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This is a study to evaluate the tolerance, dose-limiting toxicity (DLT), and maximum tolerated dose (MTD) of single and multiple oral doses of TQ-A3334 and observe the efficacy of TQ-A3334 in combination with anlotinib capsules in patients with non-small cell lung cancer.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TQ-A3334 tablets | Experimental | TQ-A3334 tablets administered orally on day1, 8, 15 in 21-day cycle. |
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| TQ-A3334 tablets + anlotinib capsules | Experimental | TQ-A3334 tablets administered orally on day1, 8, 15 in 21-day cycle plus Anlotinib capsules given orally in fasting conditions , once daily in 21-day cycle (14 days on treatment from Day 1-14, 7 days off treatment from Day 15-21). |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TQ-A3334 | Drug | TQ-A3334 is a highly efficient and highly selective TLR-7 agonist. TLR-7 can induce the release of a series of pro-inflammatory cytokines, including IFN-α (interferon-α), IL-12 (Interleukin 12), TNF-α, and promote the maturation and antigen presentation of dendritic cells, play an antitumor effect. |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse events (AE) | The occurrence of adverse events and serious adverse events. | Baseline up to 21 days |
| Dose limited toxicity (DLT) and Maximum tolerable dose (MTD) | DLT defined as any of the following events occurring during the study related to drugs : (1) ≥grade 3 non-hematologic toxicity; (2)Grade 4 neutropenia, thrombocytopenia, and hemoglobin reduction confirmed by at least 2 tests within 2 days; (3)Grade 3 neutropenia with fever confirmed at least 2 times within 2 days; (4)Immune-related interstitial pneumonia ≥ grade 2 ;. (5)Decreased ventricular ejection fraction ≥ grade 2 ; (6)Retinal vein occlusion (RVO), uveitis ≥ grade 2 ; MTD defined as the highest dose level at which less than or equal to 2 of 6 subjects experience dose limiting toxicity (DLT). | Baseline up to 21 days |
| Measure | Description | Time Frame |
|---|---|---|
| Tmax | To characterize the pharmacokinetics of TQ-A3334 by assessment of time to reach maximum plasma concentration. | 5minutes, 15minutes, 0.5hour, 45minutes, 1hour, 1.5hour, 4hour, 12hour, 24hour, 48hour, 96hour, 144hour after oral administration on day 1 and day 29; 30min before oral administration on day 1, day8, day15,day22 and day 29. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yong Song, Doctor | Contact | 025-80860148 | yong_song6310@yahoo.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Jinling Hospital | Recruiting | Nanjing | Jiangsu | 210023 | China |
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| ID | Term |
|---|---|
| D002289 | Carcinoma, Non-Small-Cell Lung |
| ID | Term |
|---|---|
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
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| ID | Term |
|---|---|
| C000625192 | anlotinib |
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|
| Anlotinib | Drug | Anlotinib is a multi-target receptor tyrosine kinase inhibitor. |
|
| Cmax |
Cmax is the maximum plasma concentration of TQ-A3334 or metabolite(s). |
| 5minutes, 15minutes, 0.5hour, 45minutes, 1hour, 1.5hour, 4hour, 12hour, 24hour, 48hour, 96hour, 144hour after oral administration on day 1 and day 29; 30min before oral administration on day 1, day8, day15,day22 and day 29. |
| t1/2 | t1/2 is time it takes for the blood concentration of TQ-A3334 or metabolite(s) to drop by half. | 5minutes, 15minutes, 0.5hour, 45minutes, 1hour, 1.5hour, 4hour, 12hour, 24hour, 48hour, 96hour, 144hour after oral administration on day 1 and day 29; 30min before oral administration on day 1, day8, day15,day22 and day 29. |
| AUC0-t | To characterize the pharmacokinetics of TQ-A3334 by assessment of area under the plasma concentration time curve from zero to infinity. | 5minutes, 15minutes, 0.5hour, 45minutes, 1hour, 1.5hour, 4hour, 12hour, 24hour, 48hour, 96hour, 144hour after oral administration on day 1 and day 29; 30min before oral administration on day 1, day8, day15,day22 and day 29. |
| Overall response rate (ORR) | Percentage of Participants Achieving Complete Response (CR) and Partial Response (PR). | up to 96 weeks |
| Progression-free survival (PFS) | PFS defined as the time from randomization until the first documented progressive disease (PD) or death from any cause. | up to 96 weeks |
| Duration of Response (DOR) | Time from tumor first assessment to CR or PR to first assessment to PD (Progressive Disease) or death from any cause. | up to 96 weeks |
| Disease control rate(DCR) | Percentage of Participants Achieving Complete Response (CR) and Partial Response (PR) and Stable Disease (SD). | up to 96 weeks |
| D013899 |
| Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |