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| Name | Class |
|---|---|
| Shanghai Institute of Materia Medica, Chinese Academy of Sciences | OTHER |
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RATIONAL: Simmitecan is an anticancer ester prodrug, which involves activation to chimmitecan. Chimmitecan,a novel CPT derivative, exhibited potent antitumor activities both in vitro and in vivo by inhibiting topoisomerase I. Also exerted comparable effects on topoisomerase I compared with topotecan and SN38 and possessed improved anticancer potency and pharmacologic profiles, compared with the clinically available CPT analogues.
PURPOSE: to determine the maximum tolerated dose, the safety profile and pharmacokinetics of Simmitecan.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Simmitecan Hydrochloride for Injection | Experimental | Dissolving in 2ml water for injection, then transfering to 500 mL of 5% dextrose for i.v.90 minutes |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Simmitecan Hydrochloride for Injection | Drug | Either at 12.5 mg, 25 mg、50 mg、80 mg、120 mg、160 mg、200 mg |
|
| Measure | Description | Time Frame |
|---|---|---|
| Dose-limiting toxicity (DLT) and maximum tolerated dose (MTD) | To evaluate the DLT and MTD in patients with advanced solid tumor | 2 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetic Assessment | To investigate pharmacokinetics of Simmitecan and Chimmitecan:AUC,Cmax,T1/2, CL/F. | 1-4 days |
| Efficacy Assessments | Objective Response Rate (ORR), Disease Control Rate(DCR) |
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Inclusion Criteria:
Haemoglobin ≥ 100 g/L, Absolute neutrophil count [ANC] ≥ 2×109/L,Platelets ≥ 100 × 109/L), Serum bilirubin ≤ 1.0×ULN, Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) < 1.5×ULN (If liver metastases, serum transaminase ≤ 2.5×ULN), Creatinine clearance ≥ 50 mL/min , LVEF ≤ 50%, QT interval (corrected by Fridericia): male < 450 ms, female < 470 ms
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jinwan Wang, M.D. | Cancer Institute and Hospital, Chinese Academy of Medical Sciences | Principal Investigator |
| Aiping Zhou, M.D. | Cancer Institute and Hospital, Chinese Academy of Medical Sciences | Principal Investigator |
| Yong Xu, M.D. | West China Hospital | Principal Investigator |
| Qingyuan Zhang, M.D. | The Tumor Hospital Affiliated to Harbin Medical University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cancer Institute and Hospital, Chinese Academy of Medical Sciences | Beijing | Beijing Municipality | 100021 | China | ||
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| ID | Term |
|---|---|
| D007267 | Injections |
| ID | Term |
|---|---|
| D004333 | Drug Administration Routes |
| D004358 | Drug Therapy |
| D013812 | Therapeutics |
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| 0-6 weeks |
| Pharmacodynamic Assessments | Evaluate the genotyping of UGT1A1*6 and UGT1A1*28. | 0 days |
| The tumor hospital affiliated to Harbin medical university |
| Harbin |
| Heilongjiang |
| 150000 |
| China |
| West China Hospital, Sichuan University | Chengdu | Sichuan | 610000 | China |