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This is an open-label, multi-center study to evaluate the efficacy and safety of SHR-1701 in combination with famitinib in subjects with metastatic or locally advanced solid tumor. There are two parts of the study: combinational therapy part and monotherapy part. Phase I of combinational therapy part is to determine the recommended dose for Phase II (RP2D) for famitinib in the combined regimen, then efficacy and safety of SHR-1701 plus famitinib (RP2D) will be further evaluated in the following Phase II in cohorts 1/2/3, with simon's two-stage design. Meanwhile, efficacy and safety of famitinib will also be assessed in cohorts 4/5 in the monotherapy part.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| combinational therapy part | Experimental | SHR-1701 + famitinib |
|
| monotherapy part | Experimental | famitinib |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SHR-1701 | Biological | Intravenous (IV) on Day 1 of each cycle |
| |
| Measure | Description | Time Frame |
|---|---|---|
| RP2D | Recommended phase-2 dosage | First cycle (21 days) |
| Objective response rate (ORR) | Defined as complete or partial response per RECIST 1.1 | up to approximately 3 years (anticipated) |
| Measure | Description | Time Frame |
|---|---|---|
| Clinically Significant Toxicity | Number of subjects in Phase I of combinational therapy part who experienced clinically significant toxicity | First cycle (21 days) |
| AEs+SAEs | The incidence and severity of Adverse Events and Serious Adverse Events |
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Inclusion Criteria:
Phase I of combinational therapy part: Histologically proven metastatic or locally advanced solid tumors, for which no effective standard treatment exists or standard therapy has failed.
Phase II of combinational therapy part and monotherapy part: Histologically confirmed metastatic or locally advanced selected solid tumor types with 0-2 prior lines of systemic therapy.
For cohorts 1 or 4, patients with biliary tract carcinoma failed to one prior systemic treatment. Patients with previous adjuvant/neo-adjuvant therapy completed within 6 months can be enrolled.
For cohort 2, patients with clear-cell renal cell carcinoma (or predominantly clear-cell subtype with primary tumor resected) after failure of no more than first-line standard therapy; For cohorts 3 or 5, patients with hepatocellular carcinoma must have progressed on prior first- or second-line standard therapy; Child-Pugh Class A; BCLC stage B or C, and not suitable for surgical or local therapy.
Subjects are 18 years old or older when signing the informed consent and gender is not limited.
Life expectancy of at least 12 weeks.
Eastern Cooperative Group (ECOG) performance status of 0 to 1.
At least one measurable lesion according to RECIST version 1.1.
Tumor tissue must be available for biomarker analysis prior to the first dose of treatment, If not available, subjects can consult the investigator for enrollment agreement.
Adequate hematological, hepatic and renal function as defined in the protocol.
Subjects with HBV infection: HBV DNA<500 IU/mL or < 2500 copy/mL, must receive anti-HBV therapy.
Subjects with HCV-RNA(+) must receive antiviral therapy.
Able and willing to provide signed informed consent form, and able to comply with all procedures.
Other protocol defined inclusion criteria could apply.
Exclusion Criteria:
Other protocol defined exclusion criteria could apply.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Linna Wang, MD | Contact | +86 13581990612 | linna.wang@hengrui.com | |
| Lu Wang, PhD | Contact | +86 13472607033 | lu.wang@hengrui.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Anhui Provincial Hospital | Active, not recruiting | Hefei | Anhui | 230001 | China | |
| The 2nd Affiliated Hospital of Anhui Medical University |
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| ID | Term |
|---|---|
| C000723862 | SHR-1701 |
| C584390 | famitinib |
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SHR-1701 plus famitinib
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| Famitinib |
| Drug |
Famitinib, po, qd |
|
| up to approximately 3 years (anticipated) |
| DCR | Disease Control Rate per RECIST 1.1 | up to approximately 3 years (anticipated) |
| DoR | Duration of Response per RECIST 1.1 | up to approximately 3 years (anticipated) |
| PFS | Progression-Free-Survival | up to approximately 3 years (anticipated) |
| OS | OS is the time interval from the start of treatment to death from any cause or lost of follow-up | up to approximately 3 years (anticipated) |
| 6-month OS rate | 6-month-overall survival rate | From the start of treatment to 6 months |
| 12-month-OS rate | 12-month- overall survival rate | From the start of treatment to 12 months |
| Cmax of SHR-1701 | Maximum Plasma Concentration of SHR-1701 | up to approximately 3 years (anticipated) |
| C6h of Famitinib | Plasma Concentration of 6 hours after famitinb administration | up to approximately 6 months (anticipated) |
| Cmax,ss | up to approximately 3 years (anticipated) |
| AUC0-24h,ss | up to approximately 3 years (anticipated)] |
| Recruiting |
| Hefei |
| Anhui |
| 230601 |
| China |
|
| Beijing Cancer Hospital | Recruiting | Beijing | Beijing Municipality | 100142 | China |
|
| Harbin Medical University Cancer Hospital | Recruiting | Harbin | Heilongjiang | 150000 | China |
|
| Henan Cancer Hospital | Active, not recruiting | Zhengzhou | Henan | 450003 | China |
| The First Affiliated Hospital of Zhengzhou University | Recruiting | Zhengzhou | Henan | 450052 | China |
|
| Hunan Cancer Hospital | Recruiting | Changsha | Hunan | 410013 | China |
|
| General Hospital of Eastern Theater Command | Not yet recruiting | Nanjing | Jiangsu | 210002 | China |
|
| First Affiliated Hospital of Gannan Medical University | Recruiting | Gannan | Jiangxi | 341000 | China |
|
| Jinan Central Hospital | Recruiting | Jinan | Shandong | 250000 | China |
|
| Qingdao Central Hospital | Recruiting | Qingdao | Shandong | 266042 | China |
|
| Huashan Hospital,Fudan University | Active, not recruiting | Shanghai | Shanghai Municipality | 022553 | China |
| Zhongshan Hospital Affiliated to Fudan University | Recruiting | Shanghai | Shanghai Municipality | 200032 | China |
|
| Shanxi Provincial Cancer Hospital | Recruiting | Taiyuan | Shanxi | 030000 | China |
|
| The 2nd Hospital of Tianjin Medical University | Recruiting | Tianjin | Tianjin Municipality | 300201 | China |
|
| The 1st Affiliated Hospital of Zhejiang Medical University | Active, not recruiting | Hangzhou | Zhejiang | 310003 | China |