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A Phase 1 First-in-Human study of YL217 in Patients with Advanced Solid Tumors
YL217 is an antibody-drug conjugate (ADC) that targets CDH17 (Cadherin-17) protein and is being developed for the treatment of cancer. YL217 is comprised of three components: 1) YL217-mAb, a CDH17-targeting recombinant humanized immunoglobulin G1 (IgG1) monoclonal antibody, 2) YL0010014, a topoisomerase I inhibitor, and 3) an enzymatically cleavable methylsulfonyl pyrimidine tripeptide drug linker.
The in vivo anti-tumor efficacy of YL217 was evaluated in immune-deficient mice bearing human colorectal cancer, gastric cancer and patient derived colorectal cancer xenograft tumors. The results indicated that YL217 was well tolerated, and YL217 suppressed growth of established human tumors in a dose-dependent manner in cancer cells or patient derived xenograft models.
Therefore, in order to meet the huge unmet medical needs in the field of gastrointestinal cancer treatment, it is planned to conduct the first human phase I clinical study of YL217 in patients with advanced solid tumors.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part 2: The backfill stage of YL217 | Experimental | Patients will be enrolled at one or more dose levels that do not exceed the dose that is deemed safe and tolerable in dose escalation. Then several dose levels will be selected as the recommended dose for expansion (RDE). |
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| Part 1: Dose-Escalation Part | Experimental | Participants will receive escalating doses of YL217 until doses for optimization are determined |
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| Part 3: Dose-Expansion Part | Experimental | Upon completion of Part 1 and Part 2 with determination of MTD/RDE(s), the dose-expansion part will be conducted to further support the RP2D selection. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| YL217 | Drug | Patients will be treated with YL217 intravenous(IV)infusion. |
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| Measure | Description | Time Frame |
|---|---|---|
| Nature and frequency of dose-limiting toxicity(DLT) | The purpose of DLT is to find maximum tolerated dose (MTD). | Up to approximately 3 years |
| Nature and frequency of adverse events (AEs) with severity | Nature and frequency of AEs with severity is aim to evaluate the safety of YL217. | Up to approximately 3 years |
| objective response rate (ORR) | ORR: defined as the proportion of patients who achieved a best overall response of complete response (CR) or partial response (PR). | Up to approximately 3 years |
| Measure | Description | Time Frame |
|---|---|---|
| Eastern Cooperative Oncology Group performance status (ECOG PS) | Deterioration of Eastern Cooperative Oncology Group performance status (ECOG PS) | Up to approximately 3 years |
| To evaluate safety endpoint of peripheral oxygen saturation (SpO2) |
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Inclusion Criteria:
For Part 1 and Part 2: Pathologically confirmed diagnosis of an advanced solid tumor.
For Part 3 (Histologically or cytologically confirmed diagnosis+ locally advanced unresectable or metastatic disease)
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Angie Cao, MD | Contact | +86 0512-62858368 | clinicaltrials@medilinkthera.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mayo Clinic Arizona | Recruiting | Phoenix | Arizona | 85054 | United States |
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A Phase 1, Multicenter, Open-Label, First-in-Human Study
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| YL217 |
| Drug |
Patients will be treated with YL217 intravenous(IV)infusion. |
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| YL217 | Drug | Patients will be treated with YL217 intravenous(IV)infusion. |
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| Up to approximately 3 years |
| Characterize Pharmacokinetics(PK) parameter AUC | The area under curve: AUC is the total amount of YL217 in bloodstream after drug administration. | Up to approximately 3 years |
| Characterize Pharmacokinetics(PK) parameter Cmax | Maximum concentration:The highest measured concentration of YL217 in the bloodstream. | Up to approximately 3 years |
| Characterize Pharmacokinetics(PK) parameter Ctrough | Trough concentration | Up to approximately 3 years |
| Characterize Pharmacokinetics(PK) parameter Tmax | Time to maximum observed concentration | Up to approximately 3 years |
| Characterize Pharmacokinetics(PK) parameter CL | Clearance: defined as the amount of drug removed from the bloodstream by the body per unit of time. | Up to approximately 3 years |
| Characterize Pharmacokinetics(PK) parameter Vd | volume of distribution | Up to approximately 3 years |
| Characterize Pharmacokinetics(PK) parameter t1/2 | Half-life time:defined as the time it takes for the concentration of the drug in plasma or serum to be reduced by 50%. | Up to approximately 3 years |
| Immunogenicity endpoint: Incidence of anti-YL217 antibody (ADAs). | The presence of ADAs in patients treated with YL217 will be assessed to evaluate immunogenicity. | Up to approximately 3 years |
| Disease control rate (DCR) | DCR: defined as the proportion of patients who achieved a best overall response of complete response (CR), partial response (PR) or stable disease (SD). | Up to approximately 3 years |
| Duration of response (DoR) | DoR: defined as the time interval from the date of the first documentation of objective response (CR or PR) to the date of the first documentation of progressive disease (PD). | Up to approximately 3 years |
| Time to response (TTR) | TTR: defined as the time interval from the date of the first dose of study drug to the date of the first documentation of objective response (CR or PR). | Up to approximately 3 years |
| Depth of response (DpR) | DpR: defined as the proportion of target lesion shrinkage from baseline to maximum tumor size. | Up to approximately 3 years |
| Progression-free survival (PFS) | PFS: defined as the time interval from the date of the first dose of study drug to the date of first documentation of PD or death due to any cause, whichever occurs first. | Up to approximately 3 years |
| Overall survival (OS) | OS: defined as the time interval from the date of the first dose of study drug to the date of death due to any cause. | Up to approximately 3 years |
| UCLA Hematology/Oncology - Santa Monica | Recruiting | Santa Monica | California | 90404 | United States |
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| Yale Cancer Center | Recruiting | New Haven | Connecticut | 06519 | United States |
| The University of Kansas Cancer Center (KUCC) | Recruiting | Kansas City | Kansas | 66205 | United States |
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| University of Maryland Medical Center-Greenebaum Cancer Ctr - Medical Oncology | Not yet recruiting | Baltimore | Maryland | 21201 | United States |
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| Karmanos Cancer Institute | Recruiting | Detroit | Michigan | 48201 | United States |
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| Columbia University Irving Medical Center | Recruiting | New York | New York | 10032 | United States |
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| Duke University Medical Center (DUMC) | Recruiting | Durham | North Carolina | 27710 | United States |
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| University of Cincinnati Medical Center | Recruiting | Cincinnati | Ohio | 45219 | United States |
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| Cleveland Clinic Taussig Cancer Institute | Recruiting | Cleveland | Ohio | 44195 | United States |
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| The University of Texas MD Anderson Cancer Center | Recruiting | Houston | Texas | 77030 | United States |
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| UT Health San Antonio - Mays Cancer Center | Recruiting | San Antonio | Texas | 78229 | United States |
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| University of Wisconsin Health - UW Carbone Cancer Center | Not yet recruiting | Madison | Wisconsin | 53792 | United States |
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| Peking Union Medical College Hospital | Recruiting | Beijing | Bejing | 100730 | China |
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| Harbin Medical University Cancer Hospital | Not yet recruiting | Harbin | Heilongjiang | 150081 | China |
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| Cancer Hospital of Shandong First Medical University | Not yet recruiting | Jinan | Shandong | 250117 | China |
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| Ruijin Hospital, Shanghai Jiaotong University School of Medicine | Recruiting | Shanghai | Shanghai Municipality | 200025 | China |
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| Tianjin Medical University Cancer Institute & Hospital | Recruiting | Tianjin | Tianjin Municipality | 300060 | China |
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| Zhejiang Cancer Hospital | Not yet recruiting | Hangzhou | Zhejiang | 310022 | China |
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