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| Name | Class |
|---|---|
| Fudan University | OTHER |
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The main purpose of
• To evaluate the safety, tolerability and pharmacokinetic characteristics of SIBP-03(Recombinant anti-HER3 humanized monoclonal antibody injection).
A secondary purpose
To evaluate the safety, tolerability, pharmacokinetics, immunogenicity and preliminary efficacy of recombinant anti-HER3 humanized monoclonal antibody injection when treating the patients with advanced malignant solid tumors. This study is an open, multi-dose escalation and extension study of single and multiple dosing. This study was divided into two phases: the first phase was dose escalation phase, the second phase was joint expansion phase, in which the dose escalation phase was a single-center study, and the joint expansion phase was a multi-center study. Stage 1, dose escalation stage: Six dose groups of 2, 5, 10, 15, 20 and 40 mg/kg were planned, then exploring the most appropriate dose. The second stage, combined use extension stage: According to the preliminary data of drug safety, tolerance, pharmacokinetics and efficacy obtained in the dose escalation stage, combined with the clinical study results of similar drugs, 5mg/kg and 10mg/kg dose levels were selected to enter the combined extension stage and used in patients with advanced head and neck squamous cell carcinoma or with breast cancer.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SIBP-03(Recombinant anti-HER3 humanized monoclonal antibody injection) | Experimental | Stage 1: dose escalation stage Injection, first dose 2mg/kg, then 5mg/kg until the dose are no longer met the requirements of continuing the trial or up to 40 mg/kg. Stage 2: joint extension stage: ① Group of advanced head and neck squamous cell carcinoma :SIBP-03 & Cetuximab 5mg/kg dose level: Sibp-03, 5 mg/kg, Q3W Cetuximab, 400 mg/m2 (week 1), 250 mg/m2 (weekly follow-up), QW 10mg/kg dose level: Sibp-03, 10 mg/kg, q3W Cetuximab, 400 mg/m2 (week 1), 250 mg/m2 (weekly follow-up), QW ② Group of breast cancer:SIBP-03 & Trastuzumab & Docetaxel 5mg/kg dose level: Sibp-03, 5 mg/kg, Q3W Trastuzumab, first dose 8 mg/kg, maintenance dose 6 mg/kg, q3w+ Docetaxel 75mg/m2 q3w. 10mg/kg dose level: Sibp-03, 10 mg/kg, q3W Trastuzumab, first dose 8 mg/kg, maintenance dose 6 mg/kg, q3w+ Docetaxel 75mg/m2 q3w. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SIBP-03 | Biological | Stage 1: Six dose groups of 2, 5, 10, 15, 20 and 40 mg/kg were planned. Dose increments began at 2 mg/kg using accelerated titration. In the first dose group, after the first patient was injected with Sibp-03, if the subject developed toxicity grade ≥2(CTCAE v5.0 standard)within 21 days of initial administration,then the subject increased to 3 and the study design method in this dose level convert to "3+3". If the subject didn't develop toxicity grade ≥2, then the study of the second and next dose group can be carried out using "3+3" incremental design. Stage 2: Cohort 1 included patients with advanced head and neck squamous cell carcinoma and cohort 2 included patients with breast cancer. According to the results of dose escalation stage and similar drug trials, 5mg/kg and 10mg/kg dose levels were selected to enter this phase. Each cohort will be extended to include 6-8 subjects to receive this product in combination with the standard treatment study. |
| Measure | Description | Time Frame |
|---|---|---|
| AE(Adverse Events) | That is adverse events, any adverse events that occurred to the subject during the study period. | 28 days after the last dose |
| SAE(Serious Adverse Events) | That is serious adverse events, any serious adverse events that occurred to the subject during the study period. | 28 days after the last dose |
| AUC(Area Under The Plasma Concentration Versus Time Curve) | It shows the degree to which a drug is absorbed and used in the body. | 28 days after the last dose |
| Cmax(Peak Plasma Concentration) | It shows the highest plasma concentration of a drug that can be achieved after administration | 28 days after the last dose |
| Tmax(Peak Time) | That is peak time of drug action, it shows the time required to reach the maximum concentration on the subject plasma concentration curve after administration. | 28 days after the last dose |
| T ½(Terminal elimination half-life) | It reflects how quickly the drug is eliminated from the body. | 28 days after the last dose |
| CL(Clearance Rate) | Apparent volume of drug distribution removed from the body per unit time. | 28 days after the last dose |
| Measure | Description | Time Frame |
|---|---|---|
| ADA(Anti-drug Antibody) | The incidence of anti-drug antibody. | The 1 day the test results reported after the last dose |
| NAb(Neutralizing Antibody) | The incidence of neutralizing antibody. |
| Measure | Description | Time Frame |
|---|---|---|
| ORR(Objective Response Rate) | The proportion of subjects whose tumor volume shrinks to a predetermined value and maintains the minimum time limit, and is the sum of complete and partial responses. | The 1 day the test results reported after the last dose |
| DCR(Disease control rate) |
The inclusion criteria:
The exclusion criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Co., Ltd Shanghai Institute Of Biological Products | Shanghai Institute Of Biological Products | Study Director |
| Shanghai Cancer Center Fudan University | Fudan University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fudan University Shanghai Cancer Center | Shanghai | Shanghai Municipality | China |
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| ID | Term |
|---|---|
| D009369 | Neoplasms |
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This is a dose escalation and extension study which designed as an open and multi-dose escalation study with single and multiple dosing.
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| Pulse rate | Pulse rate of the subject. | 28 days after the last dose |
| Respiratory rate | Respiratory rate of the subject. | 28 days after the last dose |
| Body temperature | Body temperature of the subject. | 28 days after the last dose |
| Blood pressure | Blood pressure of the subject. | 28 days after the last dose |
| The 1 day the test results reported after the last dose |
In clinical trials, the percentage of subjects with advanced or metastatic cancer who responded fully to cancer treatment, partially responded, and had stable disease . |
| The 1 day the test results reported after the last dose |
| PFS(Progression-free survival) | The time between the onset of randomization and the onset (of any aspect) of tumor progression or death (from any cause). | The 1 day the test results reported after the last dose |
| HER3 in the blood | A protein in the blood. | The 1 day the test results reported after the last dose |
| NRG1 in the blood | A protein in the blood. | The 1 day the test results reported after the last dose |
| Her2 | A protein in pathological tissues. | The 1 day the test results reported after the last dose |
| Her3 in pathological tissues | A protein in pathological tissues. | The 1 day the test results reported after the last dose |
| NRG1 in pathological tissues | A protein in pathological tissues. | The 1 day the test results reported after the last dose |
| EGFR(protein) | A protein in pathological tissues. | The 1 day the test results reported after the last dose |
| FAT1 | A gene in pathological tissues. | The 1 day the test results reported after the last dose |
| Notch1 | A gene in pathological tissues. | The 1 day the test results reported after the last dose |
| Notch2 | A gene in pathological tissues. | The 1 day the test results reported after the last dose |
| Notc3 | A gene in pathological tissues. | The 1 day the test results reported after the last dose |
| Notch4 | A gene in pathological tissues. | The 1 day the test results reported after the last dose |
| TP53 | A gene in pathological tissues. | The 1 day the test results reported after the last dose |
| PIK3CA | A gene in pathological tissues. | The 1 day the test results reported after the last dose |
| EGFR(gene) | A gene in pathological tissues. | The 1 day the test results reported after the last dose |