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A Study of KF-0210 in Advanced Solid Tumors Patients

Primary Purpose

Advanced Solid Tumor, Colorectal Cancer, Lung Cancer

Status
Unknown status
Phase
Phase 1
Locations
Australia
Study Type
Interventional
Intervention
KF-0210 tablets, 120 mg
KF-0210 tablets, 240 mg
KF-0210 tablets, 450 mg
KF-0210 tablets, 600 mg
KF-0210 (dosage RP2D-2) + Atezolizumab
KF-0210 (dosage RP2D-1) + Atezolizumab
KF-0210 (dosage RP2D) + Atezolizumab
Sponsored by
Keythera Pharmaceuticals (Australia) Pty Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Advanced Solid Tumor

Eligibility Criteria

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

Inclusion Criteria:

  1. Age ≥ 18 years old, male and female;
  2. Patients are confirmed by available pathology records or current biopsy having advanced, nonresectable, or recurrent and progressing solid tumors since last anti-tumor therapy, and who are unavailable or intolerable for available standard therapy or there is no standard available therapy.

    • Phase Ia (Dose Escalation): Advanced solid tumors;
    • Phase Ib (Expansion Study): Patients must have any of the following tumor type and have not participated in Phase Ia trial of this study: CRC (MSS), LC, SCCE, GC, and BC. Among them, patients with LC, SCCE, or GC must have undergone PD-1/PD-L1 treatment for at least 12 weeks and failed.
  3. Must have at least 1 measurable lesion, according RECIST V1.1 criteria (CT-scans or MRI no longer than 4 weeks before signing ICF);
  4. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1;
  5. Life expectancy≥ 3 months;
  6. Females must not be lactating or pregnant at screening or baseline (negative pregnant test).

Exclusion Criteria:

  1. Patients with prior anti-tumor therapy within 4 weeks prior to first dosing of KF-0210, including chemotherapy, biotherapy, endocrine therapy and immunotherapy (tumor vaccine, cytokine, or growth factor given to control the cancer);
  2. Patients with prior definitive radiation therapy within 6 weeks prior to first dosing of KF-0210, and the irradiated lesions showed no signs of progression if it to be considered target lesions. Or patients with prior palliative radiotherapy within 2 weeks prior to first dosing of KF-0210. Or the radiotherapy-related side effects have unresolved before the study entry. Or use of radiopharmaceuticals (strontium, samarium) within 8 weeks prior to first dosing of KF-0210;
  3. Patients who have another active malignancy which is likely to require treatment;
  4. Patients who have known active central nervous system (CNS) metastases and/or carcinomatous meningitis;
  5. Significant cardiovascular impairment: history of congestive heart failure greater than New York Heart Association (NYHA) Class II, uncontrolled arterial hypertension, unstable angina, myocardial infarction, or stroke within 6 months prior to the first dose of KF-0210; or cardiac arrhythmia requiring medical treatment (including oral anticoagulation);
  6. Patients with any active autoimmune disease or a documented history of autoimmune disease, poorly controlled asthma or history of syndrome that required systemic steroids or immunosuppressive medications, except for patients with vitiligo or resolved childhood asthma/atopy. Patients with asthma who require intermittent use of bronchodilators (such as albuterol) will not be excluded from this study;
  7. Patients with inflammatory bowel disease or digestive tract diseases (e.g. peptic ulcer disease, including stomach and duodenal ulcer, gastritis and enteritis);
  8. Inability to take oral medication, or malabsorption syndrome or any other uncontrolled gastrointestinal condition (e.g., nausea, diarrhea, or vomiting) that might impair the bioavailability of KF-0210;
  9. Concurrent medical condition requiring the use of immunosuppressive medications, or immunosuppressive doses of systemic or absorbable topical corticosteroids except inhaled or intranasal corticosteroids (with minimal systemic absorption);
  10. Current use of NSAIDs, COX-1/COX-2 inhibitors within 4 weeks;
  11. Patients who have received surgical or interventional treatment (excluding tumor biopsy, puncture, etc.) within 28 days prior to first dosing of KF-0210;
  12. Use of other investigational drugs within 28 days or at least 5 half-lives (whichever is shorter) prior to the first dosing of KF-0210;
  13. Use of any live vaccines (e.g., intranasal influenza, measles, mumps, rubella, oral polio, BCG, yellow fever, varicella, and TY21a typhoid vaccines) within 28 days prior to the first dosing of KF-0210;
  14. Any unresolved toxicities from prior therapy, greater than Common Terminology Criteria for Adverse Events (CTCAE 5.0) grade 1 at the time of starting study treatment with exception of alopecia;
  15. Any uncontrolled or severe illness, including but not limited to: ongoing or active infection requiring parenteral antibiotics;
  16. Positive screening tests for any one of them: human immunodeficiency virus (HIV) antibody, hepatitis B surface antigen (HBsAg); hepatitis B core antibody (HBcAb) (negative for HBsAg, but HBcAb positive, an HBV-DNA test will be performed and if positive will be excluded), hepatitis C antibody (anti-HCV positive, but negative HCV RNA test is allowed to be included).

Sites / Locations

  • Scientia Clinical Research LimitedRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Phase 1a: Cohort 1

Phase 1a: Cohort 2

Phase 1a: Cohort 3

Phase 1a: Cohort 4

Phase Ib, Cohort 1

Phase Ib, Cohort 2

Phase Ib, Cohort 3

Arm Description

KF-0210 tablet will be administered at 120 mg as a single agent orally once daily (QD) continuously in cycles (1 cycle=21 days) until the disease progression, intolerance, or informed consent withdrawal.

KF-0210 tablet will be administered at 240 mg as a single agent orally once daily (QD) continuously in cycles (1 cycle=21 days) until the disease progression, intolerance, or informed consent withdrawal.

KF-0210 tablet will be administered at 450 mg as a single agent orally once daily (QD) continuously in cycles (1 cycle=21 days) until the disease progression, intolerance, or informed consent withdrawal.

KF-0210 tablet will be administered at 600 mg as a single agent orally once daily (QD) continuously in cycles (1 cycle=21 days) until the disease progression, intolerance, or informed consent withdrawal.

KF-0210 (dose RP2D-2, orally once daily)+ Atezolizumab (1200 mg every 3 weeks) continuously until disease progression/recurrence or death from any cause, or serious adverse events (SAE) observed (whichever occurs earlier) for up to 2 years.

KF-0210 (dose RP2D-1, orally once daily)+ Atezolizumab (1200 mg every 3 weeks) continuously until disease progression/recurrence or death from any cause, or serious adverse events (SAE) observed (whichever occurs earlier) for up to 2 years.

KF-0210 (dose RP2D, orally once daily)+ Atezolizumab (1200 mg every 3 weeks) continuously until disease progression/recurrence or death from any cause, or serious adverse events (SAE) observed (whichever occurs earlier) for up to 2 years.

Outcomes

Primary Outcome Measures

Percentage of patient with adverse events / serious adverse events (AEs/SAEs) [Safety and Tolerability]
Adverse events will be assessed according to CTCAE V5.0, and be coded according to the MedDRA Dictionary
Dose limiting toxicity (DLT) of KF-0210 [Tolerability]
Dose limiting toxicity (DLT) will be considered to be related to KF-0210 according to CTCAE V5.0 including hematology toxicities, non-hematological toxicities and any other toxicities.
Maximum tolerated dose (MTD) of KF-0210 alone [Tolerability]
The Maximum tolerated dose (MTD) is defined as the highest dose at which ≤1、6 participants occurred dose limiting toxicity at each dose level.
Change of Body Weight from Baseline [Safety]
Body Weight measured in kilogram (kg)
Change of Body Temperature from Baseline [Safety]
Axillary temperature measured in celsius
Change of Pulse rate from Baseline [Safety]
Pulse rate measured per minute
Change of Systolic pressure from Baseline [Safety]
Blood pressure measured in mmHg
Change of Diastolic pressure from Baseline [Safety]
Blood pressure measured in mmHg
Change of Heart rate from Baseline [Safety]
Heart rate in beats per minute (Bpm) through 12-lead ECG assessment
Change of R-R interval from Baseline [Safety]
R-R interval measured in millisecond through 12-lead ECG assessment
Change of P-R interval from Baseline [Safety]
P-R interval measured in millisecond through 12-lead ECG assessment
Change of QRS complex from Baseline [Safety]
QRS complex measured in millisecond through 12-lead ECG assessment
Chang of QT interval from Baseline [Safety]
QT interval measured in millisecond through 12-lead ECG assessment
Change of corrected QT (QTc) interval from Baseline [Safety]
corrected QT (QTc) interval measured in millisecond through 12-lead ECG assessment
Change of Fridericia's Correction QT (QTcF) interval from Baseline [Safety]
Fridericia's Correction QT (QTcF) interval measured in millisecond through 12-lead ECG assessment.
Change of Eastern Cooperative Oncology Group-Performance Status (ECOG PS) from Baseline [Safety]
The performance status will be evaluated in accordance with the Eastern Cooperative Oncology Group (ECOG) criteria with the score range in 0 to 5. A score of 0 represents fully normal activity and a score of 5 represents death.
Change of Total Protein (TP) from Baseline [Safety]
Total Protein (TP) measured in g/dL
Change of Albumin (ALB) from Baseline [Safety]
Albumin(ALB) measured in g/dL
Change of Alanine aminotransferase (ALT) from Baseline [Safety]
Alanine aminotransferase (ALT) measured in IU/L
Change of Aspartate aminotransferase (AST) from Baseline [Safety]
Aspartate aminotransferase (AST) measured in IU/L
Change of Alkaline phosphatase (ALP/AKP) from Baseline [Safety]
Alkaline phosphatase (ALP/AKP) measured in IU/L
Change of Total bilirubin from Baseline [Safety]
Total bilirubin measured in mg/dL
Change of Direct bilirubin from Baseline [Safety]
Direct bilirubin measured in mg/dL
Change of Indirect bilirubin from Baseline [Safety]
Indirect bilirubin measured in mg/dL
Change of Glutamyl transpeptidase from Baseline [Safety]
Glutamyl transpeptidase measured in U/L
Change of Blood glucose from Baseline [Safety]
Blood glucose measured in mg/dL
Change of Urea from Baseline [Safety]
Urea measured in mg/dL
Change of Uric acid from Baseline [Safety]
Uric acid measured in mg/dL
Change of Creatinine from Baseline [Safety]
Creatinine measured in mg/dL
Change of Creatinine Kinase from Baseline [Safety]
Creatinine Kinase measured in IU/L
Change of Total Cholesterol from Baseline [Safety]
Total Cholesterol measured in mmol/L
Change of Triglycerides from Baseline [Safety]
Triglycerides measured in mmol/L
Change of Potassium, Sodium, Chloride or Calcium from Baseline [Safety]
Potassium, Sodium, Chloride or Calcium measured in mmol/dL
Change of Leukocyte Count from Baseline [Safety]
Leukocyte Count measured in K/uL
Change of Neutrophil Count from Baseline [Safety]
Neutrophil Count in K/uL
Change of Percentage of Neutrophil from Baseline [Safety]
Percentage of Neutrophil will be measured
Change of Lymphocyte Count from Baseline [Safety]
Lymphocyte Count measured in K/uL
Change of Percentage of Lymphocyte from Baseline [Safety]
Percentage of Lymphocyte will be measured
Change of Monocytes Count from Baseline [Safety]
Monocytes Count measured in K/uL
Change of Percentage of Monocytes from Baseline [Safety]
Percentage of Monocytes will be measured
Change of Eosinophils Count from Baseline [Safety]
Eosinophils Count measured in K/uL
Change of Percentage of Eosinophils from Baseline [Safety]
Percentage of Eosinophils will be measured
Change of Basophil Count from Baseline [Safety]
Basophil Count measured in K/uL
Change of Percentage of Basophil from Baseline [Safety]
Percentage of Basophil will be measured
Change of Erythrocyte Count from Baseline [Safety]
Erythrocyte Count measured in K/uL
Change of Hemoglobin from Baseline [Safety]
Hemoglobin measured in mg/dL
Change of Hematocrit Platelets from Baseline [Safety]
Hematocrit Platelets measured in K/uL
Change of Coagulation test-Activated partial thromboplastin time (APTT) from Baseline [Safety]
Activated partial thromboplastin time (APTT) measured in seconds
Change of Coagulation test-Prothrombin time (PT) from Baseline [Safety]
Prothrombin time (PT) measured in seconds
Change of Coagulation test-Fibrinogen(FIB) from Baseline [Safety]
Fibrinogen(FIB) measured in mmol/L
Change of Coagulation test-Thrombin time (TT) from Baseline [Safety]
Thrombin time (TT) measured in seconds
Change of Urine pH from Baseline [Safety]
pH value will be measured
Change of Specific gravity of urine from Baseline [Safety]
Specific gravity value will be measured
Change in Occult blood result from Baseline [Safety]
The result will be recorded as either positive or negative
Change in Urine Bilirubin result from Baseline [Safety]
Urine bilirubin will be measure in µmol/L
Change in Urine protein from Baseline [Safety]
Urine protein will be measured in mg/dL
Change in Urine Glucose from Baseline [Safety]
Urine Glucose will be measured in mg/dL
Change in Ketones from Baseline [Safety]
Ketones will be measured in mg/dL
Change in Urobilinogen from Baseline [Safety]
Urobilinogen will be measured in EU/dL
Change in Urinary leukocyte from Baseline [Safety]
Urinary leukocyte will be counted in K/uL
Change in Urine erythrocytes from Baseline [Safety]
Urine erythrocytes will be counted in K/uL
Change in Urine Nitrites from Baseline [Safety]
Urobilinogen will be measured in mg/dL
Clinically significant abnormality in physical examinations
Physical examination includes skin, head, eyes, ears, nose and throat, lymph nodes, heart, chest, abdomen and extremities, and nervous system (speech, cranial nerves, motor ability, tendon reflexes, sensations, free movement)

Secondary Outcome Measures

Maximum observed plasma concentration (Cmax)
For KF-0210 alone in phase Ia, and for KF-0210 and Atezolizumab in Phase Ib. Calculated by non-compartmental analysis (NCA) for WinNonlin V8.2 (or above).
Time of maximum plasma concentration (Tmax)
For KF-0210 alone in phase Ia, and for KF-0210 and Atezolizumab in Phase Ib. Calculated by non-compartmental analysis (NCA) for WinNonlin V8.2 (or above).
Area under the plasma concentration-time curve from time-zero extrapolated to infinite time (AUC0-inf)
For KF-0210 alone in phase Ia, and for KF-0210 and Atezolizumab in Phase Ib. Calculated by non-compartmental analysis (NCA) for WinNonlin V8.2 (or above).
Area under the plasma concentration-time curve from time-zero to the time of the last measurable concentration (AUC0-t) of KF-0210
For KF-0210 alone in phase Ia, and for KF-0210 and Atezolizumab in Phase Ib. Calculated by non-compartmental analysis (NCA) for WinNonlin V8.2 (or above).
Terminal half-life (T1/2) of KF-0210
For KF-0210 alone in phase Ia, and for KF-0210 and Atezolizumab in Phase Ib. Calculated by non-compartmental analysis (NCA) for WinNonlin V8.2 (or above).
Accumulation ratio (Rac)
For KF-0210 alone in phase Ia, and for KF-0210 and Atezolizumab in Phase Ib. Calculated by non-compartmental analysis (NCA) for WinNonlin V8.2 (or above).
Cmin to Cmax fluctuation between dose time and Tau (DF)
For KF-0210 alone in phase Ia, and for KF-0210 and Atezolizumab in Phase Ib. Calculated by non-compartmental analysis (NCA) for WinNonlin V8.2 (or above).
Blood cytokines/chemokines levels
Biomarker for pharmacodynamic assessment including interferon (IFN-γ), tumor necrosis factor (TNF-α), CXCL10 and CCL5.
Urine prostaglandin metabolites level
To explore the prostaglandin metabolites in urine
Tumor T cell infiltration
Tumor biopsies will be analyzed by immunohistochemistry (IHC) for CD3+ T cells, CD8+ T cells and PD-L1 expression.
Change in tumor size from baseline
Tumor assessment with CT scan or MRI. The anti-tumor activity will be evaluated according to the RECIST V1.1.
Objective response rate (ORR)
Tumor assessment with CT scan or MRI. The tumor lesions will be evaluated according to the RECIST V1.1 standard, and categorized into complete response(CR), partial response (PR), stable disease (SD) , and progressive disease (PD).
Duration of response (DOR) (days)
Tumor assessment with CT scan or MRI. The tumor lesions will be evaluated according to the RECIST V1.1 standard, and categorized into complete response(CR), partial response (PR), stable disease (SD) , and progressive disease (PD).
Disease control rate (DCR)
Tumor assessment with CT scan or MRI. The tumor lesions will be evaluated according to the RECIST V1.1 standard, and categorized into complete response(CR), partial response (PR), stable disease (SD) , and progressive disease (PD).
Progression free survival (PFS)
Tumor assessment with CT scan or MRI. The tumor lesions will be evaluated according to the RECIST V1.1 standard, and categorized into complete response(CR), partial response (PR), stable disease (SD) , and progressive disease (PD).

Full Information

First Posted
November 25, 2020
Last Updated
August 31, 2021
Sponsor
Keythera Pharmaceuticals (Australia) Pty Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT04713891
Brief Title
A Study of KF-0210 in Advanced Solid Tumors Patients
Official Title
A Phase I, Multi-Center, Open-Label Study to Evaluate the Safety and Tolerability, Pharmacokinetics, Pharmacodynamics and Anti-tumor Activity of KF-0210 in Patients With Advanced Solid Tumors
Study Type
Interventional

2. Study Status

Record Verification Date
August 2021
Overall Recruitment Status
Unknown status
Study Start Date
March 9, 2021 (Actual)
Primary Completion Date
December 31, 2022 (Anticipated)
Study Completion Date
December 31, 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Keythera Pharmaceuticals (Australia) Pty Ltd

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes

5. Study Description

Brief Summary
The purpose of this Phase I, Multi-Center, Open-Label Study is to evaluate the safety, tolerability, Pharmacokinetics, Pharmacodynamics and anti-tumor activity of KF-0210 in participants with advanced solid tumors. The study will be conducted in two parts: phase Ia, and phase Ib.
Detailed Description
Phase 1a: The primary objective of the phase 1a part of the study is to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamic and anti-tumor activity of oral KF-0210 as a single agent in participants with advanced solid tumors, to identify the dose-limiting toxicity and establish the maximum tolerated dose, or maximum administered dose and/or the recommended Phase II dose of KF-0210 in participants with advanced solid tumors. Phase 1b: The primary objective of the phase 1b part of the study is to assess the safety, pharmacokinetics, pharmacodynamic and anti-tumor activity of KF-0210 in combination with Atezolizumab in patients with colorectal cancer (CRC) (MSS), lung cancer (LC), squamous cell carcinoma of the esophagus (SCCE), gastric cancer (GC), and bladder cancer (BC).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Advanced Solid Tumor, Colorectal Cancer, Lung Cancer, Squamous Cell Carcinoma of the Esophagus, Gastric Cancer, Bladder Cancer

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Phase 1a: Cohort 1
Arm Type
Experimental
Arm Description
KF-0210 tablet will be administered at 120 mg as a single agent orally once daily (QD) continuously in cycles (1 cycle=21 days) until the disease progression, intolerance, or informed consent withdrawal.
Arm Title
Phase 1a: Cohort 2
Arm Type
Experimental
Arm Description
KF-0210 tablet will be administered at 240 mg as a single agent orally once daily (QD) continuously in cycles (1 cycle=21 days) until the disease progression, intolerance, or informed consent withdrawal.
Arm Title
Phase 1a: Cohort 3
Arm Type
Experimental
Arm Description
KF-0210 tablet will be administered at 450 mg as a single agent orally once daily (QD) continuously in cycles (1 cycle=21 days) until the disease progression, intolerance, or informed consent withdrawal.
Arm Title
Phase 1a: Cohort 4
Arm Type
Experimental
Arm Description
KF-0210 tablet will be administered at 600 mg as a single agent orally once daily (QD) continuously in cycles (1 cycle=21 days) until the disease progression, intolerance, or informed consent withdrawal.
Arm Title
Phase Ib, Cohort 1
Arm Type
Experimental
Arm Description
KF-0210 (dose RP2D-2, orally once daily)+ Atezolizumab (1200 mg every 3 weeks) continuously until disease progression/recurrence or death from any cause, or serious adverse events (SAE) observed (whichever occurs earlier) for up to 2 years.
Arm Title
Phase Ib, Cohort 2
Arm Type
Experimental
Arm Description
KF-0210 (dose RP2D-1, orally once daily)+ Atezolizumab (1200 mg every 3 weeks) continuously until disease progression/recurrence or death from any cause, or serious adverse events (SAE) observed (whichever occurs earlier) for up to 2 years.
Arm Title
Phase Ib, Cohort 3
Arm Type
Experimental
Arm Description
KF-0210 (dose RP2D, orally once daily)+ Atezolizumab (1200 mg every 3 weeks) continuously until disease progression/recurrence or death from any cause, or serious adverse events (SAE) observed (whichever occurs earlier) for up to 2 years.
Intervention Type
Drug
Intervention Name(s)
KF-0210 tablets, 120 mg
Other Intervention Name(s)
KF-0210-0
Intervention Description
KF-0210 tablet will be orally administered as a single agent at 120 mg once daily (QD) continuously, until the disease progression, intolerance, or informed consent withdrawal.
Intervention Type
Drug
Intervention Name(s)
KF-0210 tablets, 240 mg
Other Intervention Name(s)
KF-0210-0
Intervention Description
KF-0210 tablet will be orally administered as a single agent at 240 mg once daily (QD) continuously, until the disease progression, intolerance, or informed consent withdrawal.
Intervention Type
Drug
Intervention Name(s)
KF-0210 tablets, 450 mg
Other Intervention Name(s)
KF-0210-0
Intervention Description
KF-0210 tablet will be orally administered as a single agent at 450 mg once daily (QD) continuously, until the disease progression, intolerance, or informed consent withdrawal.
Intervention Type
Drug
Intervention Name(s)
KF-0210 tablets, 600 mg
Other Intervention Name(s)
KF-0210-0
Intervention Description
KF-0210 tablet will be orally administered as a single agent at 600 mg once daily (QD) continuously, until the disease progression, intolerance, or informed consent withdrawal.
Intervention Type
Drug
Intervention Name(s)
KF-0210 (dosage RP2D-2) + Atezolizumab
Other Intervention Name(s)
KF-0210-0, Tecentriq
Intervention Description
KF-0210 tablet will be orally administered at dosage RP2D-2 once daily (QD) in combination with Atezolizumab that will be administered at 1200 mg every 3 weeks via intravenously infusion.
Intervention Type
Drug
Intervention Name(s)
KF-0210 (dosage RP2D-1) + Atezolizumab
Other Intervention Name(s)
KF-0210-0, Tecentriq
Intervention Description
KF-0210 tablet will be orally administered at dosage RP2D-1 once daily (QD) in combination with Atezolizumab that will be administered at 1200 mg every 3 weeks via intravenously infusion.
Intervention Type
Drug
Intervention Name(s)
KF-0210 (dosage RP2D) + Atezolizumab
Other Intervention Name(s)
KF-0210-0, Tecentriq
Intervention Description
KF-0210 tablet will be orally administered at dosage RP2D once daily (QD) in combination with Atezolizumab that will be administered at 1200 mg every 3 weeks via intravenously infusion.
Primary Outcome Measure Information:
Title
Percentage of patient with adverse events / serious adverse events (AEs/SAEs) [Safety and Tolerability]
Description
Adverse events will be assessed according to CTCAE V5.0, and be coded according to the MedDRA Dictionary
Time Frame
From consent through 28 days (±7 days) after the last dose or before starting other anti-tumor treatment (whichever occurs earlier)(up to approximately 1 year))
Title
Dose limiting toxicity (DLT) of KF-0210 [Tolerability]
Description
Dose limiting toxicity (DLT) will be considered to be related to KF-0210 according to CTCAE V5.0 including hematology toxicities, non-hematological toxicities and any other toxicities.
Time Frame
From Cycle 1 Day 1 to Cycle 1 Day 21, each cycle is 21 days.
Title
Maximum tolerated dose (MTD) of KF-0210 alone [Tolerability]
Description
The Maximum tolerated dose (MTD) is defined as the highest dose at which ≤1、6 participants occurred dose limiting toxicity at each dose level.
Time Frame
Up to 21 days after first administration in cycle 1, each cycle is 21 days
Title
Change of Body Weight from Baseline [Safety]
Description
Body Weight measured in kilogram (kg)
Time Frame
On date of screening (within 7 days before the first dose), Day 1 of each cycle (each cycle is 21 days), and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Body Temperature from Baseline [Safety]
Description
Axillary temperature measured in celsius
Time Frame
From screening to the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Pulse rate from Baseline [Safety]
Description
Pulse rate measured per minute
Time Frame
From screening to the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Systolic pressure from Baseline [Safety]
Description
Blood pressure measured in mmHg
Time Frame
From screening to the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Diastolic pressure from Baseline [Safety]
Description
Blood pressure measured in mmHg
Time Frame
From screening to the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Heart rate from Baseline [Safety]
Description
Heart rate in beats per minute (Bpm) through 12-lead ECG assessment
Time Frame
From screening to the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of R-R interval from Baseline [Safety]
Description
R-R interval measured in millisecond through 12-lead ECG assessment
Time Frame
From screening to the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of P-R interval from Baseline [Safety]
Description
P-R interval measured in millisecond through 12-lead ECG assessment
Time Frame
From screening to the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of QRS complex from Baseline [Safety]
Description
QRS complex measured in millisecond through 12-lead ECG assessment
Time Frame
From screening to the end of treatment/withdrawal (up to approximately 1 year)
Title
Chang of QT interval from Baseline [Safety]
Description
QT interval measured in millisecond through 12-lead ECG assessment
Time Frame
From screening to the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of corrected QT (QTc) interval from Baseline [Safety]
Description
corrected QT (QTc) interval measured in millisecond through 12-lead ECG assessment
Time Frame
From screening to the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Fridericia's Correction QT (QTcF) interval from Baseline [Safety]
Description
Fridericia's Correction QT (QTcF) interval measured in millisecond through 12-lead ECG assessment.
Time Frame
From screening to the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Eastern Cooperative Oncology Group-Performance Status (ECOG PS) from Baseline [Safety]
Description
The performance status will be evaluated in accordance with the Eastern Cooperative Oncology Group (ECOG) criteria with the score range in 0 to 5. A score of 0 represents fully normal activity and a score of 5 represents death.
Time Frame
On date of screening (within 7 days before the first dose), Day 1 of each cycle (each cycle is 21 days), and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Total Protein (TP) from Baseline [Safety]
Description
Total Protein (TP) measured in g/dL
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Albumin (ALB) from Baseline [Safety]
Description
Albumin(ALB) measured in g/dL
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Alanine aminotransferase (ALT) from Baseline [Safety]
Description
Alanine aminotransferase (ALT) measured in IU/L
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Aspartate aminotransferase (AST) from Baseline [Safety]
Description
Aspartate aminotransferase (AST) measured in IU/L
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Alkaline phosphatase (ALP/AKP) from Baseline [Safety]
Description
Alkaline phosphatase (ALP/AKP) measured in IU/L
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Total bilirubin from Baseline [Safety]
Description
Total bilirubin measured in mg/dL
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Direct bilirubin from Baseline [Safety]
Description
Direct bilirubin measured in mg/dL
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Indirect bilirubin from Baseline [Safety]
Description
Indirect bilirubin measured in mg/dL
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Glutamyl transpeptidase from Baseline [Safety]
Description
Glutamyl transpeptidase measured in U/L
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Blood glucose from Baseline [Safety]
Description
Blood glucose measured in mg/dL
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Urea from Baseline [Safety]
Description
Urea measured in mg/dL
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Uric acid from Baseline [Safety]
Description
Uric acid measured in mg/dL
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Creatinine from Baseline [Safety]
Description
Creatinine measured in mg/dL
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Creatinine Kinase from Baseline [Safety]
Description
Creatinine Kinase measured in IU/L
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Total Cholesterol from Baseline [Safety]
Description
Total Cholesterol measured in mmol/L
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Triglycerides from Baseline [Safety]
Description
Triglycerides measured in mmol/L
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Potassium, Sodium, Chloride or Calcium from Baseline [Safety]
Description
Potassium, Sodium, Chloride or Calcium measured in mmol/dL
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Leukocyte Count from Baseline [Safety]
Description
Leukocyte Count measured in K/uL
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Neutrophil Count from Baseline [Safety]
Description
Neutrophil Count in K/uL
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Percentage of Neutrophil from Baseline [Safety]
Description
Percentage of Neutrophil will be measured
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Lymphocyte Count from Baseline [Safety]
Description
Lymphocyte Count measured in K/uL
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Percentage of Lymphocyte from Baseline [Safety]
Description
Percentage of Lymphocyte will be measured
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Monocytes Count from Baseline [Safety]
Description
Monocytes Count measured in K/uL
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Percentage of Monocytes from Baseline [Safety]
Description
Percentage of Monocytes will be measured
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Eosinophils Count from Baseline [Safety]
Description
Eosinophils Count measured in K/uL
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Percentage of Eosinophils from Baseline [Safety]
Description
Percentage of Eosinophils will be measured
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Basophil Count from Baseline [Safety]
Description
Basophil Count measured in K/uL
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Percentage of Basophil from Baseline [Safety]
Description
Percentage of Basophil will be measured
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Erythrocyte Count from Baseline [Safety]
Description
Erythrocyte Count measured in K/uL
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Hemoglobin from Baseline [Safety]
Description
Hemoglobin measured in mg/dL
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Hematocrit Platelets from Baseline [Safety]
Description
Hematocrit Platelets measured in K/uL
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Coagulation test-Activated partial thromboplastin time (APTT) from Baseline [Safety]
Description
Activated partial thromboplastin time (APTT) measured in seconds
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Coagulation test-Prothrombin time (PT) from Baseline [Safety]
Description
Prothrombin time (PT) measured in seconds
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Coagulation test-Fibrinogen(FIB) from Baseline [Safety]
Description
Fibrinogen(FIB) measured in mmol/L
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Coagulation test-Thrombin time (TT) from Baseline [Safety]
Description
Thrombin time (TT) measured in seconds
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Urine pH from Baseline [Safety]
Description
pH value will be measured
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change of Specific gravity of urine from Baseline [Safety]
Description
Specific gravity value will be measured
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change in Occult blood result from Baseline [Safety]
Description
The result will be recorded as either positive or negative
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change in Urine Bilirubin result from Baseline [Safety]
Description
Urine bilirubin will be measure in µmol/L
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change in Urine protein from Baseline [Safety]
Description
Urine protein will be measured in mg/dL
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change in Urine Glucose from Baseline [Safety]
Description
Urine Glucose will be measured in mg/dL
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change in Ketones from Baseline [Safety]
Description
Ketones will be measured in mg/dL
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change in Urobilinogen from Baseline [Safety]
Description
Urobilinogen will be measured in EU/dL
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change in Urinary leukocyte from Baseline [Safety]
Description
Urinary leukocyte will be counted in K/uL
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change in Urine erythrocytes from Baseline [Safety]
Description
Urine erythrocytes will be counted in K/uL
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Change in Urine Nitrites from Baseline [Safety]
Description
Urobilinogen will be measured in mg/dL
Time Frame
On date of screening (within 7 days before the first dose), Day 8, Day15, Day 21 of cycle 1 (each cycle is 21 days), Day 1 of each cycle from the cycle 2, and at the end of treatment/withdrawal (up to approximately 1 year)
Title
Clinically significant abnormality in physical examinations
Description
Physical examination includes skin, head, eyes, ears, nose and throat, lymph nodes, heart, chest, abdomen and extremities, and nervous system (speech, cranial nerves, motor ability, tendon reflexes, sensations, free movement)
Time Frame
On date of screening (within 7 days before the first dose), Day 1 of each cycle (each cycle is 21 days), and at the end of treatment/withdrawal (up to approximately 1 year)
Secondary Outcome Measure Information:
Title
Maximum observed plasma concentration (Cmax)
Description
For KF-0210 alone in phase Ia, and for KF-0210 and Atezolizumab in Phase Ib. Calculated by non-compartmental analysis (NCA) for WinNonlin V8.2 (or above).
Time Frame
Phase I a: specific time points from Cycle 1 Day 1 to Cycle 1 Day 8; Phase 1b: specific time points from Cycle 1 Day 1 to Cycle 4 Day 5, each cycle is 21 days.
Title
Time of maximum plasma concentration (Tmax)
Description
For KF-0210 alone in phase Ia, and for KF-0210 and Atezolizumab in Phase Ib. Calculated by non-compartmental analysis (NCA) for WinNonlin V8.2 (or above).
Time Frame
Phase I a: specific time points from Cycle 1 Day 1 to Cycle 1 Day 8; Phase 1b: specific time points from Cycle 1 Day 1 to Cycle 4 Day 15. Each cycle is 21 days.
Title
Area under the plasma concentration-time curve from time-zero extrapolated to infinite time (AUC0-inf)
Description
For KF-0210 alone in phase Ia, and for KF-0210 and Atezolizumab in Phase Ib. Calculated by non-compartmental analysis (NCA) for WinNonlin V8.2 (or above).
Time Frame
Phase I a: specific time points from Cycle 1 Day 1 to Cycle 1 Day 8; Phase 1b: specific time points from Cycle 1 Day 1 to Cycle 4 Day 15. Each cycle is 21 days.
Title
Area under the plasma concentration-time curve from time-zero to the time of the last measurable concentration (AUC0-t) of KF-0210
Description
For KF-0210 alone in phase Ia, and for KF-0210 and Atezolizumab in Phase Ib. Calculated by non-compartmental analysis (NCA) for WinNonlin V8.2 (or above).
Time Frame
Phase I a: specific time points from Cycle 1 Day 1 to Cycle 1 Day 8; Phase 1b: specific time points from Cycle 1 Day 1 to Cycle 4 Day 15. Each cycle is 21 days.
Title
Terminal half-life (T1/2) of KF-0210
Description
For KF-0210 alone in phase Ia, and for KF-0210 and Atezolizumab in Phase Ib. Calculated by non-compartmental analysis (NCA) for WinNonlin V8.2 (or above).
Time Frame
Phase I a: specific time points from Cycle 1 Day 1 to Cycle 1 Day 8; Phase 1b: specific time points from Cycle 1 Day 1 to Cycle 4 Day 15. Each cycle is 21 days.
Title
Accumulation ratio (Rac)
Description
For KF-0210 alone in phase Ia, and for KF-0210 and Atezolizumab in Phase Ib. Calculated by non-compartmental analysis (NCA) for WinNonlin V8.2 (or above).
Time Frame
Phase I a: specific time points from Cycle 1 Day 1 to Cycle 1 Day 8; Phase 1b: specific time points from Cycle 1 Day 1 to Cycle 4 Day 15. Each cycle is 21 days.
Title
Cmin to Cmax fluctuation between dose time and Tau (DF)
Description
For KF-0210 alone in phase Ia, and for KF-0210 and Atezolizumab in Phase Ib. Calculated by non-compartmental analysis (NCA) for WinNonlin V8.2 (or above).
Time Frame
Phase I a: specific time points from Cycle 1 Day 1 to Cycle 1 Day 8; Phase 1b: specific time points from Cycle 1 Day 1 to Cycle 4 Day 15. Each cycle is 21 days.
Title
Blood cytokines/chemokines levels
Description
Biomarker for pharmacodynamic assessment including interferon (IFN-γ), tumor necrosis factor (TNF-α), CXCL10 and CCL5.
Time Frame
Up to 21 days after first administration in cycle 1, each cycle is 21 days.
Title
Urine prostaglandin metabolites level
Description
To explore the prostaglandin metabolites in urine
Time Frame
Up to 21 days after first administration in cycle 1, each cycle is 21 days.
Title
Tumor T cell infiltration
Description
Tumor biopsies will be analyzed by immunohistochemistry (IHC) for CD3+ T cells, CD8+ T cells and PD-L1 expression.
Time Frame
Up to 21 days after first administration in cycle 1, each cycle is 21 days.
Title
Change in tumor size from baseline
Description
Tumor assessment with CT scan or MRI. The anti-tumor activity will be evaluated according to the RECIST V1.1.
Time Frame
From screening through the last dose of treatment, each cycle is 21 days.
Title
Objective response rate (ORR)
Description
Tumor assessment with CT scan or MRI. The tumor lesions will be evaluated according to the RECIST V1.1 standard, and categorized into complete response(CR), partial response (PR), stable disease (SD) , and progressive disease (PD).
Time Frame
From screening through the last dose of treatment, each cycle is 21 days.
Title
Duration of response (DOR) (days)
Description
Tumor assessment with CT scan or MRI. The tumor lesions will be evaluated according to the RECIST V1.1 standard, and categorized into complete response(CR), partial response (PR), stable disease (SD) , and progressive disease (PD).
Time Frame
From screening through the last dose of treatment, each cycle is 21 days.
Title
Disease control rate (DCR)
Description
Tumor assessment with CT scan or MRI. The tumor lesions will be evaluated according to the RECIST V1.1 standard, and categorized into complete response(CR), partial response (PR), stable disease (SD) , and progressive disease (PD).
Time Frame
From screening through the last dose of treatment, each cycle is 21 days.
Title
Progression free survival (PFS)
Description
Tumor assessment with CT scan or MRI. The tumor lesions will be evaluated according to the RECIST V1.1 standard, and categorized into complete response(CR), partial response (PR), stable disease (SD) , and progressive disease (PD).
Time Frame
From screening through the last dose of treatment, each cycle is 21 days.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age ≥ 18 years old, male and female; Patients are confirmed by available pathology records or current biopsy having advanced, nonresectable, or recurrent and progressing solid tumors since last anti-tumor therapy, and who are unavailable or intolerable for available standard therapy or there is no standard available therapy. Phase Ia (Dose Escalation): Advanced solid tumors; Phase Ib (Expansion Study): Patients must have any of the following tumor type and have not participated in Phase Ia trial of this study: CRC (MSS), LC, SCCE, GC, and BC. Among them, patients with LC, SCCE, or GC must have undergone PD-1/PD-L1 treatment for at least 12 weeks and failed. Must have at least 1 measurable lesion, according RECIST V1.1 criteria (CT-scans or MRI no longer than 4 weeks before signing ICF); Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1; Life expectancy≥ 3 months; Females must not be lactating or pregnant at screening or baseline (negative pregnant test). Exclusion Criteria: Patients with prior anti-tumor therapy within 4 weeks prior to first dosing of KF-0210, including chemotherapy, biotherapy, endocrine therapy and immunotherapy (tumor vaccine, cytokine, or growth factor given to control the cancer); Patients with prior definitive radiation therapy within 6 weeks prior to first dosing of KF-0210, and the irradiated lesions showed no signs of progression if it to be considered target lesions. Or patients with prior palliative radiotherapy within 2 weeks prior to first dosing of KF-0210. Or the radiotherapy-related side effects have unresolved before the study entry. Or use of radiopharmaceuticals (strontium, samarium) within 8 weeks prior to first dosing of KF-0210; Patients who have another active malignancy which is likely to require treatment; Patients who have known active central nervous system (CNS) metastases and/or carcinomatous meningitis; Significant cardiovascular impairment: history of congestive heart failure greater than New York Heart Association (NYHA) Class II, uncontrolled arterial hypertension, unstable angina, myocardial infarction, or stroke within 6 months prior to the first dose of KF-0210; or cardiac arrhythmia requiring medical treatment (including oral anticoagulation); Patients with any active autoimmune disease or a documented history of autoimmune disease, poorly controlled asthma or history of syndrome that required systemic steroids or immunosuppressive medications, except for patients with vitiligo or resolved childhood asthma/atopy. Patients with asthma who require intermittent use of bronchodilators (such as albuterol) will not be excluded from this study; Patients with inflammatory bowel disease or digestive tract diseases (e.g. peptic ulcer disease, including stomach and duodenal ulcer, gastritis and enteritis); Inability to take oral medication, or malabsorption syndrome or any other uncontrolled gastrointestinal condition (e.g., nausea, diarrhea, or vomiting) that might impair the bioavailability of KF-0210; Concurrent medical condition requiring the use of immunosuppressive medications, or immunosuppressive doses of systemic or absorbable topical corticosteroids except inhaled or intranasal corticosteroids (with minimal systemic absorption); Current use of NSAIDs, COX-1/COX-2 inhibitors within 4 weeks; Patients who have received surgical or interventional treatment (excluding tumor biopsy, puncture, etc.) within 28 days prior to first dosing of KF-0210; Use of other investigational drugs within 28 days or at least 5 half-lives (whichever is shorter) prior to the first dosing of KF-0210; Use of any live vaccines (e.g., intranasal influenza, measles, mumps, rubella, oral polio, BCG, yellow fever, varicella, and TY21a typhoid vaccines) within 28 days prior to the first dosing of KF-0210; Any unresolved toxicities from prior therapy, greater than Common Terminology Criteria for Adverse Events (CTCAE 5.0) grade 1 at the time of starting study treatment with exception of alopecia; Any uncontrolled or severe illness, including but not limited to: ongoing or active infection requiring parenteral antibiotics; Positive screening tests for any one of them: human immunodeficiency virus (HIV) antibody, hepatitis B surface antigen (HBsAg); hepatitis B core antibody (HBcAb) (negative for HBsAg, but HBcAb positive, an HBV-DNA test will be performed and if positive will be excluded), hepatitis C antibody (anti-HCV positive, but negative HCV RNA test is allowed to be included).
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Xiaomei Wang, MS
Phone
+86-18662116821
Email
xiaomei.wang@keytherapharma.com
First Name & Middle Initial & Last Name or Official Title & Degree
Yanlin Jia, PhD
Phone
+1-9085145352
Email
yanlin.jia@keytherapharma.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Rasha Cosman, MD
Organizational Affiliation
Scientia Clinical Research Ltd
Official's Role
Principal Investigator
Facility Information:
Facility Name
Scientia Clinical Research Limited
City
Randwick
State/Province
New South Wales
ZIP/Postal Code
2031
Country
Australia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Cosman Rasha, Doctor

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Study of KF-0210 in Advanced Solid Tumors Patients

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