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This is an open, multicenter phase Ib/II clinical study. The goal of this study is to confirm the Phase II recommended dose (RP2D) of AK129 combinations for advanced solid tumors and evaluate the safety and efficacy of AK129 combinations for non-small cell lung cancer (NSCLC), head and neck squamous cell carcinoma (HNSCC), colorectal adenocarcinoma (CRC), and other advanced solid tumors.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| AK129(dose 1) + Chemotherapy(Phase Ib) | Experimental | Non-Squamous NSCLC:Subjects receive AK129 (dose 1) plus Pemetrexed and Carboplatin on Day 1 of every 3-week cycle (Q3W) for 4 cycles followed by AK129(dose 1) plus Pemetrexed until progression. Squamous NSCLC:Subjects receive AK129 (dose 1) plus Paclitaxel and Carboplatin on Day 1 of every 3-week cycle (Q3W) for 4 cycles followed by AK129(dose 1) until progression. |
|
| AK129(dose 2) + Chemotherapy(Phase Ib) | Experimental | Non-Squamous NSCLC:Subjects receive AK129 (dose 2) plus Pemetrexed and Carboplatin on Day 1 of every 3-week cycle (Q3W) for 4 cycles followed by AK129(dose 2) plus Pemetrexed until progression. Squamous NSCLC:Subjects receive AK129(dose 2) plus Paclitaxel and Carboplatin on Day 1 of every 3-week cycle (Q3W) for 4 cycles followed by AK129(dose 2) until progression. |
|
| Cohort 1 PARTA Treatment Group 1(Phase II) | Experimental | Non-Squamous NSCLC:Subjects receive AK129 (RP2D) plus Pemetrexed and Carboplatin on Day 1 of every 3-week cycle (Q3W) for 4 cycles followed by AK129(RP2D) plus Pemetrexed until progression. Squamous NSCLC:Subjects receive AK129(RP2D) plus Paclitaxel and Carboplatin on Day 1 of every 3-week cycle (Q3W) for 4 cycles followed by AK129(RP2D) until progression. |
|
| Cohort 1 PARTA Treatment Group 2(Phase II) |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AK129(dose 1) | Drug | IV infusion |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Frequency and severity of adverse events (AEs) ,Clinically significant abnormal laboratory results | Frequency and severity of AEs and clinically significant abnormal laboratory results for all arms in phase Ib/II. | Up to approximately 2 years |
| Overall Response Rate (ORR) | ORR is the proportion of subjects with complete response(CR) or partial response(PR) for all arms in phase II , based on RECIST v1.1. | Up to approximately 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Overall Response Rate (ORR) | ORR is the proportion of subjects with complete response(CR) or partial response(PR) for all arms in phase Ib, based on RECIST v1.1. | Up to approximately 2 years |
| Progression-Free Survival (PFS) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Wenting Li,M.D. | Contact | +86(0760)89873999 | clinicaltrials@akesobio.com | |
| Hongxu Liu,M.D. | Contact | Hongxuliu@qq.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Liaoning Cancer Hospital | Recruiting | Shenyang | Liaoning | 110801 | China |
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| Active Comparator |
Non-Squamous NSCLC:Subjects receive Penpulimab plus Pemetrexed and Carboplatin on Day 1 of every 3-week cycle (Q3W) for 4 cycles followed by Penpulimab plus Pemetrexed until progression. Squamous NSCLC:Subjects receive Penpulimab plus Paclitaxel and Carboplatin on Day 1 of every 3-week cycle (Q3W) for 4 cycles followed by Penpulimab until progression. |
|
| Cohort 1 PARTB(Phase II) | Experimental | NSCLC:Subjects receive AK129(RP2D) plus Docetaxel on Day 1 of every 3-week cycle (Q3W) until progression. |
|
| Cohort 2 PARTA(Phase II) | Experimental | HNSCC:Subjects receive AK129(RP2D,Day1) plus Carboplatin/Cis-platinum(Day1) and 5-FU(Day1-4) every 3-week cycle (Q3W) for 6 cycles followed by AK129(RP2D) until progression. |
|
| Cohort 2 PARTB(Phase II) | Experimental | HNSCC:Subjects receive AK129(RP2D) plus 1 investigator-selected treatment protocol(Cetuximab/Paclitaxel/Docetaxel) on Day 1 of every 3-week cycle (Q3W) until progression, and are not allowed to choose a treatment they had already received. |
|
| Cohort 3(Phase II) | Experimental | CRC:Subjects receive AK129(RP2D) until progression. |
|
| Cohort 4(Phase II) | Experimental | Advanced solid tumors:Subjects receive AK129(RP2D)± chemotherapy until progression. |
|
| Pemetrexed |
| Drug |
IV infusion;500mg/m2 |
|
| Paclitaxel | Drug | IV infusion;175mg/m2 |
|
| Carboplatin | Drug | IV infusion;AUC 5 |
|
| AK129(dose 2) | Drug | IV infusion |
|
| Docetaxel | Drug | IV infusion;75mg/m2 |
|
| Cis-platinum | Drug | IV infusion;100 mg/m2 |
|
| 5-FU (5-fluorouracil) | Drug | IV infusion;1000 mg/m2 |
|
| Cetuximab | Drug | IV infusion;400mg/m2/ 250mg/m2 |
|
| Paclitaxel | Drug | IV infusion;80mg/m2 |
|
| Docetaxel | Drug | IV infusion;35mg/m2 |
|
| Chemotherapy | Drug | IV infusion |
|
| AK129(RP2D) | Drug | IV infusion |
|
| Penpulimab | Drug | IV infusion;200mg |
|
Evaluation of PFS based on RECIST v1.1.
| Up to approximately 2 years |
| Overall survival (OS) | Evaluation of OS based on RECIST v1.1. | Up to approximately 2 years |
| Disease control rate (DCR) | Evaluation of DCR based on RECIST v1.1. | Up to approximately 2 years |
| Duration of Response (DoR) | Evaluation of DoR based on RECIST v1.1. | Up to approximately 2 years |
| Time to Response (TTR) | Evaluation of TTR based on RECIST v1.1. | Up to approximately 2 years |
| Pharmacokinetics (PK) | PK parameters: serum concentrations of AK129 at different point of time | Up to cycle 21(each cycle is 21 days) |
| Anti-Drug Antibodies(ADAs) | Number and percentage of patients with detectable anti-drug antibodies | Up to approximately 2 years |
| ID | Term |
|---|---|
| D000077195 | Squamous Cell Carcinoma of Head and Neck |
| ID | Term |
|---|---|
| D002294 | Carcinoma, Squamous Cell |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D006258 | Head and Neck Neoplasms |
| D009371 | Neoplasms by Site |
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| ID | Term |
|---|---|
| D000068437 | Pemetrexed |
| D017239 | Paclitaxel |
| D016190 | Carboplatin |
| D000077143 | Docetaxel |
| D002945 | Cisplatin |
| D005472 | Fluorouracil |
| D000068818 | Cetuximab |
| D004358 | Drug Therapy |
| C000720860 | penpulimab |
| ID | Term |
|---|---|
| D006147 | Guanine |
| D007042 | Hypoxanthines |
| D011688 | Purinones |
| D011687 | Purines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
| D005971 | Glutamates |
| D024342 | Amino Acids, Acidic |
| D000596 | Amino Acids |
| D000602 | Amino Acids, Peptides, and Proteins |
| D000600 | Amino Acids, Dicarboxylic |
| D043823 | Taxoids |
| D043822 | Cyclodecanes |
| D003516 | Cycloparaffins |
| D006840 | Hydrocarbons, Alicyclic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D004224 | Diterpenes |
| D013729 | Terpenes |
| D056831 | Coordination Complexes |
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
| D017672 | Nitrogen Compounds |
| D017671 | Platinum Compounds |
| D014498 | Uracil |
| D011744 | Pyrimidinones |
| D011743 | Pyrimidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D061067 | Antibodies, Monoclonal, Humanized |
| D000911 | Antibodies, Monoclonal |
| D000906 | Antibodies |
| D007136 | Immunoglobulins |
| D007162 | Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |
| D013812 | Therapeutics |
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