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This is a mono-center, open-label, phase 1 study evaluating the humanized anti-PD-1 antibody JS001, as a monotherapy in patients with advanced melanoma or urological cancers who have failed in routine systemic treatment. The study will be conducted in 2 parts: dose escalation and cohort expansion to investigate tolerability and efficacy.
This is a mono-center, open-label, phase 1 study evaluating the humanized anti-PD-1 antibody JS001, as a monotherapy in patients with advanced solid tumor (melanoma or urological cancers) who have failed in previous routine systemic treatment. The study will be conducted in 2 parts: dose escalation and cohort expansion. In the first part, nine patients are injected with different dosage of the humanized anti-PD-1 antibody (1mg/kg or 3mg/kg or 10mg/mg, three patients in one group ) once and observed carefully in the following 4 weeks. If no dose-limiting toxicity (DLT) occurs, then they are injected every 2 weeks until disease progresses or unacceptable toxicity occurs. This part is to confirm DLT, maximum tolerated dose (MTD) and recommended dose (RD). In the second part, 6-12 patients are enrolled in each dosage group and injected with the humanized anti-PD-1 antibody every 2 weeks until disease progresses or unacceptable toxicity occurs. This part is to further analyze safety and efficacy of the humanized anti-PD-1 antibody.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| humanized anti-PD-1 monoclonal antibody Toripalimab | Experimental | humanized anti-PD-1 monoclonal antibody is to be injected intravenously 1mg/kg or 3mg/kg or 10mg/kg until disease progresses or unacceptable tolerability occurs. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| humanized anti-PD-1 monoclonal antibody Toripalimab (JS001) | Biological | humanized anti-PD-1 monoclonal antibody (JS001) is a programmed death-1 (PD-1) immune checkpoint inhibitor antibody, which selectively interferes with the combination of PD-1 with its ligands, PD-L1 and PD-L2, resulting in the activation of lymphocytes and elimination of malignancy theoretically. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with treatment-related adverse events as assessed by CTCAE v4.0 | 1.5 years |
| Measure | Description | Time Frame |
|---|---|---|
| PD-1 receptor occupancy of blood | 1.5 years | |
| Objective Response Rate (ORR) by irRC and RECIST 1.1 | 3 years | |
| Duration of Response (DOR) by irRC and RECIST 1.1 |
| Measure | Description | Time Frame |
|---|---|---|
| correlation analysis of PD-L1 expression of tumor and ORR | 3 years | |
| correlation analysis of PD-L1 expression of tumor and DOR | 3 years | |
| correlation analysis of PD-L1 expression of tumor and DCR |
Inclusion Criteria:
hemoglobin ≥ 9.0 g/dL neutrophils ≥ 1500 cells/ µL platelets ≥ 100 x 10^3/ µL total bilirubin ≤ 1.5 x upper limit of normal (ULN) aspartic transaminase (AST) and alanine transaminase (ALT) ≤ 2.5 x ULN without, and ≤ 5 x ULN with hepatic metastasis serum creatinine ≤1╳ULN,creatinine clearance >50ml/min (Cockcroft-Gault equation)
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jun Guo, Phd MD | Peking University Cancer Hospital & Institute | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beijing Cancer Hospital | Beijing | Beijing Municipality | 100142 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26947879 | Background | Chen R, Peng PC, Wen B, Li FY, Xie S, Chen G, Lu J, Peng Z, Tang SB, Liang YM, Deng X. Anti-Programmed Cell Death (PD)-1 Immunotherapy for Malignant Tumor: A Systematic Review and Meta-Analysis. Transl Oncol. 2016 Feb;9(1):32-40. doi: 10.1016/j.tranon.2015.11.010. | |
| 26115796 | Background | Ribas A, Puzanov I, Dummer R, Schadendorf D, Hamid O, Robert C, Hodi FS, Schachter J, Pavlick AC, Lewis KD, Cranmer LD, Blank CU, O'Day SJ, Ascierto PA, Salama AK, Margolin KA, Loquai C, Eigentler TK, Gangadhar TC, Carlino MS, Agarwala SS, Moschos SJ, Sosman JA, Goldinger SM, Shapira-Frommer R, Gonzalez R, Kirkwood JM, Wolchok JD, Eggermont A, Li XN, Zhou W, Zernhelt AM, Lis J, Ebbinghaus S, Kang SP, Daud A. Pembrolizumab versus investigator-choice chemotherapy for ipilimumab-refractory melanoma (KEYNOTE-002): a randomised, controlled, phase 2 trial. Lancet Oncol. 2015 Aug;16(8):908-18. doi: 10.1016/S1470-2045(15)00083-2. Epub 2015 Jun 23. |
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|
|
| 3 years |
| Disease Control Rate (DCR) by irRC and RECIST 1.1 | 3 year |
| Time to response (TTR) by irRC and RECIST 1.1 | 3 years |
| Progression-free survival(PFS) by irRC and RECIST 1.1 | 3 years |
| Overall survival (OS) by irRC and RECIST 1.1 | 3 years |
| Maximum Plasma Concentration (Cmax) after single dose injection of Anti-PD-1 Monoclonal Antibody (mAb) | 1.5 years |
| Peak Time (Tmax) after single dose injection of Anti-PD-1 mAb | 1.5 years |
| Area Under the Curve (AUC) after single dose injection of Anti-PD-1 mAb | 1.5 years |
| t1/2 after single dose injection of Recombinant Humanized Anti-PD-1 mAb | 1.5 years |
| Plasma clearance (CL) after single dose injection of Anti-PD-1 mAb | 1.5 years |
| Apparent volume of distribution (V) after single dose injection of Anti-PD-1 mAb | 1.5 years |
| Minimum Plasma Concentration (Cmin) of steady state after multiple dose injection of Anti-PD-1 mAb | 1.5 years |
| Average Plasma Concentration (Cav) of steady state after multiple dose injection of Anti-PD-1 mAb | 1.5 years |
| degree of fluctuation (DF) of steady state after multiple dose injection of Anti-PD-1 mAb | 1.5 years |
| Apparent volume of distribution of steady state (Vss) after multiple dose injection of Anti-PD-1 mAb | 1.5 years |
| 3 years |
| correlation analysis of PD-L1 expression of tumor and TTR | 3 years |
| correlation analysis of PD-L1 expression of tumor and PFS | 3 years |
| correlation analysis of PD-L1 expression of tumor and OS | 3 years |
| 30642373 | Derived | Tang B, Yan X, Sheng X, Si L, Cui C, Kong Y, Mao L, Lian B, Bai X, Wang X, Li S, Zhou L, Yu J, Dai J, Wang K, Hu J, Dong L, Song H, Wu H, Feng H, Yao S, Chi Z, Guo J. Safety and clinical activity with an anti-PD-1 antibody JS001 in advanced melanoma or urologic cancer patients. J Hematol Oncol. 2019 Jan 14;12(1):7. doi: 10.1186/s13045-018-0693-2. |
| ID | Term |
|---|---|
| D008545 | Melanoma |
| D014571 | Urologic Neoplasms |
| ID | Term |
|---|---|
| D018358 | Neuroendocrine Tumors |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D009380 | Neoplasms, Nerve Tissue |
| D018326 | Nevi and Melanomas |
| D012878 | Skin Neoplasms |
| D009371 | Neoplasms by Site |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D014565 | Urogenital Neoplasms |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D014570 | Urologic Diseases |
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