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A 3-part (dose-escalation, dose-expansion and cohort-expansion) phase I clinical study of JS004 in subjects with advanced solid malignancies in China for the first time, to evaluate the safety, tolerability, PK, immunogenicity, antitumor activity and biomarkers of JS004, define the MTD and RP2D. A cycle is 21 days (3 weeks) which includes JS004 being administered IV Q3W. All patients will be treated until disease progression per RECIST v1.1 and iRECIST, or intolerable toxicity per CTCAE 5.0, withdrawal of consent, or end of the study, whichever occurs first.Disease progression must be confirmed at least 4 weeks but no longer than 8 weeks after initial documentation of progression.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 0.3mg/kg repeat dose every 21 days up to 2 years | Experimental |
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| 1 mg/kg repeat dose every 21 days up to 2 years; | Experimental |
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| 3 mg/kg repeat dose every 21 days up to 2 years; | Experimental |
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| 10 mg/kg repeat dose every 21 days up to 2 years; | Experimental |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Drug: JS004, Recombinant humanized IgG4κ monoclonal antibody specific to BTLA for injection Intravenous infusion | Biological | Drug: JS004, Recombinant humanized IgG4κ monoclonal antibody specific to BTLA for injection Intravenous infusion |
| Measure | Description | Time Frame |
|---|---|---|
| DLT, MTD, Number of participants and severiaty with treatment-related Adverse events (AEs) as assessed by CTCAE v5.0 | DLT, MTD, Number of participants and severity with treatment-related Adverse events (AEs) as assessed by CTCAE v5.0 | 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| ORR | Objective Response Rate(ORR) by RECIST 1.1 | 2 years |
| DOR | Duration of Response (DOR) by RECIST 1.1 | 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Predictive biomarkers | Predictive biomarkers, including but not limited to, BTLA and HVEM | 2 years |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cancer Hospital Chinese Academy of Medical Sciences | Beijin | Beijing Municipality | 100021 | China |
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| DCR | Disease Control Rate (DCR) by RECIST 1.1 | 2 years |
| PFS | Progression-free survival(PFS) by RECIST 1.1 | 2 years |
| OS | Overall survival(OS) by RECIST 1.1 | 2 years |
| RO | BTLA receptor of occupancy (RO) of blood | 2 years |
| Cmax | Maximum Plasma Concentration(Cmax) after injection of JS004 | 2 years |
| Tmax | Perk Time(Tmax) after injection of JS004 | 2 years |
| Area Under the Cure(AUC) after injection of JS004 | AUC | 2 years |
| t1/2 half life | t1/2 after injection of JS004 | 2 years |
| Plasma Clearance(CL) | Plasma Clearance(CL) after injection of JS004 | 2 years |
| Volume of distribution(V) | Apparent volume of distribution after injection of JS004 | 2 years |
| Cmin | Minimum Plasma concentration(Cmin) of steady state after multiple dose injection of JS004 | 2 years |
| volume of distribution of steady state (Vss) | Apparent volume of distribution of steady state (Vss) after multiple dose injection of JS004 | 2 years |
| ADA | The presence of anti-drug antibody (ADA) after multiple dose injection of JS004 | 2 years |