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This is an open label, multi-center, multiple dose Phase 1 study to evaluate the safety, tolerability, MTD or MAD, PK, and PD of TJ210001 in subjects with relapsed or refractory advanced solid tumors. Beginning with Dose Level 1, TJ210001 will be given every week starting on Cycle 1 Day 1 (C1D1). The criteria for dose escalation/de-escalation will be based on the Bayesian optimal interval (BOIN) design with sequentially enrolled cohorts. The BOIN design is implemented in a simple way similar to the traditional 3+3 design but is more flexible and possesses superior operating characteristics that are comparable to those of the more complex model-based designs, such as the continual reassessment method (CRM).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dose Level 1 | Experimental | 1mg/kg Q1W |
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| Dose Level 2 | Experimental | 3 mg/kg Q1W |
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| Dose Level 3 | Experimental | 10mg/kg Q1W |
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| Dose Level 4 | Experimental | 15 mg/kg Q1W |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TJ210001 | Drug | human anti-C5aR monoclonal antibody |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence and Severity of Adverse Events | The CTCAE criteria will be used to assess adverse events on this trial. | 90 days post last dose |
| Maximum Tolerated Dose | Based on DLT Definitions | 21 days |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetic Profile | Cmax | 90 days post last dose |
| Pharmacokinetic Profile | AUC | 90 days post last dose |
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Inclusion Criteria:
Males or females, of any race, age ≥ 18 years;
Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1;
Willingness and ability to consent for self to participate in study and the ability to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures;
Histologically confirmed advanced or metastatic cancer in patients who are refractory to or intolerant to all available therapy. Patients who received prior PD-1/PD-L1 checkpoint inhibitor or prior CTLA-4 inhibitor therapy may enroll if they did not experience Grade 3 immune-related toxicity (exceptions may be allowed provided these toxicities have resolved e.g. Grade 3 endocrinopathy that is resolved or clinically stable with hormone replacement therapy). There is no limit to the number of prior treatment regimens;
At least one measurable lesion as defined by RECIST 1.1;
Resolution of all acute adverse events resulting from prior cancer therapies to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) v5.0 Grade ≤ 1 or baseline (except alopecia or neuropathy);
Considered by the Investigator to be an appropriate candidate for a Phase 1 clinical study, with a life expectancy of ≥ 12 weeks;
Adequate organ function as defined by the following criteria:
Subject with a QT interval corrected for heart rate using Fridericia's formula (QTcF) and/or QT interval corrected for heart rate using Bazett's formula of < 470 msec for both males and females;
A 28-day washout period after the completion of programmed death-1 (PD-1)/PD-L1 therapy;
Women of childbearing potential (WOCBP) must:
Males must agree to use a condom (a latex condom is recommended) during sexual contact with a pregnant female or a female of childbearing potential and will avoid donation of sperm or having a female partner conceive from the time of signing the ICF, while participating in the study, during dose interruptions, and for at least 12 weeks after the last dose of study treatment, even if he has undergone a successful vasectomy.
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Colorado Hospital - Anschutz Cancer Pavilion | Aurora | Colorado | 80045 | United States | ||
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| ID | Term |
|---|---|
| D009362 | Neoplasm Metastasis |
| ID | Term |
|---|---|
| D009385 | Neoplastic Processes |
| D009369 | Neoplasms |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Anti-drug Antibodies (ADA) | Incidence of anti-drug antibodies | 90 days post last dose |
| Anti-drug Antibodies (ADA) | Concentration of anti-drug antibodies | 90 days post last dose |
| Response Rate | RECIST 1.1 will be used to assess response rate on this trial. | Up to 2 years |
| Horizon Oncology Center |
| Lafayette |
| Indiana |
| 47905 |
| United States |
| Huntsman Cancer Institute, University of Utah | Salt Lake City | Utah | 84112 | United States |
| Virginia Cancer Specialists | Fairfax | Virginia | 22031 | United States |