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This is a multicenter, open-label, single-arm, dose-escalation and dose-expansion Phase I/II study to evaluate the safety, tolerability and preliminary anti-tumor activity of MB0151 in adult subjects (at least 18 years old) with advanced solid tumors. This study includes two phases: dose escalation and dose expansion. In this study, the protocol of accelerated titration combined with i3+3 is used for dose escalation,administered intravenously every 2 weeks. Enrolled subjects will be sequentially assigned to the planned dose cohorts according to this protocol to receive MB0151 treatment and will be monitored for the occurrence of DLT. The RP2D and/or OBD will be determined by considering the PK profile, safety and efficacy data in the dose-escalation stage (including backfill cohorts).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MB0151 for injection | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MB0151 for injection | Drug | In this study, the protocol of accelerated titration combined with i3+3 is used for dose escalation. administered intravenously every 2 weeks . |
|
| Measure | Description | Time Frame |
|---|---|---|
| Phase I: Incidence of AEs, SAEs, infusion-related AEs, administration site AEs, AEs with CTCAE Grade ≥ 3 and AEs related to the investigational product | up to 2 years | |
| Phase I: Incidence of DLT, MTD | From the first dose to 28 days | |
| Phase I: ECG QTc Interval | up to 2 years | |
| Phase I: OBD for dose-expansion study | up to 2 years | |
| Phase II: ORR | up to 2 years | |
| Phase II: DOR | up to 2 years | |
| Phase II: DCR | up to 2 years | |
| Phase II: PFS | up to 2 years | |
| Phase II: OS | up to 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Phase I: Cmax | up to 2 years | |
| Phase I:Tmax | up to 2 years | |
| Phase I: AUC0-t |
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Inclusion Criteria:
Exclusion Criteria:
12 suffering from acute or chronic inflammatory skin diseases that have not yet recovered.
13. Have a history of deep venous thrombosis, pulmonary embolism or other serious venous thromboembolism within 3 months before the first administration (implantable venous access or catheter-derived thrombosis or superficial venous thrombosis is not considered as serious venous thromboembolism).
14. There is pelvic cavity, abdominal cavity, chest cavity or pericardial effusion that needs intervention, which can be included in the subjects in a stable state (the amount of effusion is not significantly increased and there are no clinical symptoms when the drainage tube is pulled out or undrained, and it lasts for at least 14 days).
15. The subject has a history of immunodeficiency diseases, including congenital and acquired immunodeficiency diseases.
16. Ophthalmology: There were active ocular surface diseases at baseline (based on ophthalmic evaluation). Have a history of cicatricial conjunctivitis (evaluated by an ophthalmologist). 1) There are active ocular surface diseases at baseline (based on ophthalmic evaluation). 2) Have a history of cicatricial conjunctivitis (evaluated by an ophthalmologist). Previous/combined treatment 17. Previous treatment distance before the first drug administration (C1D1): 1) Systemic anti-tumor treatment, including chemotherapy, biotherapy, immunotherapy, chemoembolization, or interventional chemotherapy, was received within 28 days or 5 half-lives (whichever is shorter). 2) receiving mitomycin C and nitrosourea drugs (such as carmustine [BiCNU or BCNU], lomustine, etc.) within 6 weeks; 3) Within 2 weeks or 5 half-lives (whichever is shorter), they have received oral fluorouracil (FU), small-molecule targeted antitumor drugs and endocrine therapy; 4) Received traditional Chinese medicine/Chinese patent medicine treatment with anti-tumor indications within 2 weeks; 5) receive radical radiotherapy within 4 weeks and palliative radiotherapy within 2 weeks; 6) Use powerful CYP3A inhibitors or inducers within 2 weeks or 5 half-lives (whichever is shorter).
18. Vaccinated with live attenuated vaccine within 4 weeks before the first administration of the study drug, or expected to need to be vaccinated with live attenuated vaccine during the study period.
19. Received corticosteroid (prednisone or equivalent dose of corticosteroid) with cumulative dose ≥150 mg within 2 weeks before the first infusion.
20. Previous treatments with coupled or uncoupled orestatin derivatives, including verbotezumab, verbotezumab, vintoizumab, vidiximab, vitexozumab, etc.
21. Any previous AE related to antineoplastic drugs must be restored to Grade ≤1, but it does not include alopecia, endocrine abnormality/vitiligo, or Grade 2 neurotoxicity caused by previous treatment (excluding peripheral and sensory neuropathy), unless the researcher thinks that these symptoms are not expected to cause excessive risk to the subjects or adversely affect their participation in this study.
22. Participate in other interventional clinical research at the same time, except for observational (non-interventional) research or in the follow-up period of interventional research.
23. Known past or current suffering from coagulation defects that increase the risk of bleeding.
24. Suffering from unhealed massive hemorrhage is defined as: 1) symptomatic hemorrhage of key regional organs, such as intracranial, intraocular, retroperitoneal, intra-articular or pericardial, or intramuscular hemorrhage with osteofascial compartment syndrome; 2) Hemorrhage occurred within 14 days before 2)C1D1, which led to a decrease in hemoglobin level of ≥20 g/L(0.31 mmol/L), or hemorrhage caused by transfusion of ≥2 units of whole blood or red blood cells.
25 allergic to octreotide or other somatostatin analogues or have a history of allergic reactions; Allergy to the study drug or payload or its derivatives or a history of immediate allergic reaction.
26. Other circumstances that the researcher thinks may cause excessive risks to the subjects, or may adversely affect their participation in this study, and the researcher judges that they are not suitable to participate.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jinming Yu, Doctor of Medicine | Contact | 13806406293 | sdyujinming@126.com | |
| Yuping Sun, Doctor of Medicine | Contact | 13370582181 | 13370582181@163.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cancer Hospital Affiliated to Shandong First Medical University | Recruiting | Jinan | Shandong | 250117 | China |
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| up to 2 years |
| Phase I: AUC0-∞ | up to 2 years |
| Phase I: t1/2 | up to 2 years |
| Phase I: CL | up to 2 years |
| Phase I: Vss | up to 2 years |
| Phase I: Incidence and severity of adverse events of interest | Phase I: Incidence and severity of adverse events of interest, including: MB0151-related peripheral neuropathy, hepatotoxicity, rash and skin reactions, infusion-related reactions, hemorrhage events, neutropenia, eye lesions, elevated blood glucose and diabetes mellitus | up to 2 years |
| Phase I: Anti-drug antibody (ADA) positive rate | up to 2 years |
| Phase I: Objective Response Rate (ORR) | up to 2 years |
| Phase I: Duration of Response (DOR) | up to 2 years |
| Phase I: Disease Control Rate (DCR) | up to 2 years |
| Phase I: Progression-Free Survival (PFS) | up to 2 years |
| Phase I: Overall Survival (OS) | up to 2 years |
| Phase II: Incidence of AEs, SAEs, infusion-related AEs, administration site AEs, AEs with CTCAE Grade ≥ 3 and AEs related to the investigational product | up to 2 years |
| Phase II: Cmax | up to 2 years |
| Phase II: Cmin | up to 2 years |
| Phase II: ADA positive rate | up to 2 years |
| ID | Term |
|---|---|
| D007267 | Injections |
| ID | Term |
|---|---|
| D004333 | Drug Administration Routes |
| D004358 | Drug Therapy |
| D013812 | Therapeutics |
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