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This is a Phase I, open-label, dose escalation and dose expansion study to Evaluate the Safety, Tolerability and Preliminary Efficacy of SG1827 in subjects with Advanced Solid Tumors, refractory or resistant to standard therapy, or without available standard or curative therapy.
After a screening period of up to 28 days for each study phase, qualified patients will be enrolled to receive their assigned dose of SG1827, administered every three weeks (Q3W), until disease progression, intolerable toxicity or others, whichever occurs first.
The study consists of a dose escalation phase (Phase 1a) to determine the maximum tolerated dose (MTD), or recommended Phase 2 dose (RP2D) for SG1827 as a single agent, and a dose expansion phase (Phase 1b) in subjects with specific tumor types which will characterize treatment of SG1827 as a single agent at the MTD or RP2D.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SG1827 | Experimental | SG1827 monotherapy intravenous (IV) infusion - administered every three weeks (Q3W) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SG1827 | Drug | PhaseⅠa will use an accelerated titration and Bayesian optimal interval (AT-BOIN) design with 7 dose cohorts: 0.02mg/kg, 0.2mg/kg, 1mg/kg, 3mg/kg, 6mg/kg, 10mg/kg, and 15mg/kg by IV infusion. Accelerated titration (1 patient) will be only applied to the first cohort. |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of Treatment-Emergent Adverse Events | Number and percentage of AEs which is calculated by worst CTCAE grade by CTCAE 5.0 | Through study completion, an average of one year |
| MTD/MAD/ RP2D | MTD/MAD/RP2D will be determined based on the DLTs and safety data. | Through study completion, an average of one year |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetics (PK): Cmax | Cmax to maximum drug concentrationadministration | Through study completion, an average of one year |
| Pharmacokinetics (PK):limination half-life (T1/2) | limination half-life (T1/2) of the drug after administration. |
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Inclusion Criteria:
Exclusion Criteria:
Subjects with symptomatic central nervous system metastatic lesions; presence of metastases to the brainstem or meninges, spinal cord metastases or compression. Except the subjects who have been treated, be asymptomatic.
Active autoimmune disease requiring systemic therapy within the past 2 years (e.g., use of immunomodulatory drugs, corticosteroids, or immunosuppressive medications); related replacement therapy is allowed (e.g., thyroid hormone, insulin, or physiologic corticosteroid replacement for renal or pituitary insufficiency).
Have received any of the following treatments or procedures:
Subjects received systemic corticosteroids (equivalent dose > 10 mg/day of prednisone) or other immunosuppressive drugs within 14 days prior to the first dose or will receive during the study. Except topical or prophylactic treatment for non-autoimmune diseases.
Presence of active infection requiring antibiotic therapy within 30 days prior to the first dose, except for prophylaxis use.
Presence of cardiovascular system disease within 6 months prior to screening that meets any of the following:
Hyperglycaemia or Hypertension that has not been effectively controlled after standard treatment.
Patients with active hepatitis B or C, or HIV antibody positive.
Known history of Grade 3 to 4 hypersensitivity reactions to any biological product, history of life threatening hypersensitivity reactions, or known hypersensitivity to components of SG1906 drug product.
History of interstitial lung disease or non-infectious pneumonitis except for those induced by radiation therapies.
Presence of body fluid (hydrothorax, ascites, pericardial effusion, etc.) requiring local treatment or repeated drainage.
Immune-related adverse effects leading to permanent discontinuation during previous antineoplastic immunotherapy.
Subjects with unhealed wounds.
Subjects with high risk of bleeding.
Subjects with other malignant solid tumors (except for cured defined tumors) within 5 years prior to the first dose.
Any other condition that, in the opinion of the Investigator, may lead to inappropriate participation in this study.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Affiliated Hospital of USTC | Hefei | Anhui | 230001 | China | ||
| Cancer Hospital Chinese Academy of Medical Sciences |
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|
| Through study completion, an average of one year |
| PD endpoints: cytokine levels | including but not limited to tumor necrosis factor (TNF)-α, interferon gamma (IFN-γ), interleukin (IL)-2, IL-4, IL-6, IL-8, IL-10, IL-1β. | Through study completion, an average of one year |
| Immunogenicity endpoints: | levels of anti-drug antibodies (ADAs) and neutralizing antibodies (tested in ADA-positive samples only). | Through study completion, an average of one year |
| Efficacy endpoints: | objective response rate (ORR), | Through study completion, an average of one year |
| Beijing |
| Beijing Municipality |
| 100021 |
| China |
| Henan Cancer Hospital | Zhenzhou | Henan | 450003 | China |
| The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University | Changsha | Hunan | 410013 | China |
| The First Hospital of China Medical University | Shenyang | Liaoning | 110002 | China |
| The First Affiliated Hospital, Zhejiang University School of Medicine | Hangzhou | Zhejiang | 310003 | China |