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This is an open-label Phase I/II trial of simmitinib plus SG001 in patients with advanced solid tumors. Phase I will determine and confirm the maximum tolerated dose (MTD) and recommended phase II dose (RP2D) for simmitinib in combination with SG001 in patients with advanced solid tumors. Phase 2 (Expansion) will evaluate the safety and efficacy of the combination in 3 cohorts at the RP2D from Phase I.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dose Escalation Phase Cohort 1 | Experimental |
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| Dose Escalation Phase Cohort 2 | Experimental |
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| Dose Escalation Phase Cohort 3 | Experimental |
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| Dose Expansion Phase Cohort A | Experimental |
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| Dose Expansion Phase Cohort B | Experimental |
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| Dose Expansion Phase Cohort C | Experimental |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Simmitinib | Drug | Patients will oral administration according to study protocol until disease progression, death, unacceptable toxicity, loss of follow-up, withdrawal of consent or other conditions meet the end of treatment criteria. |
| Measure | Description | Time Frame |
|---|---|---|
| Dose Escalation Phase: Dose Limited Toxicity (DLT) | From Cycle 1 Day 1 to Cycle 1 Day 28(each cycle is 28 days) | |
| Dose Escalation Phase: Maximum Tolerated Dose (MTD) | From Cycle 1 Day 1 to Cycle 1 Day 28(each cycle is 28 days) | |
| Dose Escalation Phase: Recommended Phase 2 Dose (RP2D) | From Cycle 1 Day 1 to Cycle 1 Day 28(each cycle is 28 days) | |
| Dose Escalation Phase-Incidence rate of Adverse Event (AE). | From first dose to 30 days post the last dose, with approximately 3 years | |
| Dose Expansion Phase - Objective Response Rate (ORR) evaluated by Independent Review Committee (IRC) or investigators in advanced solid tumor based on RECIST 1.1. | Up to approximately 3 years. |
| Measure | Description | Time Frame |
|---|---|---|
| Plasma Concentration of simmitinib . | Up to approximately 3 years. | |
| Plasma Concentration of SG001 | Up to approximately 3 years. | |
| Immunogenicity Assessments for Anti-drug Antibody |
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Inclusion Criteria:
Neutrophil count (ANC) ≥ 1.5 × 10^9/L; Platelet count (PLT) ≥ 100× 10^9/L; Hemoglobin (Hb) ≥ 90 g/L; Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤ 2.5 × upper limit of normal (ULN) (≤ 5.0 × ULN for patients with liver metastases); Serum total bilirubin (TBIL) ≤ 1.5 × ULN; Serum creatinine ≤ 1.5 × ULN; Prothrombin time (PT), activated partial thromboplastin time (APTT), international normalized ratio(INR)≤1.5 × ULN; Thyroid Stimulating Hormone (TSH)≤ULN; Left ventricular ejection fraction (LVEF)≥50%; Male and female patients of childbearing age must agree to take effective contraceptive measures during treatment and within 6 months after the last dose of treatment.
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Clinical Trials Information Group officer | Contact | 86-0311-69085587 | ctr-contact@cspc.cn |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College | Beijing | Beijing Municipality | 100000 | China |
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| SG001 | Drug | Patients will receive intravenous infusion of SG001 according to study protocol until disease progression, unacceptable toxicity, meeting the suspension or termination criteria, or up to 24 months in patients without disease progression. |
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| Up to approximately 3 years. |
| Dose Escalation Phase: ORR | Up to approximately 3 years. |
| Disease Control Rate (DCR) | Up to approximately 3 years. |
| Progression-free Survival (PFS) | Up to approximately 3 years. |
| Overall Survival (OS) | Up to approximately 3 years. |
| Duration of Objective Response (DOR) | Up to Approximately 3 years. |