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This is a first-in-human (FIH), open-label, and multi-center Phase I/II study designed to evaluate the safety, tolerability, pharmacokinetics, and preliminary anti-tumor activity of CS2009 as Monotherapy and Combination Therapy in Participants with Advanced Solid Tumors. The study is comprised of a Phase I dose escalation and Phase II dose expansion.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dose Escalation | Experimental | Participants will be administered escalating doses of CS2009. |
|
| Dose Expansion | Experimental | Participants will be administered the recommended dose(s) of CS2009 with or without chemotherapy according to dose-escalation data. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CS2009 | Drug | CS2009 will be administered via intravenous (IV) infusion on Day 1 of repeated 21-day cycles (Q3W). |
|
| Measure | Description | Time Frame |
|---|---|---|
| [Dose Escalation] Maximum tolerated dose (MTD) of CS2009 | Participants will receive CS2009 via intravenous (IV) infusion on Day 1 of repeated 21-day cycles (Q3W). The MTD will be determined, if any, by the number of participants who experience a dose limiting toxicity (DLT). | Cycle 1 (Up to 21 Days) |
| [Dose Escalation] Tentative recommended Phase II dose (RP2D) of CS2009 | The selection of tentative RP2D will be based on consideration of overall safety information together with available pharmacokinetic, pharmacodynamic, and efficacy data. The tentative RP2D may be the MTD or a lower dose within the tolerable dose range. | Cycle 1 (Up to 21 Days) |
| [Dose Escalation] Number of participants with adverse events (AEs) | Up to approximately 2 years | |
| [Dose Expansion] Objective response rate (ORR) evaluated by investigators per RECIST v1.1 | Up to approximately 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| [Dose Escalation & Expansion] Area under the curve (AUC) of CS2009 | Up to approximately 2 years | |
| [Dose Escalation & Expansion] Maximum concentration (Cmax) of CS2009 | Up to approximately 2 years |
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Inclusion Criteria:
Phase I:
Phase II:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jingru Wang | Contact | +86 18017113282 | wangjingru@cstonepharma.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| START Los Angeles, LLC | Recruiting | Los Angeles | California | 90025 | United States | |
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| CS2009 | Drug | CS2009 will be administered via intravenous (IV) infusion on Day 1 of repeated 14/21-day cycles (Q2W/Q3W). |
|
| Pemetrexed | Drug | IV infusion |
|
| Carboplatin | Drug | IV infusion |
|
| Paclitaxel | Drug | IV infusion |
|
| Etoposide | Drug | IV infusion |
|
| Nab-paclitaxel | Drug | IV infusion |
|
| Oxaliplatin | Drug | IV infusion |
|
| Capecitabine | Drug | oral tablets |
|
| Docetaxel | Drug | IV infusion |
|
| Leucovorin | Drug | IV infusion |
|
| 5-FU | Drug | IV infusion |
|
| Cisplatin | Drug | IV infusion |
|
| [Dose Escalation & Expansion] Elimination half-life (t1/2) of CS2009 | Up to approximately 2 years |
| [Dose Escalation & Expansion] Minimum concentration (Cmin) of CS2009 | Up to approximately 2 years |
| [Dose Escalation & Expansion] Number of participants with anti-CS2009 antibodies | Up to approximately 2 years |
| [Dose Escalation] Objective response rate (ORR) evaluated by investigators per RECIST v1.1 | Up to approximately 2 years |
| [Dose Expansion] Number of participants with adverse events (AEs) | Up to approximately 2 years |
| NEXT Dallas |
| Recruiting |
| Irving |
| Texas |
| 75039 |
| United States |
| Alfred Hospital (Alfred Health) | Recruiting | Melbourne | Australia |
| Austin Hospital (Austin Health) | Recruiting | Melbourne | Australia |
| Monash Medical Centre (Monash Health) | Recruiting | Melbourne | Australia |
| Peter Maccallum Cancer Centre Research | Recruiting | Melbourne | Australia |
| Icon Cancer Centre South Brisbane | Recruiting | South Brisbane | Australia |
| Blacktown Hospital | Recruiting | Sydney | Australia |
| Macquarie University Hospital | Recruiting | Sydney | Australia |
| Scientia Clinical Research Ltd | Recruiting | Sydney | Australia |
| Beijing Cancer Hospital | Recruiting | Beijing | China |
| Jilin Cancer Hospital | Recruiting | Changchun | China |
| Hunan Cancer Hospital | Recruiting | Changsha | China |
| Sichuan Cancer Hospital | Recruiting | Chengdu | China |
| West China Hospital of Sichuan University | Recruiting | Chengdu | China |
| Fujian Cancer Hospital | Recruiting | Fuzhou | China |
| Sun Yat-sen Memorial Hospital, Sun Yat-sen University | Recruiting | Guangzhou | China |
| Sun Yat-Sen University Cancer Center | Recruiting | Guangzhou | China |
| The First Affiliated Hospital, Zhejiang University School of Medicine | Not yet recruiting | Hangzhou | China |
| Zhejiang Cancer Hospital | Recruiting | Hangzhou | China |
| Harbin Medical University Cancer Hospital | Recruiting | Harbin | China |
| Anhui Provincial Hospital | Recruiting | Hefei | China |
| Central Hospital Affiliated to Shandong First Medical University | Recruiting | Jinan | China |
| Linyi Cancer Hospital | Recruiting | Linyi | China |
| The First Affiliated Hospital of Nanchang University | Recruiting | Nanchang | China |
| Nanjing Drum Tower Hospital | Recruiting | Nanjing | China |
| Fudan University Shanghai Cancer Center | Recruiting | Shanghai | China |
| Shanghai East Hospital | Recruiting | Shanghai | China |
| Shanghai Pulmonary Hospital | Recruiting | Shanghai | China |
| Union Hospital, Tongji Medical College, Huazhong University of Science and Technology | Recruiting | Wuhan | China |
| Xuzhou Central Hospital | Recruiting | Xuzhou | China |
| Henan Cancer Hospital | Recruiting | Zhengzhou | China |
| The First Affiliated Hospital of Zhengzhou University | Recruiting | Zhengzhou | China |
| ID | Term |
|---|---|
| D000068437 | Pemetrexed |
| D016190 | Carboplatin |
| D017239 | Paclitaxel |
| D005047 | Etoposide |
| C520255 | 130-nm albumin-bound paclitaxel |
| D000077150 | Oxaliplatin |
| D000069287 | Capecitabine |
| D000077143 | Docetaxel |
| D002955 | Leucovorin |
| D005472 | Fluorouracil |
| D002945 | Cisplatin |
| ID | Term |
|---|---|
| D006147 | Guanine |
| D007042 | Hypoxanthines |
| D011688 | Purinones |
| D011687 | Purines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
| D005971 | Glutamates |
| D024342 | Amino Acids, Acidic |
| D000596 | Amino Acids |
| D000602 | Amino Acids, Peptides, and Proteins |
| D000600 | Amino Acids, Dicarboxylic |
| D056831 | Coordination Complexes |
| D009930 | Organic Chemicals |
| D043823 | Taxoids |
| D043822 | Cyclodecanes |
| D003516 | Cycloparaffins |
| D006840 | Hydrocarbons, Alicyclic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D004224 | Diterpenes |
| D013729 | Terpenes |
| D011034 | Podophyllotoxin |
| D013764 | Tetrahydronaphthalenes |
| D009281 | Naphthalenes |
| D011084 | Polycyclic Aromatic Hydrocarbons |
| D006841 | Hydrocarbons, Aromatic |
| D011083 | Polycyclic Compounds |
| D005960 | Glucosides |
| D006027 | Glycosides |
| D002241 | Carbohydrates |
| D003841 | Deoxycytidine |
| D003562 | Cytidine |
| D011741 | Pyrimidine Nucleosides |
| D011743 | Pyrimidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D014498 | Uracil |
| D011744 | Pyrimidinones |
| D003853 | Deoxyribonucleosides |
| D009705 | Nucleosides |
| D009706 | Nucleic Acids, Nucleotides, and Nucleosides |
| D005575 | Formyltetrahydrofolates |
| D013763 | Tetrahydrofolates |
| D005492 | Folic Acid |
| D011622 | Pterins |
| D011621 | Pteridines |
| D003067 | Coenzymes |
| D045762 | Enzymes and Coenzymes |
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
| D017672 | Nitrogen Compounds |
| D017671 | Platinum Compounds |
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