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This dose escalation and dose expansion study is to evaluate and characterize the tolerability and safety profile of single agent KN035 in Chinese adult subjects with unresectable advanced carcinoma.
Dose escalation study is to evaluate the safety and tolerability of KN035 in advanced and metastatic solid tumor. Six dose levels are planned and include: 0.1, 0.3, 1.0, 2.5, 5, 10 mg/kg/dose. Subjects will be assigned to a dose level in the order of study entry. The first cohort of 1 subject will receive KN035 at 0.1 mg/kg/dose as a subcutaneous (sc) injection every week for a total of 4 injections (Days 1, 8, 15 and 22) in the first 28-day cycle. For the first 2 cohorts (0.1 and 0.3 mg/kg/dose), only one subject will be enrolled in each cohort until 1 subject experiences a ≥ Grade 2 drug-related adverse event in the first cycle, then 2 additional subjects will be enrolled at this cohort. Thereafter, the study will become the traditional 3+3 design with 3 or 6 subjects treated at this dose level and all subsequent dose levels depending upon the incidence of DLTs. However, if no ≥ Grade 2 drug-related adverse event occurs in the first 2 cohorts, starting with cohort 3, the study will become the traditional 3+3 design with 3 or 6 subjects enrolled.
Dose expansion-1 study is planned to conduct in advanced hepatocellular cancer subjects at 2.5 mg/kg and 5 mg/kg dose level, respectively.
Dose expansion-2 study is planned to conduct in advanced solid tumor subjects at 2.5 mg/kg and 5 mg/kg dose level, respectively
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| KN035 | Experimental | KN035 is to be injected subcutaneously 0.1mg/kg or 0.3mg/kg or 1mg/kg or 2.5mg/kg or 5mg/kg or 10mg/kg weekly until disease progresses or unacceptable tolerability occurs. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| KN035 | Drug | KN035 is a monoclonal antibody drug which is formulated for subcutaneous injection in a single-use vial (brown neutral borosilicate) containing a total of 300 mg antibody in 1.5 ml of solution. |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of dose limiting toxicities (DLTs) in dose escalation study | From screening to up to cycle 1 (28 days) | |
| Percentage of participants with adverse events (AEs), serious adverse events and AEs of special interest | From screening to up to 1 months after the last dose of study drug (up to approximately 2 years) | |
| ORR of HCC patients in dose expansion study | Up to 2 approximately years |
| Measure | Description | Time Frame |
|---|---|---|
| Peak Plasma Concentration (Cmax) of KN035 in Chinese patients | From Pre-dose of the first dose to up to cycle 12 | |
| Peak Time (Tmax) of KN035 in Chinese patients | From Pre-dose of the first dose to up to cycle 12 |
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Main Inclusion Criteria for dose escalation study:
Main Inclusion Criteria for dose expansion study:
Histologic confirmation of advanced hepatocellular carcinoma, disease not eligible for curative surgical and/or locoregional therapies, OR progressive disease after surgical and /or locoregional therapies.
At least one RECIST 1.1 measurable untreated lesion. All subjects must have at least one previously untreated, unidimensionally measurable lesion by contrast-enhanced spiral computed tomography (CT) ≥10 mm or contrast enhanced dynamic magnetic resonance imaging (MRI) scan ≥10 mm (malignant lymph nodes must be ≥15 mm on short axis).
Subject is male or female ≥ 18 years and ≤ 75 years of age on the day of signing informed consent,and subject has voluntarily agreed to participate by giving written informed consent.
Subject must have a performance status of 0 to 1 on the Eastern Cooperative Oncology Group (ECOG) Performance Scale.
Cirrhotic status of Child-Pugh Class A.
Subjects are eligible to enroll if they have non-viral-HCC, or if they have HBV-HCC, or HCV-HCC defined as follows:
i) HBV-HCC: Resolved HBV infection (as evidenced by detectable HBV surface antibody, detectable HBV core antibody, undetectable HBV DNA, and undetectable HBV surface antigen) or Chronic HBV infection (as evidenced by detectable HBV surface antigen or HBV DNA). Subjects with chronic HBV infection must have HBV DNA < 104 copies/ml and must be on antiviral therapy.
ii) HCV-HCC: Active or resolved HCV infection as evidenced by detectable HCV RNA or antibody.
Main Exclusion Criteria:
Addtional exclusion criteria for dose expansion study:
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| Name | Affiliation | Role |
|---|---|---|
| jianming xu | Affiliated Hospital of Military academy of medical sciences | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hunan Cancer Hospital | Changsha | Hunan | China | |||
| First Affiliated Hospital of Soochow University |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38982653 | Derived | Cui C, Wang J, Wang C, Xu T, Qin L, Xiao S, Gong J, Song L, Liu D. Model-informed drug development of envafolimab, a subcutaneously injectable PD-L1 antibody, in patients with advanced solid tumors. Oncologist. 2024 Sep 6;29(9):e1189-e1200. doi: 10.1093/oncolo/oyae102. |
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| ID | Term |
|---|---|
| C000718749 | envafolimab |
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| Area under the plasma concentration versus time curve (AUC) of KN035 in Chinese patients | From Pre-dose of the first dose to up to cycle 12 |
| t1/2 of KN035 in Chinese patients | From Pre-dose of the first dose to up to cycle 12 |
| Trough concentration of KN035 in Chinese patients | From Pre-dose of the first dose to up to cycle 12 |
| Plasma clearance (CL) of KN035 in Chinese patients | From Pre-dose of the first dose to up to cycle 12 |
| Apparent volume of distribution of KN035 in Chinese patients | From Pre-dose of the first dose to up to cycle 12 |
| Accumulation rate of KN035 in Chinese patients | From Pre-dose of the first dose to up to cycle 12 |
| Anti-Drug Antibody of KN035 in Chinese patients | From Pre-dose of the first dose to up to cycle 12 |
| Changes of lymphocyte Subtyping | From Pre-dose of the first dose to up to cycle 12 |
| Changes of cytokine | From Pre-dose of the first dose to up to 6 months |
| Objective Response Rate (ORR) | Up to 2 approximately years |
| Disease Control Rate (DCR) | Up to 2 approximately years |
| Progression-Free survival (PFS) | Up to 2 approximately years |
| Duration of Response (DOR) | Up to 2 approximately years |
| Correlation of tumor response with the PD-L1 expression | Up to 2 approximately years |
| Correlation of the tumor response with the expression of specific gene mutation | Up to 2 approximately years |
| overall survival | Up to 2 approximately years |
| Suzhou |
| Jiangsu |
| China |
| Zhongshan Hospital affiliated to Fudan University | Shanghai | Shanghai Municipality | China |
| Affiliated Hospital of Military academy of medical sciences | Beijing | 100071 | China |