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A Phase I Study to Evaluate the Safety, Tolerability and Pharmacokinetics of JS004 in Advanced Solid Tumors

Primary Purpose

Melanoma, Renal Carcinoma, Urothelial Carcinoma

Status
Recruiting
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
JS004, a recombinant humanized, IgG4κ monoclonal antibody (mAb) specific to B- and T-lymphocyte attenuator (BTLA); Toripalimab Injection
Sponsored by
Shanghai Junshi Bioscience Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Melanoma

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

Only the patients meeting the following criteria are eligible to participate in the study:

  1. Voluntarily signed written informed consent form;
  2. Age ≥18 and ≤70 years at the time of signing informed consent form, male or female;
  3. Life expectancy ≥ 3 months;
  4. Eastern Cooperative Oncology Group (ECOG) Performance Status score of 0 or 1;
  5. Patients with histologically or cytologically confirmed advanced solid tumors: patients with advanced solid tumors who have failure in standard of care, cannot tolerate standard of care, refuse and/or have no standard of care (melanoma, renal carcinoma and urothelial carcinoma);
  6. At least one measurable lesion as target lesion (RECIST v1.1);
  7. Agree to provide tumor tissue specimen ( fresh biopsied sample before treatment should be provided as far as possible, the archived sample within two years is acceptable for the patients who cannot provide fresh biopsied sample before treatment);
  8. Adequate organ function as indicated by the laboratory results during the screening period;
  9. Use of effective contraceptive methods during the study for male subjects of reproduction ability or female subjects of childbearing potential, and continuation of contraception for 6 months after the end of treatment;
  10. Good compliance, cooperation with follow-up.

Exclusion Criteria

Patients will be excluded from the study when they have any of the following conditions:

  1. History of malignant tumors other than the disease investigated in the past 5 years, however, except for the malignant tumors that can be expected to be cured after treatment;
  2. Having received systematic antitumor therapy, or local antitumor therapy, or treatment with clinically investigational medication or device within 4 weeks prior to the first dose of study drug;
  3. Having received immunotherapy within 4 weeks prior to first dose of study drug;
  4. Previously treated with anti-BTLA or anti-HVEM antibody;
  5. Adverse reaction induced by previous therapy having not recovered to CTCAE (version 5.0) grade 1 or better;
  6. Having previously received allogeneic hematopoietic stem cell transplantation or solid organ transplantation;
  7. Having central nervous system metastases and/or cancerous meningitis;
  8. Having or suspected to have active autoimmune disease;
  9. Having hepatitis and liver cirrhosis;
  10. Massive hydrothorax or ascites with clinical symptoms or requiring symptomatic treatment;
  11. Having severe cerebro- and cardiovascular diseases;
  12. Having pulmonary disease;
  13. Having active infection requiring systemic treatment;
  14. Positive result for human immunodeficiency virus (HIV) antibody;
  15. Active hepatitis B or C;
  16. Known active tuberculosis (TB);
  17. Use of systemic corticosteroids 14 days prior to the first dose of study drug;
  18. Use of broad-spectrum antibiotics that may affect the change of intestinal flora within 14 days prior to the first dose of study drug;
  19. Vaccination of live vaccine within 4 weeks prior to the first dose of study drug;
  20. Having received major surgery within 4 weeks prior to the first dose of study drug;
  21. History of anti-psychotics abuse and unable to abstain, or with a history of mental disorder;
  22. Pregnant or breast-feeding women;
  23. Known allergy to JS004 and its components;
  24. Other severe, acute or chronic medical conditions or mental diseases or laboratory abnormalities possibly increasing relevant risks in participation in the study or possibly interfering with the interpretation of study results as judged by investigators.

Sites / Locations

  • Fujian Provincial Cancer Hospital
  • Tumor Hospital affiliated to Harbin Medical University
  • Hunan Cancer Hospital
  • Nanjing Drum Tower Hospital
  • First Hospital of Jilin University
  • West China Hospital of Sichuan University
  • Run Run Shaw Hospital affiliated to Zhejiang University Medical College
  • Zhejiang Cancer Hospital
  • Beijing Cancer HospitalRecruiting
  • Fudan University Shanghai Cancer Center
  • Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Dose escalation and extension group

Arm Description

JS004 dose escalation: 1mg/kg, IV Q3W; 3mg/kg, IV Q3W; 10mg/kg, IV Q3W; JS004 dose extension: 3mg/kg, IV Q3W; 200mg, IV Q3W; JS004+Toripalimab Injection dose escalation: JS004 100mg+Toripalimab Injection 240mg, IV Q3W; JS004 200mg+Toripalimab Injection 240mg, IV Q3W; JS004+Toripalimab Injection dose extension: JS004 100mg+Toripalimab Injection 240mg, IV Q3W or JS004 200mg+Toripalimab Injection 240mg, IV Q3W,to be determined.

Outcomes

Primary Outcome Measures

To evaluate the safety and tolerability of JS004 injection alone and in combination with Toripalimab in patients with advanced solid tumors.
Including incidence of dose limiting toxicity (DLT); incidence and severity of adverse event (AE), serious adverse event (SAE) and immune related adverse event (irAE); laboratory results with clinical significance and other tests with abnormal results.
Determine the maximum tolerated dose (MTD)/recommended extended dose (RDE) of JS004 injection monotherapy and combination with Toripalimab in patients with advanced solid tumors.
The maximum tolerated dose (MTD) is defined as the maximum dose at which <1/3 subjects experience any DLTs and at least 6 evaluable subjects are required at each dose level.

Secondary Outcome Measures

To preliminarily evaluate the efficacy of JS004 injection as a single drug and combined with Toripalimab.
Objective response rate (ORR), duration of response (DOR), disease control rate (DCR), time to response (TTR), progression-free survival (PFS) in accordance with RECIST 1.1 and overall survival (OS).
To evaluate the pharmacokinetic profile of JS004 Injection as a single drug and combined with Toripalimab.
Drug concentration in individual subject at different time points after administration.
To evaluate the pharmacokinetic profile of JS004 Injection as a single drug and combined with Toripalimab.
Peak concentration (Cmax)
To evaluate the pharmacokinetic profile of JS004 Injection as a single drug and combined with Toripalimab.
Time to peak (Tmax)
To evaluate the pharmacokinetic profile of JS004 Injection as a single drug and combined with Toripalimab.
Area under the serum concentration-time curve (AUC0-t and AUC0-∞)
To evaluate the pharmacokinetic profile of JS004 Injection as a single drug and combined with Toripalimab.
Clearance (CL)
To evaluate the pharmacokinetic profile of JS004 Injection as a single drug and combined with Toripalimab.
Volume of distribution under steady state (Vss)
To evaluate the pharmacokinetic profile of JS004 Injection as a single drug and combined with Toripalimab.
Mean retention time (MRT)
To evaluate the pharmacokinetic profile of JS004 Injection as a single drug and combined with Toripalimab.
Elimination half-life (t1/2)

Full Information

First Posted
January 17, 2021
Last Updated
August 23, 2021
Sponsor
Shanghai Junshi Bioscience Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT04773951
Brief Title
A Phase I Study to Evaluate the Safety, Tolerability and Pharmacokinetics of JS004 in Advanced Solid Tumors
Official Title
A Phase I Clinical Study to Evaluate the Safety, Tolerability and Pharmacokinetics of Recombinant Humanized Monoclonal Antibody Specific to B- and T- Lymphocyte Attenuator, BTLA (JS004) Injection in Patients With Advanced Solid Tumors
Study Type
Interventional

2. Study Status

Record Verification Date
January 2021
Overall Recruitment Status
Recruiting
Study Start Date
April 12, 2021 (Actual)
Primary Completion Date
February 29, 2024 (Anticipated)
Study Completion Date
August 31, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Shanghai Junshi Bioscience 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
An open-label, dose-escalation, phase I clinical study to evaluate the safety and tolerability of JS004 injection in the patients with advanced solid tumors who have failure in standard of care and are unable to tolerate standard of care and/or have no available standard of care. The study is divided into screening period, treatment period, and follow-up period. Screening period: Subjects will be included in the screening period after signing the informed consent form (ICF). The screening period is up to 28 days, subjects will enter the study treatment period if they meet all the inclusion criteria and none of exclusion criterion. Treatment period: Subjects will be allocated to the designated dose group to receive corresponding treatment in accordance with the progress of study. Subjects in dose escalation phase will receive DLT observation at first, and upon completion of DLT observation, the subjects will continue their administration at the original dose if they are tolerated as judged by investigator, until progression of disease, intolerable toxicity or other reasons specified in the protocol. Subjects in the dose extension phase receive appropriate study treatment until disease progression, intolerance of toxicity, or other causes specified in the protocol occur. Response evaluation criteria in solid tumors (RECIST v1.1) will be used for efficacy evaluation every 9 weeks (±7 days) in the first year and every 12 weeks (±7 days) in the 2nd year and thereafter. Follow-up period: A safety follow-up visit is required 30 days (±7 days) after the last dose of study drug or before the initiation of new antitumor therapy. If the new antitumor therapy has not been initiated, additional safety follow-up should be completed 90 days (±7 days) after the last dose as far as possible.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Melanoma, Renal Carcinoma, Urothelial Carcinoma

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Dose escalation and extension group
Arm Type
Experimental
Arm Description
JS004 dose escalation: 1mg/kg, IV Q3W; 3mg/kg, IV Q3W; 10mg/kg, IV Q3W; JS004 dose extension: 3mg/kg, IV Q3W; 200mg, IV Q3W; JS004+Toripalimab Injection dose escalation: JS004 100mg+Toripalimab Injection 240mg, IV Q3W; JS004 200mg+Toripalimab Injection 240mg, IV Q3W; JS004+Toripalimab Injection dose extension: JS004 100mg+Toripalimab Injection 240mg, IV Q3W or JS004 200mg+Toripalimab Injection 240mg, IV Q3W,to be determined.
Intervention Type
Biological
Intervention Name(s)
JS004, a recombinant humanized, IgG4κ monoclonal antibody (mAb) specific to B- and T-lymphocyte attenuator (BTLA); Toripalimab Injection
Intervention Description
Biological: JS004, Intravenous infusion; Toripalimab Injection, Intravenous infusion
Primary Outcome Measure Information:
Title
To evaluate the safety and tolerability of JS004 injection alone and in combination with Toripalimab in patients with advanced solid tumors.
Description
Including incidence of dose limiting toxicity (DLT); incidence and severity of adverse event (AE), serious adverse event (SAE) and immune related adverse event (irAE); laboratory results with clinical significance and other tests with abnormal results.
Time Frame
2 years
Title
Determine the maximum tolerated dose (MTD)/recommended extended dose (RDE) of JS004 injection monotherapy and combination with Toripalimab in patients with advanced solid tumors.
Description
The maximum tolerated dose (MTD) is defined as the maximum dose at which <1/3 subjects experience any DLTs and at least 6 evaluable subjects are required at each dose level.
Time Frame
2 years
Secondary Outcome Measure Information:
Title
To preliminarily evaluate the efficacy of JS004 injection as a single drug and combined with Toripalimab.
Description
Objective response rate (ORR), duration of response (DOR), disease control rate (DCR), time to response (TTR), progression-free survival (PFS) in accordance with RECIST 1.1 and overall survival (OS).
Time Frame
2 years
Title
To evaluate the pharmacokinetic profile of JS004 Injection as a single drug and combined with Toripalimab.
Description
Drug concentration in individual subject at different time points after administration.
Time Frame
2 years
Title
To evaluate the pharmacokinetic profile of JS004 Injection as a single drug and combined with Toripalimab.
Description
Peak concentration (Cmax)
Time Frame
2 years
Title
To evaluate the pharmacokinetic profile of JS004 Injection as a single drug and combined with Toripalimab.
Description
Time to peak (Tmax)
Time Frame
2 years
Title
To evaluate the pharmacokinetic profile of JS004 Injection as a single drug and combined with Toripalimab.
Description
Area under the serum concentration-time curve (AUC0-t and AUC0-∞)
Time Frame
2 years
Title
To evaluate the pharmacokinetic profile of JS004 Injection as a single drug and combined with Toripalimab.
Description
Clearance (CL)
Time Frame
2 years
Title
To evaluate the pharmacokinetic profile of JS004 Injection as a single drug and combined with Toripalimab.
Description
Volume of distribution under steady state (Vss)
Time Frame
2 years
Title
To evaluate the pharmacokinetic profile of JS004 Injection as a single drug and combined with Toripalimab.
Description
Mean retention time (MRT)
Time Frame
2 years
Title
To evaluate the pharmacokinetic profile of JS004 Injection as a single drug and combined with Toripalimab.
Description
Elimination half-life (t1/2)
Time Frame
2 years
Other Pre-specified Outcome Measures:
Title
To exploratively evaluate the antitumor activity of JS004 injection as a single drug and combined with Toripalimab using iRECIST (2017).
Description
Objective response rate (ORR), duration of response (DOR), disease control rate (DCR) and progression-free survival (PFS) evaluated in accordance with iRECIST(2017).
Time Frame
2 years
Title
To explore the pharmacodynamic profile of JS004 injection.
Description
Pharmacodynamic variables related with targets: lymphocyte subpopulation, receptor occupancy.
Time Frame
2 years
Title
To explore the correlation of relevant biomarkers with clinical efficacy.
Description
Tumor tissue related biomarker: including but not limited to HVEM and PD-L1; density of CD8 positive tumor infiltrating immune cells; tumor tissue whole exon sequencing (WES); Peripheral blood related biomarker: cytokine; surface receptor on immune cell (including PD-1,HVEM, CTLA-4, CD112R, TIM-3, ICOS, CX3CR1, CD183, CD103).
Time Frame
2 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Only the patients meeting the following criteria are eligible to participate in the study: Voluntarily signed written informed consent form; Age ≥18 and ≤70 years at the time of signing informed consent form, male or female; Life expectancy ≥ 3 months; Eastern Cooperative Oncology Group (ECOG) Performance Status score of 0 or 1; Patients with histologically or cytologically confirmed advanced solid tumors: patients with advanced solid tumors who have failure in standard of care, cannot tolerate standard of care, refuse and/or have no standard of care (melanoma, renal carcinoma and urothelial carcinoma); At least one measurable lesion as target lesion (RECIST v1.1); Agree to provide tumor tissue specimen ( fresh biopsied sample before treatment should be provided as far as possible, the archived sample within two years is acceptable for the patients who cannot provide fresh biopsied sample before treatment); Adequate organ function as indicated by the laboratory results during the screening period; Use of effective contraceptive methods during the study for male subjects of reproduction ability or female subjects of childbearing potential, and continuation of contraception for 6 months after the end of treatment; Good compliance, cooperation with follow-up. Exclusion Criteria Patients will be excluded from the study when they have any of the following conditions: History of malignant tumors other than the disease investigated in the past 5 years, however, except for the malignant tumors that can be expected to be cured after treatment; Having received systematic antitumor therapy, or local antitumor therapy, or treatment with clinically investigational medication or device within 4 weeks prior to the first dose of study drug; Having received immunotherapy within 4 weeks prior to first dose of study drug; Previously treated with anti-BTLA or anti-HVEM antibody; Adverse reaction induced by previous therapy having not recovered to CTCAE (version 5.0) grade 1 or better; Having previously received allogeneic hematopoietic stem cell transplantation or solid organ transplantation; Having central nervous system metastases and/or cancerous meningitis; Having or suspected to have active autoimmune disease; Having hepatitis and liver cirrhosis; Massive hydrothorax or ascites with clinical symptoms or requiring symptomatic treatment; Having severe cerebro- and cardiovascular diseases; Having pulmonary disease; Having active infection requiring systemic treatment; Positive result for human immunodeficiency virus (HIV) antibody; Active hepatitis B or C; Known active tuberculosis (TB); Use of systemic corticosteroids 14 days prior to the first dose of study drug; Use of broad-spectrum antibiotics that may affect the change of intestinal flora within 14 days prior to the first dose of study drug; Vaccination of live vaccine within 4 weeks prior to the first dose of study drug; Having received major surgery within 4 weeks prior to the first dose of study drug; History of anti-psychotics abuse and unable to abstain, or with a history of mental disorder; Pregnant or breast-feeding women; Known allergy to JS004 and its components; Other severe, acute or chronic medical conditions or mental diseases or laboratory abnormalities possibly increasing relevant risks in participation in the study or possibly interfering with the interpretation of study results as judged by investigators.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Liang Gao
Phone
13263288215
Email
liang_gao@junshipharma.com
First Name & Middle Initial & Last Name or Official Title & Degree
Ling Xiao
Phone
13408654655
Email
ling_xiao@junshipharma.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jun Guo
Organizational Affiliation
Peking University Cancer Hospital & Institute
Official's Role
Principal Investigator
Facility Information:
Facility Name
Fujian Provincial Cancer Hospital
City
Fuzhou
State/Province
Fujian
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yu Chen
Facility Name
Tumor Hospital affiliated to Harbin Medical University
City
Harbin
State/Province
Heilongjiang
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jin Wu
Facility Name
Hunan Cancer Hospital
City
Changsha
State/Province
Hunan
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Lin Wu
Facility Name
Nanjing Drum Tower Hospital
City
Nanjing
State/Province
Jiangsu
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Zhengyun Zou
Facility Name
First Hospital of Jilin University
City
Changchun
State/Province
Jilin
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Di Wu
Facility Name
West China Hospital of Sichuan University
City
Chengdu
State/Province
Sichuan
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jiyan Liu
Facility Name
Run Run Shaw Hospital affiliated to Zhejiang University Medical College
City
Hangzhou
State/Province
Zhejiang
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Hongming Pan
Facility Name
Zhejiang Cancer Hospital
City
Hangzhou
State/Province
Zhejiang
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yumei Fang
Facility Name
Beijing Cancer Hospital
City
Beijing
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jun Guo
Facility Name
Fudan University Shanghai Cancer Center
City
Shanghai
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Zhiguo Luo
Facility Name
Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology
City
Wuhan
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jing Chen

12. IPD Sharing Statement

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A Phase I Study to Evaluate the Safety, Tolerability and Pharmacokinetics of JS004 in Advanced Solid Tumors

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