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This is an open-label, multicenter, Phase 1 study to evaluate the safety, tolerability, PK, and preliminary efficacy of KJ015 administered subcutaneously in participants with HER2-expressing solid tumors.
This is an open-label, multicenter, Phase 1 study to evaluate the safety, tolerability, PK, and preliminary efficacy of KJ015 administered subcutaneously in participants with HER2-expressing solid tumors. The study will be conducted in 2 parts: the first part is the dose escalation part, and the second part is the Backfill part (as determined by the Sponsor). The dose escalation part will evaluate the safety and tolerability of KJ015 in participants with HER2-expressing locally advanced or metastatic solid tumors who have no standard therapy, are ineligible for surgical resection, or are not suitable for standard therapy or other approved therapies but have an inadequate clinical response. The Backfill part will further characterize the preliminary efficacy and safety of KJ015 in selected participants with solid tumors (including but not limited to G/GEJ, BC, CRC, BDC, HNSCC, NSCLC, etc.) at a minimum of two safe and tolerable dose levels, explore the relationship between the expression levels of HER2 protein and its mRNA and efficacy, as well as the HER 2 protein expression levels, transcription levels, and the correlation with efficacy in antitumor activity after KJ015 treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| KJ015 Injection (Subcutaneous Injection) | Experimental | KJ015 is administered via subcutaneous injection. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| KJ015 Injection (Subcutaneous Injection) | Drug | KJ015 is administered via subcutaneous injection, with the dosing frequency set at either Q3W. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Dose Escalation Part: Adverse Event collection and assessment | Adverse Event collection and assessment will be done for all potentially treated subjects to assess the safety, tolerability, and determine the DLTs, maximum tolerated dose (MTD). | at least 21 days or up to 24 weeks |
| Dose Escalation Part: Backfill part recommended extension dose (RED) | Backfill recommended extension dose | at least 21 days or up to 24 weeks |
| Backfill Part: Adverse Event | Adverse Event collection and assessment will be done for all potentially treated subjects to assess the safety, tolerability. | at least 21 days or up to 24 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Immunogenicity | Immunogenicity of KJ1015 (Anti-KJ015 antibody) in patients | day 1, day 15, every 3 weeks |
| Objective Response Rate (ORR) | ORR was defined as the patients with a best overall response of complete response (CR) or partial response (PR) based on local Investigator assessment as defined in RECIST 1.1. |
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Inclusion Criteria:
Aged ≥ 18 years (at time of free and informed consent).
Participants must have radiographically confirmed progressive disease (PD) during the last treatment prior to the first dose of enrollment.
Eastern Cooperative Oncology Group Performance Status (ECOG PS) Dose Escalation Part: ECOG performance status 0 to 1;Backfill Part: ECOG performance status0 to 2.
Participants must be have HER 2 positive or HER 2 expressing tumors determined by a certified local or central clinical laboratory or hospital
Organ function must meet the following criteria:
i.Hemoglobin (Hb) ≥ 9.0 g/dL ii.Absolute neutrophil count (ANC) ≥ 1.0 × 109/L iii.Platelet count (PLT) ≥ 80 × 109/L v.Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤ 3 × ULN if no liver lesions (primary or metastatic); ALT and AST ≤ 5 × ULN if liver lesions are present vi.Creatinine clearance ≥ 30 mL/min vii.Activated partial thromboplastin time (APTT) and international normalized ratio (INR) ≤ 1.5 × ULN viii. Serum albumin ≥ 25 g/L (2.5 g/dL).
Expected survival ≥ 3 months.
Participants must be capable of and willing to comply with the visit and procedure requirements outlined in the protocol.
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fudan University Shanghai Cancer Center | Shanghai | Shanghai Municipality | 200120 | China |
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| at least 12 weeks |
| Disease Control Rate (DCR) | DCR was defined as the patients with a best overall response of either CR, PR or stable disease (SD) . | at least 12 weeks |
| Progression-Free Survival(PFS) | PFS was defined as the time from first dose of study treatment until the date of disease progression or death (by any cause in the absence of progression) regardless whether the patient withdrew from the assigned study treatment or received another anticancer prior to progression. | at least 12 weeks |
| Overall Survival (OS) | OS was defined as the time from first day of study treatment until death due to any cause. | at least 12 weeks |
| Maximum Observed Plasma Concentration (Cmax) | Maximum observed serum concentration of KJ015 following dosing (Cmax) | Pre-dose, 2-24, 48, 72, 96, 144-480 hours post-dose |
| Terminal Half-life (t½) | Half-life of KJ015 | Pre-dose, 2-24, 48, 72, 96, 144-480 hours post-dose |
| Area under the serum concentration versustime curve (AUC) | Area under the serum concentration versustime curve (AUC) of KJ015 | Pre-dose, 2-24, 48, 72, 96, 144-480 hours post-dose |
| Apparent Volume of Distribution (Vz) | The PK (Vz) of KJ015 | Pre-dose, 2-24, 48, 72, 96, 144-480 hours post-dose |
| Clearance(CL) | Clearance(CL) is a measure of the ability of the body to clear KJ015 | Pre-dose, 2-24, 48, 72, 96, 144-480 hours post-dose |
| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| D015179 | Colorectal Neoplasms |
| D002289 | Carcinoma, Non-Small-Cell Lung |
| D001650 | Bile Duct Neoplasms |
| D000077195 | Squamous Cell Carcinoma of Head and Neck |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D001661 | Biliary Tract Neoplasms |
| D001649 | Bile Duct Diseases |
| D001660 | Biliary Tract Diseases |
| D002294 | Carcinoma, Squamous Cell |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
| D006258 | Head and Neck Neoplasms |
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| ID | Term |
|---|---|
| D007279 | Injections, Subcutaneous |
| ID | Term |
|---|---|
| D007267 | Injections |
| D004333 | Drug Administration Routes |
| D004358 | Drug Therapy |
| D013812 | Therapeutics |
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