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This study is divided into two parts: Cohort 1 and Cohort 2. Cohort 1 includes the dose escalation phase of DP303c combined with simmitinib, as well as the randomized controlled trial (RCT) phase of DP303c combined with simmitinib; Cohort 2 includes dose escalation/dose extension of DP303c combined with irinotecan liposomes, as well as RCT stage of DP303c combined with irinotecan liposomes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| DP303c injection, dose level 1, Q3W + simmitinib tablets, dose level 1, D1-D21, Q4W | Experimental | DP303c injection, dose level 1, intravenous drip, Q3W + simmitinib tablets, dose level 1, oral, QD, taken for 3 weeks, discontinued for 1 week, Q4W |
|
| DP303c injection, dose level 1, Q3W + simmitinib tablets, dose level 2, D1-D21, Q4W | Experimental | DP303c injection, dose level 1, intravenous drip, Q3W + simmitinib tablets, dose level 2, oral, QD, taken for 3 weeks, discontinued for 1 week, Q4W |
|
| DP303c injection, dose level 1, Q2W + simmitinib tablets, dose level 2, D1-D21, Q4W | Experimental | DP303c injection, dose level 1, intravenous drip, Q2W + simmitinib tablets, dose level 2, oral, QD, taken for 3 weeks, discontinued for 1 week, Q4W |
|
| DP303c injection, dose level 2, Q3W + simmitinib tablets, dose level 2, D1-D21, Q4W | Experimental | DP303c injection, dose level 2, intravenous drip, Q3W + simmitinib tablets, dose level 2, oral, QD, taken for 3 weeks, discontinued for 1 week, Q4W |
|
| DP303c RP2D + irinotecan liposomes RP2D |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| DP303c | Drug | DP303c is an antibody conjugate drug (ADC), composed of one anti-HER2 monoclonal antibody coupled to one MMAE via an enzyme specific linker |
|
| Measure | Description | Time Frame |
|---|---|---|
| Dose-limiting toxicity(DLT) occurrence and incidence | Up to approximately 36 months after the first participant is enrolled | |
| Adverse events (AE) occurrence and incidence | Up to approximately 36 months after the first participant is enrolled | |
| Objective response rate (ORR) per RECIST 1.1 | Up to approximately 36 months after the first participant is enrolled | |
| Serious adverse events (SAE) occurrence and incidence | Up to approximately 36 months after the first participant is enrolled |
| Measure | Description | Time Frame |
|---|---|---|
| Disease control rate (DCR) per RECIST 1.1 | Up to approximately 36 months after the first participant is enrolled | |
| Duration of response (DoR) per RECIST 1.1 | Up to approximately 36 months after the first participant is enrolled |
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Inclusion Criteria:
Exclusion Criteria:
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Exclusion Criteria:
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In the dose escalation phase, a "3+3" approach is used to explore the safety and tolerability of subjects, and in the randomized controlled phase, the efficacy of different combination doses is explored
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| Experimental |
|
| Single agent chemotherapy chosen by researchers | Active Comparator | Single agent chemotherapy chosen by researchers: paclitaxel, docetaxel, or irinotecan |
|
| Simmitinib tablets | Drug | A novel small molecule inhibitor targeting fibroblast growth factor receptor (FGFR), vascular endothelial growth factor receptor (VEGFR2, KDR), and colony-stimulating factor 1 receptor (CSF-1R) |
|
| Irinotecan liposomes | Drug | A chemotherapy |
|
| Paclitaxel or docetaxel or irinotecan | Drug | Paclitaxel or docetaxel or irinotecan is used as a control. |
|
| Progression free survival (PFS) per RECIST 1.1 | Up to approximately 36 months after the first participant is enrolled |
| Overall survival(OS) | Up to approximately 36 months after the first participant is enrolled |
| Blood drug concentration of DP303c | Up to approximately 36 months after the first participant is enrolled |
| Blood concentration of total anti-DP303c antibody | Up to approximately 36 months after the first participant is enrolled |
| Positive incidence of anti-DP303c antibody (ADA) | Up to approximately 36 months after the first participant is enrolled |
| HER2 expression level | Up to approximately 36 months after the first participant is enrolled |
| Blood concentration of simmitinib | Up to approximately 36 months after the first participant is enrolled |
| ID | Term |
|---|---|
| D017239 | Paclitaxel |
| D000077143 | Docetaxel |
| D000077146 | Irinotecan |
| ID | Term |
|---|---|
| D043823 | Taxoids |
| D043822 | Cyclodecanes |
| D003516 | Cycloparaffins |
| D006840 | Hydrocarbons, Alicyclic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D004224 | Diterpenes |
| D013729 | Terpenes |
| D002166 | Camptothecin |
| D000470 | Alkaloids |
| D006571 | Heterocyclic Compounds |
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