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TQB2210 injection is a humanized monoclonal antibody against FGFR2b, which can bind to FGFR2b with high specificity and inhibit tumor growth by blocking the signaling pathway mediated by fibroblast growth factor receptor. The aim of this experiment is to evaluate the tolerability, pharmacokinetics, and preliminary efficacy of TQB2210 injection in patients with advanced malignant tumors, and to assess its effectiveness and phase II recommended dose (RP2D) in advanced malignant tumors with FGFR2b overexpression, such as advanced gastric/gastroesophageal junction cancer.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TQB2210 Injection | Experimental | Dose escalation experiment: Intravenous infusion once of TQB2210 for injection every two weeks, 28 days as one treatment cycle. (1.0 mg/kg, 3.0 mg/kg, 8.0 mg/kg, 16.0 mg/kg, 24.0 mg/kg) Dose expansion experiment: Chose one or two appropriate dose groups in the dose escalation experiment to amplify. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TQB2210 Injection | Drug | TQB2210 injection is a humanized monoclonal antibody against FGFR2b, which can bind to FGFR2b with high specificity. It inhibits tumor growth by blocking the signaling pathway mediated by fibroblast growth factor receptor. Its binding is concentration dependent. |
| Measure | Description | Time Frame |
|---|---|---|
| Dose Limiting Toxicity (DLT) | DLT will be defined as toxicities that meet pre-defined severity criteria(according to the NCI CTCAE v5.0 toxicity assessment criteria), and assessed as having a suspected relationship to study drug that occurred within the first cycle(28 days) of treatment. | During the first cycle. Each cycle is 28 days |
| Maximum tolerated dose (MTD) | MTD was defined as the highest dose at which dose-limiting toxicity (DLT) occurred in less than 33% of patients. | During the first cycle. Each cycle is 28 days |
| Recommended Phase II Dose | The recommended dosage for subsequent Phase II studies will be based on MTD (Maximum Tolerant Dose), pharmacokinetics, preliminary efficacy and safety comprehensively determined. | During the first cycle. Each cycle is 28 days |
| Objective Response Rate (ORR) (dose expansion phase) | Defined as the percentage of Complete Response (CR) plus partial response (PR) assessed by Response Evaluation Criteria In Solid Tumors (RECIST) v1.1 criteria. | Up to 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse event rate | The occurrence of all adverse events (AEs), serious adverse events (SAEs) and treatment-related adverse events (TEAEs) evaluated by Common Terminology Criteria for Adverse Events (CTCAE) 5.0. | Up to 2 years |
| Objective Response Rate (ORR) (dose escalation phase) |
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Inclusion Criteria:
Exclusion Criteria:
Has had or is currently suffering from other malignant tumors
There are diseases that affect intravenous injection and venous blood collection
Adverse reactions from previous treatments have not recovered to CTCAE v5.0 Grade 1
Received major surgical treatment, significant traumatic injury within 4 weeks prior to the first dose of TQB2210, or exist long-term unhealed wounds or fractures
Subjects who experience any bleeding or bleeding events ≥ CTCAE grade 3 within 4 weeks prior to the first dose of TQB2210
An arterial/venous thrombotic event occurred within 6 months prior to to the first dose of TQB2210
Patients with active viral hepatitis that is poorly controlled
Active syphilis patients requiring treatment
A history of active pulmonary tuberculosis, idiopathic pulmonary fibrosis, institutional pneumonia, drug-induced pneumonitis/radiation pneumonia requiring treatment or active pneumonia with obvious clinical symptoms, interstitial pneumonia requiring treatment
Subjects with any severe and/or uncontrolled illnesses
Individuals who are preparing for or have previously undergone allogeneic bone marrow transplantation or solid organ transplantation
History of hepatic encephalopathy
Suffering from significant cardiovascular disease
Active or uncontrolled severe infections
Patients with renal failure requiring hemodialysis or peritoneal dialysis;
Corneal defects, corneal ulcers, keratitis or keratoconus, history of corneal transplantation, or other known corneal abnormalities that may increase the risk of developing corneal ulcers within 6 months prior to the first treatment or currently present
History of retinal disease or retinal detachment, or increased risk of retinal detachment according to the opinion of an ophthalmologist
Acute ophthalmic diseases that continue to progress within the first 4 weeks of enrollment
Unwilling to avoid using contact lenses during research treatment
History of immunodeficiency, includingHuman Immunodeficiency Virus(HIV) positivity or other acquired or congenital immunodeficiency diseases
There are poorly controlled autoimmune diseases that require the use of immunosuppressants or systemic hormone therapy to achieve immunity Subjects who inhibit the purpose and need to continue using it within 7 days before the first administration
Individuals with epilepsy who require treatment
Poor control of diabetes
Tumor related symptoms and treatment:
Known to be allergic to research drug excipient components
Previously received targeted FGFR2b monoclonal antibod therapy
Previously received chemotherapy drugs used in the protocol (limited to subjects receiving combination therapy during the dose escalation phase only)
Individuals who have participated in and used other anti-tumor clinical trial drugs within 4 weeks prior to their first medication.
According to the judgment of the researchers, there are situations that seriously endanger the safety of the subjects or affect their ability to complete the study
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Chongqing University Cancer Hospital | Chongqing | Chongqing Municipality | 400030 | China | ||
| ZhuJiang Hospital of Southern Medical University |
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|
Defined as the percentage of Complete Response (CR) plus partial response (PR) assessed by Response Evaluation Criteria In Solid Tumors (RECIST) v1.1 criteria. |
| Up to 2 years |
| Disease control rate (DCR) | Defined as the proportion of subjects with CR, PR, or Stable Disease (SD). | Up to 2 years |
| Duration of Response (DOR) | Defined as the time from first documented response to documented disease progression. | Up to 2 years |
| Progress Free Survival (PFS) | Defined as the time from the first dose of TQB2210 to the first occurrence of disease progression or death from any cause. | Up to 2 years |
| Overall Survival (OS) | Overall survival refers to the time from the first treatment to death from any cause. | Up to 2 years |
| Pharmacokinetics: The area under the curve (AUC) | The area under the curve (AUC) of serum concentration of TQB2210. | 2 hours pre-dose, 0,2,6,24,48,72,120,168 hours after dose on cycle1 day1 and cycle3 day1; 2 hours pre-dose on cycle1 day15 and cycle3 day15, each cycle is 28 days. |
| Pharmacokinetics:Peak concentration (Cmax) | Maximum observed concentration (Cmax) of TQB2210 antibody. | 2 hours pre-dose, 0,2,6,24,48,72,120,168 hours after dose on cycle1 day1 and cycle3 day1; 2 hours pre-dose on cycle1 day15 and cycle3 day15, each cycle is 28 days. |
| Pharmacokinetics: T1/2 | Terminal half-life (T1/2) | 2 hours pre-dose, 0,2,6,24,48,72,120,168 hours after dose on cycle1 day1 and cycle3 day1; 2 hours pre-dose on cycle1 day15 and cycle3 day15, each cycle is 28 days. |
| Pharmacokinetics: Apparent Clearance (CL/F) | Apparent Clearance: Apparent clearance refers to the rate of drug removal in the body, which reflects the degree of drug elimination in the body, as well as the bioavailability of the drug in the body | 2 hours pre-dose, 0,2,6,24,48,72,120,168 hours after dose on cycle1 day1 and cycle3 day1; 2 hours pre-dose on cycle1 day15 and cycle3 day15, each cycle is 28 days. |
| Pharmacokinetics: Vss/F | When the drug distribution in plasma and tissue reaches equilibrium, the drug distribution in the body body according to the plasma drug concentration at this time is the required body fluid volume called apparent distribution volume. | 2 hours pre-dose, 0,2,6,24,48,72,120,168 hours after dose on cycle1 day1 and cycle3 day1; 2 hours pre-dose on cycle1 day15 and cycle3 day15, each cycle is 28 days. |
| Immunogenicity: The incidence of drug-resistant antibodies (ADA) and neutralizing antibodies (NAb) | The incidence of drug-resistant antibodies (ADA) and neutralizing antibodies (NAb) | Cycle1 Day1, Cycle2 Day1, Cycle6 Day1; Cycle12 Day1: pre-dose 120 minutes; At the end of treatment visit (EOT) 30 days after the end of the infusion. Each cycle is 28 days. |
| Guangzhou |
| Guangdong |
| 510000 |
| China |
| The Henan Cancer Hospital | Zhengzhou | Henan | 450008 | China |
| Hunan Provincial People's Hospital (The First Affiliated Hospital of Hunan Normal University) | Changsha | Hunan | 410005 | China |
| Shanghai Tenth Hospital, Tongji University | Shanghai | Shanghai Municipality | 200032 | China |
| Zhongshan Hospital Fudan University | Shanghai | Shanghai Municipality | 200032 | China |
| Zhejiang Cancer Hospital | Hangzhou | Zhejiang | 310022 | China |