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A Study of ES104 in Patients With Metastatic Colorectal Cancer

Primary Purpose

Metastatic Colorectal Cancer

Status
Active
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
ES104
ES104
ES104
Sponsored by
Elpiscience (Suzhou) Biopharma, Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Metastatic Colorectal Cancer focused on measuring ES104

Eligibility Criteria

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

Inclusion Criteria:

  • Ability to understand and the willingness to sign a written informed consent form.
  • Locally advanced or metastatic colorectal adenocarcinoma confirmed by pathology and not surgically resectable, having received systemic therapy and failed.
  • At least one measurable lesion is required (RECIST v1.1)
  • Eastern Cooperative Oncology Group performance status (ECOG PS) of 0 or 1.
  • Estimated life expectancy, in the judgment of the investigator, of at least 12 weeks.
  • Adequate organ function, as assessed by the results of the laboratory tests specified in the protocol.
  • Male and female subjects of childbearing potential must be willing to use effective contraceptive methods, from the time of signing informed consent and for the duration of study participation through 180 days following the last dose of study drug.

Exclusion Criteria:

  • Receipt of any systemic antitumor therapy within 28 days prior to the first dose of study drug.
  • Known history of severe allergy to any monoclonal antibody or study drug excipient.
  • The subject has received or is receiving treatment in another clinical trial within 28 days prior to the first dose of study drug (except for participation in the overall survival follow-up of a study)
  • Receipt of antiplatelet agents or anticoagulants for therapeutic purposes within 14 days prior to the first dose of study drug.
  • Receipt of live vaccination within 28 days prior to the first dose of study drug.
  • Prior history of allogeneic organ transplantation or allogeneic peripheral blood stem cell (PBSC)/bone marrow transplantation treatment.
  • Subject has not recovered from all AEs of previous anticancer therapies to baseline or ≤ Grade 1 per CTCAE v5.0 before the first dose of study drug. Certain exceptions as defined in protocol apply.
  • Subjects with active metastatic brain or meningeal metastases.
  • Patients with other primary malignancies within 5 years before the first dose of study drug. Some exceptions as defined per protocol apply.
  • Major surgery or major traumatic injury within 28 days prior to the first dose of study drug (in the judgment of the Investigator).
  • History of cardiovascular disease as defined by the protocol within the past 5 years.
  • History of bleeding-related illness as defined by the protocol.
  • Presence of severe, unhealed or open wounds and active ulcers or untreated fractures.
  • Known history of human immunodeficiency virus (HIV) virus infection and/or acquired immunodeficiency syndrome.
  • Chronic active hepatitis B or active hepatitis C.
  • Active infection requiring systemic therapy 14 days prior to first dose of study drug.
  • Pregnant or nursing females.
  • Known history of alcohol or drug abuse.
  • Subjects with comorbidities or other conditions that may affect compliance with the protocol or are not suitable for participation in this study in the judgment of the Investigator.

Sites / Locations

  • Beijing Cancer Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Cohort 1 Phase 1

Cohort 2 Phase 1

RP2D Phase 2

Arm Description

Outcomes

Primary Outcome Measures

Phase 1: The frequency and severity of adverse events of ES104
The safety profile of ES104 will be assessed by the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 5.0.
Phase 2: The anti-tumor activity of ES104
The Objective Remission Rate (ORR) will be measured by the revised Response Evaluation Criteria in Solid Tumors version 1.1 (RECISTv1.1) by Investigator assessment.

Secondary Outcome Measures

Phase 1: Maximum observed serum concentration (Cmax) of ES104
Maximum observed serum concentration (Cmax) of ES104 will be measured.
Phase 1:Time to Cmax (Tmax) of ES104
Time to Cmax (Tmax) of ES104 will be measured.
Phase 1:Area under the serum concentration time curve (AUC) of ES104
Area under the serum concentration time curve (AUC) of ES104 will be measured.
Phase 1:The clearance of ES104
A pharmacokinetic measurement of the volume of plasma from which ES104 is completely removed per unit time.
Phase 1: The immunogenicity of ES104
The presence and the frequency of anti-drug antibodies (ADA) against ES104 will be measured.
Phase 1: The preliminary anti-tumor activity of ES104
Tumor response will be measured by the revised Response Evaluation Criteria in Solid Tumors version 1.1 (RECISTv1.1) by Investigator assessment.
Phase 2: The anti-tumor activity of ES104
Tumor response will be measured by the revised Response Evaluation Criteria in Solid Tumors version 1.1 (RECISTv1.1) by Investigator assessment.
Phase 2: The frequency and severity of adverse events of ES104
The safety profile of ES104 will be assessed by the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 5.0.
Phase 2: The popPK profile of ES104
The Cmin,ss、CL and Vd of ES104 will be measured.
Phase 2: The immunogenicity of ES104
The presence and the frequency of anti-drug antibodies (ADA) against ES104 will be measured.

Full Information

First Posted
November 30, 2021
Last Updated
February 14, 2023
Sponsor
Elpiscience (Suzhou) Biopharma, Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05167448
Brief Title
A Study of ES104 in Patients With Metastatic Colorectal Cancer
Official Title
Phase I/II Clinical Trial of ES104 in Patients With Unresectable Locally Advanced or Metastatic Colorectal Cancer Who Have Failed Systemic Therapies
Study Type
Interventional

2. Study Status

Record Verification Date
February 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
February 25, 2022 (Actual)
Primary Completion Date
May 31, 2026 (Anticipated)
Study Completion Date
July 31, 2026 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Elpiscience (Suzhou) Biopharma, 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
The purpose of this open-label, Multicenter Phase I/II study is to evaluate the safety, tolerability, preliminary anti-tumor efficay, pharmacokinetics, anti-drug antibodies and biomarkers of ES104 in patients with unresectable locally advanced or metastatic colorectal cancer who have failed systemic therapies.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Metastatic Colorectal Cancer
Keywords
ES104

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
58 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1 Phase 1
Arm Type
Experimental
Arm Title
Cohort 2 Phase 1
Arm Type
Experimental
Arm Title
RP2D Phase 2
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
ES104
Intervention Description
ES104 is administered via Intravenous infusion, at dose of 10 mg/kg, once every 14 days, every 28 days as a treatment cycle for a maximum treatment duration per patient of 2 years.
Intervention Type
Drug
Intervention Name(s)
ES104
Intervention Description
ES104 is administered via Intravenous infusion, at dose of 12.5 mg/kg, once every 14 days, every 28 days as a treatment cycle for a maximum treatment duration per patient of 2 years.
Intervention Type
Drug
Intervention Name(s)
ES104
Intervention Description
ES104 is administered via Intravenous infusion, at dose of RP2D, once every 14 days, every 28 days as a treatment cycle for a maximum treatment duration per patient of 2 years.
Primary Outcome Measure Information:
Title
Phase 1: The frequency and severity of adverse events of ES104
Description
The safety profile of ES104 will be assessed by the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 5.0.
Time Frame
1-3 years
Title
Phase 2: The anti-tumor activity of ES104
Description
The Objective Remission Rate (ORR) will be measured by the revised Response Evaluation Criteria in Solid Tumors version 1.1 (RECISTv1.1) by Investigator assessment.
Time Frame
2-5 years
Secondary Outcome Measure Information:
Title
Phase 1: Maximum observed serum concentration (Cmax) of ES104
Description
Maximum observed serum concentration (Cmax) of ES104 will be measured.
Time Frame
1-3 years
Title
Phase 1:Time to Cmax (Tmax) of ES104
Description
Time to Cmax (Tmax) of ES104 will be measured.
Time Frame
1-3 years
Title
Phase 1:Area under the serum concentration time curve (AUC) of ES104
Description
Area under the serum concentration time curve (AUC) of ES104 will be measured.
Time Frame
1-3 years
Title
Phase 1:The clearance of ES104
Description
A pharmacokinetic measurement of the volume of plasma from which ES104 is completely removed per unit time.
Time Frame
1-3 years
Title
Phase 1: The immunogenicity of ES104
Description
The presence and the frequency of anti-drug antibodies (ADA) against ES104 will be measured.
Time Frame
1-3 years
Title
Phase 1: The preliminary anti-tumor activity of ES104
Description
Tumor response will be measured by the revised Response Evaluation Criteria in Solid Tumors version 1.1 (RECISTv1.1) by Investigator assessment.
Time Frame
1-3 years
Title
Phase 2: The anti-tumor activity of ES104
Description
Tumor response will be measured by the revised Response Evaluation Criteria in Solid Tumors version 1.1 (RECISTv1.1) by Investigator assessment.
Time Frame
2-5 years
Title
Phase 2: The frequency and severity of adverse events of ES104
Description
The safety profile of ES104 will be assessed by the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 5.0.
Time Frame
2-5 years
Title
Phase 2: The popPK profile of ES104
Description
The Cmin,ss、CL and Vd of ES104 will be measured.
Time Frame
2-5 years
Title
Phase 2: The immunogenicity of ES104
Description
The presence and the frequency of anti-drug antibodies (ADA) against ES104 will be measured.
Time Frame
2-5 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Ability to understand and the willingness to sign a written informed consent form. Locally advanced or metastatic colorectal adenocarcinoma confirmed by pathology and not surgically resectable, having received systemic therapy and failed. At least one measurable lesion is required (RECIST v1.1) Eastern Cooperative Oncology Group performance status (ECOG PS) of 0 or 1. Estimated life expectancy, in the judgment of the investigator, of at least 12 weeks. Adequate organ function, as assessed by the results of the laboratory tests specified in the protocol. Male and female subjects of childbearing potential must be willing to use effective contraceptive methods, from the time of signing informed consent and for the duration of study participation through 180 days following the last dose of study drug. Exclusion Criteria: Receipt of any systemic antitumor therapy within 28 days prior to the first dose of study drug. Known history of severe allergy to any monoclonal antibody or study drug excipient. The subject has received or is receiving treatment in another clinical trial within 28 days prior to the first dose of study drug (except for participation in the overall survival follow-up of a study) Receipt of antiplatelet agents or anticoagulants for therapeutic purposes within 14 days prior to the first dose of study drug. Receipt of live vaccination within 28 days prior to the first dose of study drug. Prior history of allogeneic organ transplantation or allogeneic peripheral blood stem cell (PBSC)/bone marrow transplantation treatment. Subject has not recovered from all AEs of previous anticancer therapies to baseline or ≤ Grade 1 per CTCAE v5.0 before the first dose of study drug. Certain exceptions as defined in protocol apply. Subjects with active metastatic brain or meningeal metastases. Patients with other primary malignancies within 5 years before the first dose of study drug. Some exceptions as defined per protocol apply. Major surgery or major traumatic injury within 28 days prior to the first dose of study drug (in the judgment of the Investigator). History of cardiovascular disease as defined by the protocol within the past 5 years. History of bleeding-related illness as defined by the protocol. Presence of severe, unhealed or open wounds and active ulcers or untreated fractures. Known history of human immunodeficiency virus (HIV) virus infection and/or acquired immunodeficiency syndrome. Chronic active hepatitis B or active hepatitis C. Active infection requiring systemic therapy 14 days prior to first dose of study drug. Pregnant or nursing females. Known history of alcohol or drug abuse. Subjects with comorbidities or other conditions that may affect compliance with the protocol or are not suitable for participation in this study in the judgment of the Investigator.
Facility Information:
Facility Name
Beijing Cancer Hospital
City
Beijing
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No

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A Study of ES104 in Patients With Metastatic Colorectal Cancer

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