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审核状态: Project audit state: |
通过审核 Successful |
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注册号: Registration number: |
ChiCTR2300068613 |
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最近更新日期: Date of Last Refreshed on: |
2023-05-16 22:24:57 |
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注册时间: Date of Registration: |
2023-02-24 00:00:00 |
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注册号状态: |
预注册 |
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Registration Status: |
Prospective registration |
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注册题目: |
一项多中心、开放、剂量递增的首次临床研究,评价CTS2016在复发/难治性急性髓系白血病(AML)或中高危骨髓增生异常综合征(MDS)患者中的安全性及耐受性 |
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Public title: |
An Open-Label, Multi-Center, First-in-Human Study to Evaluate the Safety and Tolerability of CTS2016 in Patients with Relapsed/Refractory Acute Myeloid Leukemia or High-Risk Myelodysplastic Syndromes |
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注册题目简写: |
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English Acronym: |
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研究课题的正式科学名称: |
一项多中心、开放、剂量递增的首次临床研究,评价CTS2016在复发/难治性急性髓系白血病(AML)或中高危骨髓增生异常综合征(MDS)患者中的安全性及耐受性 |
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Scientific title: |
An Open-Label, Multi-Center, First-in-Human Study to Evaluate the Safety and Tolerability of CTS2016 in Patients with Relapsed/Refractory Acute Myeloid Leukemia or High-Risk Myelodysplastic Syndromes |
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研究课题代号(代码): Study subject ID: |
SL-CTS2016-2022 |
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在二级注册机构或其它机构的注册号: The registration number of the Partner Registry or other register: |
CTR20223462 |
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申请注册联系人: |
邢淑宁 |
研究负责人: |
魏旭东 |
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Applicant: |
Shuning Xing |
Study leader: |
Xudong Wei |
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申请注册联系人电话: Applicant telephone: |
13837169301 |
研究负责人电话:
Study leader's |
13837169301 |
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申请注册联系人传真 : Applicant Fax: |
021-58920769 |
研究负责人传真: Study leader's fax: |
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申请注册联系人电子邮件: Applicant E-mail: |
weixudong63@126.com |
研究负责人电子邮件: Study leader's E-mail: |
weixudong63@126.com |
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申请单位网址(自愿提供): Applicant website(voluntary supply): |
河南省肿瘤医院 |
研究负责人网址(自愿提供): Study leader's website(voluntary supply): |
http://www.anti-cancer.com.cn/ |
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申请注册联系人通讯地址: |
河南省郑州市东明路127号 |
研究负责人通讯地址: |
河南省郑州市东明路127号 |
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Applicant address: |
Floor2,Building2,998 Halei Road,Pudong Shanghai,China |
Study leader's address: |
127 Dongming Road, Zhengzhou City, Henan Province |
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申请注册联系人邮政编码: Applicant postcode: |
450000 |
研究负责人邮政编码: Study leader's postcode: |
450000 |
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申请人所在单位: |
河南省肿瘤医院 |
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Applicant's institution: |
Henan Cancer Hospital |
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研究负责人所在单位: |
河南省肿瘤医院 |
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Affiliation of the Leader: |
Henan Cancer Hospital |
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是否获伦理委员会批准: |
是 |
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Approved by ethic committee: |
Yes |
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伦理委员会批件文号: Approved No. of ethic committee: |
2022-506-002 |
伦理委员会批件附件: Approved file of Ethical Committee: |
查看附件View |
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批准本研究的伦理委员会名称: |
河南省肿瘤医院医学伦理委员会 |
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Name of the ethic committee: |
Medical Ethics Committee of Henan Cancer Hospital |
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伦理委员会批准日期: Date of approved by ethic committee: |
2022-12-27 00:00:00 | ||
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伦理委员会联系人: |
丁晶 |
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Contact Name of the ethic committee: |
Jing Ding |
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伦理委员会联系地址: |
河南省郑州市东明路127号 |
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Contact Address of the ethic committee: |
127 Dongming Road, Zhengzhou City, Henan Province |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 371 65588251 |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
weixudong63@126.com |
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研究实施负责(组长)单位: |
河南省肿瘤医院 |
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Primary sponsor: |
Henan Cancer Hospital |
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研究实施负责(组长)单位地址: |
河南省郑州市东明路127号 |
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Primary sponsor's address: |
127 Dongming Road, Zhengzhou City, Henan Province |
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试验主办单位(项目批准或申办者): Secondary sponsor: |
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经费或物资来源: |
申办方自筹 |
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Source(s) of funding: |
Self-raised by the Sponsor |
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研究疾病: |
复发/难治性急性髓系白血病(AML)或中高危骨髓增生异常综合征(MDS) |
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Target disease: |
relapsed/refractory acute myeloid leukemia, or intermediate- and high-risk myelodysplastic syndromes |
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研究疾病代码: |
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Target disease code: |
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研究类型: |
干预性研究 |
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Study type: |
Interventional study |
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研究所处阶段: |
I期临床试验 | ||||||||||||||||||||||||||||||||||||||||||||
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Study phase: |
1 |
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研究设计: |
单臂 |
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Study design: |
Single arm |
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研究目的: |
主要目的 评估CTS2016在复发/难治性AML或中高危MDS受试者中的安全性和耐受性。 确定CTS2016的剂量限制性毒性(DLT)。 确定最大耐受剂量(MTD)和/或II期研究中的推荐剂量(RP2D)。 次要目的 评估CTS2016在复发/难治性AML或中高危MDS受试者中的药代动力学特征,获取初步药代动力学参数; 评估CTS2016 在复发/难治性AML或中高危MDS受试者中的初步疗效,为后续临床试验推荐剂量提供依据。 探索性目的 评估CTS2016在复发/难治性AML或中高危MDS受试者中的药效动力学特征。 |
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Objectives of Study: |
Primary Objectives 1. Assess the safety and tolerance of CTS2016 in patients with relapsed/refractory acute myeloid leukemia, or intermediate- and high-risk myelodysplastic syndromes; 2. Determine the dose-limiting toxicity (DLT) of CTS2016; 3. Determine the maximum tolerable dose (MTD) and/or the Recommended phase II Dose(PR2D)of CTS2016 Secondary Objectives 1. Evaluate the pharmacokinetic (PK) characteristics of CTS2016 in patients with relapsed/refractory acute myeloid leukemia, or intermediate- and high-risk myelodysplastic syndromes; 2. Evaluate the clinical efficacy of CTS2016 in patients with relapsed/refractory acute myeloid leukemia, or intermediate- and high-risk myelodysplastic syndromes; Exploratory Objective: Explore the pharmacodynamic characteristics of CTS2016 in patients with relapsed/refractory acute myeloid leukemia, or intermediate- and high-risk myelodysplastic syndromes; |
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药物成份或治疗方案详述: |
CTS2016是一种新型高效、高选择性AXL/FLT3口服小分子抑制剂。在临床前研究中,CTS2016对急性髓系白血病及其各种复发难治性耐药突变有出色的抑制效果。 入组的受试者均先接受空腹单次给药,进行安全性观察及PK研究,完成168小时(第7天)采血后进行多次给药,继续进行安全性观察及PK研究。多次给药暂定:早晨空腹给药每天1次(QD);每28天为一个周期。DLT评估期为单次给药至多次给药第1周期结束期间,即首次给药后35天内,在完成多次给药第1周期给药后,经研究者判断如果继续给予研究治疗能给受试者带来治疗收益,受试者可在当前剂量下继续接受研究治疗直至受试者出现无法耐受的毒性、疾病进展(PD)、撤回知情同意、失访、死亡、试验结束、或经研究者判断风险大于获益时终止治疗(以先发生者为准)。 |
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Description for medicine or protocol of treatment in detail: |
CTS2016 is a novel, potent, selective and orally bioavailable small molecule AXL/FLT3 inhibitor. In preclinical studies, CTS2016 showed significant activity against AML harboring FLT3 mutations including the clinically identified resistance mutations. All enrolled subjects will firstly receive a single dose orally under fasting condition for safety observation and PK study, and then complete the 168hour (day 7) blood collection followed by multiple dosing to continue the safety observation and PK studies. Tentative multiple dose administration: subjects will receive CTS2016 orally under fasting condition once a day (QD), with 28 days as a cycle. The DLT evaluation period will be defined as the period from single dose administration to the end of Cycle 1 of multiple dose administration; that is, 35 days after the first administration. After completion of Cycle 1 of multiple dose administration, if the investigator believes that continued treatment can bring benefits to the subjects, the subjects may continue to receive the treatment at the current dose until the occurrence of intolerable toxicity, progressive disease, withdrawal of informed consent, loss to follow-up, death, end of the trial or termination of the treatment, or the risk judged by the investigator to be greater than the benefit (whichever occurs first). |
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纳入标准: |
1. 自愿参加研究并签署知情同意书; |
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Inclusion criteria |
1. The subjects fully understand the purpose, content, process and possible adverse reactions of the test, voluntarily act as the subjects, and sign the informed consent; |
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排除标准: |
(1) 确诊的急性早幼粒细胞白血病(APL),或BCR-ABL阳性白血病(即慢性髓系白血病急变); |
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Exclusion criteria: |
(1) Diagnosis of acute promyelocytic leukemia (APL) or BCR-ABL positive chronic myeloid leukemia(b-cell acute lymphoblastic leukemia); |
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研究实施时间: Study execute time: |
从 From 2022-12-19 00:00:00至 To 2025-08-31 00:00:00 |
征募观察对象时间: Recruiting time: |
从 From 2023-02-28 00:00:00 至 To 2024-03-29 00:00:00 |
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干预措施: Interventions: |
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研究实施地点: Countries of recruitment and research settings: |
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测量指标: Outcomes: |
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采集人体标本:
Collecting sample(s)
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征募研究对象情况: Recruiting status: |
尚未开始 Not yet recruiting |
年龄范围: Participant age: |
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性别: |
男女均可 |
Gender: |
Both |
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随机方法(请说明由何人用什么方法产生随机序列): |
非随机化 |
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Randomization Procedure (please state who generates the random number sequence and by what method): |
Non-Randomized |
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是否公开试验完成后的统计结果: Calculated Results after the Study Completed public access: |
公开/Public |
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盲法: |
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Blinding: |
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试验完成后的统计结果(上传文件): |
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Calculated Results after
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是否共享原始数据: IPD sharing |
是Yes |
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共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址): |
太美 EDC Version 5(https://www.trialos.com.cn/login/) |
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The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
Tai mei EDC Version 5(https://www.trialos.com.cn/login/) |
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数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC: |
数据录入:由研究者或经研究者授权的人员在完成访视后及时完成数据的在线录入。研究者需对eCRF上的数据进行批准确认(approve),以证实eCRF中记录的数据是真实的。数据录入完成后,任何的数据更改需给予解释(comments)并会被自动记录在系统中。 源数据现场核查(SDV):监查员在本中心研究现场登陆EDC,100%的核对eCRF 数据与源数据的一致性,发现问题可随时在线发出疑问。 数据质量检查:EDC系统根据DVP对疑问数据进行质疑,CRA、CRC和PI对疑问数据进行复核。数据管理员对数据进行质疑。监查对录入系统的数据进行100%SDV。数据库锁定前对数据进行审核并给出审核报告 数据锁定及退出:完成数据锁库清单,依据数据库锁定的程序,由数据管理人员、统计分析人员、临床监查员代表、研究者代表等签署书面批准数据库锁定文件,由数据管理员将其导出指定格式的数据库,交与统计人员进行统计分析。数据锁定后如有确切证据证明有必要解锁,研究者及相关人员需签署解锁文件。 外部数据管理:血药浓度数据作为外部数据进行管理,数据的传输要求详见《外部数据传输协议》,数据管理对外部数据进行审核、一致核查。 eCRF存档:试验结束,每个受试者的eCRF导出PDF进行电子存档,刻录光盘保存在临床试验单位,保存期限至药品上市后五年。 |
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Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
Data entry: The online entry of data is completed in time by the researcher or the person authorized by the researcher after the completion of the visit. Researchers need to approve the data on eCRF to verify that the data recorded in eCRF is true. After data entry is completed, any data changes need to be commented and automatically recorded in the system. Source Data on-site Verification (SDV): The inspector landed in EDC at the research site of our center, checked the consistency of eCRF data and source data by 100%, and found problems can be questioned online at any time. Data quality check: EDC system queries the questionable data according to DVP, CRA, CRC and PI review the questionable data. Data managers question the data. Supervise 100% SDV of input system data. Audit data before database locking and provide audit report Data Locking and Exit: Complete the list of data locks. According to the procedure of database locking, data managers, statisticians, representatives of clinical inspectors and researchers sign and approve the document of database locks in written form. Data managers export the database in specified format and submit it it to statisticians for unification. Analysis. If there is definite evidence that unlocking is necessary after data locking, researchers and relevant personnel need to sign the unlocking documents. External data management: Blood drug concentration data is managed as external data. Data transmission requirements are detailed in the External Data Transfer Protocol. Data management audits and consistently checks external data. ECRF archiving: At the end of the trial, each participant's eCRF exported PDF for electronic archiving, and the CD-ROM was stored in the clinical trial unit for two years after the drug went on sale. |
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数据与安全监察委员会: Data and Safety Monitoring Committee: |
有/Yes |