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This is a phase 1, multicenter, open-label stydy to Evaluate the Safety, Efficacy, and Pharmacokinetics of YL201 in Combination with Serplulimab with or without Platinum-based Chemotherapy in Selected Subjects with Advanced Solid Tumors conducted in China. The study will include 2 parts: a dose escalation part (Part 1) followed by a cohort expansion part (Part 2).
Part 1 will estimate the safety, tolerability and MTD/RED(s) of YL201 in combination with serplulimab with or without platinum-based chemotherapy in selected subjects with advanced solid tumors.
Part 2 will estimate the efficacy of YL201 in combination with serplulimab with or without platinum-based chemotherapy in selected subjects with advanced solid tumors.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part 1: Dose escalation | Experimental | YL201 in Combination with Serplulimab with or without Platinum-based Chemotherapy |
|
| Part2: Cohort Expansion | Experimental | YL201 in Combination with Serplulimab with or without Platinum-based Chemotherapy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| YL201 | Drug | YL201 (High dose, medium dose and low dose; Q3W) in Combination with Serplulimab (4.5mg/kg; Q3W) with or without Platinum(70 mg/m2; Q3W)-based Chemotherapy. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Evaluate the AEs in YL201 combination with serplulimab with or without platinum-based chemotherapy in advanced solid tumors | AE: Adverse Event | Approximately within 36 months |
| To determine the MTD/RED of YL201 in combination with serplulimab with or without platinum-based chemotherapy in advanced solid tumors | maximum tolerated dose (MTD), recommended expansion dose (RED) | Approximately within 36 months |
| To evaluate the efficacy of YL201 in combination with serplulimab with or without platinum-based chemotherapy in advanced solid tumors based on ORR | objective response rate (ORR) | Approximately within 36 months |
| To determine the RP2D of YL201 in combination with serplulimab with or without platinum-based chemotherapy in advanced solid tumors based on ORR | recommended Phase 2 dose (RP2D) | Approximately within 36 months |
| Measure | Description | Time Frame |
|---|---|---|
| To evaluate the AUC of YL201 combination therapy | area under the curve (AUC) | Approximately within 36 months |
| To evaluate the Cmax of YL201 combination therapy | peak concentration (Cmax) |
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Inclusion Criteria:
1) Informed of the study before the start of the study and voluntarily sign their name and date on the informed consent form (ICF).
2) Subjects will be enrolled in the dose-escalation phase: Advanced solid tumors, like NPC, SCLC and etc.
3) Subjects will be enrolled in the dose-expansion phase: NPC, SCLC, NSCLC and other advanced cancer.
4) According to the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1, there must be at least one extracranial measurable lesion.
5) Archived or fresh tumor tissue samples can be provided. 6) Within 7 days before the first dose, organ and bone marrow functions must meet the requirements.
7) Eastern Cooperative Oncology Group performance status (ECOG PS) score of 0 or 1 by the United States of America standards.
8) Female subjects of childbearing potential must agree to use highly effective contraception measures from screening throughout the duration of the study and for at least 6 months after the last dose of the study drug. Male subjects must agree to use highly effective contraception measures from screening throughout the duration of the study and for at least 6 months after the last dose of the study drug.
9) Subjects with expected survival ≥ 3 months. 10) Capable and willing to comply with the study protocol's scheduled visits and procedures.
Exclusion Criteria:
1) Suitable for local radical treatment. 2) Previous Drug therapy targeting B7H3. 3) Previous Drug therapy with topoisomerase I inhibitors or ADCs composed of topoisomerase I inhibitors.
4) Prior treatment with anti-PD-(L)1, other immune checkpoint inhibitors, immune checkpoint agonists, or immunocellular therapies and other therapies targeting tumor immunity mechanisms.
5) Toxicity from previous anticancer treatments has not resolved. 6) Concurrent enrollment in another clinical study. 7) Inadequate washout period for prior anticancer treatment before the first dose of study drug.
8) Underwent major surgery (excluding diagnostic surgery) or suffered serious trauma.
9) Received allogeneic stem cell or solid organ transplant. 10) Active autoimmune diseases requiring systemic treatment. 11) Received systemic steroids. 12) Metastases to meninges or carcinomatous meningitis. 13) Brain metastasis or spinal cord compression. 14) Uncontrolled or clinically significant cardiovascular disease. 15) Clinically significant concomitant pulmonary disease. 16) With uncontrolled third-space fluid. 17) History of gastrointestinal perforation and / or fistula within 6 months prior to the first dose.
18) Serious Infection prior to the first dose. 19) Known human immunodeficiency virus (HIV), hepatitis B virus (HBV) or hepatitis C virus (HCV) infection.
20) Any other primary malignancy before the first dose of study drug. 21) A history of severe hypersensitivity reactions to the investigational product, inactive ingredients in the formulation, or other monoclonal antibodies.
22) Women who are breastfeeding or pregnant as confirmed by pregnancy tests performed within 3 days before the first dose.
23) Any illness, medical condition, organ system dysfunction, or social situation.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Peking University Cancer Hospital | Beijing | Beijing Municipality | China | |||
| Cancer Hospital, Chinese Academy of Medical Sciences |
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|
| Approximately within 36 months |
| To evaluate the Ctrough of YL201 combination therapy | trough concentration (Ctrough) | Approximately within 36 months |
| To evaluate the CL of YL201 combination therapy | clearance rate (CL) | Approximately within 36 months |
| To evaluate the Vd of YL201 combination therapy | volume of distribution (Vd) | Approximately within 36 months |
| To evaluate the t1/2 of YL201 combination therapy | half-life time (t1/2) | Approximately within 36 months |
| To evaluate the DpR of YL201 combination therapy | depth of response (DpR); assessed based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 | Approximately within 36 months |
| To evaluate the DCR of YL201 combination therapy | disease control rate (DCR); assessed based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 | Approximately within 36 months |
| To evaluate the DoR of YL201 combination therapy | duration of response (DoR); assessed based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 | Approximately within 36 months |
| To evaluate the TTR of YL201 combination therapy | time to response (TTR); assessed based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 | Approximately within 36 months |
| To evaluate the PFS of YL201 combination therapy | progression-free survival (PFS); assessed based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 | Approximately within 36 months |
| To evaluate the OS of YL201 combination therapy | Overall survival (OS) | Approximately within 36 months |
| To evaluate the immunogenicity of YL201 combination therapy | Incidence of anti-YL201 antibodies | Approximately within 36 months |
| To assess the expression level of B7H3 and PD-L1 in Tumor tissue | Approximately within 36 months |
| Beijing |
| Beijinig |
| China |
| Chongqing University Cancer Hospital | Chongqing | Chongqing Municipality | China |
| Fujian Provincial Cancer Hospital | Fuzhou | Fujian | China |
| The First Hospital of Lanzhou University | Lanzhou | Gansu | China |
| Sun Yat-Sen University Cancer Center | Guangzhou | Guangdong | China |
| Affiliated Cancer Hospital of Guangxi Medical University | Nanning | Guangxi | China |
| The Fourth Hospital of Hebei Medical University | Shijiazhuang | Hebei | China |
| Cancer Hospital Affiliated to Harbin Medical University | Harbin | Heilongjiang | China |
| Henan Cancer Hospital | Zhengzhou | Henan | China |
| The First Affiliated Hospital of Zhengzhou University | Zhengzhou | Henan | China |
| Union Hospital Tongji Medical College HuaZhong University of Science Technology | Wuhan | Hubei | China |
| Hunan Cancer Hospital | Changsha | Hunan | China |
| Jiangxi Cancer Hospital | Nanchang | Jiangxi | China |
| The First Affiliated Hospital of Nanchang University | Nanchang | Jiangxi | China |
| The First Hospital of Jilin University | Changhua | Jilin | China |
| Liaoning Provincial Cancer Hospital | Shenyang | Liaoning | China |
| Shandong Cancer Hospital and Institute | Jinan | Shandong | China |
| Linyi Central Hospital | Linyi | Shandong | China |
| Zaozhuang Municipal Hospital | Zaozhuang | Shandong | China |
| West China Hospital of Sichuan University | Chengdu | Sichuan | China |
| West China Hospital, Sichuan University | Sichuan | Sichuan | China |
| The First Affiliated Hospital, Zhejiang University School of Medicine | Hangzhou | Zhejiang | China |
| Zhejiang Provincial Cancer Hospital | Hangzhou | Zhejiang | China |
| Taizhou Hospital of Zhejiang Province | Taizhou | Zhejiang | China |
| ID | Term |
|---|---|
| D010984 | Platinum |
| ID | Term |
|---|---|
| D019216 | Metals, Heavy |
| D004602 | Elements |
| D007287 | Inorganic Chemicals |
| D028561 | Transition Elements |
| D008670 | Metals |
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