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| Name | Class |
|---|---|
| Labcorp Corporation of America Holdings, Inc | INDUSTRY |
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This study is to evaluate the safety and antitumor activity of EMB-01 in advanced/metastatic gastrointestinal cancers, including gastric cancer, hepatocellular cancer, cholangiocarcinoma and colorectal cancer.
This is an open-label, Phase Ib/II, multi-stage study of EMB-01 in patients with advanced gastrointestinal tumors including gastric cancer, hepatocellular cancer, cholangiocarcinoma cancer and colorectal cancer, who have EGFR/cMET gene alterations or protein over expression and progressed on available standard therapies and for whom no standard therapy exists that would confer clinical benefit. All patients will be prescreened for cMET and EGFR genetic alterations and protein expression. Only those who met the molecular pre-screening criteria will proceed to clinical screening to determine the eligibility. The study will consist of Phase Ib part and Phase II part, both phases will consist of a molecular prescreening period, screening period, treatment period, safety follow-up period, and disease progression follow-up.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Phase Ib and Phase II | Experimental | The study will consist of Phase Ib and Phase II. The study is planning to recruit approximately 152 patients in total for advanced/metastatic GI cancers, which include 24 patients in Phase Ib and up to approximately 128 patients in Phase II. For GC, HCC, and BTC groups, up to approximately 24 patients may be enrolled in Phase Ib and Phase II. For CRC group, up to approximately 80 patients may be enrolled in Phase Ib and Phase II with up to 40 patients in each subgroup. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| EMB-01 | Drug | EMB-01 at the RP2D of 1600 mg will be administered as an IV infusion once weekly (QW) throughout the study. One cycle is defined as 4 weeks (4 doses). |
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| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with Adverse Events and Serious Adverse Events as assessed by CTCAE v5.0 | Number of participants with Adverse Events and Serious Adverse Events as assessed by CTCAE v5.0 | Phase 1b, screening up to follow-up (30 days after the last dose) |
| Best Overall Response (BOR) as assessed by RECIST v1.1 | Best Overall Response (BOR) as assessed by RECIST v1.1 | Phase II, from the date of dosing until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months |
| Objective Response Rate (ORR) as assessed by RECIST v1.1 | Objective Response Rate (ORR) as assessed by RECIST v1.1 | Phase II, from the date of dosing until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months |
| Duration of Response (DoR) as assess by RECIST v1.1 as assess by RECIST v1.1 | Duration of Response (DoR) as assess by RECIST v1.1 as assess by RECIST v1.1 | Phase II, from the date of dosing until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months |
| Disease Control Rate (DCR) as assess by RECIST v1.1 | Disease Control Rate (DCR) as assess by RECIST v1.1 | Phase II, from the date of dosing until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months |
| Progression-Free Survival (PFS) as assess by RECIST v1.1 | Progression-Free Survival (PFS) as assess by RECIST v1.1 |
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with Adverse Events and Serious Adverse Events as assessed by CTCAE v5.0 | Number of participants with Adverse Events and Serious Adverse Events as assessed by CTCAE v5.0 | Phase II, screening up to follow-up (30 days after the last dose) |
| Maximum serum concentration (Cmax) of EMB-01 |
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Inclusion Criteria:
Molecular Pre-screening Inclusion criteria
In Phase II, CRC patients must provide blood sample for NGS test, but may not provide tumor samples at prescreening visit. CRC patients don't need to meet the above criteria of EGFR/cMET amplification, overexpression or gene aberration.
Screening Inclusion Criteria
Able to understand and willing to sign the Informed Consent Form (ICF).
Histologically/cytologically confirmed advanced/metastatic gastric cancer, HCC, BTC, and colorectal cancer with measurable disease (RECIST V1.1). To be eligible, patients must meet following criteria:
Archival tumor tissue (formalin-fixed or paraffin-embedded, collected within 1 year) or a new biopsy collected in the molecular pre-screening visit.
Must have adequate organ function.
Regarding prior anti-tumor therapy:
Female patient with fertility or male patient whose partner has fertility should use one or more contraceptive methods for contraception starting from screening period and continue throughout the study treatment and for 3 months.
ECOG score ≤1.
Exclusion Criteria:
Molecular Pre-screening Exclusion Criteria
Subject who meets any of the following criteria can't be proceeded to clinical screening:
Screening Exclusion Criteria
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Rong Wang, M.Sc | Contact | +86-21-61043299 | CT.info@epimab.com | |
| Di Hu, M.Sc | Contact | +862161043299 | CT.info@epimab.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| MD Anderson Cancer Center | Recruiting | Houston | Texas | 77030 | United States |
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| Phase II, from the date of dosing until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months |
| Maximum serum concentration (Cmax) of EMB-01 | Maximum serum concentration (Cmax) of EMB-01 | Phase Ib only, up to 3 months after first study drug administration |
| Trough serum concentration (Ctrough) of EMB-01 | Trough serum concentration (Ctrough) of EMB-01 | Phase Ib only, predose, through treatment completion, an average of 1 year |
| Area under the concentration-time curve from time 0 (pre-dose) to the time of the dosing interval (AUC0-t) | Area under the concentration-time curve from time 0 (pre-dose) to the time of the dosing interval (AUC0-t) | Phase Ib only, up to 3 months after first study drug administration |
| Area under the concentration-time curve from time 0 to infinity (AUC0-inf) | Area under the concentration-time curve from time 0 to infinity (AUC0-inf) | Phase Ib only, up to 3 months after first study drug administration |
| Elimination half-life (T1/2) | Elimination half-life (T1/2) | Phase Ib only, up to 3 months after first study drug administration |
| Systemic clearance (CL) | Systemic clearance (CL) | Phase Ib only, up to 3 months after first study drug administration |
| Apparent volume of distribution at steady-state (Vss) | Apparent volume of distribution at steady-state (Vss) | Phase Ib only, up to 3 months after first study drug administration |
| Accumulation Ratio (AR) after multiple dosing | Accumulation Ratio (AR) after multiple dosing | Phase Ib only, up to 3 months after first study drug administration |
| Incidence of positive ADA | Incidence of positive ADA | Phase Ib only, up to the 30-day safety follow-up visit after EOT |
| Clinical benefit rate(CBR) as assess by RECIST v1.1 | Clinical benefit rate(CBR) as assess by RECIST v1.1 | Phase II, from the date of dosing until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months |
Maximum serum concentration (Cmax) of EMB-01 |
| Phase II, up to 3 months after first study drug administration |
| Trough serum concentration (Ctrough) of EMB-01 | Trough serum concentration (Ctrough) of EMB-01 | Phase II, predose, through treatment completion, an average of 1 year |
| Incidence of positive ADA | Incidence of positive ADA | Phase II , up to the 30-day safety follow-up visit after EOT |
| Best Overall Response (BOR) as assessed by RECIST v1.1 | Best Overall Response (BOR) as assessed by RECIST v1.1 | Phase Ib, from the date of dosing until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months |
| Objective Response Rate (ORR) as assessed by RECIST v1.1 | Objective Response Rate (ORR) as assessed by RECIST v1.1 | Phase Ib, from the date of dosing until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months |
| Duration of Response (DoR) as assess by RECIST v1.1 as assess by RECIST v1.1 | Duration of Response (DoR) as assess by RECIST v1.1 as assess by RECIST v1.1 | Phase Ib, from the date of dosing until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months |
| Disease Control Rate (DCR) as assess by RECIST v1.1 | Disease Control Rate (DCR) as assess by RECIST v1.1 | Phase Ib, from the date of dosing until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months |
| Progression-Free Survival (PFS) as assess by RECIST v1.1 | Progression-Free Survival (PFS) as assess by RECIST v1.1 | Phase Ib, from the date of dosing until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months |
| Clinical benefit rate(CBR) as assess by RECIST v1.1 | Clinical benefit rate(CBR) as assess by RECIST v1.1 | Phase Ib, from the date of dosing until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months |
| Beijing cancer Hospital | Recruiting | Beijing | Beijing Municipality | 100142 | China |
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| Nanfang Hospital | Recruiting | Guangzhou | Guangdong | 510515 | China |
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| Hunan Cancer Hospital | Recruiting | Changsha | China |
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| West China Hospital, Sichuan University | Recruiting | Chengdu | China |
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| The Sixth Affiliated Hospital of Sun Yat-Sen University | Recruiting | Guangzhou | China |
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| Sir Run Run Shaw Hospital, Zhejiang University School of Medicine | Recruiting | Hangzhou | China |
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| Harbin Medical University Cancer Hospital | Recruiting | Harbin | China |
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| Shandong Cancer Hospital | Recruiting | Jinan | China |
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| Gansu Provincial Hospital | Recruiting | Lanzhou | China |
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| The Affiliated hospital of Qingdao University | Not yet recruiting | Qingdao | China |
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| Fudan University Shanghai Cancer Center | Recruiting | Shanghai | China |
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| The First Affiliated Hospital of Xi'an Jiaotong University | Not yet recruiting | Xi'an | China |
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| First Affiliated Hospital of Zhengzhou University | Recruiting | Zhengzhou | China |
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| ID | Term |
|---|---|
| D009369 | Neoplasms |
| D009362 | Neoplasm Metastasis |
| ID | Term |
|---|---|
| D009385 | Neoplastic Processes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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