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TQB3915 is a selective estrogen receptor covalent antagonist, by covalently binding to estrogen receptor, by changing the conformation of ERα, blocking intracellular signal transmission, thereby inhibiting the growth of tumor cells.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TQB3915 tablets | Experimental | Take 300mg, 450mg, 600mg, 750mg, 900mg each time, once a day;Oral administration on an empty stomach, 28 days as a cycle. Duration of medication: Continue medication until disease progression or intolerable toxicity occurs. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TQB3915 tablets | Drug | TQB3915 binds to estrogen receptors through covalent bonds, and blocks intracellular signal transmission by changing the conformation of ERα, thereby inhibiting the growth of tumor cells. |
| Measure | Description | Time Frame |
|---|---|---|
| Dose-limiting toxicity (DLT) | The following adverse events related to the trial drug occurred within 1 treatment cycle (34 days) of the subject's first dose | up to 7 months |
| Maximum Tolerated Dose (MTD) | The MTD was the previous dose at which the following toxicities occurred | up to 7 months |
| Recommended Phase II Dose (RP2D) | To evaluate RP2D of TQB3915 Tablets in patients with advanced malignant tumors | up to 7 months |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse Events (AEs), Serious Adverse Events (SAEs) and Treatment-Related Adverse Events (TRAEs) | Incidence of all adverse events (AE), serious adverse events (SAE), and treatment-related adverse events (TEAEs) | up to 18 months |
| Time to reach maximum(peak )plasma concentration following drug administration (Tmax) |
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Inclusion Criteria:
Exclusion Criteria:
1 Concomitant diseases and medical history:
The previous pathological test was diagnosed as HER2-positive breast cancer;
have inflammatory breast cancer;
Other malignant tumors have occurred or are currently concurrently present within 3 years. The following two conditions were eligible for enrollment: other malignancies treated with a single surgery, achieving 5 years of disease-free survival (DFS); cured cervical carcinoma in situ, non-melanoma skin cancer, and superficial bladder tumors [ Ta (non-invasive tumor), Tis (carcinoma in situ) and T1 (tumor-infiltrating basement membrane)];
There are multiple factors that affect oral medication (such as inability to swallow, acute and chronic diarrhea, and intestinal obstruction, etc.);
Unresolved toxicity of CTC AE grade 1 and above due to any previous treatment, excluding alopecia;
Subjects who have undergone major surgical treatment, significant traumatic injury, or are expected to undergo major surgery during the study period within 28 days prior to the first dose;
wounds or fractures that have not healed for a long time;
Those with a bleeding constitution; or suffering from clinically significant bleeding (such as hemoptysis), coagulation disorders, or being treated with antiplatelet/anticoagulants, blood transfusions or platelet transfusions;
Have used a strong inhibitor or inducer of CYP3A within 2 weeks before taking the study drug for the first time;
Arterial/venous thrombotic events, such as cerebrovascular accident (including temporary ischemic attack, cerebral hemorrhage, cerebral infarction), deep vein thrombosis and pulmonary embolism, occurred within 6 months before the first drug;
Those who have a history of psychotropic substance abuse and cannot quit or have mental disorders;
Subjects with any severe and/or uncontrolled disease, including:
2 Tumor-related symptoms and treatment:
3 Study treatment related:
4 Those who participated in clinical trials of other anti-tumor drugs within 4 weeks before enrollment or did not exceed 5 drug half-lives;
5 Any factors that increase the risk of QTc interval prolongation or risk of arrhythmia, such as heart failure, hypokalemia, congenital long QT syndrome, family history of long QT syndrome, or unexplained occurrence in first-degree relatives younger than 40 years of age sudden death;
6 Any factors that may increase the risk of sinus bradycardia, such as hyperkalemia, hypothyroidism, etc.;
7 According to the judgment of the investigator, there are concomitant diseases that seriously endanger the safety of the subjects or affect the completion of the study, or subjects who are considered unsuitable for enrollment for other reasons.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yongmei p Yin, Doctor | Contact | 17818528960 | ym.yin@hotmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sun Yat-Sen University Cancer Canter | Recruiting | Guangzhou | Guangdong | 510060 | China |
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To characterize the pharmacokinetics of TQB3915 by assessment of time to reach maximum plasma concentration after single dosing |
| up to 18 months |
| Maximum (peak) plasma drug concentration (Cmax) | Cmax is the maximum plasma concentration of TQB3915. | up to 18 months |
| Elimination half-life (t1/2) | t1/2 is time it takes for the blood concentration of TQB3915 to drop by half. | up to 18 months |
| Area under the plasma concentration-time curve from time zero to infinity(AUC0-∞) | To characterize the pharmacokinetics of TQB3915 by assessment of area under the plasma concentration time curve from the first dose to infinity. | up to 18 months |
| Area under the plasma concentration-time curve from time zero to time t (AUC0-t) | To characterize the pharmacokinetics of TQB3915 by assessment of area under the plasma concentration time curve from the first dose to a certain time point. | up to 18 months |
| Apparent total clearance of the drug from plasma after oral administration (CL/F) | CL/F is total clearance rate for TQB3915. | up to 18 months |
| Apparent volume of distribution(Vz/F) | Vz/F is the apparent distribution volume of TQB3915. | up to 18 months |
| Maximum (peak) steady-state plasma drug concentration during during multiple-dose administration (Css,max) | Css,max is the steady state maximum concentration of TQB3915 . | up to 18 months |
| Degree of fluctuation(DF) | DF is the volatility coefficient of TQB3915 | up to 18 months |
| Minimum steady-state plasma drug concentration during a dosage interval (Css,min) | Css,min is the minimum plasma concentration of TQB3915 | up to 18 months |
| Mean steady state plasma concentrations during a dosage interval (Css-av) | Css-av is the mean steady state plasma concentrations of TQB3915 | up to 18 months |
| Area under the steady-state plasma concentration-time curve(AUC0-τ) | AUC0-τis the area under the steady-state plasma concentration-time curve of TQB3915 | up to 18 months |
| Overall response rate (ORR) | Percentage of participants achieving complete response (CR) and partial response (PR). | up to 18 months |
| Disease control rate(DCR) | Percentage of participants achieving CR and PR and stable disease (SD). | up to 18 months |
| Clinical benefit rate (CBR) | Percentage of subjects who achieved complete remission (CR), partial remission (PR) and stable disease (SD) for at least 24 weeks | up to 18 months |
| Duration of Response (DOR) | The period from the participants first achieving CR or PR to disease progression. | up to 18 months |
| Progression-free survival (PFS) | PFS is defined as the time from the first treatment to the first disease progression or death from any cause | up to 18 months |
| Overall survival (OS) | OS is defined as the time from the first administration to all-cause death. | up to 18 months |
| Henan Cancer Hospital | Recruiting | Zhengzhou | Henan | 450003 | China |
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| First Affiliated Hospital with Nanjin Medical University (Jiangsu Province Hospital) | Recruiting | Nanjing | Jiangsu | 210029 | China |
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