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This study was designed to evaluate the similarity of single-dose and parallel comparisons of recombinant humanized anti-PD-1 monoclonal antibody injections before and after process changes. It is designed to be a single-center, open and parallel controlled phase I study. Patients with advanced NSCLC will be enrolled.
After determining that the patient is qualified, the patient will be assigned to a batch of drug use in the order in which they are selected. The dosage of drug was set at 3 mg / kg. Planned to recruit subjects each 12 patients (24 cases) to participate in this study, taking into account a 20% dropout rate, so that the total of 15 patients (30 patients) subjects in each group in this study.
This study was divided into study phase (single-dose period) and follow-up stage (multiple-dose period).Each subject first conducted a single dose safety and pharmacokinetics (PK) study.If the subject did not develop adverse events that had significant clinical significance as suggested by the investigators within 28 days of the single dose and continued reorganization of the humanized anti-PD-1 monoclonal antibody injection to benefit the patient , and with the agreement of subjects, the subject will enter the follow-up phase (multiple-dose period). The same dose of recombinant humanized anti-PD-1 monoclonal antibody injection was administered once every 2 weeks and 4 consecutive cycles of treatment for one cycle of continuous period.Until the patient has developed tumor progression or an untolerated toxic side effect, the patient voluntarily exits the study or believes that the situation is not suitable for continuing treatment. There are follow-up of 90 days after treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| A group (JS001 20161002) | Experimental | The subjects of A group will use 3 mg/kg doses every 2 weeks.Drug batch number is 20161002. |
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| B group (JS001 20161108) | Experimental | The subjects of B group will use 3 mg/kg doses every 2 weeks.Drug batch number is 20161108. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Toripalimab | Biological | To compare the different drug batch number with different process |
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| Measure | Description | Time Frame |
|---|---|---|
| Area Under the Curve (AUC) after single dose injection of Anti-PD-1 mAb | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Objective response rate (ORR) | Objective Response Rate (ORR) by irRC and RECIST 1.1 | 6 months |
| Duration of response (DOR) | Duration of response (DOR) by irRC and RECIST 1.1 |
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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 |
|---|---|---|
| Jie Wang, MD, PhD | Cancer Hospital Chinese Academy of Medical Science | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cancer Hospital Chinese Academy of Medical Science | Beijing | Beijing Municipality | 100021 | China |
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| ID | Term |
|---|---|
| C000656314 | toripalimab |
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| 6 months |
| Disease control rate (DCR) | Disease control rate (DCR) by irRC and RECIST 1.1 | 6 months |
| Progression Free Survival (PFS) | Progression Free Survival (PFS) by irRC and RECIST 1.1 | 6 months |
| Overall Survival (OS) | Overall Survival (OS) by irRC and RECIST 1.1 | 6 months |
| Time to response (TTR) | Time to response (TTR) by irRC and RECIST 1.1 | 6 months |
| Maximum Plasma Concentration (Cmax) after single dose injection of Anti-PD-1 Monoclonal Antibody (mAb) | 6 months |
| Peak Time (Tmax) after single dose injection of Anti-PD-1 mAb | 6 months |
| t1/2 after single dose injection of Recombinant Humanized Anti-PD-1 mAb | 6 months |
| Plasma clearance (CL) after single dose injection of Anti-PD-1 mAb | 6 months |
| Apparent volume of distribution (V) after single dose injection of Anti-PD-1 mAb | 6 months |
| Minimum Plasma Concentration (Cmin) of steady state after multiple dose injection of Anti-PD-1 mAb | 6 months |
| Average Plasma Concentration (Cav) of steady state after multiple dose injection of Anti-PD-1 mAb | 6 months |
| degree of fluctuation (DF) of steady state after multiple dose injection of Anti-PD-1 mAb | 6 months |
| Apparent volume of distribution of steady state (Vss) after multiple dose injection of Anti-PD-1 mAb | 6 months |