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This trial is a first-in-human, multicenter, open-label Phase I/II clinical study to evaluate the safety, tolerability, pharmacokinetics, and preliminary efficacy of KY-0301 as monotherapy in patients with advanced solid tumors. This trial will be conducted at approximately multi-sites nationwide, and approximately110~212 participants with unresectable locally advanced or metastatic solid tumors will be invited to participate. The study consists of three parts: Phase I dose escalation & dose expansion phases of KY-0301 as monotherapy, Phase II cohort expansion phase of KY-0301 as monotherapy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dose escalation/Expansion:KY-0301 | Experimental | KY-0301, 0.3 mg/kg~ 2.0 mg/kg.i.v. Q2W,4 weeks/cycle |
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| Cohort A:EGFRm NSCLC | Experimental | KY-0301, .i.v. Q2W,4 weeks/cycle |
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| Cohort B:EGFRwt NSCLC | Experimental | KY-0301, 0.3 mg/kg~ 2.0 mg/kg.i.v. Q2W,4 weeks/cycle |
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| Cohort C:CRC | Experimental | KY-0301, 0.3 mg/kg~ 2.0 mg/kg.i.v. Q2W,4 weeks/cycle |
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| Cohort D: other solid tumor | Experimental | KY-0301, 0.3 mg/kg~ 2.0 mg/kg.i.v. Q2W,4 weeks/cycle |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| KY-0301 | Drug | KY-0301 is an antibody-drug conjugate (ADC) targeting both EGFR and c-Met, developed independently by Novatim Immune Therapeutics (Zhejiang) Co., Ltd |
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| Measure | Description | Time Frame |
|---|---|---|
| Occurrence of dose-limiting toxicity (DLT) | DLT is defined as an adverse event (AE) that meets protocol defined DLT criteria during cycle 1 and is at least possibly related to study drug. | 28 days |
| MTD | The maximum tolerated dose (MTD) is defined as the maximum dose where the number of cases of DLT ≤ 1/6 of the total number of cases during the DLT observation period. At least 6 evaluable subjects are required to determine MTD. | Up to 24 Months |
| Measure | Description | Time Frame |
|---|---|---|
| The area under curve (AUC) of KY-0301 (ADC) in plasma | Area under the plasma concentration versus time curve | Up to 24 Months |
| The immunogenicity of KY-0301 | Occurrence of anti-drug antibodies (ADA) |
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Inclusion Criteria:
Part I, Patients with histologically or cytologically confirmed locally advanced or metastatic solid tumors; Patients who have failed existing standard treatment regimens, are intolerant to standard treatment, have no standard treatment regimen, or are currently not suitable for standard treatment.
Part II, Cohort A: Histologically or cytologically confirmed locally advanced or metastatic non-squamous non-small cell lung cancer (NSCLC) ;Patients who have previously received EGFR TKI and at least 1st line platinum-containing two-drug standard systemic chemotherapy; Patients must have radiographically confirmed disease progression from the last prior anticancer therapy to the enrollment in this study. Cohort B: Histologically or cytologically confirmed NSCLC with no actionable genetic mutations have been identified ;have received at least first-line anti-PD - (L) 1 immunotherapy and chemotherapy . Cohort C :Histologically or cytologically confirmed CRC; Patients who have previously received SoC; chemotherapy above the 3rd line is received in the systemic treatment phase. Cohort D: other histologically or cytologically confirmed locally advanced or metastatic solid tumors
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Caicun Zhou | Contact | Shanghai, China:13301825532 | caicunzhoudr@163.com |
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| Up to 24 Months |
| Objective response rate (ORR) | defined as percentage of participants with confirmed best overall response of confirmed partial response (PR) or better per investigator review according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. | Up to 24 Months |
| Progression-free survival (PFS) | PFS is defined as time from first study treatment to a documented disease progression according to RECIST, version 1.1, as determined by the investigator, or death due to any cause, whichever occurs earlier. | Up to 24 Months |
| The maximum concentration (Cmax) of KY-0301 in plasma | The Peak Plasma Concentration of KY-0301 in plasma | up to 24 months |