from the first dose to the end of the first treatment cycle.
Time Frame
At the end of Cycle 1 (Cycle 1, Day 28)
Title
Maximum tolerated dose (MTD)
Description
MTD was defined as the highest dose at which dose-limiting toxicity (DLT) occurred in less than 33% of patients.
Time Frame
At the end of Cycle 1 (Cycle 1, Day 28)
Title
Recommended Phase II Dose (RP2D)
Description
DLT describes side effects of a drug or other treatment that are serious enough to evaluate RP2D of TQB3909 tablets in adult patients with Breast cancers
Time Frame
Baseline up to 24 months
Secondary Outcome Measure Information:
Title
Time to reach maximum (peak)plasma concentration (Tmax)
Description
To characterize the pharmacokinetics of TQB3909 by assessment of time to reach maximum plasma concentration after single and multiple dosing.
Time Frame
before administration at Day 1, Cycle1 Day7,Cycle1 Day14, Cycle1 Day28; 1, 2, 4, 6, 8, 10,24,48, and 72 hours after-dose at Day 1; 1, 2, 4, 6, 8, 10, and 24 hours after-dose at Cycle 1 Day 28.
Title
Peak concentration (Cmax)
Description
Maximum observed concentration (Cmax) of TQB3909
Time Frame
before administration at Day 1, Cycle1 Day7,Cycle1 Day14, Cycle1 Day28; 1, 2, 4, 6, 8, 10,24,48, and 72 hours after-dose at Day 1; 1, 2, 4, 6, 8, 10, and 24 hours after-dose at Cycle 1 Day 28.
Title
Terminal half-life (T1/2)
Description
Pharmacokinetics parameters to evaluate the half life of TQB3909 (T1/2)
Time Frame
before administration at Day 1, Cycle1 Day7,Cycle1 Day14, Cycle1 Day28; 1, 2, 4, 6, 8, 10,24,48, and 72 hours after-dose at Day 1; 1, 2, 4, 6, 8, 10, and 24 hours after-dose at Cycle 1 Day 28.
Title
Area under the plasma concentration-time curve from time zero to time t (AUC0-t)
Description
To characterize the pharmacokinetics of TQB3909 by assessment of area under the plasma concentration time curve from the first dose to a certain time point.
Time Frame
before administration at Day 1, Cycle1 Day7,Cycle1 Day14, Cycle1 Day28; 1, 2, 4, 6, 8, 10,24,48, and 72 hours after-dose at Day 1; 1, 2, 4, 6, 8, 10, and 24 hours after-dose at Cycle 1 Day 28.
Title
Maximum (peak) steady-state plasma drug concentration during a dosage interval (Cmax,ss)
Description
Cmax,ss is the steady state maximum concentration of TQB3909.
Time Frame
before administration at Day 1, Cycle1 Day7,Cycle1 Day14, Cycle1 Day28; 1, 2, 4, 6, 8, 10,24,48, and 72 hours after-dose at Day 1; 1, 2, 4, 6, 8, 10, and 24 hours after-dose at Cycle 1 Day 28.
Title
Minimum steady-state plasma drug concentration during a dosage interval (Cmin,ss)
Description
Cmin,ss is the minimum plasma concentration of TQB3909.
Time Frame
before administration at Day 1, Cycle1 Day7,Cycle1 Day14, Cycle1 Day28; 1, 2, 4, 6, 8, 10,24,48, and 72 hours after-dose at Day 1; 1, 2, 4, 6, 8, 10, and 24 hours after-dose at Cycle 1 Day 28.
Title
Clinilca Benefit Rate (CBR)
Description
Percentage of participants achieving complete response (CR) and partial response (PR) and stable disease (SD).
Time Frame
From date of the first dose until the date of first documented progression or date of death from any cause, assessed up to 100 weeks.
Title
Objective Response Rate (ORR)
Description
Defined as the percentage of Complete Response (CR) plus partial response (PR) assessed by Response Evaluation Criteria In Solid Tumors (RECIST) v1.1 criteria
Time Frame
From date of the first dose until the date of first documented progression or date of death from any cause, assessed up to 100 weeks.

10. Eligibility

Sex
Female
Gender Based
Yes
Gender Eligibility Description
female patient aged from 18 to 75 years old, with an Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1.
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Evidence of a personally signed and dated informed consent document indicating that the patient has been informed of all pertinent aspects of the study. Age: 18 to 75 years old; female patient, an Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1. Histopathologically confirmed HR positive and HER2 negative advanced or metastatic breast cancer. Patients who have been treated with endocrine therapy and have experienced disease progression. Patients previously treated with any CDK4/6 inhibitor and not treated with BCL-2 inhibitor. Has at least one measurable lesion according to Response Evaluation Criteria In Solid Tumors (RECIST) v1.1 criteria The main organs function well; Female patient had no plans to become pregnant and voluntarily took effective contraceptive measures from agree with the study to at least 6 months after the last dose of study drug. Exclusion Criteria: 1. Concomitant disease and medical history: There were other malignant tumors in 3 years before the first medication. Has multiple factors affecting oral medication; Unalleviated toxicity ≥ grade 1 due to any previous therapy; Major surgical treatment, open biopsy and obvious traumatic injury were performed within 28 days before the study; e.Arteriovenous thrombotic events occurred within 6 months before the first medication, such as cerebrovascular accident (including transient ischemic attack, cerebral hemorrhage, cerebral infarction), deep venous thrombosis and pulmonary embolism; f.Have a history of psychotropic drug abuse and can not quit or have mental disorders; g.Subjects with any severe and / or uncontrolled disease included: Cirrhosis, active hepatitis, history of immunodeficiency; Tumor-related symptoms and treatment: Has central nervous system metastases (CNS) and/or cancerous meningitis or leptomeningeal carcinomatosis; have received radiotherapy, other antineoplastic therapy within 2 weeks prior to the first dose; Has uncontrollable pleural effusion, pericardial effusion, or ascites requiring recurrent drainage procedures. Known hypersensitivity to TQB3909, LHRH agonists (e.g., goserelin), or any excipients. Subjects who have received the vaccine within 28 days prior to the first dose, or are planning to receive the vaccine during the study period. Has Participated in other clinical trials within 4 weeks before first dose. According to the judgement of the investigators, there are other factors that may lead to the termination of the study.
Facility Information:
Facility Name
Hunan Cancer Hospital
City
Changsha
State/Province
Hunan
ZIP/Postal Code
410013
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Quchang Ouyang, Doctor
Phone
+86 13973135318
Email
oyqc1969@126.com

12. IPD Sharing Statement

Plan to Share IPD
No

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A Clinical Trial of TQB3909 Tablets in Patients With Breast Cancer

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