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Safety, Tolerability, Pharmacokinetics & Pharmacodynamics of Toripalimab for Patients With Recurrent Malignant Lymphoma

Primary Purpose

Malignant Lymphoma

Status
Completed
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
Toripalimab
Sponsored by
Shanghai Junshi Bioscience Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Malignant Lymphoma focused on measuring immunotherapy, check point inhibitor, PD-1 antibody, phase 1 trial, Malignant Lymphoma

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Willing to sign Informed Consent;
  • Re-entry into the study is allowed with a second informed consent;
  • Willing to provide blood sample for biomarker analysis(mandatory). The tissue sample is optional;
  • A diagnosis of an advanced malignant tumor confirmed by histology or cytology (including typical Hodgkin's lymphoma and B cell source non-hodgkin's lymphoma);
  • No standard of care for the patient;
  • At least 1 measurable lesion;
  • Aged 18-65 years;
  • Anticipated life expectancy of at least 6 months;
  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1;
  • At least 4 weeks elapsed since receiving systemic chemotherapy;
  • At least 4 weeks elapsed since receiving definite radiotherapy;
  • At least 2 weeks since the last dose of systemic steroid therapy (>10 mg/day prednisone or equivalent);
  • At least 4 weeks since receiving anti-cancer biotherapy;
  • Recovered from previous treatment related adverse reaction; willing to use an acceptable contraceptive method;
  • A negative pregnancy test for female subjects of childbearing potential;

Exclusion Criteria:

  • Active central nervous system (CNS) metastases and/or carcinomatous meningitis;
  • Known history of another primary solid tumor, unless the participant has undergone potentially curative therapy with no evidence of that disease for 2 years, or underwent successful definitive resection of basal or squamous cell carcinoma of the skin, or in situ cervical cancer;
  • Active, known or suspected autoimmune disease.Autoimmune diseases caused by lymphoma are not included in this list;
  • Patients who have had car-T cell therapy
  • Prior therapy with anti-PD-1, anti-PD-L1, anti-PD-L2,or anti-cytotoxic T-lymphocyte antigen 4 (CTLA-4) blocking antibodies;
  • Significant medical disease;
  • Active infection;
  • Active tuberculosis or history of tuberculosis with one year;
  • Infection of Human immunodeficiency virus (HIV);
  • A complication requiring immune-suppression;
  • Received a live vaccine within 4 weeks prior to first dose of study drug pleural or abdominal effusion with symptoms;
  • Drug or alcohol abuse (for subjects in the pharmacokinetic cohorts) ; evidence of interstitial lung disease;
  • Active hepatitis B or C, or with significant risk of hepatitis reactivation;
  • Known immediate or delayed hypersensitivity reaction or idiosyncrasy to monoclonal antibodies or drugs chemically related to the study drug. History of serious hypersensitivity reaction or serious hepatotoxicity related to any drug.

Sites / Locations

  • Blood Diseases Hospital, Chinese Academy of Medical Sciences

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

1 mg/kg Toripalimab

3 mg/kg Toripalimab

10 mg/kg Toripalimab

Arm Description

humanized anti-PD-1 monoclonal antibody is to be injected intravenously 1mg/kg Q2w until disease progresses or unacceptable tolerability occurs

humanized anti-PD-1 monoclonal antibody is to be injected intravenously 3mg/kg Q2w until disease progresses or unacceptable tolerability occurs

humanized anti-PD-1 monoclonal antibody is to be injected intravenously 10mg/kg Q2w until disease progresses or unacceptable tolerability occurs

Outcomes

Primary Outcome Measures

Number of participants with treatment-related adverse events as assessed by CTCAE v4.0

Secondary Outcome Measures

correlation analysis of PD-L1 expression of tumor
Objective Response Rate (ORR) by irRC and RECIST 1.1

Full Information

First Posted
October 16, 2017
Last Updated
September 28, 2020
Sponsor
Shanghai Junshi Bioscience Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT03316144
Brief Title
Safety, Tolerability, Pharmacokinetics & Pharmacodynamics of Toripalimab for Patients With Recurrent Malignant Lymphoma
Official Title
A Phase I Study of Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Multiple Doses of Recombinant Humanized Anti-PD-1 Monoclonal Antibody for Injection in Patients With Recurrent Malignant Lymphoma
Study Type
Interventional

2. Study Status

Record Verification Date
September 2020
Overall Recruitment Status
Completed
Study Start Date
July 12, 2017 (Actual)
Primary Completion Date
September 15, 2018 (Actual)
Study Completion Date
December 30, 2019 (Actual)

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
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The primary objective is to assess the safety and tolerability of JS-001 in subjects with recurrent malignant lymphoma, and to evaluate its preliminary efficacy. The secondary objectives are to: 1) characterize the single-dose and multi-dose pharmacokinetic (PK) profile of JS-001, 2) characterize the immunogenicity of JS-001; 3) assess the dose-efficacy relationship of JS-001 single agent, and 4) preliminarily evaluate biomarkers associated with the efficacy of JS-001.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Malignant Lymphoma
Keywords
immunotherapy, check point inhibitor, PD-1 antibody, phase 1 trial, Malignant Lymphoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
13 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1 mg/kg Toripalimab
Arm Type
Experimental
Arm Description
humanized anti-PD-1 monoclonal antibody is to be injected intravenously 1mg/kg Q2w until disease progresses or unacceptable tolerability occurs
Arm Title
3 mg/kg Toripalimab
Arm Type
Experimental
Arm Description
humanized anti-PD-1 monoclonal antibody is to be injected intravenously 3mg/kg Q2w until disease progresses or unacceptable tolerability occurs
Arm Title
10 mg/kg Toripalimab
Arm Type
Experimental
Arm Description
humanized anti-PD-1 monoclonal antibody is to be injected intravenously 10mg/kg Q2w until disease progresses or unacceptable tolerability occurs
Intervention Type
Biological
Intervention Name(s)
Toripalimab
Other Intervention Name(s)
JS001, TAB001
Intervention Description
Dose escalation study evaluating three dose levels (1, 3 and 10 mg/kg) of JS001. Subjects will be assigned to a dose schedule in the order of study entry.
Primary Outcome Measure Information:
Title
Number of participants with treatment-related adverse events as assessed by CTCAE v4.0
Time Frame
6 months
Secondary Outcome Measure Information:
Title
correlation analysis of PD-L1 expression of tumor
Time Frame
6 months
Title
Objective Response Rate (ORR) by irRC and RECIST 1.1
Time Frame
6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Willing to sign Informed Consent; Re-entry into the study is allowed with a second informed consent; Willing to provide blood sample for biomarker analysis(mandatory). The tissue sample is optional; A diagnosis of an advanced malignant tumor confirmed by histology or cytology (including typical Hodgkin's lymphoma and B cell source non-hodgkin's lymphoma); No standard of care for the patient; At least 1 measurable lesion; Aged 18-65 years; Anticipated life expectancy of at least 6 months; Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1; At least 4 weeks elapsed since receiving systemic chemotherapy; At least 4 weeks elapsed since receiving definite radiotherapy; At least 2 weeks since the last dose of systemic steroid therapy (>10 mg/day prednisone or equivalent); At least 4 weeks since receiving anti-cancer biotherapy; Recovered from previous treatment related adverse reaction; willing to use an acceptable contraceptive method; A negative pregnancy test for female subjects of childbearing potential; Exclusion Criteria: Active central nervous system (CNS) metastases and/or carcinomatous meningitis; Known history of another primary solid tumor, unless the participant has undergone potentially curative therapy with no evidence of that disease for 2 years, or underwent successful definitive resection of basal or squamous cell carcinoma of the skin, or in situ cervical cancer; Active, known or suspected autoimmune disease.Autoimmune diseases caused by lymphoma are not included in this list; Patients who have had car-T cell therapy Prior therapy with anti-PD-1, anti-PD-L1, anti-PD-L2,or anti-cytotoxic T-lymphocyte antigen 4 (CTLA-4) blocking antibodies; Significant medical disease; Active infection; Active tuberculosis or history of tuberculosis with one year; Infection of Human immunodeficiency virus (HIV); A complication requiring immune-suppression; Received a live vaccine within 4 weeks prior to first dose of study drug pleural or abdominal effusion with symptoms; Drug or alcohol abuse (for subjects in the pharmacokinetic cohorts) ; evidence of interstitial lung disease; Active hepatitis B or C, or with significant risk of hepatitis reactivation; Known immediate or delayed hypersensitivity reaction or idiosyncrasy to monoclonal antibodies or drugs chemically related to the study drug. History of serious hypersensitivity reaction or serious hepatotoxicity related to any drug.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Junyuan Qi, MD, PhD
Organizational Affiliation
Blood Diseases Hospital, Chinese Academy of Medical Sciences
Official's Role
Principal Investigator
Facility Information:
Facility Name
Blood Diseases Hospital, Chinese Academy of Medical Sciences
City
Tianjin
State/Province
Tianjin
ZIP/Postal Code
300020
Country
China

12. IPD Sharing Statement

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Safety, Tolerability, Pharmacokinetics & Pharmacodynamics of Toripalimab for Patients With Recurrent Malignant Lymphoma

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