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An open-label, dose-escalation, phase I clinical study to evaluate the safety and tolerability of JS004 injection in the patients with advanced solid tumors who have failure in standard of care and are unable to tolerate standard of care and/or have no available standard of care. The study is divided into screening period, treatment period, and follow-up period.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dose escalation and extension group | Experimental |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| JS004, a recombinant humanized, IgG4κ monoclonal antibody (mAb) specific to B- and T-lymphocyte attenuator (BTLA); Toripalimab Injection | Biological | Biological: JS004, Intravenous infusion; Toripalimab Injection, Intravenous infusion |
| Measure | Description | Time Frame |
|---|---|---|
| To evaluate the safety and tolerability of JS004 injection alone and in combination with Toripalimab in patients with advanced solid tumors. | Including incidence of dose limiting toxicity (DLT); incidence and severity of adverse event (AE), serious adverse event (SAE) and immune related adverse event (irAE); laboratory results with clinical significance and other tests with abnormal results. | 2 years |
| Determine the maximum tolerated dose (MTD)/recommended extended dose (RDE) of JS004 injection monotherapy and combination with Toripalimab in patients with advanced solid tumors. | The maximum tolerated dose (MTD) is defined as the maximum dose at which <1/3 subjects experience any DLTs and at least 6 evaluable subjects are required at each dose level. | 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| To preliminarily evaluate the efficacy of JS004 injection as a single drug and combined with Toripalimab. | Objective response rate (ORR), duration of response (DOR), disease control rate (DCR), time to response (TTR), progression-free survival (PFS) in accordance with RECIST 1.1 and overall survival (OS). | 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| To exploratively evaluate the antitumor activity of JS004 injection as a single drug and combined with Toripalimab using iRECIST (2017). | Objective response rate (ORR), duration of response (DOR), disease control rate (DCR) and progression-free survival (PFS) evaluated in accordance with iRECIST(2017). | 2 years |
| To explore the pharmacodynamic profile of JS004 injection. |
Inclusion Criteria:
Only the patients meeting the following criteria are eligible to participate in the study:
Exclusion Criteria
Patients will be excluded from the study when they have any of the following conditions:
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| Name | Affiliation | Role |
|---|---|---|
| Jun Guo | Peking University Cancer Hospital & Institute | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fujian Provincial Cancer Hospital | Fuzhou | Fujian | China | |||
| Tumor Hospital affiliated to Harbin Medical University |
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| To evaluate the pharmacokinetic profile of JS004 Injection as a single drug and combined with Toripalimab. |
Drug concentration in individual subject at different time points after administration. |
| 2 years |
| To evaluate the pharmacokinetic profile of JS004 Injection as a single drug and combined with Toripalimab. | Peak concentration (Cmax) | 2 years |
| To evaluate the pharmacokinetic profile of JS004 Injection as a single drug and combined with Toripalimab. | Time to peak (Tmax) | 2 years |
| To evaluate the pharmacokinetic profile of JS004 Injection as a single drug and combined with Toripalimab. | Area under the serum concentration-time curve (AUC0-t and AUC0-∞) | 2 years |
| To evaluate the pharmacokinetic profile of JS004 Injection as a single drug and combined with Toripalimab. | Clearance (CL) | 2 years |
| To evaluate the pharmacokinetic profile of JS004 Injection as a single drug and combined with Toripalimab. | Volume of distribution under steady state (Vss) | 2 years |
| To evaluate the pharmacokinetic profile of JS004 Injection as a single drug and combined with Toripalimab. | Mean retention time (MRT) | 2 years |
| To evaluate the pharmacokinetic profile of JS004 Injection as a single drug and combined with Toripalimab. | Elimination half-life (t1/2) | 2 years |
Pharmacodynamic variables related with targets: lymphocyte subpopulation, receptor occupancy. |
| 2 years |
| To explore the correlation of relevant biomarkers with clinical efficacy. | Tumor tissue related biomarker: including but not limited to HVEM and PD-L1; density of CD8 positive tumor infiltrating immune cells; tumor tissue whole exon sequencing (WES); Peripheral blood related biomarker: cytokine; surface receptor on immune cell (including PD-1,HVEM, CTLA-4, CD112R, TIM-3, ICOS, CX3CR1, CD183, CD103). | 2 years |
| Harbin |
| Heilongjiang |
| China |
| Hunan Cancer Hospital | Changsha | Hunan | China |
| Nanjing Drum Tower Hospital | Nanjing | Jiangsu | China |
| First Hospital of Jilin University | Changchun | Jilin | China |
| West China Hospital of Sichuan University | Chengdu | Sichuan | China |
| Run Run Shaw Hospital affiliated to Zhejiang University Medical College | Hangzhou | Zhejiang | China |
| Zhejiang Cancer Hospital | Hangzhou | Zhejiang | China |
| Beijing Cancer Hospital | Beijing | China |
| Fudan University Shanghai Cancer Center | Shanghai | China |
| Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology | Wuhan | China |
| ID | Term |
|---|---|
| D008545 | Melanoma |
| D002292 | Carcinoma, Renal Cell |
| D002295 | Carcinoma, Transitional Cell |
| ID | Term |
|---|---|
| D018358 | Neuroendocrine Tumors |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D009380 | Neoplasms, Nerve Tissue |
| D018326 | Nevi and Melanomas |
| D012878 | Skin Neoplasms |
| D009371 | Neoplasms by Site |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D000230 | Adenocarcinoma |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D007680 | Kidney Neoplasms |
| D014571 | Urologic Neoplasms |
| D014565 | Urogenital Neoplasms |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052801 | Male Urogenital Diseases |
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| ID | Term |
|---|---|
| C482586 | BTLA protein, human |
| C000656314 | toripalimab |
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