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The purpose of this study is to estimate the safety, tolerability, pharmacokinetics (PK), and antitumor activity of Sirolimus for Injection (Albumin Bound) in patients with solid malignancies.
This study will be conducted in two stages.
Stage 1: To evaluate the safety and tolerability of Sirolimus for Injection (Albumin Bound) in patients with advanced tumors, determine the MTD and RP2D. The dose escalation scheme using the accelerated titration design for dose 1 and the rolling-six design for the remaining doses.
Stage 2: To preliminarily assess the antitumor activity of Sirolimus for Injection (Albumin Bound). Patients will be assigned to different cohorts based on their tumor type.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Sirolimus for Injection (Albumin Bound) | Experimental | Stage 1:Multiple doses of Sirolimus for Injection (Albumin Bound) will be administered intravenously. Stage 2:RP2D of Sirolimus for Injection (Albumin Bound) as determined during stage 1 will be administered intravenously. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Sirolimus for Injection (Albumin Bound) | Drug | Sirolimus for Injection (Albumin Bound), intravenously, once a week, 28 days per cycle (three weeks-on and one week-off) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with adverse events | Up to 3 years | |
| Dose-Limiting Toxicities (Stage 1) | Cycle 1 (Up to 28 days) | |
| Maximum tolerated dose (Stage 1) | Up to 1.5 years | |
| Recommended phase 2 dose (Stage 1) | Up to 1.5 years | |
| Overall response rate (Stage 2) | Up to 3 years |
| Measure | Description | Time Frame |
|---|---|---|
| Area under the plasma concentration versus time curve (AUC) | Day 1 of cycle 1 to Day 1 of cycle 4 (85 days) | |
| Peak concentration (Cmax) | Day 1 of cycle 1 to Day 1 of cycle 4 (85 days) | |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Xuekun Yao | Contact | 0311-67808678 | yaoxuekun@mail.ecspc.com | |
| Yue Huang | Contact | huangyue@mail.ecspc.com |
| Name | Affiliation | Role |
|---|---|---|
| Jihui Hao | Tianjin Medical University Cancer Institute and Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tianjin Medical University Cancer Institute and Hospital | Recruiting | Tianjin | Tianjin Municipality | 300060 | China |
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| ID | Term |
|---|---|
| D020123 | Sirolimus |
| D007267 | Injections |
| ID | Term |
|---|---|
| D018942 | Macrolides |
| D007783 | Lactones |
| D009930 | Organic Chemicals |
| D004333 | Drug Administration Routes |
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| Peak time (Tmax) |
| Day 1 of cycle 1 to Day 1 of cycle 4 (85 days) |
| Distribution volume (Vz) | Day 1 of cycle 1 to Day 1 of cycle 4 (85 days) |
| Elimination half-life (t1/2) | Day 1 of cycle 1 to Day 1 of cycle 4 (85 days) |
| Clearance (CL) | Day 1 of cycle 1 to Day 1 of cycle 4 (85 days) |
| Disease Control Rate | Up to 3 years |
| Duration of Response | Up to 3 years |
| Progression-free Survival | Up to 3 years |
| 4ebp-1 phosphorylation level in blood samples | Up to 168 hours post dose |
| S6K phosphorylation level in blood samples | Up to 168 hours post dose |
| TSC1/2 status in tumor samples | Day 1 of cycle 1 |
| PTEN status in tumor samples | Day 1 of cycle 1 |
| PIK3CA status in tumor samples | Day 1 of cycle 1 |
| D004358 |
| Drug Therapy |
| D013812 | Therapeutics |