Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
This study is an open-label, multicenter, Phase Ib/II clinical study to evaluate the safety, tolerability, pharmacokinetics, and preliminary efficacy of JS105 in combination with other anti-tumor therapies in patients with advanced solid tumors. Patients will be enrolled in two stages: a dose-escalation stage and a dose-expansion stage.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Arm A:JS105+Fulvestrant Injection | Experimental | JS105 administered orally, Fulvestrant intramuscularly |
|
| Arm B:JS105+Fulvestrant Injection+Dalpiciclib Isetionate Tablets | Experimental | JS105 administered orally, Dalpiciclib administered orally, Fulvestrant intramuscularly |
|
| Arm C:JS105+Toripalimab Injection | Experimental | JS105 administered orally, Toripalimab intravenous infusion |
|
| Arm D:JS105+Paclitaxel for Injection (Albumin Bound) | Experimental | JS105 administered orally, Paclitaxel (Albumin Bound) intravenous infusion |
|
| Arm E:JS105+Fluzoparib Capsules | Experimental | JS105 administered orally, Fluzoparib administered orally |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| JS105 | Drug | JS105 is administered once daily, orally |
|
| Measure | Description | Time Frame |
|---|---|---|
| Dose-limiting toxicity | Incidence and severity of DLT events. | At the end of Cycle 1 (each cycle is 28 days) |
| MTD | Maximum tolerated dose | At the end of Cycle 1 (each cycle is 28 days) |
| RP2D | Recommended phase II dose | At the end of Cycle 1 (each cycle is 28 days) |
| Incidence and severity of adverse events including serious adverse events | Abnormal changes in clinical symptoms, vital signs, physical examination, laboratory tests, electrocardiograph and other examinations. | Up to 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Objective Response Rate (ORR) | Objective Response Rate (ORR) as Assessed by Investigator according to RECIST v1.1 | Up to 2 years |
| Duration of Objective Response (DOR) | Duration of Objective Response (DOR) as Assessed by Investigator according to RECIST v1.1 |
| Measure | Description | Time Frame |
|---|---|---|
| The proportion of patients with PIK3CA mutations in tumor remission | The proportion of patients with PIK3CA mutations in tumor remission | Up to 2 years |
Inclusion Criteria:
Understand and voluntarily sign the informed consent form;
18≤ age ≤ 75 years old, male or female;
Arms A and B, including the Dose Escalation Phase (Phase Ib) and Cohort Expansion Phase (Phase II):
Arm C, including the Dose Escalation Phase (Phase Ib) and Cohort Expansion Phase (Phase II):
Group D, including the Dose Escalation Phase (Phase Ib) and Cohort Expansion Phase (Phase II):
â– Patients with histologically or cytologically confirmed recurrent/metastatic triple-negative breast cancer or patients with advanced gynecologic tumors (including patients with epithelial ovarian, fallopian tube or primary peritoneal cancer, endometrial cancer, and cervical cancer);
Arm E, including the Dose Escalation Phase (Phase Ib) and Cohort Expansion Phase (Phase II):
Arm F, including the Dose Escalation Phase (Phase Ib) and Cohort Expansion Phase (Phase II):
â– Patients with histologically or cytologically confirmed recurrent/metastatic HER2-positive breast cancer;
■Disease progression or intolerance to standard therapy after receiving ≥1 line of anti-HER2 therapy;
Group G: including Dose Escalation Phase (Phase Ib) and Cohort Expansion Phase (Phase II):
Agree to provide tumor tissue and blood samples for PIK3CA mutation testing required for enrollment:
â– Tumor tissue specimens: fresh or archival unstained sections, preferably from tumor samples collected after the most recent disease progression or recurrence. Formalin-fixed, paraffin-embedded (FFPE) unstained sections (at least 5 surgical samples and 10 needle biopsy samples are recommended) are required. For patients who are unable to provide tissue samples or the number of sections is insufficient, it is necessary to communicate with the sponsor whether they can be enrolled;
â– Freshly collected pre-treatment blood sample of at least 10ml
All acute toxicities due to prior antineoplastic therapy, surgery, or radiotherapy, etc., resolved to Grade 0-1 (according to NCI CTCAE version 5.0) or the level specified by the enrollment/exclusion criteria. Except for alopecia, pigmentation, or other toxicities that, in the opinion of the investigator, do not pose a safety risk to the patient and do not affect treatment compliance;
At least one measurable lesion (only for Phase II cohort expansion phase) or non-measurable osteolytic or mixed bone lesion (for breast cancer patients only) that meets the requirements of RECIST v1.1;
Eastern Cooperative Oncology (ECOG) performance status score: 0 or 1;
Expected survival ≥ 12 weeks;
Ability to swallow oral medications (capsules and tablets) without chewing, breaking, crushing, opening, or otherwise altering the dosage form of the product;
Functions of vital organs, in line with the requirements:
a. No blood transfusion blood products or hematopoietic growth factors to correct the blood cell count within 14 days before the examination creatinine clearance was calculated using the Cockcroft/Gault formula: Creatinine clearance (mL/min) = (140-age)× Body weight (kg) ×(0.85 [females only]) 72 × serum creatinine (mg/dl) c. For patients with FPG ≥ 100 mg/dL and/or HbA1c ≥ 5.7% (eg, prediabetes threshold) during the screening period, lifestyle changes such as dietary prescription (eg, small and frequent meals, low-carb diet, high-fiber diet, etc.) and exercise are recommended according to ADA guidelines, and endocrinologist consultation is recommended.
d. Patients receiving anticoagulant therapy (such as low molecular weight heparin or warfarin) should be stable at the dose of anticoagulant drugs for at least 4 weeks without dose adjustment; e. Only urine routine showed urine protein ≥2+, and additional 24-hour urine protein quantification was required
Within 7 days before the first dose of study drug, females of childbearing potential must confirm that the serum HCG test is negative and non-lactating, and female patients, as well as male patients whose partner is a female of childbearing age, need to use highly effective contraception during study treatment and within 30 days after the last dose of JS105 or during the contraceptive period specified in the label of other antineoplastic drugs, whichever occurs later, (see section 10.3 for the definition of WOCBP);
Exclusion Criteria:
1) Major surgery or radiotherapy within 4 weeks, or anticipated major surgery (except tumor biopsy) or radiotherapy during the study; 2) Systemic chemotherapy within 4 weeks (6 weeks for nitrosourea or mitomycin; oral fluorouracil can be shortened to 2 weeks or 5 half-lives of the drug, whichever is longer), targeted therapy (small molecule targeted drugs can be shortened to 2 weeks or 5 half-lives of the drug, whichever is longer), immunotherapy or biological therapy; 3) Receiving endocrine therapy or proprietary Chinese medicine preparations with anti-tumor indications within 2 weeks.
4) Other clinical investigational drugs (without placebo) within 4 weeks; 5) Vaccination with live attenuated vaccine within 4 weeks; 6) Received drug treatment with a known strong inhibitor or inducer of the isoenzyme CYP3A4 within 7 days (see Appendix 4 for a strong inhibitor or inducer of the isoenzyme CYP3A4); 7) Need for long-term use or use of ≥10mg/day prednisone and equivalent doses of systemic corticosteroids or immunosuppressive drugs within 2 weeks before the first dose; 4. Previous allogeneic bone marrow transplantation or solid organ transplantation; 5. Other malignancies other than study disease within 5 years before the first dose, except for malignancies that can be expected to heal after treatment (including but not limited to adequately treated thyroid cancer, cervical carcinoma in situ, basal or squamous cell skin cancer, or ductal carcinoma in situ of the breast treated with radical surgery); 6. Patients with symptomatic, untreated, or ongoing central nervous system metastases requiring ongoing treatment (previously treated patients who have been stable for at least 3 months, have no disease progression as determined by imaging within 4 weeks before the first dose of the study, and all neurological symptoms have returned to baseline, have no evidence of new or enlarging brain metastases, and have stopped using radiation, surgery, or steroids at least 4 weeks before the first dose of study treatment, may be enrolled); 7. Pleural effusion, pericardial effusion, or ascites effusion (once a month or more frequent) that is uncontrolled or requires repeated drainage. Patients who need to be stable for at least 1 week before enrollment after drainage can be enrolled (stable is defined as no clear increase in pleural effusion without any intervention); 8. Concomitant and uncontrollable concomitant diseases, including but not limited to:
1) Hepatitis B core antibody (HBcAb) positive and hepatitis B surface antigen (HBsAg) negative during the screening period can participate in this study; 2) Patients who are HBsAg positive and whose HBV DNA is less than the lower limit of detection can be enrolled, and the risk will be assessed by the investigator, if necessary, anti-HBV therapy should be received throughout the study treatment period to avoid viral activation; 3) Patients with positive HCV antibody can only be enrolled if the HCV RNA PCR test result is negative; 10. Female patients who are pregnant, lactating, or intend to become pregnant during the study; 11. Any other clinically significant disease or condition that, in the opinion of the investigator, could affect protocol compliance (such as a history of psychiatric illness or substance abuse), or affect the patient's signing of informed consent (such as drug use and substance abuse), or would be inappropriate to participate in this clinical study.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Henan Provincial Cancer Hospital | Recruiting | Zhengzhou | Henan | 450000 | China |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Arm F:JS105+Pyrotinib Maleate Tablets+Capecitabine Tablets | Experimental | JS105 administered orally, Pyrotinib administered orally,Capecitabine administered orally |
|
| Arm G:JS105+Toripalimab Injection+Paclitaxel for Injection (Albumin Bound) | Experimental | JS105 administered orally, Toripalimab intravenous infusion, Paclitaxel (Albumin Bound) intravenous infusion |
|
| Fulvestrant injection | Drug | Fulvestrant intramuscularly,The first cycle was injected once in D1 and D15, and then once in each cycle D1, and 28 days was 1 cycle |
|
| Dalpiciclib Isetionate Tablets | Drug | Dalpiciclib Isetionate Tablets, QD, oral, taken continuously for 21 days, then stopped for 7 days, 28 days for a cycle |
|
| Toripalimab Injection | Drug | Toripalimab Injection,Intravenous infusion, once every 3 weeks, 21 days for 1 cycle |
|
| Paclitaxel for Injection (Albumin Bound) | Drug | Paclitaxel for Injection (Albumin Bound),Intravenous infusion, D1, 8, 15 infusion, every 28 days for a cycle |
|
| Fluzoparib Capsules | Drug | Fluzoparib Capsules is administered once daily, orally |
|
| Pyrotinib Maleate Tablets | Drug | Pyrotinib Maleate Tablets is administered once daily, orally |
|
| Capecitabine Tablets | Drug | Capecitabine Tablets is administered once daily, orally |
|
| Up to 2 years |
| Disease Control Rate(DCR) | Disease Control Rate(DCR) | Up to 2 years |
| Progression-Free Survival (PFS) | Progression-Free Survival (PFS) as Determined by Investigator according to RECIST v1.1 | Up to 2 years |
| Overall Survival (OS) | Overall Survival (OS) | Up to 2 years |
| AUC of JS105,dalpiciclib and fluzoparib | Area under the curve of JS105,dalpiciclib and fluzoparib | At pre-defined intervals up to 2 years |
| Tmax of JS105, dalpiciclib and fluzoparib | Time to reach maximum concentration of JS105,dalpiciclib and fluzoparib | At pre-defined intervals up to 2 years |
| Cmax of JS105,dalpiciclib and fluzoparib | Maximum Plasma Concentration (Cmax) of JS105, dalpiciclib and fluzoparib | At pre-defined intervals up to 2 years |
| Vz/F of JS105, dalpiciclib and fluzoparib | Apparent volume of distribution of JS105, dalpiciclib and fluzoparib | At pre-defined intervals up to 2 years |
| Clearance(CL) of JS105, dalpiciclib and fluzoparib | Clearance(CL) of JS105, dalpiciclib and fluzoparib | At pre-defined intervals up to 2 years |
| Half-life(T1/2) of JS105, dalpiciclib and fluzoparib | Half-life(T1/2) of JS105, dalpiciclib and fluzoparib | At pre-defined intervals up to 2 years |
| ID | Term |
|---|---|
| D000077267 | Fulvestrant |
| C000656314 | toripalimab |
| D017239 | Paclitaxel |
| D007267 | Injections |
| C000722917 | fluzoparib |
| D000069287 | Capecitabine |
| ID | Term |
|---|---|
| D004958 | Estradiol |
| D004963 | Estrenes |
| D004962 | Estranes |
| D013256 | Steroids |
| D000072473 | Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
| D045166 | Estradiol Congeners |
| D012739 | Gonadal Steroid Hormones |
| D042341 | Gonadal Hormones |
| D006728 | Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |
| D043823 | Taxoids |
| D043822 | Cyclodecanes |
| D003516 | Cycloparaffins |
| D006840 | Hydrocarbons, Alicyclic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D004224 | Diterpenes |
| D013729 | Terpenes |
| D004333 | Drug Administration Routes |
| D004358 | Drug Therapy |
| D013812 | Therapeutics |
| D003841 | Deoxycytidine |
| D003562 | Cytidine |
| D011741 | Pyrimidine Nucleosides |
| D011743 | Pyrimidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D005472 | Fluorouracil |
| D014498 | Uracil |
| D011744 | Pyrimidinones |
| D003853 | Deoxyribonucleosides |
| D009705 | Nucleosides |
| D009706 | Nucleic Acids, Nucleotides, and Nucleosides |
Not provided
Not provided