一项评价SIG001在晚期实体瘤患者中的安全性、耐受性、药代动力学、药效动力学和初步疗效的单臂、开放、剂量递增和扩展的I期临床研究

注册号:

Registration number:

ChiCTR2600118770 

最近更新日期:

Date of Last Refreshed on:

2026-02-10 17:30:02 

注册时间:

Date of Registration:

2026-02-10 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

一项评价SIG001在晚期实体瘤患者中的安全性、耐受性、药代动力学、药效动力学和初步疗效的单臂、开放、剂量递增和扩展的I期临床研究

Public title:

A single-arm, open-label, dose-escalating and expansion Phase I clinical study to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary efficacy of SIG001 in patients with advanced solid tumors

注册题目简写:

English Acronym:

研究课题的正式科学名称:

一项评价SIG001在晚期实体瘤患者中的安全性、耐受性、药代动力学、药效动力学和初步疗效的单臂、开放、剂量递增和扩展的I期临床研究

Scientific title:

A single-arm, open-label, dose-escalating and expansion Phase I clinical study to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary efficacy of SIG001 in patients 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:

邱晓彦 

研究负责人:

沈琳 

Applicant:

Xiaoyan Qiu 

Study leader:

Lin Shen 

申请注册联系人电话:

Applicant telephone:

+86 186 0196 3819

研究负责人电话:

Study leader's
telephone:

+86 10 8819 6561

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:

qiuxy@bjmu.edu.cn

研究负责人电子邮件:

Study leader's E-mail:

doctorshenlin@sina.cn

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:

北京市海淀区学院路38号北京大学免疫系

研究负责人通讯地址:

北京市海淀区阜成路52号

Applicant address:

Department of Immunology, Peking University, No. 38 Xueyuan Road, Haidian District, Beijing

Study leader's address:

No. 52 Fucheng Road, Haidian 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:

广州艾赛吉生物医药科技有限公司

Applicant's institution:

Guangzhou Aisaiji Biomedical Technology Co., Ltd.

研究负责人所在单位:

北京大学肿瘤医院

Affiliation of the Leader:

Peking University Cancer Hospital

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:

2025YW315

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:

北京大学肿瘤医院临床研究管理委员会

Name of the ethic committee:

Peking University Cancer Hospital Clinical Research Management Committee

伦理委员会批准日期:

Date of approved by ethic committee:

2025-12-29 00:00:00

伦理委员会联系人:

盛锡楠

Contact Name of the ethic committee:

Xinan Sheng

伦理委员会联系地址:

北京市海淀区阜成路81号

Contact Address of the ethic committee:

No. 81, Fucheng Road, Haidian District, Beijing

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 10 8819 6391

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:

北京大学肿瘤医院

Primary sponsor:

Peking University Cancer Hospital

研究实施负责(组长)单位地址:

北京市海淀区阜成路52号

Primary sponsor's address:

No. 52 Fucheng Road, Haidian 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):

广东省

市(区县):

广州市

Country:

China

Province:

Guangdong

City:

Guangzhou

单位(医院):

广州艾赛吉生物医药科技有限公司

具体地址:

广州市黄埔区科信产业园创研街16号(自编2号楼)706房

Institution
hospital:

Guangzhou Aisaiji Biomedical Technology Co., Ltd.

Address:

Room 706, Building 2, No. 16 Chuangyan Street, Kexin Industrial Park, Huangpu District, Guangzhou City

经费或物资来源:

申办方提供

Source(s) of funding:

Provided by the applicant

研究疾病:

晚期上皮来源肿瘤  

Target disease:

Advanced epithelial-derived tumors

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.主要研究目的: 评估 SIG001 在晚期实体瘤患者中的安全性和耐受性。 2.次要研究目的: 确定 SIG001 的 II 期临床研究推荐剂量(Recommended Phase II dose ,RP2D)。 评 估 SIG001 在 晚 期 实 体 瘤 患 者 中 的 药 代 动 力 学(Pharmacokinetics ,PK)特征。 评 估 SIG001 在 晚 期 实 体 瘤 患 者 中 的 药 效 动 力 学(Pharmacodynamics ,PD)特征。 评估 SIG001 在晚期实体瘤患者中的初步抗肿瘤活性。 评估 SIG001 在晚期实体瘤患者中的免疫原性。 3.探索性目的: 探索 SIG001 的暴露量/剂量与安全性以及临床疗效之间的关系。 探索潜在的生物标记物(如 SIG)的表达水平(如适用),并与药物的暴露量、疗效、安全性进行相关性分析。 探索事件发生时间终点如缓解持续时间(Duration ofresponse,DoR)和无进展生存期(Progression-free survival ,PFS)。  

Objectives of Study:

1.Primary Study Objectives: To evaluate the safety and tolerability of SIG001 in patients with advanced solid tumors. 2.Secondary Study Objectives: To determine the Recommended Phase II dose of SIG001. To assess the pharmacokinetic characteristics of SIG001 in patients with advanced solid tumors. To evaluate the pharmacodynamic characteristics of SIG001 in these patients. To assess the preliminary antitumor activity of SIG001 in patients with advanced solid tumors. To evaluate the immunogenicity of SIG001 in these patients. 3.Exploratory Objectives: To investigate the relationship between the exposure/dose of SIG001 and its safety as well as clinical efficacy. To examine the expression levels of potential biomarkers (such as SIG), if applicable, and analyze their correlation with drug exposure, efficacy, and safety. To study event-related endpoints such as the Duration of Response and Progression-Free Survival in patients treated with SIG001.

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:

受试者符合以下任何一项即被排除: 1. SIG001 首次用药前仍在此前抗肿瘤药物治疗的洗脱期内(末次用药后 4 周或 5 个半衰期,以较短者为准)。 2. SIG001 首次用药前 28 天内接受放射治疗; 3. SIG001 首次给药之前 4 周存在既往抗肿瘤治疗引起的急性毒性未恢复至 NCICTCAE 5.0 版本≤1 级或入组标准规定的基线水平(不包括脱发或乏力)。 4. 首次用药前 5 年内患有其他恶性肿瘤(除了得到根治性治疗且无疾病复发证据的非黑色素瘤的皮肤基底细胞癌或鳞状细胞癌、乳腺/宫颈原位癌、浅表膀胱癌等原位癌)。 5. 受试者患有以下任一条定义的心血管疾病: a) 症状性心脏衰竭(纽约心脏病协会心功能分级≥2 级,见附录4); b) 尽管经标准治疗方案治疗但仍多次观察到不受控制的动脉高压(收缩压≥160mmHg 或舒张压≥100 mmHg); c) 静息状态,12 导联心电图(12-Electrocardiograph,ECG)检查得出的平均校正 QT 间期(Corrected QT interval ,QTc,采用Fridericia’s 校正公式)> 470 ms(重复 3 次)。各种有临床意义的心律、传导、静息 ECG 形态异常,例如完全性左束支传导阻滞,III 度传导阻滞,II 度传导阻滞,PR 间期> 250 ms 。可能增加 QTc 延长风险或心律失常事件风险的各种因素,例如心力衰竭,低钾血症,先天性长 QT 综合征,家族史中直系亲属有长 QT 综合征或不到 40 岁就不明原因猝死,正在使用任何已知 QT 间期延长的药物; d) 急性冠脉综合征/急性心肌梗死、不稳定型心绞痛、筛选前 6 个月内进行经皮冠状动脉介入手术治疗或冠状动脉搭桥术; e) 具有任何病因的心肌病; f) 具有存在临床意义的心脏瓣膜病; g) 需治疗的房性或室性心律失常史;患有房颤且心室率得到最佳控制的受试者允许入组; h) 筛选前 6 个月内出现短暂性脑缺血发作或卒中。 6. 传染病感染者,包括: a) 急性或者慢性活动性乙型肝炎,定义为乙型肝炎表面抗原(HbsAg)和/或乙型肝炎核心抗体(HbcAb)阳性且乙型肝炎病毒(HBV)DNA≥100 IU/mL; b) 急性或慢性活动性丙型肝炎(HCV),即 HCV 抗体阳性且 HCV- RNA 水平大于中心参考值上限; c) HIV 感染者(HIV 1/2 抗体阳性); d) 已知的梅毒活动性感染、活动性肺结核。 7. 存在原发性中枢神经系统肿瘤、脑膜转移、脊髓压迫或脑干转移;存在已知的未经治疗的脑转移或有症状或病情不稳定,经治疗病情稳定至少 4 周后可以入组。 8. 未能控制的并发疾病,如: a) 开始研究治疗前 4 周内发生严重感染,包括但不限于因感染、菌血症或重症肺炎并发症而住院治疗;或筛选期存在不可控制的活动性感染,接受预防性抗生素治疗的患者可入组(如预防泌尿道感染或慢性阻塞性肺疾病); b) 既往有间质性肺病、未完全缓解的放射性肺炎, 或基线有急性发作或进行性加重的肺部症状,或存在间质性肺病高风险因素且经研究者评估可能危及受试者安全者; c) 显著的营养不良,如需要静脉补充营养液。在首次给药之前营养不良纠正后稳定 4 周以上者可以入组; d) 肿瘤侵犯周围重要脏器或血管,且经研究者判断可能显著增加治疗风险或影响疗效评估;或存在发生食管气管瘘或食管胸膜瘘风险,或食管、气管腔内支架植入术后≤4 周(允许病情稳定>4 周者入组); e) 在筛选前 6 个月内有胃肠道穿孔和/或瘘管的病史; f) 伴有未控制的需要反复引流的第三间隙积液,如胸水、腹水、心包积液等(不需要引流积液或停止引流 3 天积液无明显增加的患者可以入组)。 9. 预计在试验治疗期间接受其它抗肿瘤治疗(允许姑息性放疗)。 10. 首次给药前 4 周内参加过临床研究,或拟于试验期间参加其他临床研究。 11. 首次用药前 4 周内使用任何活疫苗治疗。 12. 对 SIG001 或其制剂组分过敏。 13. 妊娠期、哺乳期或计划在研究期间妊娠的女性患者。 14. 已知异体器官移植史和异体造血干细胞移植史。 15. 需排除在给药前 2 年内因自身免疫疾病接受系统性免疫抑制剂治疗的受试者,以下情况除外: a) 吸入、局部外用类固醇或局部类固醇注射(如关节内注射); b) 全身性皮质类固醇(剂量不超过 10 mg/天泼尼松或其等效药物); c) 类固醇作为超敏反应的预先用药(例如 CT 扫描预先用药)。 16. 既往有明确的精神障碍史并服用药物进行治疗者。 17. 有药物滥用史或吸毒史者。 18. 研究者认为患者存在其它可能影响研究结果、干扰其参加整个研究过程的因素,包括曾经或现有的身体状况、治疗或实验室检查异常,受试者不愿意遵守研究的各项流程、限制和要求等。

Exclusion criteria:

Subjects will be excluded if they meet any of the following criteria: 1. SIG001 is administered during the washout period following previous antineoplastic therapy (4 weeks or 5 half-lives after the last dose, whichever is shorter); 2. Received radiotherapy within 28 days prior to the first dose of SIG001; 3. Acute toxicity resulting from previous antineoplastic therapy had not resolved to NCICTCAE 5.0 version grade ≤1 or to the baseline level specified in the inclusion criteria 4 weeks before the first dose of SIG001 (excluding hair loss or fatigue); 4. Had a history of other malignant tumors within 5 years prior to the first dose (except for non-melanoma skin basal cell carcinoma or squamous cell carcinoma that has been cured with no evidence of recurrence, breast/cervical carcinoma in situ, superficial bladder carcinoma, and other in situ cancers); 5. Subjects with any of the following cardiovascular diseases: (1) Symptomatic heart failure (New York Heart Association functional class >=2, see Appendix 4); (2) Uncontrolled hypertension despite standard treatment (systolic blood pressure >=160 mmHg or diastolic blood pressure >=100 mmHg); (3) Resting mean corrected QT interval > 470 ms on a 12-lead electrocardiogram (QTc, using Fridericia’s correction formula) on three repeated measurements. Various clinically significant arrhythmias, conduction abnormalities, and resting ECG abnormalities, such as complete left bundle branch block, third-degree block, second-degree block, and PR interval > 250 ms. Factors that may increase the risk of QTc prolongation or arrhythmic events, such as heart failure, hypokalemia, congenital long QT syndrome, a family history of long QT syndrome or sudden death before age 40, and use of medications known to prolong QTc; (4) Acute coronary syndrome/acute myocardial infarction, unstable angina pectoris, percutaneous coronary intervention or coronary artery bypass grafting within 6 months prior to screening; (5) Any cause of cardiomyopathy; (6) Clinically significant valvular heart disease; (7) History of atrial or ventricular arrhythmias that require treatment; subjects with atrial fibrillation and well-controlled ventricular rate may be enrolled; (8) Transient ischemic attack or stroke within 6 months prior to screening; 6. Subjects with infectious diseases, including; (1) Acute or chronic active hepatitis B, defined as positive for hepatitis B surface antigen (HbsAg) and/or hepatitis B core antibody (HbcAb) with HBV DNA >=100 IU/mL; (2) Acute or chronic active hepatitis C, i.e., positive for HCV antibodies with HCV-RNA levels above the upper limit of the central reference range; (3) HIV-infected individuals (positive for HIV 1/2 antibodies); (4) Active syphilis or active pulmonary tuberculosis; 7. Subjects with primary central nervous system tumors, meningeal metastases, spinal cord compression, or brainstem metastases; those with untreated brain metastases or symptomatic/stable conditions can be enrolled after at least 4 weeks of stable treatment; 8. Uncontrolled comorbidities, such as: (1) Severe infections within 4 weeks prior to study initiation, including hospitalization due to infection, bacteremia, or severe pneumonia; subjects with uncontrolled active infections during screening can be enrolled if they receive prophylactic antibiotics (e.g., for urinary tract infections or chronic obstructive pulmonary disease); (2) History of interstitial lung disease, unresolved radiation pneumonitis, acute episodes or progressive worsening of pulmonary symptoms at baseline, or factors that increase the risk of interstitial lung disease and pose a safety risk to the subject as assessed by the investigator; (3) Severe malnutrition requiring intravenous nutrition; subjects whose malnutrition has been corrected and stabilized for more than 4 weeks prior to the first dose can be enrolled; (4) Tumors invading vital organs or blood vessels, which may significantly increase treatment risk or affect efficacy assessment; subjects with a risk of esophagotracheal fistula or esophagothoracic fistula, or those within 4 weeks of esophageal or tracheal stent placement (subjects with stable conditions for more than 4 weeks can be enrolled); (5) History of gastrointestinal perforation and/or fistula within 6 months prior to screening; (6) Presence of uncontrolled effusions requiring repeated drainage, such as pleural effusion, ascites, pericardial effusion, etc. (Subjects without the need for drainage or with no significant increase in effusion volume after 3 days of drainage cessation can be enrolled). 9. Subjects who are expected to receive other antineoplastic treatments during the study period (palliative radiotherapy is allowed); 10. Subjects who have participated in clinical studies within 4 weeks prior to the first dose or plan to participate in other clinical studies during the study period; 11. Subjects who have received live vaccines within 4 weeks prior to the first dose; 12. Allergy to SIG001 or its components; 13. Pregnant women, lactating women, or women who plan to become pregnant during the study period; 14. History of allogeneic organ transplantation or allogeneic hematopoietic stem cell transplantation; 15. Subjects who have received systemic immunosuppressive therapy for autoimmune diseases within 2 years prior to dosing are excluded, except in the following cases: (1) Inhaled, topical, or intramuscular steroid use; (2) Systemic corticosteroids (dose not exceeding 10 mg/day of prednisone or equivalent); (3) Steroids used as premedication for hypersensitivity reactions (e.g., premedication for CT scans). 16. Subjects with a history of mental disorders and those taking medication for treatment; 17. Subjects with a history of drug abuse or substance use; 18. Subjects who, in the judgment of the investigator, have other factors that may affect the study results or interfere with their participation in the entire study, including past or current health conditions, treatment or laboratory test abnormalities, and those who are unwilling to comply with the study procedures and requirements.

研究实施时间:

Study execute time:

From 2026-01-30 00:00:00 To 2028-02-29 00:00:00  

征募观察对象时间:

Recruiting time:

From 2026-02-24 00:00:00 To 2027-06-01 00:00:00

干预措施:

Interventions:

组别:

剂量递增研究组

样本量:

36

Group:

Dose-escalation study group

Sample size:

干预措施:

静脉输注给药。 剂量递增研究采用 BOIN 设计进行剂量递增。方案剂量递增的起始剂量为 0.15 mg/kg Q2W,剂量递增比例为 167% 、150% 、80% 、94.4% 、71.4%,直到 6 mg/kg。

干预措施代码:

Intervention:

Intravenous administration. The dose-escalation study was conducted using a BOIN design. The starting dose in the escalation regimen was 0.15 mg/kg Q2W. The dose increases were at rates of 167%, 150%, 80%, 94.4%, and 71.4%, respectively, until a dose of 6 mg/kg was reached.

Intervention code:

组别:

剂量扩展研究组

样本量:

30

Group:

Dose Expansion Study Group

Sample size:

干预措施:

将根据剂量递增研究的安全性和有效性数据,选择至少 2 个剂量级别,进行静脉输注给药。

干预措施代码:

Intervention:

At least 2 dosage levels will be selected for intravenous administration based on the safety and efficacy data from the dose-escalation studies.

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 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

北京大学肿瘤医院 

单位级别:

三甲 

Institution
hospital:

Peking University Cancer Hospital

Level of the institution:

Grade A tertiary hospital

测量指标:

Outcomes:

指标中文名:

体格检查

指标类型:

主要指标

Outcome:

Physical examination

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

生命体征

指标类型:

主要指标

Outcome:

Vital signs

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

ECOG 评分

指标类型:

主要指标

Outcome:

ECOG score

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

心电图数据

指标类型:

主要指标

Outcome:

Electrocardiogram data

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

实验室检查结果:血常规,血生化,凝血功能,尿常规,甲状腺功能

指标类型:

主要指标

Outcome:

Laboratory test results: Complete blood count, blood biochemistry, coagulation function, urinalysis, thyroid function tests

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血妊娠检测结果

指标类型:

主要指标

Outcome:

Blood pregnancy test results

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

ECHO数据

指标类型:

主要指标

Outcome:

ECHO data

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

PK/PD/ADA参数

指标类型:

主要指标

Outcome:

PK/PD/ADA parameters

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肿瘤组织活检(可选)结果

指标类型:

次要指标

Outcome:

Tumor tissue biopsy (optional) result

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肿瘤评估

指标类型:

次要指标

Outcome:

Tumor assessment

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

不良事件和合并用药

指标类型:

主要指标

Outcome:

Adverse events and concomitant medications

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

其它  

说明

Fate of sample:

0thers  

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):

None

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

盲法:

Blinding:

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

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):

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

None

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:

研究者必须准确记录保存数据,保证所有的研究数据得到充分的记录,并能够被准确核实。源文件是自受试者 CRF 中采集的原始文件、数据和记录,包括但不限于医院记录、临床和办公室图表、实验室和药房记录、日记卡、缩微胶片、影像学资料和来往信件。如果 CRF 是所在研究中心的原始记录文件,则CRF 可被视为源数据(例如没有其他书面或电子数据记录的情况下)。 建立EDC系统对数据进行管理。

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

Researchers must accurately record and store data to ensure that all research information is properly documented and can be verified accurately. Source documents include the original files, data, and records obtained from participants’ CRFs. These may comprise hospital records, clinical and office charts, laboratory and pharmacy records, diaries, microfiche films, imaging materials, and correspondence. If the CRF constitutes the original record at the research site, it can be considered source data (especially in the absence of other written or electronic records). An EDC system is established to manage the data.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

暂未确定/Not yet

注册人:

Name of Registration:

 2026-02-10 17:29:36