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The study of LVGN7409-201 is designed to use a bridging dose escalation to quickly establish the maximum tolerated dose (MTD) and/or the recommended dose for expansion (RDE) as well as the recommended Phase 2 dose(s) (RP2D) of LVGN7409 as a single agent (monotherapy) in the treatment of locally advanced, metastatic or recurrent/refractory malignancy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| LVGN7409 | Experimental | Monotherapy Dose Escalation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| LVGN7409 | Biological | Route of administration is IV infusion, and the frequency of administration is once every 3 weeks(Q3W). One cycle is 3 weeks, and treatment can be up to 35 cycles if patients receive benefits. |
| Measure | Description | Time Frame |
|---|---|---|
| MTD and/or RDE and RP2D | MTD or RDE or RP2D will be determined according to safety, tolerability, Pharmacokinetic (PK) profile and clinical activity. | up to 24 months |
| Incidence rate of Dose-limiting Toxicity (DLT) within 3 weeks after first dose | Incidence rate of dose-limiting toxicities within 3 weeks after first dose | up to 24 months |
| Safety and tolerability (Serious adverse events, adverse events, dose-limiting toxicities, Maximum Tolerated Dose) | Adverse events will be assessed, and severity will be assigned by using the National Cancer Institute Common Terminology Criteria for Adverse Events (ECI CTCAE) v5.0. | up to 24 months |
| Measure | Description | Time Frame |
|---|---|---|
| Objective Response Rate (ORR) | ORR will be documented as the percentage of paritcipants who achived either complete response (CR) or partial response (PR), as assessed based on RECIST v1.1 and iRECIST critieria. | up to 24 months |
| Disease Control Rate (DCR) |
| Measure | Description | Time Frame |
|---|---|---|
| Biomarkers PD-L1/ MSI/dMMR and/or tumor mutational burden (TMB) | Level of PD-L1/ MSI/dMMR and/or TMB will be assessed. | up to 24 months |
| Biomarkers IL-6, IL-12, TNF-α, IFN-γ and soluble CD40 antigen | Level of IL-6, IL-12, TNF-α, IFN-γ and soluble CD40 antigen in serum will be assessed. |
Inclusion Criteria:
Males or females aged ≥ 18 years.
Ability to understand and willingness to sign a written informed consent document (ICF).
Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0 or 1.
Estimated life expectancy, in the judgment of the Investigator, of at least 90 days.
Adequate bone marrow function, as defined by all of the following:
Adequate liver function, as defined by all of the following:
Adequate renal function as defined by an estimated serum creatinine clearance of ≥ 50 mL/min (calculated by Cockcroft-Gault formula) .
Women of childbearing potential must agree to abstain from heterosexual intercourse or use highly effective contraceptive methods from the time of signing informed consent and through 120 days after the last dose of study drug. Should a woman become pregnant or suspect she is pregnant while she (or her partner) is participating in this study, she should inform her treating physician immediately.
a. A woman of childbearing potential is any woman, regardless of sexual orientation, who meets the following criteria: 1. has not undergone tubal ligation, a hysterectomy, or bilateral oophorectomy; or 2. has not been naturally postmenopausal for at least 24 consecutive months (i.e., has had menses at any time in the preceding 24 consecutive months).
Men enrolled on this study must agree to abstain, be surgically sterilized, or agree to use highly effective methods of contraception, including barrier contraception from the time of signing informed consent and through 120 days after the last dose of study drug.
Patients should recover from all reversible clinically significant AEs of previous anticancer therapies to baseline or NCI-CTCAE v. 5.0 Grade 0-1, except for alopecia (any Grade), Grade < 2 sensory or motor peripheral neuropathy, lymphopenia, or hypothyroidism on hormone replacement (Grade 2), within 14 days prior to the first dose on study. Inclusion of patients with other toxicities deemed not clinically significant (Grade ≤ 2) should be discussed and approved by the Medical Head of Sponsor.
Patients infected with the HIV virus will be eligible if their CD4 count is > 350 cells/ μL or if they have no history of AIDS defining infections within the past 12 months. Trial participants should be on anti-retroviral therapy for at least 4 weeks and have an HIV viral load < 400 copies/mL.
All acute adverse reactions caused by previous anti-tumor treatment or surgery were alleviated to a satisfactory level.
Addtional inclusion criteria of Phase Ia:
Addtional inclusion criteria of Phase Ib:
Note: Tumor lesions that are situated in a previously irradiated area will be considered measurable, provided sufficient time has elapsed to demonstrate a response (if any) followed by clear imaging-based progression of the lesions since the time of radiation.
Exclusion Criteria:
Note: Use of inhaled or topical steroids or systemic corticosteroids equivalent to ≤ 10 mg/day prednisone equivalent is permitted as is short-term use of corticosteroids at doses equivalent to > 10 mg/day of prednisone (e.g., pre-medication prior to contrast).
(Exception: Patients with vitiligo or resolved childhood asthma/atopy, hypothyroidism on stable hormone replacement, controlled asthma, Type I diabetes, Graves' disease, Hashimoto's disease, or with Medical Monitor approval)
Note: A patient with an arrhythmia may enroll if the patient is on antiarrhythmic medication and is in a rate- controlled rhythm on the screening electrocardiogram (ECG).
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Center Hospital Chinese Academy of Medical Sciences | Beijing | Beijing Municipality | 100021 | China |
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| ID | Term |
|---|---|
| D009369 | Neoplasms |
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DCR will be documented as the percentage of participants who achived CR, PR or stable disease (SD), as assessed based on RECIST v1.1 and iRECIST critieria. |
| up to 24 months |
| Duration of Respons (DOR) | DOR will be documented as the time from the date on which objective response (CR or PR). | up to 24 months |
| PK parameter | PK parameter:AUC0-∞ | up to 24 months |
| PK parameter | PK parameter:AUC0-t | up to 24 months |
| PK parameter | PK parameter:Cmax | up to 24 months |
| PK parameter | PK parameter:Tmax | up to 24 months |
| PK parameter | PK parameter:T1/2 | up to 24 months |
| PK parameter | PK parameter:CL | up to 24 months |
| Anti drug antibody (ADA) to LVGN7409 | The presence of ADA directed against LVGN7409 will be determined. | up to 24 months |
| up to 24 months |
| Immune cell typing in peripheral blood, CD40 receptor occupation in B lymphocyte cell. | The change of biomarkers will be assessed. | up to 24 months |