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To assess the safety and tolerability of IV administered LZM009 in subjects with advanced solid tumors who have progressed or are non-responsive to available therapies.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| LZM009 | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| LZM009,recombinant humanized anti-PD-1 monoclonal antibody for injection | Biological | LZM009 doses of 1, 3, and 10 mg/kg will be administrated intravenously on day 1 and 29 and every 3 weeks thereafter until disease progression or intolerable toxicity, withdrawal of consent, or end of study |
| Measure | Description | Time Frame |
|---|---|---|
| Determine number of patients experiencing dose limiting toxicities | And frequency and severity of DLT at LZM009 doses of 1mg/kg, 3mkg/kg and 10mkg/kg at 28 days after the first dose. | Day 1 through Day 28 |
| Determine Maximum Tolerated Dose (MTD) and Recommended Phase 2 Dose (RP2D) | Determination of MTD and RP2D is dependent on number of cohorts and patients experiencing DLT. | 17 months |
| Number of patients experiencing clinical or laboratory adverse events as a measure of safety and tolerability | Safety variables include incidence and severity of treatment emergent adverse events (TEAEs) and immune-related AEs (irAEs), vital signs measurements, clinical laboratory values and ECGs as determined by CTCAEv4.03. | Screening to 28 days after last treatment administration, or until drug related toxicities have resolved, whichever is later; or earlier than 28 days should the patient commence another anti-cancer therapy in the meantime, approximately 17 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Characterize the pharmacokinetics (PK) profiles of LZM009 in blood specimens of subjects with at least 1 dose | Predose, 0 h, 2 h, 6h, 24h, days 3, 8, 15 and 22 post infusion of cycle 1; predose of cycle 2 and 3; pre-dose, 0 h, 2 h, 6h, days 8, and 15 post infusion of cycle 4 and predose of every other cycle after Cycle 5(one cycle=21 days except Cycle 1=28 days). | |
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Inclusion Criteria:
Patients must meet all of the following inclusion criteria to be eligible for participation in this study:
Histologically or cytologically confirmed solid malignancy.
Male or non-pregnant, non-lactating female patients age ≥18 years.
Locally advanced or metastatic disease that is refractory to standard therapy [note for patients with NSCLC patients with activating ALK translocation or EGFR mutations must have been treated and failed appropriate therapy], or for which there is no standard available therapy.
Eastern Cooperative Oncology Group (ECOG) Performance Status ≤ 2.
Subject with a life expectancy of ≥ 12 weeks.
Adequate hematologic function as indicated by
Adequate renal and liver function as indicated by:
Patients with brain metastases are eligible if clinically controlled that is defined as surgical excision and/or radiation therapy followed by 21 days of stable neurologic function & no evidence of CNS disease progression as determined by CT or MRI within 21 days prior to the first dose of study drug.
Willingness to use contraception by a method that is deemed effective by the investigator by both males and female patients of child bearing potential (postmenopausal women must have been amenorrheal for at least 12 months to be considered of non-childbearing potential) and their partners throughout the treatment period and for at least three months following the last dose of study drug.
Ability to understand and willingness to sign a written informed consent form (the consent form must be signed by the patient prior to any study-specific procedures).
Willingness and ability to comply with study procedures and follow-up examination.
Exclusion Criteria:
To be eligible for entry into the study, the subject must not meet any of the exclusion criteria listed below:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| START Midwest | Grand Rapids | Michigan | 49546 | United States | ||
| South Texas Accelerated Research Therapeutics |
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| ID | Term |
|---|---|
| D007267 | Injections |
| ID | Term |
|---|---|
| D004333 | Drug Administration Routes |
| D004358 | Drug Therapy |
| D013812 | Therapeutics |
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| Characterize the immunogenicity profiles of LZM009 in blood specimens of subjects with at least 1 dose |
Presence of anti-LZM009 antibodies/neutralizing anti-LZM009 antibodies (nAbs) and effect on PK of LZM009. |
| Predose on C1D1, C2D1, C4D1, and at predose of every other cycle after Cycle 5, thereafter for the first 12 months, and 28 days after the last dose(one cycle=21 days except Cycle 1=28 days). |
| Assess preliminary anti-tumor activity of LZM009 in subjects with advanced solid tumors | Overall response rate (ORR) by the Response Criteria in Solid Tumors (RECIST) v1.1. | 17 months |
| San Antonio |
| Texas |
| 78229 |
| United States |