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A Safety and Efficacy Study of SHR-1702 Monotherapy in Patients With Acute Myeloid Leukemia (AML) or Myelodysplastic Syndrome (MDS)

Primary Purpose

AML, MDS

Status
Completed
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
SHR-1702
Sponsored by
Jiangsu HengRui Medicine Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for AML

Eligibility Criteria

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

Inclusion Criteria:

  1. Male or female.
  2. ≥18 years of age.
  3. Refractory/Relapsed AML, or failed to achieve complete remission after 2 cycles of induction therapy.
  4. Intermediate, High and very high risk MDS according to the revised International Prognostic Scoring System (IPSS-R) who have failed prior therapies, such as azacitidine and decitabine (Scoring≥3.5).
  5. Life expectancy≥12 months.
  6. With Adequate hematologic and organ function
  7. Signed inform consent form

Exclusion Criteria:

  1. With a history of idiopathic pulmonary fibrosis, organizing pneumonia, drug-induced pneumonitis, idiopathic pneumonitis, or evidence of active pneumonitis on screening chest CT scan.
  2. With significant cardiovascular disease.
  3. With a history of autoimmune disease.
  4. Subjects with a condition requiring systemic treatment with either corticosteroids (>10 mg daily prednisone equivalent) or other immunosuppressive medications within 14 days of first administration of study treatment. Inhaled or topical steroids, and adrenal replacement steroid are permitted in the absence of active autoimmune disease.
  5. Positive test result for human immunodeficiency virus (HIV); Active hepatitis B or hepatitis C.
  6. Active or untreated central nervous system (CNS) metastases.
  7. Active infection within 2 weeks.
  8. Know to be allergic to the ingredients of SHR-1702 injection.
  9. Prior allogeneic bone marrow transplantation or solid organ transplant
  10. With a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the study, interfere with the subject's participation for the full duration of the study, or is not in the best interest of the subject to participate, in the opinion of the treating investigator.

Sites / Locations

  • Blood disease hospital of Chinese Academy of Medical Sciences

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

SHR-1702 monotherapy

Arm Description

SHR-1702 monotherapy, given intravenously (IV); dose escalation and dose expansion.

Outcomes

Primary Outcome Measures

The maximum tolerated dose (MTD)/recommended Phase 2 dose (RP2D) of SHR-1702 monotherapy in patients with AML or MDS.

Secondary Outcome Measures

Number of participants with the type, frequency, and severity of adverse events (AEs) as a measure of safety and tolerability of SHR-1702 monotherapy in AML and MDS patients
Maximum Concentration (Cmax) of SHR-1702 monotherapy in patients with AML or MDS
Minimum Concentration (Cmax) of SHR-1702 monotherapy in patients with AML or MDS
Immunogenicity as assessed by the presence of anti-drug antibodies
Anti SHR-1702 antibodies will be tested frequently
Pharmacodynamic profile as assessed by receptor occupancy
SHR-1702 receptor occupation
Objective response rate(ORR)for SHR-1702 in AML based on IWG2003 or high risk MDS based on IWG2006
Best of Response(BOR)for SHR-1702 in AML or high risk MDS
Progression-Free Survival(PFS) for SHR-1702 in AML or high risk MDS
Overall Survival(OS) for SHR-1702 in AML or high risk MDS

Full Information

First Posted
June 17, 2020
Last Updated
August 23, 2023
Sponsor
Jiangsu HengRui Medicine Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT04443751
Brief Title
A Safety and Efficacy Study of SHR-1702 Monotherapy in Patients With Acute Myeloid Leukemia (AML) or Myelodysplastic Syndrome (MDS)
Official Title
A Phase I, Multicenter, Open-label Study of SHR-1702 in Patients With Acute Myeloid Leukemia or Myelodysplastic Syndrome
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Completed
Study Start Date
September 10, 2020 (Actual)
Primary Completion Date
February 28, 2023 (Actual)
Study Completion Date
February 28, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Jiangsu HengRui Medicine 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 will assess the safety and preliminary efficacy of escalating doses of SHR-1702 monotherapy in relapsed/refractory AML and intermediate-high risk MDS

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
AML, MDS

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
SHR-1702 monotherapy
Arm Type
Experimental
Arm Description
SHR-1702 monotherapy, given intravenously (IV); dose escalation and dose expansion.
Intervention Type
Drug
Intervention Name(s)
SHR-1702
Intervention Description
SHR-1702 monotherapy, administered IV
Primary Outcome Measure Information:
Title
The maximum tolerated dose (MTD)/recommended Phase 2 dose (RP2D) of SHR-1702 monotherapy in patients with AML or MDS.
Time Frame
6 months
Secondary Outcome Measure Information:
Title
Number of participants with the type, frequency, and severity of adverse events (AEs) as a measure of safety and tolerability of SHR-1702 monotherapy in AML and MDS patients
Time Frame
2 years
Title
Maximum Concentration (Cmax) of SHR-1702 monotherapy in patients with AML or MDS
Time Frame
2 years
Title
Minimum Concentration (Cmax) of SHR-1702 monotherapy in patients with AML or MDS
Time Frame
2 years
Title
Immunogenicity as assessed by the presence of anti-drug antibodies
Description
Anti SHR-1702 antibodies will be tested frequently
Time Frame
2 years
Title
Pharmacodynamic profile as assessed by receptor occupancy
Description
SHR-1702 receptor occupation
Time Frame
2 years
Title
Objective response rate(ORR)for SHR-1702 in AML based on IWG2003 or high risk MDS based on IWG2006
Time Frame
2 years
Title
Best of Response(BOR)for SHR-1702 in AML or high risk MDS
Time Frame
2 years
Title
Progression-Free Survival(PFS) for SHR-1702 in AML or high risk MDS
Time Frame
2 years
Title
Overall Survival(OS) for SHR-1702 in AML or high risk MDS
Time Frame
2 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female. ≥18 years of age. Refractory/Relapsed AML, or failed to achieve complete remission after 2 cycles of induction therapy. Intermediate, High and very high risk MDS according to the revised International Prognostic Scoring System (IPSS-R) who have failed prior therapies, such as azacitidine and decitabine (Scoring≥3.5). Life expectancy≥12 months. With Adequate hematologic and organ function Signed inform consent form Exclusion Criteria: With a history of idiopathic pulmonary fibrosis, organizing pneumonia, drug-induced pneumonitis, idiopathic pneumonitis, or evidence of active pneumonitis on screening chest CT scan. With significant cardiovascular disease. With a history of autoimmune disease. Subjects with a condition requiring systemic treatment with either corticosteroids (>10 mg daily prednisone equivalent) or other immunosuppressive medications within 14 days of first administration of study treatment. Inhaled or topical steroids, and adrenal replacement steroid are permitted in the absence of active autoimmune disease. Positive test result for human immunodeficiency virus (HIV); Active hepatitis B or hepatitis C. Active or untreated central nervous system (CNS) metastases. Active infection within 2 weeks. Know to be allergic to the ingredients of SHR-1702 injection. Prior allogeneic bone marrow transplantation or solid organ transplant With a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the study, interfere with the subject's participation for the full duration of the study, or is not in the best interest of the subject to participate, in the opinion of the treating investigator.
Facility Information:
Facility Name
Blood disease hospital of Chinese Academy of Medical Sciences
City
Tianjin
State/Province
Tianjin
ZIP/Postal Code
300041
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Safety and Efficacy Study of SHR-1702 Monotherapy in Patients With Acute Myeloid Leukemia (AML) or Myelodysplastic Syndrome (MDS)

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