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The goal of this clinical trial is to assess the safety and tolerability of QLS1209 alone in patients with eligible advanced solid tumors,determine the maximum tolerated dose (MTD) or maximum drug dose(MAD)of QLS1209, identify a recommended phase 2 dose (RP2D) and preferred schedule, examine preliminary pharmacokinetics (PK) and assess anti-tumor activity.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| QLS1209 mono dose escalation and optimization | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| QLS1209 | Drug | Levels of QLS1209 will be explored in dose escalation, and determine the maximum tolerated dose. |
|
| Measure | Description | Time Frame |
|---|---|---|
| AEs, TEAEs, TRAEs, SAEs | Incidence, severity and relevance to the trial drug of adverse events (AEs), treatment-related adverse events (TEAEs), treatment-related adverse events (TRAEs) and serious adverse events (SAEs) | up to 2 years |
| MTD/MAD | maximum tolerated dose/ maximum drug dose | Up to 21 days after the first dose |
| RP2D | recommended phase II dose | Up to 21 days after the first dose |
| Measure | Description | Time Frame |
|---|---|---|
| Tmax | Time to Reach Maximum (peak) Plasma Concentration Following Drug Administration | up to 2 years |
| Cmax | Maximum Plasma Drug Concentration |
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Inclusion Criteria:
Exclusion Criteria:
Previous treatment with PKMYT1 inhibitors;
Received chemotherapy, biological therapy, endocrine therapy, immunotherapy, monoclonal antibody and other anti-tumor therapies within 4 weeks before the first dose of the investigational drug, special conditions are as follows:
Presence of uncontrolled or symptomatic central nervous system (CNS) metastases, or presence of leptomeningeal metastases or spinal cord compression due to metastases before signing the ICF. Exceptions: Subjects with symptomatic CNS metastases who have been treated and radiologically stable (defined as 2 brain images of the same imaging modalities, both acquired after treatment for brain metastases with an interval of at least 4 weeks, showing no intracranial progression by comparison) for ≥ 4 weeks before the first dose of the investigational drug, and have discontinued systemic sex hormone (any dose) therapy for > 2 weeks;
Subjects with uncontrollable exudate or transudate (thoracic cavity, pericardium and abdominal cavity);
Subjects with other active malignant tumors within 3 years before being included in the study (from the time of signing ICF), except for the following: basal cell carcinoma of the skin, squamous cell carcinoma of the skin, superficial bladder cancer, prostate cancer in situ, cervical cancer in situ, breast cancer in situ and other malignant tumors that have been treated without disease evidence within > 2 years and do not require continuous treatment; Known to be allergic to the investigational drug or any of its excipient;
Subjects with current interstitial lung disease, pneumoconiosis, radiation pneumonitis, severely impaired lung function, etc. that may interfere with the monitoring and treatment of suspected drug-related pulmonary toxicity as judged by the investigator;
Subjects who are unable to swallow and retain oral drugs, or have active gastrointestinal diseases (including inflammatory bowel disease and intestinal obstruction) and other conditions that seriously affect drug absorption as judged by the investigator;
Subjects who have other serious physical or psychiatric diseases or laboratory test abnormalities that may increase the risk of participating in the study or interfere with the results of the study, and are considered unsuitable for participation in the study by the investigator;
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Xiaohua Wu, PhD | Contact | 021-64175590-88503 | JJYIN555@163.com |
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| QLS1209 | Drug | Every 21 days is one cycle.1-3 dose levels of QLS1209 will be explored in dose optimization, and determine the recommended dose (RD) of QLS1209 and evaluate the preliminary anti-tumor activity of QLS1209. |
|
| up to 2 years |
| ORR | Objective Response Rate | up to 2 years |
| DoR | Duration of Response | up to 2 years |
| DCR | Disease Control Rate | up to 2 years |
| PFS | Progression-free Survival | up to 2 years |
| OS | Overall Survival | up to 2 years |