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

注册号:

Registration number:

ChiCTR2300069226 

最近更新日期:

Date of Last Refreshed on:

2023-05-21 11:03:35 

注册时间:

Date of Registration:

2023-03-10 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

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

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

注册题目简写:

English Acronym:

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

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

研究课题代号(代码):

Study subject ID:

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:

申请注册联系人:

郭心磊 

研究负责人:

石远凯 

Applicant:

Guo Xinlei 

Study leader:

Shi Yuankai 

申请注册联系人电话:

Applicant telephone:

+86 18210796709

研究负责人电话:

Study leader's
telephone:

+86 13701251865

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

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

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):

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

Applicant address:

8 Hongda Road North, Yizhuang, Daxing District, Beijing

Study leader's address:

17 Panjiayuan Lane South, Chaoyang District, Beijing

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:

申请人所在单位:

四川泸州步长生物制药有限公司

Applicant's institution:

Sichuan Luzhou Buchang Biopharmaceutical Co., LTD.

研究负责人所在单位:

中国医学科学院肿瘤医院

Affiliation of the Leader:

Cancer Hospital, Chinese Academy of Medical Sciences

是否获伦理委员会批准:

Approved by ethic committee:

Yes

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

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

Name of the ethic committee:

The Ethics Committee of the Cancer Hospital, Chinese Academy of Medical Sciences

伦理委员会批准日期:

Date of approved by ethic committee:

2022-09-21 00:00:00

伦理委员会联系人:

吴大维

Contact Name of the ethic committee:

Wu Dawei

伦理委员会联系地址:

北京市朝阳区潘家园南里17号

Contact Address of the ethic committee:

17 Panjiayuan Lane South, Chaoyang District, Beijing

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:

研究实施负责(组长)单位:

中国医学科学院肿瘤医院

Primary sponsor:

Cancer Hospital, Chinese Academy of Medical Sciences

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

Primary sponsor's address:

17 Panjiayuan Lane South, Chaoyang District, Beijing

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

四川

市(区县):

泸州

Country:

China

Province:

Sichuan

City:

Luzhou

单位(医院):

四川泸州步长生物制药有限公司

具体地址:

泸县康乐大道西段480号

Institution
hospital:

Sichuan Luzhou Buchang Biopharmaceutical Co., LTD.

Address:

480 Kangle Avenue, Lu County

经费或物资来源:

四川泸州步长生物制药有限公司

Source(s) of funding:

Sichuan Luzhou Buchang Biopharmaceutical Co., LTD.

研究疾病:

晚期实体瘤  

Target disease:

Advanced solid tumor

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

I期临床试验 

Study phase:

1

研究设计:

单臂 

Study design:

Single arm 

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。  

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.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

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。

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.

研究实施时间:

Study execute time:

From 2023-03-23 00:00:00 To 2025-04-30 00:00:00  

征募观察对象时间:

Recruiting time:

From 2023-03-23 00:00:00 To 2025-04-30 00:00:00

干预措施:

Interventions:

组别:

试验组

样本量:

36

Group:

Experimental group

Sample size:

干预措施:

BC008-1A注射液

干预措施代码:

Intervention:

BC008-1A for injection

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

北京 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

中国医学科学院肿瘤医院 

单位级别:

三级甲等 

Institution
hospital:

Cancer Hospital, Chinese Academy of Medical Sciences

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

剂量限制性毒性(DLT)

指标类型:

主要指标

Outcome:

Dose restriction toxicity (DLT)

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

最大耐受剂量(MTD)

指标类型:

主要指标

Outcome:

Maximum tolerated dose (MTD)

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

不良事件(AE)、严重不良事件(SAE)

指标类型:

主要指标

Outcome:

Adverse events (AE), serious adverse events (SAE)

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

客观缓解率(ORR)、疾病控制率(DCR)

指标类型:

次要指标

Outcome:

Objective response rate (ORR), disease control rate (DCR)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

单/多次给药BC008-1A注射液的药代动力学参数

指标类型:

次要指标

Outcome:

Pharmacokinetic parameters of single / multiple administration of BC008-1A injection

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

抗药抗体(ADA)阳性率,和/或中和抗体(Nab)阳性率

指标类型:

次要指标

Outcome:

Positive rate of anti-drug antibodies (ADA) and / or neutralizing antibodies (Nab)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

TIGIT和PD-1在外周血CD3+、CD4+和CD8+T细胞的受体占有率

指标类型:

次要指标

Outcome:

Receptor occupancy of TIGIT and PD-1 in peripheral blood CD3 +, CD4 +, and CD8 + T cells

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

BC008-1A注射液抗肿瘤疗效与CD155、TMB、MSI/MMR、PD-L1、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)等生物标志物的关系

指标类型:

次要指标

Outcome:

Relationship between antitumor efficacy of BC008-1A injection and biomarkers of CD155, TMB, MSI/MMR, PD-L1, peripheral blood T lymphocytes (CD3+, CD4+, CD8+), proliferation index Ki-67, cytokines (IL-2, IL-6, IL-10, TNF-α, IFN-γ) in NK cells, PD-1 or Tigit-positive T cell subsets

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

无进展生存期(PFS)、总生存期(OS)

指标类型:

次要指标

Outcome:

Progression-free survival (PFS), overall survival (OS)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

疾病缓解时间(TTR)、缓解持续时间(DOR)

指标类型:

次要指标

Outcome:

Duration of response (TTR), duration of response (DOR)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

实验室检查、生命体征

指标类型:

主要指标

Outcome:

Lab tests, vital signs

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

血液

组织:

Sample Name:

Blood

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

标本中文名:

血清

组织:

Sample Name:

Serum

Tissue:

人体标本去向

使用后保存  

说明

检测管在临床试验结束后2年销毁,备份管由申办方保留至上市后5年销毁

Fate of sample:

Preservation after use  

Note:

The test tube shall be destroyed 2 years after the end of the clinical trial, and the backup tube shall be retained by the sponsor until 5 years after marketing

标本中文名:

尿液

组织:

Sample Name:

Urine

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

征募研究对象情况:

Recruiting status:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 75 years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

Randomization Procedure (please state who generates the random number sequence and by what method):

Nothing

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

盲法:

Blinding:

是否共享原始数据:

IPD sharing

否No

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/

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/

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

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

数据与安全监察委员会:

Data and Safety Monitoring Committee:

无/No

注册人:

Name of Registration:

 2023-03-10 10:02:16