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This is an open-label, multicenter, dose-escalation phase I study to assess the safety, tolerability and preliminary efficacy of KN046 in participants with all advanced solid tumors who are not able to have current standard anti-tumor therapies. The purpose of this study is to determine the maximum tolerated dose (MTD) or a biological effective dose (BED), to characterise the safety, pharmacokinetics (PK), immunogenicity, pharmacodynamics (PD) and anti-tumor activity of KN046 as a single agent in adult participants with advanced solid tumors
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| KN046 | Experimental |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| KN046 | Drug | The modified phase I "3 + 3" study design was used in dose escalation from low dose to high dose to determine the MTD.Sequential assignment of Patient cohorts to one of five dose levels of KN046: 0.3 mg/kg,1 mg/kg,3 mg/kg,5 mg/kg,10 mg/kg. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with dose limiting toxicity (DLT) | An DLT is defined as a ≥Grade 3 drug-related adverse event occurring within the first cycle (28 days) of dosing (excluding tumor flare causing local pain at sites of known or suspected tumor, localized rash, or a transient ≤Grade 3 infusion reaction) using National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE). | During the first cycle (4 weeks) of treatment. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with adverse events (AEs) | An AE is defined as any untoward medical occurrence in a participant administered KN046 and/or pharmaceutical product(s) temporally associated with the use of study treatment, whether or not considered related to the study treatment. | From the time of informed consent signed through 90 days after the last dose of KN046,up to 2 years. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jermaine Coward, A/Prof | Contact | +61-07-3737-4500 | jim.coward@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| ICON Cancer Care | Recruiting | Southport | Queensland | 4125 | Australia |
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This is a dose-escalation trial, all participants will receive treatment with KN046. Participants enrolled in this trial may receive one of the following doses dependent upon time of enrolment into the study.
Cohort 1: 0.3 mg/kg Cohort 2: 1 mg/kg Cohort 3: 3 mg/kg Cohort 4: 5 mg/kg Cohort 5: 10 mg/kg
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| Objective response rate (ORR) | The ORR is defined as the proportion of subjects with confirmed CR or confirmed PR, based on RECIST Version 1.1. | From first dose of KN046 through 90 days after last dose of KN046, up to 2 years. |
| Duration of response (DoR) | Duration of response is defined as the duration from the first documentation of objective response to the first documented disease progression or death due to any cause, whichever occurs first. | up to 2 years. |
| Progression-free survival (PFS) | Progression-free survival is defined as the time from the start of treatment with KN046 until the first documentation of disease progression or death due to any cause, whichever occurs first. | From first dose of KN046 through 90 days after last dose of KN046, up to 2 years. |
| Clinical benefit rate (CBR) | Clinical benefit rate is defined as the percentage of patients who have achieved complete response (CR), partial response (PR) and stable disease (SD) to KN046 intervention. | From first dose of KN046 through 90 days after last dose of KN046, up to 2 years. |
| Area under the curve (AUC) of KN046 | The endpoints for assessment of PK of KN046 include serum concentrations of KN046 at different timepoints after KN046 administration. | From first dose of KN046 through 90 days after last dose of KN046, up to 9 months. |
| Maximum observed concentration (Cmax) of KN046 | The endpoints for assessment of PK of KN046 include serum concentrations of KN046 at different timepoints after KN046 administration. | From first dose of KN046 through 90 days after last dose of KN046, up to 9 months. |
| Minimum observed plasma concentration (Ctrough) of KN046 at steady state | The endpoints for assessment of PK of KN046 include serum concentrations of KN046 at different timepoints after KN046 administration. | From first dose of KN046 through 90 days after last dose of KN046, up to 9 months. |
| Number of subjects who develop detectable anti-drug antibodies (ADAs) | The immunogenicity of KN046 will be assessed by summarizing the number of subjects who develop detectable anti-drug antibodies (ADAs). | Assessed before KN046 infusion in Cycle 1, 2, 3, 4, 5, 6 and at the mandatory Safety Follow-up Visit, maxium up to 2 years. |
| Number of subjects who develop detectable neutralizing ADA (NADA) | The neutralizing ADA will be assessed by summarizing the number of subjects who develop detectable neutralizing ADA . | Assessed before KN046 infusion in Cycle 1, 2, 3, 4, 5, 6 and at the mandatory Safety Follow-up Visit, maxium up to 2 years. |