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This is an open-label, dose-escalation study of YH001 administered intravenously (IV) in combination with Toripalimab. The study is designed to determine the safety, tolerability and maximum tolerated dose (MTD) or recommended Phase 2 dose (RP2D) of YH001 when administered in combination with Toripalimab to subjects with advanced solid tumors.
This trial will have a run-in phase to explore the safety and tolerability of YH001 as a single agent for 21 days as DLT observation period then followed by a combination phase to further explore the safety and tolerability of YH001 combined with Toripalimab (anti-PD-1 antibody) for each dose level during dose escalation.
The dose escalation will follow the traditional "3 + 3" dose escalation scheme. These subjects will be treated with YH001 and Toripalimab. YH001 will be administered intravenously every three weeks (Q3W) for 15 weeks (5 cycles) at doses of Dose A, Dose B, Dose C, Dose D, Dose E, Dose F and Dose G. Toripalimab will be administered by IV (Q3W) by the fixed dose of 240 mg from the 2nd cycle to 5th cycle. A single subject will be enrolled at Dose A as starting dose of YH001, and subsequent cohort will be expanded to include 3-6 subjects.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| YH001 combined with Toripalimab | Experimental | All the patients will receive YH001 intravenously as single agent for 21 days followed by combination phase. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| YH001 | Drug | YH001 will be administered intravenously every three weeks (Q3W) for 15 weeks (5 cycles) at doses of Dose A, Dose B, Dose C, Dose D, Dose E, Dose F and Dose G. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with adverse events and serious adverse events | The safety profile of YH001 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 1 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 | During Cycle 1 (each cycle is 21 days) |
| Dose-limiting toxicities (DLT) | DLT is defined as a toxicity (adverse event at least possibly related to YH001) occurring during the DLT observation period (the initial 21 days) both in run-in phase of YH001 as single agent and in combination phase of YH001 in combination with Toripalimab | During Cycle 1 (each cycle is 21 days) |
| Measure | Description | Time Frame |
|---|---|---|
| Area under the serum concentration versus time curve within one dosing interval (AUCtau) | To determine the PK profile of YH001 alone and in combination with Toripalimab | Up to 1 year |
| Steady state AUC |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Blacktown Hospital, Blacktown Cancer and Haematology Centre | Blacktown | New South Wales | 2148 | Australia | ||
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| ID | Term |
|---|---|
| C000656314 | toripalimab |
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| Toripalimab | Drug | Toripalimab will be administered by intravenously (Q3W) by the fixed dose of 240 mg from the 2nd cycle to 5th cycle. |
|
To determine the PK profile of YH001 alone and in combination with Toripalimab
| Up to 1 year |
| Maximum serum concentration (Cmax) | To determine the PK profile of YH001 alone and in combination with Toripalimab | Up to 1 year |
| Trough concentration before the next dose is administered (Ctrough) | To determine the PK profile of YH001 alone and in combination with Toripalimab | Up to 1 year |
| Time to reach maximum serum concentration (Tmax) | To determine the PK profile of YH001 alone and in combination with Toripalimab | Up to 1 year |
| Clearance (CL) | To determine the PK profile of YH001 alone and in combination with Toripalimab | Up to 1 year |
| Volume of distribution (Vd) | To determine the PK profile of YH001 alone and in combination with Toripalimab | Up to 1 year |
| Terminal half-life (T1/2) | To determine the PK profile of YH001 alone and in combination with Toripalimab | Up to 1 year |
| Dose proportionality | To determine the PK profile of YH001 alone and in combination with Toripalimab | Up to 1 year |
| Incidence of anti-drug antibodies (ADAs) | To assess the immunogenicity of YH001 in combination with Toripalimab | Up to 1 year |
| Incidence of neutralizing antibodies (NAbs) | To assess the immunogenicity of YH001 in combination with Toripalimab | Up to 1 year |
| Objective response rate (ORR) | To assess the preliminary antitumor activity of YH001 in combination with Toripalimab | Up to 1 year |
| Duration of response (DOR) | To assess the preliminary antitumor activity of YH001 in combination with Toripalimab | Up to 1 year |
| Time to response (TTR) | To assess the preliminary antitumor activity of YH001 in combination with Toripalimab | Up to 1 year |
| Progression free survival (PFS) | To assess the preliminary antitumor activity of YH001 in combination with Toripalimab | Up to 1 year |
| Overall survival (OS) | To assess the preliminary antitumor activity of YH001 in combination with Toripalimab | Up to 1 year |
| Disease control rate (DCR) | To assess the preliminary antitumor activity of YH001 in combination with Toripalimab | Up to 1 year |
| Duration of disease control (DDC) | To assess the preliminary antitumor activity of YH001 in combination with Toripalimab | Up to 1 year |
| St George Private Hospital |
| Kogarah |
| New South Wales |
| 2217 |
| Australia |
| Peninsula & South Eastern Haematology and Oncology Group | Frankston | Victoria | 3199 | Australia |