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This is a multicenter, open-label, phase Ib/IIa study. The first part of the study will evaluate the safety, tolerability and preliminary efficacy of ILB2109 and Toripalimab in patients with locally advanced or metastatic solid malignancies. The second part of the study will evaluate the efficacy of ILB2109 and Toripalimab in patients with selected advanced solid malignancies.
This is a two-part study consists of dose escalation and expansion in selected indications. The dose escalation part adopts a 3+3 protocol design and consists of 2 cohorts. Based on the data obtained from the escalation study, selected dose cohort will be expanded in 10 tumor types to further investigate the efficacy of the combination therapy. Subjects will be assessed for safety and efficacy outcomes at pre-specified time points.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment Arm | Experimental | Subjects will receive ILB-2109 tablets and Toripalimab injection |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ILB-2109 | Drug | ILB-2109 tablets will be administered by mouth every day in 21-day cycles |
| |
| Measure | Description | Time Frame |
|---|---|---|
| The Incidence of DLTs | The incidence rate of Dose Limiting Toxicities (DLTs) | Cycle 1 (21 days) |
| MTD | Determine the maximum tolerated dose (MTD) of ILB-2109 tablets | 6 months |
| RP2D | Determine the recommended phase 2 dose (RP2D) when used in combination with Toripalimab for subsequent studies | 6 months |
| The Objective Response Rate (ORR) | Observe the Objective Response Rate (ORR) of ILB-2109 tablets combined with Toripalimab in prespecified cohorts | 36 months |
| Measure | Description | Time Frame |
|---|---|---|
| AE/TEAE/drug-related TEAE/irAE/SAE | Incidence of AE/TEAE/drug-related TEAE/irAE/SAE graded by CTCAE 5.0 | 36 months |
| Lab Abnormalities | Incidence of lab/physcial/EKG/vitals abnormalities graded by CTCAE 5.0 |
| Measure | Description | Time Frame |
|---|---|---|
| pCREB level in PBMC | Study the pharmacodynamic characteristics of ILB-2109 tablets, including the relationship between drug plasma concentration and the level of pCREB in PBMC. | 36 months |
| Expression level of Adnosine Signature gene panel |
Inclusion Criteria:
Adult patients between the ages of 18 and 80 years.
Patients with histologically or cytologically confirmed solid tumours that are advanced, metastatic and or progressive, for whom there is no effective standard therapy available.
Eastern Collaborative Oncology Group (ECOG) Performance Status of ≤2.
Expected life expectancy ≥3 months.
Evaluable disease, either measurable on imaging, or with informative tumour marker(s), as assessed by Response Evaluation Criteria In Solid Tumors (RECIST) v1.1 (Eisenhauer, et al. 2009).
Laboratory values at Screening:
Absolute neutrophil count ≥1.5 x 109/L; Platelets ≥75 x 109/L; Hemoglobin ≥ 90g/L; Total bilirubin <1.5 times the upper limit of normal; Aspartate aminotransferase (AST) ≤3 times the upper limit of normal, ≤ 5 times the upper limit of normal if subject has hepatic malignancies; Alanine aminotransferase (ALT) ≤2.5 times the upper limit of normal, ≤ 5 times the upper limit of normal if subject has hepatic malignancies; Estimated glomerular filtration rate (GFR) of >50 mL/min (based on the Cockcroft-Gault formula; International Normalized Ratio (INR) and activated Partial Thromboplastin Time (aPTT) ≤1.5 times the upper limit of normal; Left Ventricular Ejection Fraction (LVEF) ≥ 50%; Corrected QT Interval by Fridericia Method: male<450ms, female<470ms; and
Negative human chorionic gonadotropin (hCG) test in women of childbearing potential.
Sexually active male and female patients of childbearing potential must agree to use an effective method of birth control (e.g. barrier methods with spermicides, oral or parenteral contraceptives and/or intrauterine devices) during the entire duration of the study and for 90 days after final administration of ILB-2109, or the patient must be surgically sterile .
Ability to give written, informed consent prior to any study-specific Screening procedures.
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Xue Wang | Contact | 86-021-38863266 | xue.wang@innolakebio.com | |
| Yan Li, M.D. | Contact | 86-021-38863266 | yan.li@innolakebio.com |
| Name | Affiliation | Role |
|---|---|---|
| Jin Li, M.D. | Shanghai East Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Shandong Cancer Hospital | Recruiting | Jinan | Shandong | China |
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| Toripalimab |
| Drug |
Toripalimab injection will be administered via IV every 21 days. |
|
| 36 months |
| Peak Plasma Concentration (Cmax) | Study the Peak Plasma Concentration of ILB-2109 tablets | 36 months |
| Area under the plasma concentration versus time curve (AUC) | Study the Area under the plasma concentration versus time curve (AUC) of ILB-2109 tablets | 36 months |
| Half Life (T1/2) | Study the Half Life (T1/2) of ILB-2109 tablets | 36 months |
| Time to maximum plasma concentration (Tmax) | Study the Time to maximum plasma concentration (Tmax) of ILB-2109 tablets | 36 months |
| Clearance (CL) | Study the Clearance (CL) of ILB-2109 tablets | 36 months |
| Volume of Distribution (Vd) | Study the Volume of Distribution (Vd) of ILB-2109 tablets | 36 months |
| Progression Free Survival (PFS) | Observe the Progression Free Survival (PFS) in prespecified cohorts | 36 months |
| Overall Survival (OS) | Observe the Overall Survival (OS) in prespecified cohorts | 36 months |
| Duration of Response (DOR) | Observe the Duration of Response (DOR) in prespecified cohorts | 36 months |
| Disease Control Rate (DCR) | Observe the Disease Control Rate (DCR) in prespecified cohorts | 36 months |
| Time to Progression (TTP) | Observe the Time to Progression (TTP) in prespecified cohorts | 36 months |
Investigate potential biomarkers including the expression level of AdenoSig in tumor tissues
| 36 months |
| Tumor Mutational Burden | Investigate potential biomarkers including the TMB in tumor tissues | 36 months |
| MSI Status | Investigate potential biomarkers including the MSI status in relationship to efficacy outcomes | 36 months |
| PD-L1 | Investigate potential biomarkers including the expression level of PD-L1 in tumor tissues | 36 months |
| CD68 | Investigate potential biomarkers including the expression level of CD68 in tumor tissues | 36 months |
| A2aR | Investigate potential biomarkers including the expression level of A2aR in tumor tissues | 36 months |
| CD8 | Investigate potential biomarkers including the expression level of CD8 in tumor tissues | 36 months |
| ID | Term |
|---|---|
| D006258 | Head and Neck Neoplasms |
| D002583 | Uterine Cervical Neoplasms |
| D016889 | Endometrial Neoplasms |
| D064726 | Triple Negative Breast Neoplasms |
| D010051 | Ovarian Neoplasms |
| D012509 | Sarcoma |
| D008545 | Melanoma |
| D000077274 | Nasopharyngeal Carcinoma |
| D002289 | Carcinoma, Non-Small-Cell Lung |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D014594 | Uterine Neoplasms |
| D005833 | Genital Neoplasms, Female |
| D014565 | Urogenital Neoplasms |
| D002577 | Uterine Cervical Diseases |
| D014591 | Uterine Diseases |
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D000091662 | Genital Diseases |
| D001943 | Breast Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D004701 | Endocrine Gland Neoplasms |
| D010049 | Ovarian Diseases |
| D000291 | Adnexal Diseases |
| D004700 | Endocrine System Diseases |
| D006058 | Gonadal Disorders |
| D018204 | Neoplasms, Connective and Soft Tissue |
| D009370 | Neoplasms by Histologic Type |
| D018358 | Neuroendocrine Tumors |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009380 | Neoplasms, Nerve Tissue |
| D018326 | Nevi and Melanomas |
| D012878 | Skin Neoplasms |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009303 | Nasopharyngeal Neoplasms |
| D010610 | Pharyngeal Neoplasms |
| D010039 | Otorhinolaryngologic Neoplasms |
| D009302 | Nasopharyngeal Diseases |
| D010608 | Pharyngeal Diseases |
| D009057 | Stomatognathic Diseases |
| D010038 | Otorhinolaryngologic Diseases |
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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| ID | Term |
|---|---|
| C000656314 | toripalimab |
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