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The goal of this study is to evaluate Safety, Tolerability, Pharmacokinetics and Efficacy of YZJ-5053 Tablets in Participants with Advanced Solid Tumors
Part1(phase 1a) :To define the maximum tolerated dose (MTD) and/or a recommended phase 2 dose(RP2D). To evaluate the safety and tolerability of YZJ-5053 tables in participants with advanced solid tumors.
Part2(phase 1b) : To define the RP2D. To evaluate the safety and tolerability of YZJ-5053 tables in subjects with advanced solid tumors
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| YZJ-5053 tablets | Experimental | YZJ-5053 tablets will be administrated orally quaque die (QD) for 21 days |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| YZJ-5053 tablets | Drug | YZJ-5053 tablets will be administrated orally QD for 21 days |
|
| Measure | Description | Time Frame |
|---|---|---|
| Determination of Maximum Tolerated Dose (MTD) of YZJ-5053 | The MTD will be based on dose limiting toxicity (DLT) | 21days as a cycle |
| To identify a recommended Phase 2 dose (RP2D) of YZJ-5053 | RP2D will be be based on MTD | 21days as a cycle |
| Number of participants with treatment-related adverse events as assessed by National Cancer Institute-Common Terminology Criteria for Adverse Events version 5.0 (NCI-CTCAE v5.0) | All events with a Grade 3 or above toxicity (defined by the NCI-CTCAE 5.0) will be tabulated by event and by relationship to YZJ-5053 | 21days as a cycle |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum observed plasma concentration (Cmax) of YZJ-5053 | Maximum plasma concentration of YZJ-5053 after single and multiple dose administration of YZJ-5053 | single dose: predose, 0.5、1、2、4、6、8、12、24、48、72 hours post-dose. multiple dose: predose on days 1、3、4、5、6, and 0.5、1、2、4、6、8、12 hours post-dose on day 5 |
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Inclusion Criteria:
absolute neutrophil count (ANC) ≥ 1.5 x 10^9/L; Platelets ≥ 75 x 10^9/L; Hemoglobin ≥85 g/L; aspartate aminotransferase (AST) or alanine aminotransferase (ALT) ≤ 3 x upper limit of normal (ULN) , or ≤ 5 x ULN if liver cancer or liver metastases are present.
Total bilirubin < 1.5 x ULN , or < 3.0 x ULN for subjects with liver cancer or liver metastases or documented Gilbert's syndrome (unconjugated hyperbilirubinemia); Serum creatinine (Scr) <1.5×ULN, or creatinine clearance (Ccr) > 50 mL/min according to Cockcroft-Gault equation; international normalized ratio (INR) and activated partial thromboplastin time (APTT) < 1.5 ULN;
Exclusion Criteria:
Subjects with autoimmune-related hypothyroidism requiring stable dose thyroxine replacement only are eligible; Subjects with type I diabetes mellitus controlled on a stable insulin regimen are eligible;
Locally, ocularly, intra-articularly, intranasally, or inhaled corticosteroids; Subjects receiving acute low-dose systemic immunosuppressive drugs (e.g., single dexamethasone for nausea) may be enrolled after discussion with and approval from medical monitor ; Alternative steroid doses for diseases such as adrenal or pituitary insufficiency are ≤ 10 mg/day in prednisone equivalents; Corticosteroids hydrochloride (eg fludrocortisone) for orthostatic hypotension; Short-term (≤ 7 days) use of steroids for the prevention or treatment of non-autoimmune allergic diseases; Single ues of glucocorticoids before enhanced-imaging for prevention of contrast agent allergy;
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| Name | Affiliation | Role |
|---|---|---|
| Jin Li | Shanghai East Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The First Affiliated Hospital of Nanchang University | Nanchang | Jiangxi | 330000 | China | ||
| Shandong Cancer Hospital |
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Dose escalation and dose expansion
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| Time to reach Cmax (Tmax) of YZJ-5053 |
The amount of time to reach Cmax after single and multiple dose administration of YZJ-5053 |
| single dose: predose, 0.5、1、2、4、6、8、12、24、48、72 hours post-dose. multiple dose: predose on days 1、3、4、5、6, and 0.5、1、2、4、6、8、12 hours post-dose on day 5 |
| Terminal half-life (t1/2) of YZJ-5053 | Terminal half-life (t1/2) after single and multiple dose administration of YZJ-5053 | single dose: predose, 0.5、1、2、4、6、8、12、24、48、72 hours post-dose. multiple dose: predose on days 1、3、4、5、6, and 0.5、1、2、4、6、8、12 hours post-dose on day 5 |
| Area under the plasma concentration-time curve (AUC) of YZJ-5053 | Area under the plasma concentration versus time curve after single and multiple dose administration of YZJ-5053 | single dose: predose, 0.5、1、2、4、6、8、12、24、48、72 hours post-dose. multiple dose: predose on days 1、3、4、5、6, and 0.5、1、2、4、6、8、12 hours post-dose on day 5 |
| apparent clearance following oral administration for YZJ-5053 | To characterise the pharmacokinetics (PK) after single and multiple dose administration of YZJ-5053 | single dose: predose, 0.5、1、2、4、6、8、12、24、48、72 hours post-dose. multiple dose: predose on days 1、3、4、5、6, and 0.5、1、2、4、6、8、12 hours post-dose on day 5 |
| apparent volume of distribution for YZJ-5053 | To characterise the PK after single and multiple dose administration of YZJ-5053 | single dose: predose, 0.5、1、2、4、6、8、12、24、48、72 hours post-dose. multiple dose: predose on days 1、3、4、5、6, and 0.5、1、2、4、6、8、12 hours post-dose on day 5 |
| Objective Response Rate (ORR) as defined by Investigator-assessed Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 | For solid tumors, this will be determined per RECIST v1.1 guidelines | Evaluate every 6 weeks (±1 week) until study completion, an average of 1 year |
| Disease control rate (DCR) as defined by Investigator-assessed RECIST v1.1 | For solid tumors, this will be determined per RECIST v1.1 guidelines | Evaluate every 6 weeks (±1 week) until study completion, an average of 1 year |
| Duration Of Response (DOR) as defined by Investigator-assessed RECIST v1.1 | For solid tumors, this will be determined per RECIST v1.1 guidelines | Evaluate every 6 weeks (±1 week) until study completion, an average of 1 year |
| Progression-free Survival (PFS) as defined by Investigator-assessed RECIST v1.1 | For solid tumors, this will be determined per RECIST v1.1 guidelines | Evaluate every 6 weeks (±1 week) until study completion, an average of 1 year |
| Jinan |
| Shandong |
| 250000 |
| China |
| Shanghai East Hospital | Shanghai | Shanghai Municipality | 200120 | China |
| The Second Affiliated Hospital Zhejiang University School of Medicine | Hangzhou | Zhejiang | 310000 | China |