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This study is composed of two stages: Part A initial dose escalation and Part B maintenance dose escalation. Both parts will adopt the classical 3+3 dose escalation design.
The starting dose for phase Ia part A is 0.1 mg/kg QW, followed by 3 dose cohorts (0.3mg/kg QW, 0.8mg/kg QW and 1mg/kg QW). Duration of dose limiting toxicity (DLT) observation is 14 days.
Part B will have 5 dose cohorts(3mg/kg QW, 10mg/kg QW, 20mg/kg QW 30mg/kg QW and 45mg/kg QW). DLT observation period is 28 days. The subject number for each cohort in Part B will be increased to 6 if the subject number enrolled in each cohort is less than 6.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MIL95 | Experimental |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Recombinant Humanized Monoclonal Antibody MIL95 | Drug | PART A :The patients confirming to the eligibility criteria will be assigned to the 4 dose groups (0.1mg/kg, 0.3mg/kg, 0.8mg/kg, 1.0mg/kg, respectively) based on the sequence of inclusion. Each patient will receive an intravenous infusion of MIL95 every week on Day 1 for a maximum of Twelve weeks. PART B:One recommended dose as a priming dose will be selected from 4 dose groups(0.1mg/kg、0.3mg/kg、0.8mg/kg、1.0mg/kg) based on results of PART A. Each patient will receive a priming dose of MIL95 on Day 1 Cycle 1.The patients will be assigned to the 5 maintenance dose groups (3mg/kg, 10mg/kg, 20mg/kg, 30mg/kg, 45mg/kg, respectively) based on the sequence of inclusion. The maintenance dose was given on Day 8,15,22 Cycle 1 and on Day 1,8,15,22 Cycle 2+. Each cycle was 28 days. |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants with Adverse Events | Percentage of Participants with AEs and SAEs assessed by NCI CTCAE v5.0. | up to 1year after enrollment |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetics:AUC | The area under the curve (AUC) of serum concentration of the drug after the administration | up to 1year after enrollment |
| Pharmacokinetics: Cmax | Maximum concentration(Cmax) of the drug after administration |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yuqin Song, doctor | Contact | (+86)010-88121122 | songyuqin622@163.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beijing Cancer Hospital | Recruiting | Beijing | China |
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| up to 1year after enrollment |
| Objective response rate (ORR) | To evaluate preliminary anti-tumor activity of MIL95 in subjects with advanced malignancies.ORR includes complete remission(CR) and partial remission(PR) assessed by RECIST v1.1 criteria for solid tumors and Lugano2014 criteria for lymphoma. | up to 1year after enrollment |
| Duration of response (DoR) | DOR is defined as the time from the initial response (CR or PR) to the time of disease progression or death, whichever occurs first. | up to 1year after enrollment |
| Progression free survival (PFS) | Defined as the time from the first day of study treatment to disease progression or death, whichever occurs first. | up to 1year after enrollment |
| Immunogenicity | Anti-Drug Antibodies (ADA) will be tested and percentage of ADA positive patients will be calculated to evaluate immunogenicity of MIL95. | up to 1year after enrollment |