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After considering the company's project situation and strategic development direction, it has been decided to terminate this project. The experiment will be terminated for non safety reasons.
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This is a study to evaluate the tolerance, dose-limiting toxicity (DLT), and maximum tolerated dose (MTD) of single and multiple oral doses of TQ-A3334 and observe the efficacy of TQ-A3334 in combination with anlotinib capsules in patients with non-small cell lung cancer.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TQ-A3334 tablets | Experimental | TQ-A3334 tablets administered orally on day 1, 8, 15 in 21-day cycle. |
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| TQ-A3334 tablets + Anlotinib capsules | Experimental | TQ-A3334 tablets administered orally on day1, 8, 15 in 21-day cycle plus Anlotinib capsules given orally in fasting conditions , once daily in 21-day cycle (14 days on treatment from Day 1-14, 7 days off treatment from Day 15-21). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TQ-A3334 tablets | Drug | TQ-A3334 is a highly efficient and highly selective Toll-like receptor-7 (TLR-7) agonist. TLR-7 can induce the release of a series of pro-inflammatory cytokines, including interferon alpha (IFN-α), Interleukin 12 (IL-12), Tumor Necrosis Factor Alpha (TNF-α), and promote the maturation and antigen presentation of dendritic cells, play an antitumor effect. |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse events (AE) | The occurrence of adverse events and serious adverse events. | Baseline up to 21 days |
| Dose limited toxicity (DLT) | DLT defined as any of the following events occurring during the study related to drugs: (1) ≥grade 3 non-hematologic toxicity; (2) Grade 4 neutropenia, thrombocytopenia, and hemoglobin reduction confirmed by at least 2 tests within 2 days; (3) Grade 3 neutropenia with fever confirmed at least 2 times within 2 days; (4) Immune-related interstitial pneumonia ≥ grade 2; (5) Decreased ventricular ejection fraction ≥ grade 2 ; (6) Retinal vein occlusion (RVO), uveitis ≥ grade 2. | Baseline up to 21 days |
| Maximum tolerable dose (MTD) | MTD defined as the highest dose level at which less than or equal to 2 of 6 subjects experience dose limiting toxicity (DLT). | Baseline up to 21 days |
| Measure | Description | Time Frame |
|---|---|---|
| Tmax | To characterize the pharmacokinetics of TQ-A3334 by assessment of time to reach maximum plasma concentration. | 5 minutes, 15 minutes, 0.5 hour, 45 minutes, 1 hour, 1.5 hour, 4 hour, 12 hour, 24 hour, 48 hour, 96 hour, 144 hour after oral administration on day 1 and day 29; 30 minutes before oral administration on day 1, day 8, day 15,day 22 and day 29 |
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Inclusion Criteria:
Exclusion Criteria:
Small cell lung cancer
Other malignant tumors that have appeared or are presently present within 5 years, except for cured cervical carcinoma in situ and non-melanoma skin cancer
Has received chemotherapy, surgery, radiotherapy, the last treatment from the first dose less than 4 weeks, or oral targeted drugs for less than 5 half-lives, or oral fluorouracil pyridine drugs for less than 14 days, mitomycin C and nitrosourea for less than 6 weeks
Expect to use any active vaccine against infectious diseases within 28 days before the first administration or during the study period
Immunosuppressive therapy with immunosuppressive agents or systemic or absorbable local hormones (dosage > 10 mg/day prednisone or other therapeutic hormones) is required for the purpose of immunosuppression, and is still in use for 2 weeks after the first administration
Active autoimmune diseases that require systemic treatment have occurred within 2 years before the first administration
Hypersensitivity to TQ-A3334 or its excipient
Has uncontrollable symptoms of brain metastases, spinal cord compression, cancerous meningitis
Has unrelieved toxicity reactions ≥ grade 1 due to previous treatment
Imaging (CT or MRI) shows that tumor invades large blood vessels or the boundary with blood vessels is unclear
Has thyroid dysfunction that requires drug treatment within 6 months before the first administration
Has multiple factors affecting oral medication
Has any severe acute complications before the first administration
Have participated in other clinical trials within 4 weeks before the first administration
According to the judgement of the researchers, there are other factors that may lead to the termination of the study
In addition to the above criteria, the extended research phase must meet the following criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Jingling Hospital | Nanjing | Jiangsu | 210023 | China |
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| ID | Term |
|---|---|
| D002289 | Carcinoma, Non-Small-Cell Lung |
| ID | Term |
|---|---|
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
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| ID | Term |
|---|---|
| C000625192 | anlotinib |
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|
| TQ-A3334 tablets + Anlotinib capsules | Drug | TQ-A3334 is a highly efficient and highly selective TLR-7 agonist. TLR-7 can induce the release of a series of pro-inflammatory cytokines, including IFN-α (interferon-α), IL-12 (Interleukin 12), TNF-α, and promote the maturation and antigen presentation of dendritic cells, play an antitumor effect. Anlotinib hydrochloride is a muti-target tyrosine kinase inhibitor. |
|
| Cmax | Cmax is the maximum plasma concentration of TQ-A3334 or metabolite(s). | 5 minutes, 15 minutes, 0.5 hour, 45 minutes, 1 hour, 1.5 hour, 4 hour, 12 hour, 24 hour, 48 hour, 96 hour, 144 hour after oral administration on day 1 and day 29; 30 minutes before oral administration on day 1, day 8, day 15,day 22 and day 29 |
| t1/2 | t1/2 is time it takes for the blood concentration of TQ-A3334 or metabolite(s) to drop by half. | 5 minutes, 15 minutes, 0.5 hour, 45 minutes, 1 hour, 1.5 hour, 4 hour, 12 hour, 24 hour, 48 hour, 96 hour, 144 hour after oral administration on day 1 and day 29; 30 minutes before oral administration on day 1, day 8, day 15,day 22 and day 29 |
| Area under the plasma concentration-time curve (AUC 0-t) | To characterize the pharmacokinetics of TQ-A3334 by assessment of area under the plasma concentration time curve from zero to infinity. | 5 minutes, 15 minutes, 0.5 hour, 45 minutes, 1 hour, 1.5 hour, 4 hour, 12 hour, 24 hour, 48 hour, 96 hour, 144 hour after oral administration on day 1 and day 29; 30 minutes before oral administration on day 1, day 8, day 15,day 22 and day 29 |
| Overall response rate (ORR) | Percentage of Participants Achieving Complete Response (CR) and Partial Response (PR). | Up to 96 weeks |
| Progression-free survival (PFS) | PFS defined as the time from randomization until the first documented progressive disease (PD) or death from any cause. | Up to 96 weeks |
| Duration of Response (DOR) | Time from tumor first assessment to CR or PR to first assessment to PD (Progressive Disease) or death from any cause. | Up to 96 weeks |
| Disease control rate (DCR) | Percentage of Participants Achieving Complete Response (CR) and Partial Response (PR) and Stable Disease (SD). | Up to 96 weeks |
| D013899 |
| Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |