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注册号: Registration number: |
ChiCTR2300069226 |
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最近更新日期: Date of Last Refreshed on: |
2023-05-21 11:03:35 |
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注册时间: Date of Registration: |
2023-03-10 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: |
一项评估BC008-1A注射液治疗晚期实体瘤受试者的安全性、耐受性及PK特征和初步疗效的开放性、多中心、I期临床研究 |
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Public title: |
An open-label, multicenter, phase I clinical study to evaluate the safety, tolerability and PK characteristics and initial efficacy of BC008-1A injection in subjects with advanced solid tumors |
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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: |
一项评估BC008-1A注射液治疗晚期实体瘤受试者的安全性、耐受性及PK特征和初步疗效的开放性、多中心、I期临床研究 |
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Scientific title: |
An open-label, multicenter, phase I clinical study to evaluate the safety, tolerability and PK characteristics and initial efficacy of BC008-1A injection in subjects with advanced solid tumors |
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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: |
郭心磊 |
研究负责人: |
石远凯 |
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Applicant: |
Guo Xinlei |
Study leader: |
Shi Yuankai |
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申请注册联系人电话: Applicant telephone: |
+86 18210796709 |
研究负责人电话:
Study leader's |
+86 13701251865 |
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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: |
guoxinlei@buchangbio.com |
研究负责人电子邮件: Study leader's E-mail: |
syuankaipumc@126.com |
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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: |
北京市大兴区亦庄宏达北路8号宏达工业园八号科技广场8406室 |
研究负责人通讯地址: |
北京市朝阳区潘家园南里17号 |
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Applicant address: |
8 Hongda Road North, Yizhuang, Daxing District, Beijing |
Study leader's address: |
17 Panjiayuan Lane South, Chaoyang District, Beijing |
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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: |
四川泸州步长生物制药有限公司 |
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Applicant's institution: |
Sichuan Luzhou Buchang Biopharmaceutical Co., LTD. |
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研究负责人所在单位: |
中国医学科学院肿瘤医院 |
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Affiliation of the Leader: |
Cancer Hospital, Chinese Academy of Medical Sciences |
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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: |
22/346-3548 |
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: |
中国医学科学院肿瘤医院伦理委员会 |
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Name of the ethic committee: |
The Ethics Committee of the Cancer Hospital, Chinese Academy of Medical Sciences |
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伦理委员会批准日期: Date of approved by ethic committee: |
2022-09-21 00:00:00 | ||
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伦理委员会联系人: |
吴大维 |
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Contact Name of the ethic committee: |
Wu Dawei |
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伦理委员会联系地址: |
北京市朝阳区潘家园南里17号 |
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Contact Address of the ethic committee: |
17 Panjiayuan Lane South, Chaoyang District, Beijing |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
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研究实施负责(组长)单位: |
中国医学科学院肿瘤医院 |
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Primary sponsor: |
Cancer Hospital, Chinese Academy of Medical Sciences |
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研究实施负责(组长)单位地址: |
北京市朝阳区潘家园南里17号 |
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Primary sponsor's address: |
17 Panjiayuan Lane South, Chaoyang District, Beijing |
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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: |
四川泸州步长生物制药有限公司 |
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Source(s) of funding: |
Sichuan Luzhou Buchang Biopharmaceutical Co., LTD. |
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研究疾病: |
晚期实体瘤 |
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Target disease: |
Advanced 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.主要目的: (1) 评估BC008-1A注射液在晚期实体瘤受试者中的安全性和耐受性; (2) 探索BC008-1A注射液在晚期实体瘤受试者中的剂量限制性毒性(DLT)、最大耐受剂量(MTD)。 2.次要目的: (1) 评估BC008-1A注射液在晚期实体瘤受试者中的药代动力学(PK)特征; (2) 评估BC008-1A注射液在晚期实体瘤受试者中的免疫原性; (3) 评估BC008-1A注射液在晚期实体瘤受试者中的抗肿瘤疗效(实体瘤根据RECIST1.1评估,辅助参考根据irRECIST)。 3.探索性目的: (1) 测量TIGIT和PD-1在外周血CD3+、CD4+和CD8+T细胞的受体占有率(RO%); (2) 探索潜在的实体瘤组织中生物标志物包括CD155、TMB、MSI/MMR、PD-L1;血液中生物标志物:外周血T淋巴细胞(CD3+、CD4+、CD8+)、NK细胞、PD-1或TIGIT阳性T细胞亚群里的增值指标Ki-67、细胞因子(IL-2、IL-6、IL-10、TNF-α、IFN-γ)的变化特征。 |
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Objectives of Study: |
1. Main Purpose: (1) To evaluate the safety and tolerability of BC008-1A injection in subjects with advanced solid tumors; (2) To explore the dose-limiting toxicity (DLT) and maximum tolerated dose (MTD) of BC008-1A injection in subjects with advanced solid tumors. 2. Secondary Purpose: (1) To evaluate the pharmacokinetic (PK) characteristics of BC008-1A injection in subjects with advanced solid tumors; (2) To evaluate the immunogenicity of BC008-1A injection in subjects with advanced solid tumors; (3) To evaluate the antitumor efficacy of BC008-1A injection in subjects with advanced solid tumors (solid tumors assessed by RECIST1.1, auxiliary reference by irRECIST). 3. Exploratory Purpose: (1) The receptor occupancy of TIGIT and PD-1 in CD3+, CD4+ and CD8+T cells in peripheral blood was measured (RO%); (2) To explore the change characteristics of biomarkers (CD155, TMB, MSI/MMR, PD-L1) in tissue and blood (Proliferation index Ki-67 and cytokines (IL-2, IL-6, IL-10, TNF-α, IFN-γ) in peripheral blood T lymphocytes (CD3+, CD4+, CD8+), NK cells, PD-1 or Tigitpositive T cell subsets) ) of potential solid tumors. |
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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: |
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Inclusion criteria |
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排除标准: |
1.既往曾暴露于任何抗TIGIT类药物; 2.正在参与另一项干预性临床研究,参与观察性(非干预性)临床研究或处于干预性研究的生存期随访阶段除外; 3.在研究药物首次给药之前4周之内接受过任何研究性药物; 4.有自身免疫病或有自身免疫性疾病史或相关症状者; 5.在研究药物首次给药之前4周或药物的5个半衰期之内接受最后一次抗肿瘤治疗:系统化疗(口服氟尿嘧啶类药物的洗脱期为2周、丝裂霉素C以及亚硝基脲类药物的洗脱期为6周)、内分泌治疗、靶向治疗(小分子靶向治疗洗脱期为2周或5个半衰期,以较长者为准)、免疫治疗、肿瘤栓塞术或包括以抗肿瘤为适应症的中草药治疗等; 6.在研究药物首次给药之前4周之内使用皮质类固醇药物或其他免疫抑制剂治疗; 7.在研究药物首次给药之前4周之内或计划在研究期间接受减毒活疫苗; 8.在首剂研究治疗之前4周内存在既往抗肿瘤治疗引起的未恢复至NCI-CTCAEv5.0中0级或1级的毒性(不包括脱发或乏力),含接受免疫治疗存在尚未恢复的免疫相关不良事件(Immune-relatedAdverseEvent,irAE); 9.有肺炎史并需要激素治疗,或者有间质性肺病(包括既往史和现病史); 10.目前有活动性感染者(例如急性细菌感染、结核病、活动性乙型/丙型肝炎、肺部感染等); 11.已知有中枢神经系统(CentralNervousSystem,CNS)转移和/或脊髓压迫和/或癌性脑膜炎,有软脑脊膜癌病史; 12.乙肝核心抗体(HBcAb)或乙肝表面抗原(HBsAg)阳性,且HBV DNA 高于研究中心正常值上限,或医生判断有活动性肝炎,丙型肝炎病毒(HCV)感染,或人免疫缺陷病毒(HIV)抗体阳性,或梅毒螺旋体抗体(Tp-Ab)阳性; 13.有未能良好控制的心脏临床症状或疾病,如未控制的高血压(收缩压≥160mmHg和/或舒张压≥100mmHg)、不稳定心绞痛或试验入组前6个月内发生心肌梗塞、或控制不佳的心律失常(包括QTc间期男性≥450ms、女性≥470ms,QTc间期以Fridericia公式计算)等; 14.心功能分级(NYHA)为III级或IV级; 15.在五年内患有其它恶性肿瘤(完全治愈或可治愈的癌症除外,如基底皮肤癌或鳞状细胞皮肤癌、局限性低危前列腺癌、甲状腺乳头状癌,或已完全切除的任何类型原位癌,如宫颈原位癌、乳腺导管内原位癌等); 16.对试验药物的组成成分或辅料、抗体药物或其他任何治疗性蛋白(如新鲜冰冻血浆、人血清白蛋白、细胞因子或白介素等)过敏,或有严重过敏史,怀疑可能会出现严重过敏反应者(NCI-CTCAEv5.0≥3级); 17.筛选前1年内有酗酒,吸毒或药物滥用史; 18.既往有明确的神经或精神障碍史,如癫痫、痴呆,依从性差者; 19.妊娠期或哺乳期女性; 20.研究者认为不适合参加该研究的其他情况; 注:初次筛查不合格者,研究者可酌情予以二次筛选。 |
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Exclusion criteria: |
1. Previous exposure to any anti-TIGIT drugs; 2. Participating in another interventional clinical study, except for participating in an observational (non-interventional) clinical study or being in the survival follow-up phase of the interventional study; 3. Received any study drug within 4 weeks prior to the first dose of the study drug; 4. Patients with autoimmune diseases or a history of autoimmune diseases or related symptoms; 5. Four weeks before the first time of study drug administration, or five half-life of the last anti-tumor treatment: systemic chemotherapy (oral fluorouracil drugs washout period for 2 weeks, mitomycin C and nitrosourea drug washout period for 6 weeks), endocrine therapy, targeted therapy (small molecule targeted therapy washout for 2 weeks or five half-life, will be older), immunotherapy, tumor embolization or including anti-tumor indications for Chinese herbal medicine treatment, etc.; 6. Treatment with corticosteroids or other immunosuppressants within 4 weeks before the first dose of the study drug; 7. Receiving a live attenuated vaccine within 4 weeks or planned during the study prior to the first administration of the study drug; 8. Nonrecovery to NCI-CTCAEv5.0 level 0 or 1 toxicity (excluding alopecia or fatigue) from prior antitumor therapy, including imimmune-relatedAdverseevent (irAE) from immunotherapy, within 4 weeks prior to the first dose of study therapy; 9. A history of pneumonia requiring hormonal therapy, or interstitial lung disease (including past history and current disease history); 10. There are currently active infected persons (such as acute bacterial infection, tuberculosis, active hepatitis B / C, lung infection, etc.); 11. Known central nervous system (CentralNervousSystem, CNS) metastasis and / or spinal cord compression and / or cancerous meningitis, and a history of soft cerebrospinal membrane carcinoma; 12. Positive hepatitis B core antibody (HBcAb) or hepatitis B surface antigen (HBsAg), and HBV DNA above the upper normal limit of the study center, or doctors judged active hepatitis, hepatitis C virus (HCV) infection, or human immunodeficiency virus (HIV) antibody positive, or treponema pallidum antibody (Tp-Ab) positive; 13. Have clinical cardiac symptoms or diseases that are not well controlled, such as uncontrolled hypertension (systolic blood pressure >=160mmHg and/or diastolic blood pressure >=100mmHg), unstable angina, or myocardial infarction within 6 months prior to enrollment, or poorly controlled arrhythmia (including QTc interval male >=450ms, female >=470ms, QTc interval calculated by Fridericia formula), etc.; 14. Cardiac function classification (NYHA) is grade III or grade IV; 15. With other malignancies within five years (except for completely cured or curable cancers, such as basal skin cancer or squamous cell skin cancer, localized low-risk prostate cancer, papillary thyroid carcinoma, or any type of completely resected carcinoma in situ, such as carcinoma of the cervix, intraductal carcinoma in situ, etc.); 16. Allergy to the components or excipients of the test drug, antibody drugs, or any other therapeutic protein (such as, fresh frozen plasma, human serum albumin, cytokines, or interleukin), or a history of severe allergies, suspected the possibility of severe allergic reactions (NCI-CTCAEv5.0>=3); 17. History of alcohol, drug or drug abuse within 1 year prior to screening; 18. A clear past history of neurological or psychiatric disorders, such as epilepsy, dementia, and poor compliance; 19. Pregnant or lactating patients; 20. Other circumstances that the investigator considers unsuitable to participate in the study; Note: If the initial screening test fails, the investigator may conduct a secondary screening at its discretion. |
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研究实施时间: Study execute time: |
从 From 2023-03-23 00:00:00至 To 2025-04-30 00:00:00 |
征募观察对象时间: Recruiting time: |
从 From 2023-03-23 00:00:00 至 To 2025-04-30 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): |
Nothing |
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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: |
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Blinding: |
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是否共享原始数据: IPD sharing |
否No |
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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): |
https://study.cims-medtech.com/C037/ |
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The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
https://study.cims-medtech.com/C037/ |
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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: |
填写电子病例报告表(eCRF)进行数据采集并使用EDC系统进行管理 |
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Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
Complete the electronic case report form (eCRF) for data collection and management using the EDC system |
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数据与安全监察委员会: Data and Safety Monitoring Committee: |
无/No |