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This is an open-label, non-randomized, multi-center, phase I study of bi-ligand-drug conjugate CBP-1018 in patients with advanced solid tumors. This study will be conducted in 2 parts: Part A (Dose Escalation) and Part B (Dose Expansion). Both parts include screening period, treatment period, end of treatment (EOT)/withdrawal, safety follow-up (SFU) and long-term-follow-up (LTFU). CBP-1018 will be administrated on eligible subjects until disease progression, unacceptable toxicity, withdrawal of consent or Sponsor's decision to stop the study, etc.
Part A (Dose Escalation) is to evaluate the safety, tolerability, PK and preliminary efficacy of CBP-1018 and determine the MTD and RP2D of CBP-1018 administrated iv Q2W (4 weeks/cycle), utilizing accelerated titration at lower doses (0.03 mg/kg and 0.06 mg/kg) and an i3+3 design at following doses (0.08 mg/kg,0.10 mg/kg,0.12 mg/kg and 0.14mg/kg, etc.), respectively. The DLT evaluation period will be 28 days from the first dose of CBP-1018. Up to 2 subjects will be allowed under DLT evaluation period at the same time. The interval between the first treatment of CBP-1018 to the 2 subjects under DLT evaluation period at the same time, is at least 1 week. Safety monitoring committee (SMC), comprised of Investigators and sponsor's medical personnel, etc., will be responsible for safety monitoring, dose escalation safety review and justification, MTD/RP2D determination, and other critical study decisions. A higher dose level may be added on the decision of SMC, if MTD is not observed at 0.14mg/kg. Intermediate dose levels among planned dose levels may also be added by SMC for further exploration. RP2D may be the same dose level as MTD or lower than it. Up to 10 additional subjects will be enrolled in one or more dose levels that have been shown to be safe and tolerable to better estimate the RP2D and better characterize the safety, efficacy, and pharmacodynamics for CBP-1018. Different schedules (QW or Q3W, for example) may be explored in Part A, according to emerging clinical and PK data, either.
Part B (Dose Expansion) is to further evaluate the efficacy and safety profile of CBP-1018 in 4 tumor-specific cohorts:
• Cohort 1 (Metastatic castration resistant prostate cancer, mCRPC);Cohort 2(Advanced renal cell cancer, RCC); Cohort 3 (Advanced lung cancer, LC); Cohort 4 (Other advanced solid tumors).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part A -CBP-1018 Dose escalation/Part B- CBP-1018 monotherapy | Experimental | Part A: CBP-1018 administrated iv Q 2 W (4 weeks/cycle), utilizing accelerated titration at lower doses (0.03 mg/kg and 0.06 mg/kg) and an i 3+3 design at following doses (0.08 mg/kg,0.10 mg/kg,0.12 mg/kg and 0.14 mg/kg, etc.), respectively. Part B:Further evaluate the efficacy and safety profile of CBP-1018 in 4 tumor-specific cohorts.Cohort 1 (Metastatic castration resistant prostate cancer, mCRPC);(Advanced renal cell cancer, RCC); Cohort 3 (Advanced lung cancer, LC); Cohort 4 (Other advanced solid tumors). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CBP-1018 | Drug | CBP-1018 for injection, IV infusion |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence and severity of Adverse Events (AEs) in Part A | Incidence of dose limiting toxicity (DLTs), treatment-emergent adverse events (TEAE), treatment-related adverse events, serious adverse events (SAEs) and clinically significant changes in vital signs, physical examinations, electrocardiogram (ECGs), and clinical laboratory tests per the National Cancer Institute's Common Terminology Criteria for Adverse Events, version 5.0 (NCI CTCAE 5.0). | 12 months |
| MTD of CBP-1018 in Part A | maximum tolerated dose(MTD) | 12 months |
| Recommended Phase 2 dose (RP2D) of CBP-1018 in Part A | The recommended Phase 2 dose (RP2D) is defined as the dose level chosen by the sponsor (in consultation with the investigators) based on safety,tolerability, efficacy, PK data collected during the dose escalation study of CBP-1018. | 12 months |
| ORR in Part B | ORR(Objective response rate) per RECIST 1.1 ,PCWG3 (only for bone lesions of prostate cancer) | enrollment to end of treatment up to 3 years |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum serum concentration (Cmax) | Maximum serum concentration (Cmax) of CBP-1018 will be investigated. | 12 months |
| Time to maximum serum concentration (Tmax) of CBP-1018 | Tmax of CBP-1018 will be investigated. |
| Measure | Description | Time Frame |
|---|---|---|
| Neuroendocrine or small cell transformation-associated markers of mCRPC | Neuroendocrine or small cell transformation-associated markers of mCRPC | 12 months |
| Potential metabolites of CBP-1018 | Potential metabolites of CBP-1018 in human plasma, urine, feces, if appropriate. |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jiangang Yu, Ph D | Contact | 0512-85550899 | 8010 | jiangang.yu@coherentbio.com |
| Name | Affiliation | Role |
|---|---|---|
| Hai Huang, Ph D | Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sun Yat-Sen memorial hospital, Sun Yat-Sen University | Not yet recruiting | Guangzhou | Guangdong | 510288 | China |
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| 12 months |
| Elimination half-life (T1/2) of CBP-1018 | T1/2 of CBP-1018 will be investigated. | 12 months |
| AUC0-t of CBP-1018 | AUC0-t is defined as area under the serum concentration-time curve from time 0 to the time of the last measurable concentration | 12 months |
| Clearance (CL) in the serum of CBP-1018 per unit of time | CL in the serum of CBP-1018 per unit of time will be investigated | 12 months |
| ORR in Part A | ORR(Objective response rate) per RECIST 1.1,PCWG3 (only for bone lesions of prostate cancer) | 12 months |
| Immunogenicity assessment | Anti-drug antibody(ADA) against CBP-1018 will be evaluated. | enrollment to end of treatment up to 3 years |
| Duration of Response (DOR) | The DOR is evaluated by investigator according to RECIST 1.1.,PCWG3 (only for bone lesions of prostate cancer). | enrollment to end of treatment up to 3 years |
| Progression-free survival rate (PFS) | The PFS is evaluated by investigator according to RECIST 1.1.,PCWG3 (only for bone lesions of prostate cancer). | enrollment to end of treatment up to 3 years |
| Disease Control Rate(DCR) | The DCR is evaluated by investigator according to RECIST 1.1.,PCWG3 (only for bone lesions of prostate cancer). | enrollment to end of treatment up to 3 years |
| 12 months |
| Biomarkers | Biomarkers in tumor tissues with relationships of CBP-1018 efficacy/safety including,but not limited to, FOLR1 | 12 months |
| Biomarkers | Biomarkers in tumor tissues with relationships of CBP-1018 efficacy/safety including,but not limited to,PSMA | 12 months |
| Tianjin Medical University Cancer Institute and Hospital | Recruiting | Tianjin | Tianjin Municipality | 300060 | China |
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