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This is a study to evaluate the maximum tolerated dose (MTD), occurrence of all adverse events (AEs) and serious adverse events (SAEs), pharmacokinetic parameters and antitumor effect of TQB3912 tablets in Chinese adult patients with advanced malignant neoplasm. The study was divided into phase Ia and phase Ib, Phase Ia: Dose escalation period, to evaluate the safety and tolerability of TQB3912 tablets, determine MTD; Phase Ib: Effectiveness exploration period, to expand the safe and effective dose group, and to recommend appropriate dosage and method for subsequent clinical research.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TQB3912 tablets | Experimental | TQB3912 tablets, 28 days as a treatment cycle. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TQB3912 tablets | Drug | TQB3912 is a small molecule Phosphorylated protein kinase inhibitor. Activation of the pathway plays an important role in cell survival, proliferation, migration, and differentiation. |
| Measure | Description | Time Frame |
|---|---|---|
| Dose Limiting Toxicities (DLT) | Subjects within 28 days after treatment appear the following toxicity reaction relate to the drug: grade III or above of non-hematological toxicity, grade III hematological toxicity, Neutropenia associated with fever. | During the first 28 days. |
| Maximum tolerated dose (MTD) | MTD is defined as the highest dosing schedule cohort level at which no more than 1 of 6 patients experience a Dose Limiting Toxicity (DLT). | During the first 29 days. |
| Overall response rate (ORR) | From the first drug treatment to the last drug treatment. | Up to 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of adverse events (AEs) | Number of patients with adverse events assessed by the Common Terminology Criteria for Adverse Events (CTCAE) v5.0 | From the time of informed consent signed to 90 days after the last dose |
| Incidence of serious adverse events (SAEs) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hunan Cancer Hospital | Changsha | Hunan | 410013 | China | ||
| West China hospital, Sichuan university |
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Number of patients with serious adverse events assessed by the Common Terminology Criteria for Adverse Events (CTCAE) v5.0 |
| From the time of informed consent signed to 90 days after the last dose |
| Disease control rate (DCR) | The proportion of subjects with Complete response (CR), Partial response (PR), or Stable Disease (SD). | Up to 2 years |
| Progression-free survival (PFS) | The time from the first dose of TQB3912 to the first occurrence of disease progression or death from any cause. | Up to 2 years |
| Duration of Response (DOR) | The time from first documented response to documented disease progression. | Up to 2 years |
| Overall survival (OS) | The time between the date of first administration and the date of death due to any cause. | Up to 5 years |
| Time to reach maximum (peak) plasma concentration (Tmax) | To characterize the pharmacokinetics of TQB3912 by assessment of time to reach maximum plasma concentration after single and multiple dosing. | Pre-dose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 9, 12, 24, 48 and 72 hours after-dose on single dose; pre-dose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 9, 12, 24, 48 and 72 hours after-dose on multiple dose of day 28. |
| Maximum (peak) plasma drug concentration (Cmax) | Cmax is the maximum plasma concentration of TQB3912 or metabolite(s). | Pre-dose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 9, 12, 24, 48 and 72 hours after-dose on single dose; pre-dose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 9, 12, 24, 48 and 72 hours after-dose on multiple dose of day 28. |
| Maximum (peak) steady-state plasma drug concentration during a dosage interval (Cmax,ss) | Cmax,ss is the maximum steady-state plasma concentration of TQB3912 or metabolite(s). | Pre-dose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 9, 12, 24, 48 and 72 hours after-dose on single dose; pre-dose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 9, 12, 24, 48 and 72 hours after-dose on multiple dose of day 28. |
| Area under the plasma concentration-time curve from time zero to time t (AUC0-t) | To characterize the pharmacokinetics of TQB3912 by assessment of area under the plasma concentration time curve from the first dose to time t. | Pre-dose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 9, 12, 24, 48 and 72 hours after-dose on single dose; pre-dose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 9, 12, 24, 48 and 72 hours after-dose on multiple dose of day 28. |
| Elimination half-life (t1/2) (to be used in one-or non- compartmental model) | t1/2 is time it takes for the blood concentration of TQB3912 or metabolite(s) to drop by half. | Pre-dose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 9, 12, 24, 48 and 72 hours after-dose on single dose; pre-dose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 9, 12, 24, 48 and 72 hours after-dose on multiple dose of day 28. |
| Chengdu |
| Sichuan |
| 610000 |
| China |