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This Phase I, open-label, multicenter study evaluates the safety, tolerability, pharmacokinetics, and preliminary efficacy of SYS6005 in advanced malignancies, comprising dose-escalation and expansion phases. The escalation phase employs a BOIN design with accelerated titration across seven dose levels, featuring a 21-day DLT observation period in Cycle 1, with dose adjustments guided by a Safety Monitoring Committee. In the expansion phase, one or more dosing regimens and tumor types will be selected, and participants will receive SYS6005 R2PD for further exploration and validation. Treatment continues until disease progression, unacceptable toxicity, or other discontinuation criteria. Safety monitoring includes AEs, labs, and ECOG PS, while efficacy is assessed via imaging. PK and immunogenicity samples are collected, and survival is tracked quarterly until death or study end. The study aims to determine the maximum tolerance dose (MTD)/recommended phase 2 dose (RP2D) and characterize SYS6005's clinical profile.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dose escalation and Dose expansion | Experimental | Participants will receive escalating doses of SYS6005 intravenously (IV) on Day 1 of each 21-day cycle in dose escalation phase and will receive selected doses of SYS6005 intravenously (IV) on Day 1 of each 21-day cycle in dose expansion phase |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SYS6005 | Drug | SYS6005 administered via IV infusion on , Day 1 of each 21-day cycle |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of Dose limiting toxicities (for dose escalation part) | A DLT is defined as a protocol pre-specified treatment-emergent adverse event (TEAE) that occurs in Cycle 1 of SYS6005 therapy and is considered drug-related. | each cycle is 21 days |
| Recommended Phase 2 Dose(RP2D) of SYS6005 (for dose escalation part) | The selection of RP2D will be based on consideration of overall safety information together with available pharmacokinetic, pharmacodynamic, and efficacy data. The RP2D may be the MTD or may be a lower dose within the tolerable dose range. | About up to 6 months |
| Incidence and severity of adverse events (for both dose escalation and expansion part) | About up to 12 months | |
| Overall response (for dose expansion part) | About up to 12 months | |
| Complete remission (for dose expansion part) | About up to 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetic (P K) profiles of SYS6005 including AUClast, AUCinf, Cmax, Tmax, t1/2, and CL, etc. | About up to 12 months | |
| Immunogenicity of SYS6005: incidence and titer of ADAs, and incidence of neutralizing antibodies (Nabs) (if applicable) | About up to 12 months |
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Inclusion Criteria:
Participants who are voluntarily enrolled in this study and sign the informed consent form (ICF);
Age ≥ 18 years old, male or female;
Patients with advanced malignant tumors confirmed by cytology or histology, who have failed standard therapy or are intolerant to standard therapy and require systemic treatment: Solid tumor: Pathologically confirmed, unresectable advanced solid tumor with disease progression on or after at least 1 line of prior systemic therapy. Preferred tumor types include breast, lung, gynecologic, prostate, skin, adrenal, testicular, colon, bladder, pancreatic, gastric, kidney, cholangiocarcinoma, and esophageal cancers.
B-cell malignancies: Pathologically confirmed Hodgkin and non-Hodgkin B-cell lymphoma as defined per 2016 WHO classification, with disease progression on or after at least 2 lines of prior systemic therapy. Preferred tumor types include cHL, DLBCL, MCL, FL, MZL, RTL, CLL/SLL;
Patients with at least one evaluable lesion as defined per RECIST v1.1 for solid tumor or 2014 Lugano Classification Criteria for lymphoma, respectively;
Eastern Cooperative Oncology Group Performance Status (ECOG PS) score of 0-2;
Expected survival ≥ 3 months;
Participants must have adequate organ function and have not received transfusion, erythropoietin, granulocyte colony-stimulating factor, or other medical supportive treatments within 14 days prior to examination
For participants enrolled in the dose-expansion phase, tumor tissue must be confirmed as ROR1-positive by the central laboratory during screening in order to be eligible for enrollment.
Male and female participants of childbearing potential must agree to use effective contraception from the time of signing the ICF until at least 6 months after the last dose of the investigational product; female participants of childbearing potential must have a negative pregnancy test result within 7 days prior to the first administration of the investigational product;
Participants who are willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Clinical Trials Information Group officer | Contact | 86-0311-69085587 | ctr-contact@cspc.cn |
| Name | Affiliation | Role |
|---|---|---|
| Qiu Lugui, Ph.D | Institute of hematology & blood disease hospital, Chinese academy of medical sciences | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College | Recruiting | Tianjin | 300020 | China |
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Open-label, single-arm, dose-escalation study using Bayesian Optimal Interval (BOIN) design. Seven dose levels will be tested. Dose-limiting toxicities (DLTs) will be assessed in Cycle 1 (21 days). The Safety Monitoring Committee (SMC) will review data to guide escalation. Pharmacokinetic analysis will use non-compartmental modeling.
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| Area Under the Concentration-Time Curve from Time Zero to the Last Quantifiable Concentration (AUClast) of SYS6005 | AUClast reflects total drug exposure from administration to the last measurable concentration, calculated using the linear trapezoidal method. | Cycle 1: Pre-dose, end of infusion (0,4,12,24,48,96,168,240,336 hours post); Cycle 2: Pre-dose, 0 hour post; Cycle 3: Pre-dose, end of infusion (0,4,12,24,48,96,168,240,336 hours post); Cycle 4: Pre-dose, 0 hour post |
| Area Under the Concentration-Time Curve from Time Zero Extrapolated to Infinity (AUCinf) of SYS6005 | AUCinf estimates total exposure by extrapolating AUClast using the terminal elimination rate (λz) | Cycle 1: Pre-dose, end of infusion (0,4,12,24,48,96,168,240,336 hours post); Cycle 2: Pre-dose, 0 hour post; Cycle 3: Pre-dose, end of infusion (0,4,12,24,48,96,168,240,336 hours post); Cycle 4: Pre-dose, 0 hour post |
| Maximum Observed Plasma Concentration (Cmax) of SYS6005 | Peak plasma concentration, directly indicating the rate and extent of absorption | Cycle 1: Pre-dose, end of infusion (0,4,12,24,48,96,168,240,336 hours post); Cycle 2: Pre-dose, 0 hour post; Cycle 3: Pre-dose, end of infusion (0,4,12,24,48,96,168,240,336 hours post); Cycle 4: Pre-dose, 0 hour post |
| Time to Reach Maximum Plasma Concentration (Tmax) of SYS6005 | Time point at which Cmax occurs, reflecting absorption kinetics. | Cycle 1: Pre-dose, end of infusion (0,4,12,24,48,96,168,240,336 hours post); Cycle 2: Pre-dose, 0 hour post; Cycle 3: Pre-dose, end of infusion (0,4,12,24,48,96,168,240,336 hours post); Cycle 4: Pre-dose, 0 hour post |
| Terminal Elimination Half-Life (t1/2) of SYS6005 | Time for plasma concentration to reduce by 50% in the elimination phase, calculated as ln(2)/λz | Cycle 1: Pre-dose, end of infusion (0,4,12,24,48,96,168,240,336 hours post); Cycle 2: Pre-dose, 0 hour post; Cycle 3: Pre-dose, end of infusion (0,4,12,24,48,96,168,240,336 hours post); Cycle 4: Pre-dose, 0 hour post |
| Systemic Clearance (CL) of SYS6005 | Volume of plasma cleared of drug per unit time (CL = Dose/AUCinf for IV administration). | Cycle 1: Pre-dose, end of infusion (0,4,12,24,48,96,168,240,336 hours post); Cycle 2: Pre-dose, 0 hour post; Cycle 3: Pre-dose, end of infusion (0,4,12,24,48,96,168,240,336 hours post); Cycle 4: Pre-dose, 0 hour post |
| Incidence of Anti-Drug Antibodies (ADAs) Against SYS6005 | Proportion of subjects who develop detectable ADAs at any time during the study, expressed as a percentage. | Pre-dose on Day 1 of Cycles 1, 2, 3, 4; Pre-dose on Cycle 6; Pre-dose every 4 cycles thereafter (e.g., Cycle 10, 14, 18…); 30 days after last dose (follow-up). |
| Titer of Anti-Drug Antibodies (ADAs) Against SYS6005 | Magnitude of ADA response (e.g., reported as geometric mean titer or median titer in ADA-positive subjects). | Pre-dose on Day 1 of Cycles 1, 2, 3, 4; Pre-dose on Cycle 6; Pre-dose every 4 cycles thereafter (e.g., Cycle 10, 14, 18…); 30 days after last dose (follow-up). |
| Incidence of Neutralizing Antibodies (NAbs) Against SYS6005 (if applicable) | Proportion of subjects with NAbs capable of inhibiting SYS6005's pharmacological activity in a cell-based or competitive ligand-binding assay. | Pre-dose on Day 1 of Cycles 1, 2, 3, 4; Pre-dose on Cycle 6; Pre-dose every 4 cycles thereafter (e.g., Cycle 10, 14, 18…); 30 days after last dose (follow-up). |