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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: |
ChiCTR2400092101 |
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最近更新日期: Date of Last Refreshed on: |
2024-11-11 00:28:19 |
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注册时间: Date of Registration: |
2024-11-11 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: |
评价注射用 BL-M17D1 在局部晚期或转移性 HER2 阳性/低表达消化道肿瘤 及其他实体瘤患者中的安全性、耐受性、药代动力学特征和初步疗效的 I 期 临床研究(分中心) |
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Public title: |
A Phase l study to Evaluate the safey, Tolerabity, Pharmacokinetic characteristics and Preliminany ficacy of Bl-M17D1 in paients With localy Adyanced or Metastatic |
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注册题目简写: |
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English Acronym: |
A Phase l study to Evaluate the safey, Tolerabity, Pharmacokinetic characteristics and Preliminany ficacy of Bl-M17D1 in paients With localy Adyanced or Metastatic |
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研究课题的正式科学名称: |
评价注射用 BL-M17D1 在局部晚期或转移性 HER2 阳性/低表达消化道肿瘤 及其他实体瘤患者中的安全性、耐受性、药代动力学特征和初步疗效的 I 期 临床研究(分中心) |
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Scientific title: |
A Phase l study to Evaluate the safey, Tolerabity, Pharmacokinetic characteristics and Preliminany ficacy of Bl-M17D1 in paients With localy Adyanced or Metastatic |
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研究课题代号(代码): Study subject ID: |
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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: |
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申请注册联系人: |
程嘉平 |
研究负责人: |
张永昌 |
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Applicant: |
Jiaping Cheng |
Study leader: |
Yongchang zhang |
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申请注册联系人电话: Applicant telephone: |
+86 173 1082 2641 |
研究负责人电话:
Study leader's |
+86 731 8976 2321 |
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申请注册联系人传真 : Applicant Fax: |
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: |
chengjiaping@baili-pharm.com |
研究负责人电子邮件: Study leader's E-mail: |
zhangyongchang@hnca.org.cn |
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申请单位网址(自愿提供): Applicant website(voluntary supply): |
研究负责人网址(自愿提供): Study leader's website(voluntary supply): |
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申请注册联系人通讯地址: |
成都市高新区天府大道北段20号高新国际广场B座10楼 |
研究负责人通讯地址: |
咸嘉湖路582号 |
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Applicant address: |
Floor 10, Building B ,No 20, Gaoxinguoji Yard,North Tianfu Road,Gaoxin District,Chengdu |
Study leader's address: |
283 Tongzipo Road, Yuelu District, Changsha City |
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申请注册联系人邮政编码: Applicant postcode: |
研究负责人邮政编码: Study leader's postcode: |
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申请人所在单位: |
成都百利多特生物药业有限责任公司 |
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Applicant's institution: |
Baili-Bio (chengdu) Pharmaceutical co. Ltd. |
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研究负责人所在单位: |
湖南省肿瘤医院 |
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Affiliation of the Leader: |
hunan 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: |
2024药审695号+2024简易程序审查1593号 |
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: |
湖南省肿瘤医院医学伦理审查委员会 |
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Name of the ethic committee: |
Medical Ethics Review Committee of Hunan Cancer Hospital |
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伦理委员会批准日期: Date of approved by ethic committee: |
2024-09-03 00:00:00 | ||
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伦理委员会联系人: |
杨凤 |
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Contact Name of the ethic committee: |
Yang Feng |
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伦理委员会联系地址: |
咸嘉湖路582号 |
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Contact Address of the ethic committee: |
283 Tongzipo Road, Yuelu District, Changsha City |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 731 8976 2695 |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
hnszlyy_irb@163.com |
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研究实施负责(组长)单位: |
湖南省肿瘤医院 |
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Primary sponsor: |
hunan cancer hospital |
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研究实施负责(组长)单位地址: |
咸嘉湖路582号 |
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Primary sponsor's address: |
283 Tongzipo Road, Yuelu District, Changsha City |
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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: |
成都百利多特生物药业有限责任公司 |
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Source(s) of funding: |
Chengdu Bailidote Biopharmaceutical Co., Ltd |
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研究疾病: |
标准治疗失败或无法获得标准治疗的局部晚期或转移性食管症(EC)、胃痘(GC)、胰腺瘟(PC)、结直肠瘟(CRC)等消化道肿瘤及其他实体瘤患者 |
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Target disease: |
Esophageal Cancer,Gastric Cancer,Pancreatic Cancer,Colorectal Cancer,Solid Tumor |
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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: |
1. 剂量递增阶段(Ia) 1)主要目的 ? 观察 BL-M17D1 在局部晚期或转移性 HER2 阳性/低表达消化道肿瘤及其他实体瘤患者中的安全性和耐受性,从而确定 BL-M17D1 的最大耐受剂量(MTD)和剂量限制性毒性(DLT)。 2)次要目的 ? 评估 BL-M17D1 在局部晚期或转移性 HER2 阳性/低表达消化道肿瘤及其他实体瘤患者中的药代动力学特征; ? 评估 BL-M17D1 在局部晚期或转移性 HER2 阳性/低表达消化道肿瘤及其他实体瘤患者中的免疫原性。 3)探索性目的 ? 检测肿瘤病理组织中的 HER2 蛋白表达或基因扩增,探索性研究其与BL-M17D1 有效性指标的相关性。 2. 扩大入组阶段(Ib) 1)主要目的 ? 进一步观察 BL-M17D1 在 Ia 期推荐剂量下的安全性和耐受性,确定 II期临床研究推荐剂量(RP2D)。 2)次要目的 ? 评估 BL-M17D1 在局部晚期或转移性 HER2 阳性/低表达消化道肿瘤及其他实体瘤患者中的初步疗效; ? 进一步评估 BL-M17D1 在局部晚期或转移性 HER2 阳性/低表达消化道肿瘤及其他实体瘤患者中的药代动力学特征; ? 评估 BL-M17D1 在局部晚期或转移性 HER2 阳性/低表达消化道肿瘤及其他实体瘤患者中的免疫原性。 3)探索性目的 ? 根据 Ia 期的结果,进一步研究所选生物标志物与初步疗效相关性。 |
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Objectives of Study: |
Phase la: Dose limiting toxicity (DLT) [Time Frame: Up to 21 days after the according to NCl-CTCAE v5.0 during the first cycle and defined asbccurrence of any ofthe toxicities in DlT dehinition ifiudaed bythe investigator to be pssibl, probaby or definitely related to study drug administration, Phase la Maximum tolerated dose (MTD) [Time Frame: Up to 21 days after the first dose] TD is defined as the at which no more than 1 in 6 participants expenienced a DlT during the first cycle . Phase lb:Recommended phase l Dose (Rp2D) [Time frame: Up to aproximately 24 months The Rp2D is defined as the doslevel chosen by the sponsor (in consultation with the investigators) for phas and PD data collected during the dose escalation study of BL-M17D1. |
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药物成份或治疗方案详述: |
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Description for medicine or protocol of treatment in detail: |
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纳入标准: |
1.自愿签署知情同意书,并遵循方案要求; |
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Inclusion criteria |
1: Voluntarily sign the informed consent and follow the requirements of the protocol; 2: No gender limit; 3: Age: ≥18 years old and ≤75 years old (stage la); 1.≥18 years old (stage lb); 4:Expected survival time ≥3 months; 5: The pathologic histolgy and/or cytology diagnosis of localy advanced or metastatic positive HER2 /low expression ofthe digestive tract tumor and other solid tumor 6: Consent to provide archival tumor tissue samples or fresh tissue samples from primary or metastatic lesions within 2 years, 7: Must have at least one measurable lesion according to REClST v1.1 definition; 8: ECOG 0 or 1; 9: Toxicity of previous antineoplastic therapy has returned to ≤ grade 1 defined by NCI-CTCAE V5.0; 10:No severe cardiac dysfunction, left ventricular ejection fraction ≥50%6; 11:Oraan function level must meet the requirements: 12: Coagulation function: international normalized ratio s1.5, and activated partial thromboplastin time s1.5ULN 13: Urine protein ≤2+ or s1000mg/24h 14: For premenopausal women with childbeaning potential, a pregnancy tet must be performed within 7 days before the initiation of treatment, serum pregnancy musi be negative, and must be non-lactating; All the patients (no mater male or female) shall be 6 months after the end ofthe treatment peniod and ful barier precautions. |
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排除标准: |
1. 在首次给药前 4 周内或 5 个半衰期内(以时间更短的为准)使用过化疗、生物治疗、 免疫治疗、根治性放疗、大手术、靶向治疗(包括小分子酪氨酸激酶抑制剂)等抗肿瘤 治疗;丝裂霉素和亚硝基脲类为首次给药前 6 周内;氟尿嘧啶类的口服药物如替吉奥、 卡培他滨,或姑息性放疗为首次给药前 2 周内; |
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Exclusion criteria: |
1. Use of anti-tumor therapies such as chemotherapy, biological therapy, immunotherapy, radical radiotherapy, major surgery, targeted therapy (including small molecule tyrosine kinase inhibitors) within 4 weeks or 5 half-lives (whichever is shorter) prior to the first dose; Mitomycin and nitrosoureas within 6 weeks prior to the first dose; Fluorouracil oral medications such as tigio, capecitabine, or palliative radiotherapy within 2 weeks prior to the first dose; 2. Prior receipt of ADCs with MMAE/MMAF as toxin; 3. History of severe heart disease, such as: history of symptomatic congestive heart failure (CHF) ≥ grade 2 (CTCAE 5.0), New York Heart Association (NYHA) grade ≥ 2 heart failure, history of transmural myocardial infarction, unstable angina, etc.; 4. QT interval prolongation (QTc>450 msec for males or QTc>470 msec for females, QTc interval calculated on Fridericia scale), complete left bundle branch block, third-degree atrioventricular block, frequent and uncontrollable arrhythmias: such as atrial fibrillation, atrial flutter, ventricular fibrillation, ventricular flutter (except for transient atrial fibrillation, atrial flutter or stable for 2 weeks after treatment with anti-arrhythmic drugs); 5. Active autoimmune diseases and inflammatory diseases, such as: systemic lupus erythematosus, psoriasis requiring systemic treatment, rheumatoid arthritis, inflammatory bowel disease and Hashimoto's thyroiditis, etc., except type I diabetes mellitus, hypothyroidism that can be controlled by replacement therapy only, and skin diseases that do not require systemic treatment (such as vitiligo, psoriasis); 6. Diagnosis of other malignancies within 5 years prior to the first dose, with the following exceptions: radically treated basal cell carcinoma of the skin, squamous cell carcinoma of the skin, and/or carcinoma in situ that has undergone radical resection; 7. Hypertension (systolic blood pressure > 150 mmHg or diastolic blood pressure >100 mmHg) that is poorly controlled by two antihypertensive drugs; 8. Patients with poor glycemic control prior to the first dose, defined as: a) two fasting blood glucose >10mmol/L, or b) glycosylated hemoglobin levels exceeding 8%, c) or other serious complications such as diabetic gangrene; 9. Has a history of interstitial lung disease (ILD) requiring hormonal therapy (including pulmonary fibrosis or radiation pneumonitis), or currently has ILD or radiation pneumonitis of ≥1 as defined by RTOG/EORTC, or is suspected of having such disease by imaging during the screening period; 10. Concurrent pulmonary disease resulting in clinically severe respiratory impairment, including but not limited to the following: a. any underlying pulmonary disease (e.g., pulmonary embolism, severe asthma, severe chronic obstructive pulmonary disease within 3 months prior to randomization), b. restrictive lung disease; 11. Patients with a large amount of serosal effusion, or symptomatic serous effusion, or poorly controlled serous effusion (poorly controlled is defined as 2 or more puncture drainage within 1 month); 12. Imaging examination shows that the tumor has invaded or encircled the chest, neck, pharynx and other large blood vessels, except for those that the investigator believes will not affect the patient's enrollment and medication; 13. Unstable thrombotic events such as deep vein thrombosis, arterial thrombosis, and pulmonary embolism requiring therapeutic intervention within 6 months prior to screening; Except for infusion set-related thrombosis; 14. Have symptoms of active central nervous system metastases. However, patients with stable parenchymal metastases can be enrolled. Stable is defined as: a. seizure-free state lasting > 12 weeks with or without antiepileptic medication; b. Glucocorticoids are not required; c. Multiple consecutive MRIs (at least 8 weeks between scans) show stable radiographically; 15. Patients with a history of allergy to recombinant humanized antibodies or human-mouse chimeric antibodies or allergies to any of the excipient components of BL-M17D1; 16. Prior organ transplantation or allogeneic hematopoietic stem cell transplantation (Allo-HSCT); 17. Positive for human immunodeficiency virus antibody (HIVAb), active tuberculosis, active hepatitis B virus infection (HBsAg positive and HBV-DNA > test 500IU/ml or upper limit of normal, whichever is higher) or hepatitis C virus infection (HCV antibody positive and HCV-RNA > lower limit of detection); 18. Active infection requiring systemic treatment, severe infection (CTCAE>2 grade) within 4 weeks before the knowing, such as severe pneumonia, bacteremia, sepsis, tuberculosis, etc.; Presence of pulmonary infection or active pulmonary inflammation within 2 weeks prior to the indication; 19. Previous participation in another clinical trial within 4 weeks prior to the first dose (calculated from the time of the last dose); 20. Pregnant or lactating females; 21. Superior vena cava syndrome contraindication rehydration; 22. Have a history of severe neurological or psychiatric diseases, including but not limited to: dementia, depression, seizures, bipolar disorder, etc.; 23. Severe and non-healing wounds, ulcers, or fractures within 4 weeks prior to signing the informed consent; 24. Subjects with clinically significant bleeding or obvious bleeding tendency within 4 weeks before signing the informed consent form, such as gastrointestinal bleeding, hemorrhagic gastric ulcer, vasculitis, etc.; 25. History of intestinal obstruction, inflammatory bowel disease, or extensive bowel resection or presence of Crohn's disease, ulcerative colitis, or chronic diarrhea; 26. Patients who are scheduled to receive or receive a live vaccine within 28 days prior to the first dose; 27. Other conditions that are considered by the investigator to be inappropriate to participate in this clinical trial. |
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研究实施时间: Study execute time: |
从 From 2024-07-01 00:00:00至 To 2026-07-31 00:00:00 |
征募观察对象时间: Recruiting time: |
从 From 2024-11-15 00:00:00 至 To 2025-12-01 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): |
无 |
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Randomization Procedure (please state who generates the random number sequence and by what method): |
None |
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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: |
不公开/Private |
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盲法: |
无 |
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Blinding: |
None |
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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): |
本项目采用EDC系统采集原始数据,EDC系统名称为eCollect,网址为htps://www.trialos.com.cn/edc/#/internationa |
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The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
eCollect is usded for this study for data collection.The website is https://www.trialos.com.cn/edc/#/international |
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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: |
本项目采用EDC系统采集原始数据,网址为https://www.trialos.com.cn/edc/#/interational |
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Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
eCollect is usded for this study for data collection,The website is https://www.trialos,com.cn/edc/#/international |
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数据与安全监察委员会: Data and Safety Monitoring Committee: |
有/Yes |