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Terminate the study and close the research center based on strategic changes in product development, unrelated to drug safety.
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This is a phase I study to Investigate the safety and tolerability, DLT(Dose limited toxicity), MTD(Maximum tolerated dose), and RP2D(Recommended phase II dose) of WJ01075 tablets in patients with advanced malignant solid tumors, including phase Ia (dose escalation phase) and Phase Ib (dose expansion phase,cohort expansion phase).The study includes screening, treatment and follow-up periods.
In phase Ia, accelerated titration (the first two dose groups) and "3 + 3" combination (the subsequent dose group) were used for dose escalation.
In phase Ib, specific dose groups will be selected for dose expansion according to PK(Pharmacokinetics) and safety data of different dose groups in dose escalation phase.It is planned that SMC(Safety Monitoring Committee) will select one or more dose groups based on previous data for cohort expansion studies to further determine RP2D, safety tolerability and initial efficacy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| WJ01075 tablets | Experimental | Once a week (QW). |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| WJ01075 | Drug | Phase Ia: Dose Escalation Accelerated titration (the first two dose groups) and "3 + 3" combination (the subsequent dose group) were used for dose escalation. Phase Ib: Dose Expansion and Cohort Expansion The actual dose, dosing schedule (including combination) and indication selection will be evaluated based on the results of existing trials. |
| Measure | Description | Time Frame |
|---|---|---|
| Dose limited toxicity (DLT) | incidence and severity of Dose limited toxicity(DLT); | 3 years |
| Adverse event (AE) | incidence and severity of adverse event (AE), Abnormal changes in laboratory and other tests of clinical significance; | 3 years |
| Serious adverse event (SAE) | incidence and severity of Serious adverse event (SAE); | 3 years |
| Maximum tolerated dose (MTD) | Maximum tolerated dose (MTD) | 2 years |
| Recommended phase II dose (RP2D) | Recommended phase II dose (RP2D) | 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Objective response rate(ORR) | Efficacy endpoints: Objective response rate(ORR) per RECIST v1.1 | 2 years |
| Duration of response (DOR) | Efficacy endpoints: Duration of response (DOR) per RECIST v1.1 |
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Inclusion Criteria:
Patient with advanced malignant solid tumors clearly diagnosed pathologically and/or cytologically, who have failed to receive standard treatment, or who currently do not/or refuse standard treatment, or who are intolerant to standard treatment;
Patient must have at least one measurable lesion as defined per RECIST v1.1;
Aged between 18 and 75 (including 18 and 75), male and female patients;
Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) score ≤1;
Life expectancy ≥ 3 months;
The functions of patients' major organs were basically normal, and the laboratory tests performed within 7 days prior to the first administration of study drugmet the following criteria, Patients must not have required a blood transfusion or growth factor support within 14 days before the examination:
Aspartate Aminotransferase (AST) and Alanine Aminotransferase (ALT) ≤2.5 × Upper limit of Normal (ULN); Total Bilirubin≤ 1.5×ULN; International Normalized Ratio (INR) ≤1.5; Creatinine ≤ 1.5 × ULN, and Creatinine Clearance Rate (calculated by Cockcroft-Gault formula) ≥ 50 mL/min; Hemoglobin (Hg) ≥ 90g/L; Platelets ≥ 100×10⋀9/L; Absolute Neutrophil Count(ANC) ≥ 1.5×10⋀9/L
Fertile women must confirm a negative blood pregnancy test within 7 days prior to the first administration of study drug;All enrolled patients (both male and female) are required to use adequate and effective contraceptive measures throughout the treatment period and within 3 months after the end of treatment;
Those who voluntarily participate in the study and sign the written Informed Consent Form upon full informed consent.
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Harbin Medical University Cancer Hospital | Harbin | Heilongjiang | 150081 | China |
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Single Group
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| 2 years |
| Disease control rate (DCR) | Efficacy endpoints: Disease control rate (DCR) per RECIST v1.1 | 2 years |
| Time to response(TTR) | Efficacy endpoints: Time to response(TTR) per RECIST v1.1 | 2 years |
| Progression-free survival (PFS) | Efficacy endpoints: Progression-free survival (PFS) per RECIST v1.1 | 2 years |
| Overall survival (OS) | Efficacy endpoints: Overall survival (OS) per RECIST v1.1 | 2 years |
| Peak time(Tmax) | Pharmacokinetic (PK) parameter : Peak time(Tmax) after a single dose; | 2 years |
| Maximum plasma concentration (Cmax) | Pharmacokinetic (PK) parameter : Maximum plasma concentration (Cmax) after a single dose; | 2 years |
| Clearance rate (CL/F) | Pharmacokinetic (PK) parameter : Clearance rate (CL/F) after a single dose; | 2 years |
| Apparent volume of distribution (Vd/F) | Pharmacokinetic (PK) parameter : Apparent volume of distribution (Vd/F) after a single dose; | 2 years |
| Area under blood concentration - time curve (AUC) | Pharmacokinetic (PK) parameter : Area under blood concentration - time curve (AUC) after a single dose; | 2 years |
| Elimination rate constant (λz) | Pharmacokinetic (PK) parameter : Elimination rate constant (λz) after a single dose; | 2 years |
| Elimination half-life time ( t1/2) and other parameters | Pharmacokinetic (PK) parameter : Elimination half-life time ( t1/2) and other parameters after a single dose; | 2 years |
| Steady state valley concentration(Cssmin) | Pharmacokinetic (PK) parameter : Steady state valley concentration(Cssmin) after repeated administration; | 2 years |
| Steady state peak concentration(Cssmax) | Pharmacokinetic (PK) parameter : Steady state peak concentration(Cssmax) after repeated administration; | 2 years |
| Average steady-state plasma concentration(Css-av) | Pharmacokinetic (PK) parameter : Average steady-state plasma concentration(Css-av) after repeated administration; | 2 years |
| Elimination half-life time ( t1/2) | Pharmacokinetic (PK) parameter : Elimination half-life time ( t1/2) after repeated administration; | 2 years |
| Steady state Area under blood concentration - time curve(AUCss) | Pharmacokinetic (PK) parameter : Steady state Area under blood concentration - time curve(AUCss) after repeated administration; | 2 years |
| Fluctuation coefficient (DF) | Pharmacokinetic (PK) parameter : Fluctuation coefficient (DF) after repeated administration; | 2 years |
| Steady-state distribution volume(Vss ) | Pharmacokinetic (PK) parameter : Steady-state distribution volume(Vss ) after repeated administration; | 2 years |
| Accumulation coefficient (AR) and other parameters | Pharmacokinetic (PK) parameter : Accumulation coefficient (AR) and other parameters after repeated administration; | 2 years |