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To Evaluate KC1036 in the Patients With Advanced Digestive System Tumors

Primary Purpose

Digestive System Tumors

Status
Recruiting
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
KC1036
Sponsored by
Beijing Konruns Pharmaceutical Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Digestive System Tumors

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Histologically or cytologically confirmed malignant digestive system tumors;
  • Patients with advanced recurrent, unresectable and / or metastatic digestive system tumors who have failed standard or conventional treatment:( definition of treatment failure: intolerable toxic and side effects, disease progression during treatment recurrence after treatment);
  • Eastern Cooperative Oncology Group performance status score of 0 or 1;
  • Life expectancy > 12 weeks;
  • BMI≥18.0;
  • Has adequate Hematologic, renal, and hepatic function;
  • Patients should participate in the study voluntarily and sign informed consent.

Exclusion Criteria:

  • Any patient who is known to have central nervous system (CNS) metastasis with clinical symptoms;
  • Other kinds of malignancies;
  • Gastrointestinal abnormalitiest;
  • Cardiovascular and cerebrovascular diseases;
  • Previous treatment with small molecule vascular targeting inhibitor;
  • Prior anti-tumor therapies with chemotherapy, radiotherapy, hormonotherapy, biotherapy, immunotherapy, operation within 4 weeks before enrollment;
  • Involved in other clinical trials within 4 weeks before enrollment;
  • Major surgical procedure, open biopsy, or significant traumatic injury 4 weeks before enrollment;
  • Uncontrolled massive ascites,pleural/pericardial effusion;
  • Uncontrolled ongoing or active bacterial, viral or fungal infectious; Fever of unknown cause (> 38.5 ℃) occurred within 2 weeks before enrollment;
  • Known history of human immunodeficiency virus (HIV) infection or current chronic or active hepatitis B or C infection ;
  • Pregnant or lactating women or those who do not take contraceptives, including men;
  • Any other metabolic dysfunction, abnormal physical examination findings, or clinical laboratory findings;
  • Inability to comply with protocol required procedures.

Sites / Locations

  • Cancer Hospital, Chinese Academy of Medical SciencesRecruiting
  • The first affiliated hospital of bengbu medical collegeRecruiting
  • Chongqing University Three Gorges HospitalRecruiting
  • Fujian Cancer HospitalRecruiting
  • Henan Cancer Hospital Affiliated Cancer Hospital of Zhengzhou UniversityRecruiting
  • The First Affiliated Hospital of Xinxiang Medical UniversityRecruiting
  • Hubei Cancer HospitalRecruiting
  • Union Hospital Tongji Medical College Huazhong University of Science and TechnologeRecruiting
  • Shandong Cancer Hospital & InstituteRecruiting
  • Shanghai Chest HospitalRecruiting
  • Cancer Hospital Chinese Academy of Medical Sciences,Shenzhen CenterRecruiting
  • Tianjin Medical University Cancer Institute &HospitalRecruiting
  • The Second Affiliated Hospital Zhejiang University School of MedicineRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

QD regimen

BID regimen

Arm Description

KC1036 was administered orally in 60 mg once daily, 21 days as a cycle.

Dose-Escalation part : KC1036 was administered orally in 20 mg BID, 30 mg BID, or 40 mg BID. Dose-Expansion part : According to the results of Dose-Escalation, an appropriate BID regimen was selected for Dose-Expansion .

Outcomes

Primary Outcome Measures

Objective Response Rate (ORR)
Overall response rate (ORR) was defined as the percentage of participants with a best overall complete response (CR) or partial response (PR) per RECIST 1.1.

Secondary Outcome Measures

Progression-free survival (PFS)
Progression-free survival (PFS) was defined as the time from the start date of study drug to the date of the first radiologically documented progressive disease (PD) per RECIST 1.1 or death due to any cause.
Disease Control Rate (DCR)
Disease Control Rate (DCR) was defined as the percentage of participants with a best overall complete response (CR), partial response (PR), or stable disease (SD) per RECIST 1.1.
Duration of Response (DOR)
Duration of response (DOR) was defined as the time from first documented response (partial response (PR) or complete response (CR)) to the date of first documented disease progression (PD) or death due to any cause, among patients with a confirmed PR or CR per RECIST 1.1.
Pharmacokinetics (PK) profile: Cmax
Parameters: Peak Plasma Concentration
Pharmacokinetics (PK) profile: Tmax
Parameters: Time to reach the maximum plasma concentration
Pharmacokinetics (PK) profile: T1/2
Parameters: Terminal half-life
Pharmacokinetics (PK) profile: AUC
arameters: Area under the single-dose plasma concentration-time curve.
Adverse events (AEs)
Incidence of treatment-related AEs

Full Information

First Posted
January 27, 2022
Last Updated
December 28, 2022
Sponsor
Beijing Konruns Pharmaceutical Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05260385
Brief Title
To Evaluate KC1036 in the Patients With Advanced Digestive System Tumors
Official Title
A Phase Ib / II Study to Evaluate the Efficacy and Safety of KC1036 in the Patients With Advanced Recurrent or Metastatic Digestive System Tumors
Study Type
Interventional

2. Study Status

Record Verification Date
December 2022
Overall Recruitment Status
Recruiting
Study Start Date
January 24, 2022 (Actual)
Primary Completion Date
April 30, 2024 (Anticipated)
Study Completion Date
April 30, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Beijing Konruns Pharmaceutical 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
The purpose of this study is to evaluate the preliminary efficacy, safety, tolerability and pharmacokinetics of KC1036 in participants with advanced recurrent or metastatic digestive system tumors.
Detailed Description
This is an open label, non-randomized,phase 1b/2 study to explore the preliminary antitumor activity of KC1036 in patients with advanced recurrent or metastatic digestive system tumors under BID or QD regimen. The study will consist of two parts: Part 1: QD regimen To evaluate the efficacy and safety of KC1036 in the treatment of advanced recurrent, unresectable and / or metastatic digestive system tumors under 60mg QD regimen. Part 2: BID regimen Dose-Escalation part : To explore the safety of KC1036 under 20mg BID, 30mg BID and 40mg BID in patients with advanced recurrent or metastatic digestive system tumors. Dose-Expansion part : According to the results of Dose-Escalation, an appropriate BID regimen was selected for Dose-Expansion to evaluate the effectiveness and safety of KC1036 in patients with advanced recurrent, unresectable and / or metastatic digestive system tumors.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Digestive System Tumors

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
QD regimen
Arm Type
Experimental
Arm Description
KC1036 was administered orally in 60 mg once daily, 21 days as a cycle.
Arm Title
BID regimen
Arm Type
Experimental
Arm Description
Dose-Escalation part : KC1036 was administered orally in 20 mg BID, 30 mg BID, or 40 mg BID. Dose-Expansion part : According to the results of Dose-Escalation, an appropriate BID regimen was selected for Dose-Expansion .
Intervention Type
Drug
Intervention Name(s)
KC1036
Intervention Description
KC1036 are administered orally QD or BID in 21-day cycles.
Primary Outcome Measure Information:
Title
Objective Response Rate (ORR)
Description
Overall response rate (ORR) was defined as the percentage of participants with a best overall complete response (CR) or partial response (PR) per RECIST 1.1.
Time Frame
approximately 2 year.
Secondary Outcome Measure Information:
Title
Progression-free survival (PFS)
Description
Progression-free survival (PFS) was defined as the time from the start date of study drug to the date of the first radiologically documented progressive disease (PD) per RECIST 1.1 or death due to any cause.
Time Frame
approximately 2 year
Title
Disease Control Rate (DCR)
Description
Disease Control Rate (DCR) was defined as the percentage of participants with a best overall complete response (CR), partial response (PR), or stable disease (SD) per RECIST 1.1.
Time Frame
approximately 2 year.
Title
Duration of Response (DOR)
Description
Duration of response (DOR) was defined as the time from first documented response (partial response (PR) or complete response (CR)) to the date of first documented disease progression (PD) or death due to any cause, among patients with a confirmed PR or CR per RECIST 1.1.
Time Frame
approximately 2 year.
Title
Pharmacokinetics (PK) profile: Cmax
Description
Parameters: Peak Plasma Concentration
Time Frame
approximately 2 year.
Title
Pharmacokinetics (PK) profile: Tmax
Description
Parameters: Time to reach the maximum plasma concentration
Time Frame
approximately 2 year.
Title
Pharmacokinetics (PK) profile: T1/2
Description
Parameters: Terminal half-life
Time Frame
approximately of 2 year.
Title
Pharmacokinetics (PK) profile: AUC
Description
arameters: Area under the single-dose plasma concentration-time curve.
Time Frame
approximately of 2 year.
Title
Adverse events (AEs)
Description
Incidence of treatment-related AEs
Time Frame
approximately of 2 year.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histologically or cytologically confirmed malignant digestive system tumors; Patients with advanced recurrent, unresectable and / or metastatic digestive system tumors who have failed standard or conventional treatment:( definition of treatment failure: intolerable toxic and side effects, disease progression during treatment recurrence after treatment); Eastern Cooperative Oncology Group performance status score of 0 or 1; Life expectancy > 12 weeks; BMI≥18.0; Has adequate Hematologic, renal, and hepatic function; Patients should participate in the study voluntarily and sign informed consent. Exclusion Criteria: Any patient who is known to have central nervous system (CNS) metastasis with clinical symptoms; Other kinds of malignancies; Gastrointestinal abnormalitiest; Cardiovascular and cerebrovascular diseases; Previous treatment with small molecule vascular targeting inhibitor; Prior anti-tumor therapies with chemotherapy, radiotherapy, hormonotherapy, biotherapy, immunotherapy, operation within 4 weeks before enrollment; Involved in other clinical trials within 4 weeks before enrollment; Major surgical procedure, open biopsy, or significant traumatic injury 4 weeks before enrollment; Uncontrolled massive ascites,pleural/pericardial effusion; Uncontrolled ongoing or active bacterial, viral or fungal infectious; Fever of unknown cause (> 38.5 ℃) occurred within 2 weeks before enrollment; Known history of human immunodeficiency virus (HIV) infection or current chronic or active hepatitis B or C infection ; Pregnant or lactating women or those who do not take contraceptives, including men; Any other metabolic dysfunction, abnormal physical examination findings, or clinical laboratory findings; Inability to comply with protocol required procedures.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Jing Huang, Medicine Doctor
Phone
010-87788293
Email
huangjingwg@163.com
Facility Information:
Facility Name
Cancer Hospital, Chinese Academy of Medical Sciences
City
Beijing
ZIP/Postal Code
100021
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Huang Jing, Doctor of Medicine
Phone
010-87788293
Email
huangjingwg@163.com
Facility Name
The first affiliated hospital of bengbu medical college
City
Bengbu
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Hao Jiang
Facility Name
Chongqing University Three Gorges Hospital
City
Chongqing
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Li Zhang
Facility Name
Fujian Cancer Hospital
City
Fujian
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Wu Zhuang
Facility Name
Henan Cancer Hospital Affiliated Cancer Hospital of Zhengzhou University
City
Henan
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ning Li
Facility Name
The First Affiliated Hospital of Xinxiang Medical University
City
Henan
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Liuzhong Yang
Facility Name
Hubei Cancer Hospital
City
Hubei
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Huiting Xu
Facility Name
Union Hospital Tongji Medical College Huazhong University of Science and Technologe
City
Hubei
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Tao Zhang
Facility Name
Shandong Cancer Hospital & Institute
City
Shandong
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Zuoxing Niu
Facility Name
Shanghai Chest Hospital
City
Shanghai
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ming Zhang
Facility Name
Cancer Hospital Chinese Academy of Medical Sciences,Shenzhen Center
City
Shenzhen
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ying Wang
Facility Name
Tianjin Medical University Cancer Institute &Hospital
City
Tianjin
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Peng Tang
Facility Name
The Second Affiliated Hospital Zhejiang University School of Medicine
City
Zhejiang
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ying Yuan

12. IPD Sharing Statement

Plan to Share IPD
No

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To Evaluate KC1036 in the Patients With Advanced Digestive System Tumors

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