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| Name | Class |
|---|---|
| Peking University | OTHER |
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This is an open-label, phase II,multi-center study to evaluate the efficacy, safety and tolerability of KN026 in combination with KN046 in subjects with HER2-positive solid tumors.
KN026 is an anti-HER2 bispecific antibody that can simultaneously bind two non-overlapping epitopes of HER2, leading to a dual HER2 signal blockade.KN046 is a PD-L1 - CTLA-4 bispecific antibody. The study composes of two stages. The first stage plans to enroll HER2-positive solid tumors. All subjects will be treated with KN026 at 30 mg/kg Q3W in combination with KN046 at 5 mg/kg Q3W at the first stage.A SMC meeting will decide whether to proceed to the nest stage.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| KN026 combined with KN046 | Experimental | KN026 combination therapy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| KN026 combination | Drug | 30 mg/kg Q3W KN026+ 5 mg/kg Q3W KN046 |
|
| Measure | Description | Time Frame |
|---|---|---|
| Objective response rate (ORR ) | Objective response rate as assessed by the investigator according to RECIST 1.1 criteria | Throughout the duration of the study; up to 2 years |
| Duration of response (DOR) | Duration of response (DOR) as assessed by the investigator according to RECIST 1.1 criteria | Throughout the duration of the study; up to 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Progression free survival (PFS) rates | Progression free survival (PFS) rates | 6 months and 12 months |
| Clinical benefit rate (CBR) | Clinical benefit rate |
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Inclusion Criteria:
Her2-positive GC/GEJ: has not received prior systemic treatment for metastatic or locally advanced unresectable GC/GEJ, or has received prior systemic treatment≥1 line of systemic treatment with disease progression, front-line systemic treatment includes at least platinum or fluorouracil based chemotherapy with or without trastuzumab; Subjects who relapsed within 6 months after the end of neoadjuvant/adjuvant chemotherapy were considered as line 1 treatment failure; Her2-positive BC: prior treatment with ≥1 line of HER2-targeted therapy for metastatic disease and disease progression; Subjects who relapsed within 12 months after the end of neoadjuvant/adjuvant chemotherapy were considered as line 1 treatment failure; Other HER2-positive solid tumors: previous ≥1 line of systemic therapy for metastatic or locally advanced unresectable tumors with disease progression, no clear standard therapy for prolongation of survival, or after subjects rejected 1 line of systemic therapy; Frontline systemic therapy for ovarian and cervical cancer includes at least platinum-based (cisplatin or carboplatin) chemotherapy; Frontline systemic therapy for ESCC and mCRC includes at least platinum combined with fluorouracil or tax-based chemotherapy; MCRC requires ≥2 lines of systemic therapy for metastatic or locally advanced unresectable tumors and disease progression; Subjects who relapsed within 6 months after completion of neoadjuvant/adjuvant platinum-containing chemotherapy Line 1 treatment failure;
Total bilirubin ≤1.0x ULN (Gilbert's syndrome, or total bilirubin ≤1.5x ULN in liver metastases); Aminotransferase (ALT/AST) ≤1.5x ULN (liver metastatic subjects ≤3xULN); -Renal function within 7 days prior to initial administration: serum creatinine ≤1.5x ULN and serum creatinine clearance ≥60mL/min (according to Cockcroft-Gault Formula calculation);
-Bone marrow function met the following criteria within 7 days prior to initial administration: Hemoglobin ≥90 g/L; Neutrophil absolute count ≥1.5 x 109/L; Platelet count ≥100x 109/L; INR or PT≤1.5x ULN, and aPTT≤ 1.5x ULN;
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Lin Shen, professor | Peking University Cancer Hospital & Institute | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beijing Cancer Hospital | Beijing | Beijing Municipality | 100142 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41052881 | Derived | Liao JY, Wang J, Li H, Liu Z, Tian Z, Lv X, Peng J, Song C, Liu J. Longitudinal tissue analysis reveals microenvironmental changes correlate with combined immunotherapy and targeted therapy response in metastatic breast cancer. J Immunother Cancer. 2025 Oct 5;13(10):e012629. doi: 10.1136/jitc-2025-012629. |
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| CBR calculated as the proportion of subjects with best overall response of CR, PR, or SD ≥24 weeks |
| Overall survival (OS) | Overall survival (OS) rates | 6 months and 12 months |