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The aim of the Phase Ia portion is to identify the maximum tolerated dose or maximum acceptable dose MTD/MAD of HS-10516. The phase Ib portion will evaluate the preliminary efficacy of HS-10516 in patients with VHL Syndrome Associated Tumors.
This is a Phase Ia/Ib open label multicenter study of HS-10516 in Chinese patients aged 18 years or older with VHL Syndrome Associated Tumors. HS-10516 as a single agent, is administrated orally once daily. The aim of phase Ia, a dose escalation study, is to identify the MTD/MAD of HS-10516. The goal of Phase Ib, a dose expansion study, is to evaluate the safety, pharmacokinetics and antitumor efficacy of HS-10516.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Phase Ia dose escalation arm | Experimental | Participants will be assigned to pre-specified dose level to identify the MTD/MAD of HS-10516. |
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| Phase Ib dose expansion arm 1 | Experimental | Participants with VHL Syndrome associated RCC, whose lesions diameter ≤ 3 cm. |
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| Phase Ib dose expansion arm 2 | Experimental | Participants with VHL Syndrome associated RCC, who could not be included in arm 1. |
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| Phase Ib dose expansion arm 3 | Experimental | Participants with VHL Syndrome associated non-RCC tumors. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Oral HS-10516 | Drug | Oral HIF-2α inhibitor |
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| Measure | Description | Time Frame |
|---|---|---|
| Phase Ia: MTD/MAD of HS-10516 | Maximum Tolerated Dose or Maximum Acceptable Dose determined by the Number of Participants with Dose Limiting Toxicity (DLT) events during the DLT monitoring period (first 35 days of dosing) in the Dose Escalation Phase | Approximately 2 months |
| Phase Ib: Objective Response Rate (ORR) by Independent Review Committee (IRC) | ORR defined as the percentage of participants with a confirmed complete response (CR) or partial response (PR) based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. ORR will be assessed by IRC. | Approximately 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| The Number of Participants with Adverse Events | An adverse event (AE) is defined as any untoward medical occurrence in a patient and which does not necessarily have a causal relationship with this treatment. The investigator assessed the relationship of each event to the use of study drug as either probably related, possibly related, probably not related or not related. | Approximately 2 years |
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Inclusion Criteria:
Exclusion Criteria:
Recieved or being received treatment as follows:
Has a pulse oximetry reading less than 92% at screening, requires intermittent supplemental oxygen, or requires chronic supplemental oxygen
Has failed to recover from a ≥ grade 2 adverse event due to prior anti-tumor therapy
Has another malignancy or a history of another non-VHL syndrome associated malignancy
Has inadequate bone marrow reserve or organ dysfunction
Has a clinically significant bleeding events or tendency within 1 month prior to the first dose of study treatment
Has severe infections within 4 weeks prior to the first dose of study treatment
Has digestive system diseases may influencing ADME of study drug
Has a history of severe hypersensitivity reaction, or proven allergic to HS-10516 or its metabolin
Has any disease or condition would compromise subject safety or interfere with study assessments by investigator's decision
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Kan Gong, PhD | Contact | 13910394281 | kan.gong@bjmu.edu.cn |
| Name | Affiliation | Role |
|---|---|---|
| Kan Gong, PhD | Peking University First Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Peking University First Hospital | Recruiting | Beijing | Beijing Municipality | 100034 | China |
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| ID | Term |
|---|---|
| D006623 | von Hippel-Lindau Disease |
| D018242 | Neuroectodermal Tumors, Primitive |
| ID | Term |
|---|---|
| D020752 | Neurocutaneous Syndromes |
| D009422 | Nervous System Diseases |
| D000798 | Angiomatosis |
| D014652 | Vascular Diseases |
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| Observed maximum plasma concentration (Cmax) of HS-10516 | Cmax will be obtained following administration of the first dose of HS-10516 during first 2 cycles. | Approximately 2 months |
| Time to reach maximum plasma concentration (Tmax) of HS-10516 | Tmax will be obtained following administration of the first dose of HS-10516 during first 2 cycles. | Approximately 2 months |
| Area under plasma concentration versus time curve from zero to last sampling time (AUC0-t) following the first dose of HS-10516 | Area under the plasma concentration versus time curve from time zero to the last sampling time when the concentration was no less than the lower limit of quantification (LLQ). AUC0-t was calculated according to the mixed log-linear trapezoidal rule. | Approximately 1 year |
| ORR by investigators/IRC per system | ORR defined as the percentage of participants with a confirmed complete response (CR) or partial response (PR) based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. | Approximately 1 year |
| Disease Control Rate (DCR) by investigators/IRC per system | DCR defined as the percentage of participants with a confirmed complete response (CR) or partial response (PR) or a stable disease (SD) of 8 weeks or longer based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. | Approximately 1 year |
| Duration of Response (DoR) by investigators/IRC per system | DoR is defined as the time from the date of first documented CR or PR, assessed by investigator and based on RECIST v. 1.1, to the documented date of progressive disease (PD) or death, whichever occurred first. | Approximately 1 year |
| Progression Free Survival (PFS) by investigators/IRC per system | PFS defined as the time from the date the participant started study drug to the date the participant experiences an event of disease progression or death. | Approximately 2 years |
| Overall Survival (OS) | OS defined as the time from the date the participant started study drug to death for any reason. | Approximately 2 years |
| D002318 |
| Cardiovascular Diseases |
| D000072661 | Ciliopathies |
| D000015 | Abnormalities, Multiple |
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D030342 | Genetic Diseases, Inborn |
| D018302 | Neoplasms, Neuroepithelial |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009380 | Neoplasms, Nerve Tissue |