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This is a safety, pharmacokinetic and pharmacodynamic study designed to estimate the maximum tolerated dose (MTD), and determine the Recommended Phase 2 Dose (RP2D) of SYHA1801, a BRD4 inhibitor in patients with advanced solid tumors.
This study will be performed in two parts. Part 1 will enroll patients with advanced solid tumors. Patients will receive SYHA1801 orally on Days 1 and 4-31 in the first cycle. Enrollment will follow a dose-escalation schedule until grade 3 drug-related adverse events are observed, at this point the i3+3 enrollment design will be used. Dose increments will be guided by data generated from previous levels. The dose and possibly the schedule will be adjusted to determine the Maximum Tolerated Dose (MTD). If a patient wishes to continuously receive study treatment on completion of Cycle 1, the patient can continue study treatment in 28-day Cycle 2 and subsequent cycles.
Part 2 will enroll patients with specific solid tumor which might potentially respond to BRD4 inhibitor. Patients will receive SYHA1801 at a dose and schedule established in Part 1.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| solid tumors | Experimental | Experimental: Solid tumors Part 1 - Dose-escalation of SYHA1801 in patients with advanced solid tumors.Daily dosing of SYHA1801 on Days 1 and 4-31 of 28-day cycle. Escalating dose cohorts. |
|
| advanced cancers | Experimental | Part 2 - Dose-expansion of SYHA1801 in patients with advanced cancers potentially sensitive to BRD4 inhibitor.The dose level and schedule of SYHA1801 of 28-day cycle at the MTD determined in Part 1. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Drug: SYHA1801 | Drug | Drug: SYHA1801 administered orally |
|
| Measure | Description | Time Frame |
|---|---|---|
| To evaluate AE,SAE and DLT of SYHA1801. | The occurrence and frequency of AE, SAE and DLT. To evaluate the safety and tolerability of SYHA1801. | 28 days |
| To evaluate the MTD of SYHA1801 | The maximum tolerable dose (MTD) (if it has), recommended phase II dose (RP2D) and dosage regimen of SYHA1801. | through study completion, an average of 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| AUC0-last of SYHA1801. | To evaluate AUC0-last of SYHA1801. | 31 days |
| AUC0-∞ of SYHA1801. | To evaluate AUC0-∞ of SYHA1801. | 31 days |
| Measure | Description | Time Frame |
|---|---|---|
| Biomarkers and Beneficiaries | To evaluate potential pharmacodynamic biomarkers(C-MYC、MYCN、BCL-2、HEXIM1、CCR2、CD180、VEGFA) and to assess potential beneficiaries(such as hematoma tumors and myelofibrosis) | 2 months |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tianjin Cancer Hospital | Recruiting | Tianjin | Tianjin Municipality | 022 | China |
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Parallel Assignment
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| Cmax of SYHA1801. | To evaluate Cmax of SYHA1801. | 31 days |
| Tmax of SYHA1801. | To evaluate Tmax of SYHA1801. | 31 days |
| t½ of SYHA1801. | To evaluate t½ of SYHA1801. | 31 days |
| CL/F of SYHA1801. | To evaluate CL/F of SYHA1801. | 31 days |
| ORR of SYHA1801 | To evaluate ORR of SYHA1801 | 2 months |
| PFS of SYHA1801 | To evaluate PFS of SYHA1801 | 2 months |
| DCR of SYHA1801 | To evaluate DCR of SYHA1801 | 2 months |
| DOR of SYHA1801 | To evaluate DOR of SYHA1801 | 2 months |