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This is a first-in-human, single-arm, open-label, dose escalation prospective phase I clinical study to evaluate the Safety, Tolerability and Efficacy of TMT101 Injection Alone in patients with Unresectable, Metastatic or Advanced pancreatic cancer or Non-small Cell Lung Cancer(NSCLC) after Standard Treatment Failure. The primary objective is to evaluate the safety and tolerability of TMT101 Injection as monotherapy in patients with advanced pancreatic cancer and NSCLC, and to determine the recommended therapeutic dose (RD) of TMT101 Injection as monotherapy
The dose escalation trial adopts the "3+3" design , and about 3~6 patients with advanced pancreatic cancer or non-small cell lung cancer are enrolled in each dose level to evaluate the safety of TMT101 Injection alone. Three dose levels are planned to be explored: 0.1 mg, 0.2 mg, and 0.4 mg. Once a week, intramuscular Injection , a total of 9 times (the first tumor assessment is performed in the 6th week (±7 days), the investigator can decide the follow-up medication arrangement according to the tumor evaluation results). Dose-limiting toxicities (DLTs) will be assessed for each dose level, and the DLT observation period will be within 21 days from the first dose. The initial dose is 0.1 mg with a dose reduction for safety reasons, the level of dose reduction will be discussed jointly between the investigator and the sponsor. If the highest dose level of 0.4 mg is not confirmed as a possible recommended therapeutic dose (RD), it may be escalated a higher dose to determine the possible RD under the condition that investigator and the sponsor to decide together
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TMT101 Injection monotherapy | Experimental | Three dose levels are planned to be explored: 0.1 mg, 0.2 mg, and 0.4 mg. The initial dose is 0.1 mg with a dose reduction for safety reasons, the level of dose reduction will be discussed jointly between the investigator and the sponsor. TMT101 will be injected intramuscularly, Once a week,a total of 9 times |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TMT101 Injection | Biological | Three dose levels are planned to be explored: 0.1 mg, 0.2 mg, and 0.4 mg. The initial dose is 0.1 mg with a dose reduction for safety reasons, the level of dose reduction will be discussed jointly between the investigator and the sponsor. TMT101 will be injected intramuscularly, Once a week,a total of 9 times |
| Measure | Description | Time Frame |
|---|---|---|
| dose-limiting toxicities (DLTs) | Occurrence of dose-limiting toxicities (DLTs) within 21 days since the first dose | within 21 days since the first dose |
| treatment-emergent adverse events (TEAEs) | occurrence of treatment-emergent adverse events (TEAEs) and grade according to National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0 | up to 2 years |
| treatment related adverse event (TRAE) | Occurrence and grade of treatment related adverse event (TRAE) according to National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0 | up to 2 years |
| immune-related Adverse Event(irAE) | Occurrence and grade of immune-related Adverse Event(irAE)according to National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0 | up to 2 years |
| Serious Adverse Event(SAE) | Occurrence and grade of Serious Adverse Event(SAE)according to National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0 | up to 2 years |
| Recommended Dose(RD) | During the dose escalation phase, the MTD and/or available safety, biomarker, and efficacy data will be evaluated thoroughly to determine the RD of TMT101 Injection alone . Three dose levels are planned to be explored: 0.1 mg, 0.2 mg, and 0.4 mg. Once the initial dose is 0.1 mg with a dose reduction for safety reasons, the level of dose reduction will be discussed jointly between the investigator and the sponsor. If the highest dose level of 0.4 mg is not confirmed as a possible recommended therapeutic dose (RD), it may be escalated to a higher dose to determine the possible RD under the condition that investigator and the sponsor to decide together. |
| Measure | Description | Time Frame |
|---|---|---|
| Objective response rate (ORR) | the percentage of participants achieving a best overall response (BOR) of complete response (CR) or partial response (PR) as per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 and iRECIST | up to 2 years |
| Disease control rate (DCR) |
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Inclusion Criteria:
Agrees to follow the trial protocol and visit schedule, has signed informed consent;
Subjects must be ≥18 years of age at time of informed consent,regardless of gender;
Patients with advanced/unresectable or metastatic pancreatic cancer or non-small cell lung cancer that requires histologically and/or cytologically confirmed according to the American Joint Committee on Cancer 8th edition; pancreatic cancer:Previous failure or intolerance of two or more lines of chemotherapy; NSCLC:Previous failure or intolerance of platinum-containing chemotherapy and anti-PD-1/PD-L1 monoclonal antibodies, regardless of combination therapy or sequential therapy, if the previous test for EGFR-sensitive mutations or ALK fusion genes is positive, treatment with a third-generation TKI must be failed or intolerant;
At least one evaluable lesion according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1;
ECOG≤1;
Estimated life expectancy≥12 weeks;
Adequate organ function, meet the following laboratory standards:
Males of childbearing potential and females of childbearing potential who are willing to use effective contraception since signing the informed consent until 6 months after the last dose of the trial drug. Females of childbearing potential must have a negative pregnancy test result within 7 days prior to the first dose.
Exclusion Criteria:
regardless of gender
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Wenming Wu, PhD | Contact | 010-69156874 | 010-69155709 | pumchkyc@126.com |
| Name | Affiliation | Role |
|---|---|---|
| Wenming Wu, PhD | Peking Union Medical College Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Peking Union Medical College Hospital | Recruiting | Beijing | Beijing Municipality | 100730 | China |
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TMT101 Injection alone
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| the whole escalation phase within 21 days since the first dose |
the percentage of patients with CR or PR or stable disease (SD) as BOR according to RECIST v1.1 and iRECIST divided by the number of patients in the efficacy analysis set |
| up to 2 years |
| Progression-free survival (PFS) | the time of first trial treatment until the first objective tumor progression according to RECIST v1.1 and iRECIST or death from any cause, whichever occurs first | up to 2 years |
| Overall survival (OS) | the time of first trial treatment until death from any cause | up to 2 years |
| Peak time (Tmax) of cationic lipids | up to 9 weeks |
| Peak concentration (Cmax) of cationic lipids | up to 9 weeks |
| Area under the drug concentration -time curve (AUC) of cationic lipids | up to 9 weeks |
| ID | Term |
|---|---|
| D002289 | Carcinoma, Non-Small-Cell Lung |
| ID | Term |
|---|---|
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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