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The primary objective of this study is to assess the tolerability and safety of ZG0895.HCl, and to assess the maximum tolerated dose (MTD)/ recommended phase 2 dose (RP2D) of ZG0895.HCl.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part1:Dose Escalation | Experimental | During the dose-escalation stage, an accelerated titration design (ATD) will be utilized for the first three lower dose groups (0.06, 0.12 and 0.18 mg/m^2). The conventional "3+3" dose escalation method will be used for the subsequent dose groups. The entire duration of 21 days after the first dose of ZG0895.HCl is defined as the dose-limiting toxicity (DLT) observation period. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ZG0895 Hydrochloride for Injection | Drug | The dose escalation of ZG0895.HCl is set as 0.06, 0.12, 0.18, 0.37, 0.75, 1.50, 2.25, 3.00, and 3.75 mg/m^2 groups, subcutaneous (SC) injection once a week (QW) |
| Measure | Description | Time Frame |
|---|---|---|
| The incidence of dose-limiting toxicity (DLT) | DLT is defined as any of the following adverse events (AE) occurring from the first dose of Day 1 to Day 21, unless the investigator deems that the AE is clearly related to the disease progress or definitely due to an external cause. Delayed DLTs are adverse events that meet the criteria of DLTs that occur after Cycle 1. All AEs will be graded according to the US National Cancer Institute Common Terminology Criteria for Adverse Events Version 5.0 (NCI CTCAE v5.0), except for cytokine release syndrome (CRS) | Up to Day 21 |
| The maximum tolerated dose (MTD) of ZG0895.HCl | During the dose-escalation stage, if there is a first occurrence that ≥ 2 participants in a dose group experience DLT, then the dose level will be considered to be an intolerable dose, and the previous lower dose will be considered to be the MTD. The MTD group should have at least 6 evaluable participants. | Up to Day 21 |
| Number of Participants Experiencing Adverse Events (AEs) | Up to 3 Years | |
| Number of Participants Experiencing Serious Adverse Events (SAEs) | Up to 3 Years |
| Measure | Description | Time Frame |
|---|---|---|
| Overall Response Rate (ORR) as assessed by the investigator | Up to 3 Years |
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Inclusion Criteria:
Part 1:
Exclusion Criteria:
Participants receiving any of the following treatments:
Had CTCAE Grade ≥3 immune-related adverse events (irAE) after receiving immunotherapy.
The main organ function meets any of the following criteria within 7 days prior to the first dosing. (Note: blood transfusion, EPO, G-CSF, albumin infusion and renal replacement therapy are not allowed within 14 days prior to treatment.)
Participants with symptomatic central nervous system (CNS) metastases or carcinomatous meningitis; or other evidence suggesting that the central nervous system metastasis or meningeal metastasis is not well-controlled and is judged by the investigator to be unsuitable for enrollment.
Uncontrollable third cavity effusion (e.g. large amount pleural effusion, ascites, or pericardial effusion, etc.) requiring repeated drainage, which is judged by the investigator to be unsuitable for enrollment.
Known history of neurological disorders affecting brain functional activities, including epilepsy or dementia.
Severe cardiac-cerebral vascular disease, including but not limited to:
Participants with active or history of autoimmune diseases (such as systemic lupus erythematosus, rheumatoid arthritis, vasculitis, etc.), except for clinically stable autoimmune thyroid diseases.
Active infection requiring systemic therapy within 7 days prior to the first dosing; active hepatitis B or hepatitis C, history of immunodeficiency virus (HIV) disease or HIV antibody positive.
Priorly received allogeneic stem cell transplantation or solid organ transplantation.
Known allergy to the ZG0895.HCl or any of its excipients; have severe allergy history (CTCAE Grade ≥ 3), such as severe urticaria, angioedema, severe anaphylaxis, etc.
Females who are pregnant or nursing during the screening period.
The investigators consider that the participants are not suitable to participate in the clinical study for other reasons.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Wenhao Cai | Contact | +8615918725852 | caiwh@zelgen.com |
| Name | Affiliation | Role |
|---|---|---|
| Jason Wu | Suzhou Zelgen Biopharmaceuticals Co.,Ltd | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Zhejiang Cancer Hospital | Recruiting | Zhejiang | Hangzhou | 310022 | China |
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| ID | Term |
|---|---|
| D007267 | Injections |
| ID | Term |
|---|---|
| D004333 | Drug Administration Routes |
| D004358 | Drug Therapy |
| D013812 | Therapeutics |
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