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To select RP2D/MTD of HBM4003 in combination with Toripalimab in dose confirmation part(Part 1) and use the RP2D in dose expansion part (Part 2) to evaluate the safety, tolerability, PK/PD and preliminary efficacy of in patients with advanced NEN and other solid tumors
Subjects will be treated with HBM4003 in combination with Toripalimab for up to 2 years or until confirmed disease progression, unacceptable tolerability or treatment discontinuation through withdrawal of consent occurs, whichever happens first.
This trial consists of:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| HBM4003(dose 1) and Toripalimab | Experimental | Arm A: HBM4003(dose 1) combined with Toripalimab in patients with advanced NEN |
|
| HBM4003(dose 2) and Toripalimab | Experimental | Arm B: HBM4003(dose 2) combined with Toripalimab in patients with advanced NEN |
|
| HBM4003 and Tislelizumab | Experimental | Arm F: HBM4003(dose 1) combined with Tislelizumab in patients with advanced CRC |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| HBM4003 | Drug | Subjects will be treated with HBM4003 on Day 1 during each 21-day cycle. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Part 1: DLT | Number of subjects with DLT in each dose cohort within 1 cycle (21 days) after the first drug administration | approximate 21 days |
| Part 1: MTD | The maximum tolerated dose (MTD) of HBM4003 combined with Toripalimab | approximate 21 days |
| Part 1: RP2D | The recommended phase 2 dose (RP2D) of HBM4003 combined with Toripalimab | approximate 21 days |
| Part 2: ORR | Proportion of subjects with complete response (CR) and partial response (PR) | maximum 2 years |
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Inclusion Criteria:
Exclusion Criteria:
Patients who are simultaneously participating in another clinical study.
Patients with a history of severe allergic diseases, a history of severe drug allergies, and known or suspected allergy to macromolecular protein preparations or HBM4003 or Toripalimab or Tislelizumab or its excipients.
Previous and concomitant drugs or treatments to be excluded like:
Insufficient recovery from previous treatments.
Diseases that may affect the efficacy and safety of the investigational product, including but not limited to active infection, active autoimmune disease or autoimmune disease, primary immunodeficiency disease, any clinically significant cardiovascular disease, severe pulmonary insufficiency, organ transplantation, etc.
A history of other malignant diseases within 5 years before the first dose.
Symptomatic, active, or urgent treatment-requiring central nervous system (CNS) metastasis with imaging evidence (based on CT or MRI assessment).
Subjects with pleural effusion, pericardial effusion, or ascites that could not be stabilized by repeated drainage or other methods were determined by investigator.
Patients who the investigator believes may have other factors that will affect the efficacy or safety evaluation of this study (e.g., mental disorders, alcoholism, drug use, etc.).
Women who are pregnant or breastfeeding, or who plan to become pregnant during the study period and within 3 months after the last administration of the investigational product.
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| Name | Affiliation | Role |
|---|---|---|
| Lin Shen, Ph.D | Peking University Cancer Hospital & Institute | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beijing Cancer Hospital | Beijing | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40521168 | Derived | Zhang P, Chen K, Yang J, Song L, Zheng F, Luo R, He Y, Li F, Yang D, Cao N, Tao X, Shen L, Lu M. Efficacy and safety of HBM4003 combined with toripalimab in refractory neuroendocrine neoplasms: a multicenter, phase II study. EClinicalMedicine. 2025 Jun 3;84:103249. doi: 10.1016/j.eclinm.2025.103249. eCollection 2025 Jun. |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | May 14, 2021 | Apr 24, 2025 | Prot_001.pdf |
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| ID | Term |
|---|---|
| D018358 | Neuroendocrine Tumors |
| ID | Term |
|---|---|
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| C000656314 | toripalimab |
| C000707970 | tislelizumab |
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|
| Toripalimab | Drug | Subjects will be treated with Toripalimab on Day 1 during each 21-day cycle. |
|
| Tislelizumab | Drug | Subjects will be treated with Tislelizumab on Day 1 during each 21-day cycle. |
|
| D009380 | Neoplasms, Nerve Tissue |