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This is a multicenter, open-label, dose escalation and expansion study. During the study, subjects will be evaluated for safety, toxicity, tolerability, PK/PD, immunogenicity, biomarkers, and antitumor activity of HB0025. The phase I study will enroll up to 154 subjects with advanced solid tumors who have progressed on or after standard of care therapy and for whom there is no further treatment available that in the judgement of the patient's physician would be beneficial. One cycle is defined as 28 days.
Dose escalation phase Approximately 19 to 74 subjects will receive escalating doses on HB0025 monotherapy. The escalating dose phase is composed of an accelerated titration design and a conventional 3+3 design.
During the dose escalation, when a given dose level completes the DLT observation period, an evaluation of PK, PD, biomarkers, tolerability and efficacy will be performed and if this dose level is considered as a possible candidate dose level for OBD. Determination of MTD or OBD will be expanded to a total of 6 subjects (if not already done due to observation of a DLT). After the MTD or OBD is determined, the dose group will continue to recruit subjects until the total number of subjects reaches 10 to confirm that the MTD or OBD is RP2D.
Dose escalation phase Approximately 80 subjects will be enrolled into expansion doses on HB0025. During the dose escalation process, dose expansion studies will be conducted based on the preliminary determination of RP2D and the expanded tumor types.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| HB0025 | Experimental | HB0025 IV every 2 weeks (q2w) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| HB0025 | Drug | Patients will be assigned to dose regimens in the order of enrollment, and they will receive their assigned fixed dose of HB0025 via intravenous infusion. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Safety assessment in dose-escalation phase | Safety profile including adverse events, changes in safety assessment parameters (e.g. incidence of AEs, vital signs, ECGs, clinical laboratory results and DLTs); | 240 Days |
| Safety assessment in dose-escalation phase | MTD or OBD and/or RP2D. | 240 Days |
| Efficacy assessment in dose-expansion phase | ORR as measured by RECIST v1.1. | Up to 24 Moths |
| Measure | Description | Time Frame |
|---|---|---|
| PK parameters in dose-escalation phase | Area Under concentration-time Curve (AUC), Maximum serum concentration (Cmax), Clearance (CL), Volume of distribution (Vd), Mean Residence Time (MRT), half-life (t1/2), time of maximum concentration (Tmax), and average plasma concentration (Cavg). | 240 Days |
| ORR assessment in dose-escalation phase |
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Inclusion Criteria:
2) Dose expansion phase:
a) Advanced HCC Cohort:
i) Unresectable HCC with diagnosis confirmed by histology/cytology or clinical criteria.
ii) Assessed by the investigator as likely to benefit from the study drug therapy; and should have progressed at least one prior systemic therapy regimen which could include but not limited to sorafenib, lenvatinib, donafenib, systematic chemotherapy,etc.
iii)Child-Pugh Classification with score ≤ 6 points.(See Appendix13.6 for criteria) VI)HBsAg test is negative.Patients with active hepatitis B virus (HBV) infection must have a viral load < 500 IU/mL within 28 days prior to start of study treatment and be on suppressive therapy (per local standard of care) for a minimum of 14 days prior to start of study treatment and for the length of the study.
b) Advanced Renal Cell Carcinoma Cohort and Advanced Endometrial Carcinoma Cohort:
i) Histopathological and/or cytological diagnosis of patients with advanced clear cell renal carcinoma, advanced endometrial carcinoma, who are not suitable for radical treatment or have relapsed/metastatic disease; Advanced clear cell renal carcinoma should be assessed as medium-high risk by the International Metastatic Renal Cell Carcinoma Database Alliance (IMDC).
ii) Assessed by the investigator as likely to benefit from the study drug therapy Patient with disease progression from at least one previous systemic treatment or who are intolerant to the current standard treatment as determined by the investigator.
c) Other advanced solid tumor cohort: Patient with other advanced solid tumors that are not suitable for radical therapy or relapse /metastasis diagnosed histopathological and/or cytologically according to the type of tumor that responds well during the dose escalation phase.
4. Accelerated escalation: Evaluable disease per RECIST v1.1 for solid tumors; Radiographic disease assessment at baseline can be performed up to 28 days prior to the first dose.
5. 3+3 dose escalation and dose expansion cohort: At least one measurable tumor lesion as per RECIST criteria v1.1 defined as having at least one dimension with a minimum size of 10 mm in the longest diameter by CT or MRI scan for non-nodal lesions or ≥15 mm in short axis for nodal lesions. Radiographic disease assessment at baseline can be performed up to 28 days prior to the first dose.
6. Eastern Cooperative Oncology Group (ECOG) performance status 0-1.
7. Life expectancy ≥3 months.
8. Adequate hepatic function as evidenced by meeting all the following requirements:
9. Serum creatinine (Scr) < 1.5 × ULN and calculated creatinine clearance (CrCL) > 40 mL/min (Cockroft-Gault Equation).
10. Hematological function defined as:
11. Coagulation: International Normalized Ratio (INR)≤1.6 (unless receiving anticoagulation therapy). Subjects on full-dose oral anticoagulation must be on a stable dose (minimum duration 14 days). If receiving warfarin, the subject must have an INR≤3.0 and no active bleeding (ie, no bleeding within 14 days prior to first dose of study drug). Subjects on low molecular weight heparin will be allowed. Subjects must have no active bleeding or clinically significant bleeding within 14 days prior to first dose of study drug.
12. Recovery, to Grade 0-1, from adverse events related to prior anticancer therapy except alopecia, < Grade 2 sensory neuropathy, lymphopenia, and endocrinopathies controlled with hormone replacement therapy.
13. All patients will be required to provide (if available) archived paraffin blocks or at least 10 unstained slides prior to study entry. Patients who do not have available archival tissue will be asked (optional) to provide fresh tissue from core-needle or punch biopsy.
Exclusion Criteria:
Patients who meet any of the following criteria cannot be enrolled:
1) Single method i) Intrauterine device (IUD) ii) Vasectomy of a female subject's male partner iii) Contraceptive rod implanted into the skin 2) Combination method (requires use of two of the following) i) Diaphragm with spermicide (cannot be used in conjunction with cervical cap/spermicide) ii) Cervical cap with spermicide (nulliparous women only) iii) Contraceptive sponge (nulliparous women only) iv) Male condom or female condom (cannot be used together) v) Hormonal contraceptive: oral contraceptive pill (estrogen/progestin pill or progestin -only pill), contraceptive skin patch, vaginal contraceptive ring, or subcutaneous contraceptive injection.
20. Positive COVID-19 qRT-PCR and/or serology test result during screening; 21. Subjects with a history of arterial or deep venous thrombosis within 3 months before enrollment, or patients with evidence or history of bleeding tendency within 2 months before enrollment, regardless of severity.
22. Severe dyspnea or pulmonary dysfunction or need for continuous supportive oxygen inhalation.
23. Skin wound, surgical site, wound site, mucosal ulcer, or fracture not completely healed; 24. Conditions that may cause gastrointestinal bleeding or perforation (such as duodenal ulcer, intestinal obstruction, Crohn's disease, ulcerative colitis, large-scale gastrectomy, etc.); patients with previous history of intestinal perforation and intestinal fistula but not cured after surgical treatment; esophageal and gastric varices.
25. Subjects received immune modulators treatment, including but not limited to cyclosporine and tacrolimus, within 2 weeks before enrollment.
26. Inability to comply with study and follow-up procedures. 27. Patients who have history of interstitial lung disease or non-infectious pneumonitis (except factor of radiation therapy; such patients should be discussed with the Medical Monitor before enrollment.
28. Subjects who in the judgement of the Investigator are not suited to participate in this trial.
29. Uncontrolled arterial hypertension despite standard treatment (systolic blood pressure ≥160 mmHg or diastolic blood pressure ≥100 mmHg).
30. Patients with > 2+ protein on urine dipstick should have a 24-hour urine collection; Patients with ≥ 2 g of protein in the urine on 24-hour collection are ineligible for study entry.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Anthony Tolcher | Contact | 210-580-9500 | atolcher@nextoncology.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| NEXT Oncology | Recruiting | San Antonio | Texas | 78229 | United States | |
| The First Affiliated Hospital of Bengbu Medical College |
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| ID | Term |
|---|---|
| D009369 | Neoplasms |
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|
Overall response rate (ORR) as measured by RECIST v1.1. |
| Up to 24 Months |
| DCR assessment in dose-escalation phase | Disease control rate (DCR) as measured by RECIST v1.1. | Up to 24 Months |
| DOR assessment in dose-escalation phase | Duration of response (DOR) as measured by RECIST v1.1. | Up to 24 Months |
| PFS assessment in dose-escalation phase | Progression-free survival (PFS) as measured by RECIST v1.1. | Up to 24 Months |
| ADA assessment in dose-escalation phase | Anti-drug antibody (ADA) and neutralizing antibodies (Nab). | Up to 24 Months |
| DOR assessment in dose-expansion phase | Duration of response (DOR) as evaluated by investigators according to RECIST v1.1 | Up to 24 Months |
| PFS assessment in dose-expansion phase | Progression-free survival (PFS) as evaluated by investigators according to RECIST v1.1 | Up to 24 Months |
| OS rate(12M) assessment in dose-expansion phase | The 12-month OS rate (OS12m) as evaluated by investigators according to RECIST v1.1 | 12 Months |
| OS assessment in dose-expansion phase | Overall survival (OS) as evaluated by investigators according to RECIST v1.1 | Up to 24 Months |
| ADA assessment in dose-expansion phase | Anti-drug antibody (ADA) and neutralizing antibodies (Nab). | 240 Days |
| PK parameters in dose-expansion phase | Area Under concentration-time Curve (AUC), Maximum serum concentration (Cmax), Clearance (CL), Volume of distribution (Vd), Mean Residence Time (MRT), half-life (t1/2)、time to maximum concentration (Tmax)、and average plasma concentration (Cavg). | 240 Days |
| Recruiting |
| Bengbu |
| Anhui |
| 233000 |
| China |
| Central Hospital Affiliated to ShanDong First Medical University | Recruiting | Jinan | Shandong | 250000 | China |
| Qilu Hospital of Shandong University | Recruiting | Jinan | Shandong | 250000 | China |
| Linyi Cancer Hospital | Recruiting | Linyi | Shandong | 726000 | China |
| Fudan University Shanghai Cancer Center | Recruiting | Shanghai | Shanghai Municipality | 201210 | China |