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This is an open-label, dose-escalation study of the study drug YH002. The study is designed to determine the safety, tolerability and maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D) of YH002 in patients with advanced solid Malignancies
This is a single arm clinical trial in subjects with advanced solid tumor receiving multiple doses of YH002 intravenously (IV). YH002 will be administered (IV) in 6-48 patients with advanced solid tumors. An accelerated titration method followed by a traditional 3+3 dose escalation algorithm will be utilized to determine MTD/MAD. Patients will be dosed at Dose A, Dose B, Dose C, Dose D, Dose E, Dose F, Dose G, and Dose H every 3 weeks (Q3W).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| YH002 | Experimental | All subject will receive YH002 intravenously as single agent every three weeks (Q3W) for up to 2 years, until intolerable toxicity, confirmed disease progression, withdrawal of consent, or Investigator decision, whichever comes first. Subjects who remain on treatment in the absence of disease progression for more than 2 years may continue to receive study drug through a single patient IND. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| YH002 | Drug | YH002 will be administered intravenously every three weeks (Q3W) for up to 2 years at doses of Dose A, Dose B, Dose C, Dose D, Dose E, Dose F, Dose G, and Dose H. |
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| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with adverse events and serious adverse events | The safety profile of YH002 will be assessed by monitoring the adverse events (AE) per the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v5.0 | From screening up to 2 year |
| Maximum tolerated dose (MTD) | MTD is defined as the highest dose level at which no more than 1 out of 6 subjects experiences a DLT during the first cycle | Cycle 1 of each cohort. Duration of one cycle is 3 weeks |
| Dose-limiting toxicities (DLT) | DLT is defined as a toxicity (adverse event at least possibly related to YH002) occurring during the DLT observation period (the initial 21 days) | Cycle 1 of each cohort. Duration of one cycle is 3 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Area under the serum concentration versus time curve within one dosing interval (AUCtau) | To determine the pharmacokinetics (PK) profile of YH002 | Up to 2 years |
| Volume of distribution (Vd) | To determine the pharmacokinetics (PK) profile of YH002 |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| St George Private Hospital | Kogarah | New South Wales | 2217 | Australia | ||
| Macquarie University |
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| Up to 2 years |
| Volume of distribution at steady state (Vss) | To determine the pharmacokinetics (PK) profile of YH002 | Up to 2 years |
| Maximum serum concentration (Cmax) | To determine the PK profile of YH002 as single agent | Up to 2 years |
| Trough concentration before the next dose is administered (Ctrough) | To determine the PK profile of YH002 | Up to 2 years |
| Time to reach maximum serum concentration (Tmax) | To determine the PK profile of YH002 | Up to 2 years |
| Clearance (CL) | To determine the PK profile of YH002 | Up to 2 years |
| Terminal half-life (T1/2) | To determine the PK profile of YH002 | Up to 2 years |
| Dose proportionality | To determine the PK profile of YH002 | Up to 2 years |
| Incidence of anti-drug antibodies (ADAs) | To assess the immunogenicity of YH002 | Up to 2 years |
| Incidence of neutralizing antibodies (NAbs) | To assess the immunogenicity of YH002 | Up to 2 years |
| Objective response rate (ORR) | To assess the preliminary antitumor activity of YH002 | Up to 2 years |
| Duration of response (DOR) | To assess the preliminary antitumor activity of YH002 | Up to 2 years |
| Progression free survival (PFS) | To assess the preliminary antitumor activity of YH002 | Up to 2 years |
| Time to response (TTR) | To assess the preliminary antitumor activity of YH002 | Up to 2 years |
| Disease control rate (DCR) | To assess the preliminary antitumor activity of YH002 | Up to 2 years |
| Duration of disease control (DOC) | To assess the preliminary antitumor activity of YH002 | Up to 2 years |
| Macquarie |
| New South Wales |
| 2162 |
| Australia |
| Peninsula & South Eastern Haematology and Oncology Group | Frankston | Victoria | 3199 | Australia |