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This is a first-in-human (FIH) study to evaluate the safety and preliminary efficacy of experimental drug HDM2012 in patients with advanced solid tumors.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| HDM2012 | Experimental | In dose escalation phase, participants will be administered escalating doses of HDM2012 at 1.0~5.2mg/kg IV on Day 1 of repeated 21-day cycles. In dose expansion phase, participants will be administered to recommended dose for expansion (RDE) of HDM2012 on Day 1 of repeated 21-day cycles . |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| HDM2012 | Drug | HDM2012 will be administered via IV infusion. |
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| Measure | Description | Time Frame |
|---|---|---|
| Incidence of dose limiting toxicity (DLT) events (for dose escalation phase) | DLT will be determined by definition during the DLT observation period. | up to 21 days following first dose |
| Incidence and severity of adverse events(for dose escalation phase) | The safety profile of HDM2012 will be assessed by monitoring the adverse events (AE) per the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v5.0. | Until 30 days after the last dose or initiation of a new antineoplastic therapy, whichever occurs first |
| Objective Response Rate (ORR) (for dose expansion phase) | Objective response rate (ORR), which includes best response of complete response (CR) or partial response (PR) as assessed by the investigator. | through study completion, an average of 1 year |
| Recommended Phase 2 Dose (RP2D) (for dose expansion phase) | The selection of RP2D will be based on consideration of overall safety information together with available pharmacokinetic, E-R relationships, and efficacy data. | through study completion, an average of 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Plasma concentration of HDM2012 | Plasma concentration of HDM2012 | up to7 days following last dose |
| Immunogenicity | Number and percentage of anti-drug antibody (ADA)-positive patients will be assessed. |
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Inclusion Criteria:
Exclusion Criteria:
Prior treatment with antibody-drug conjugates (ADCs) containing topoisomerase I inhibitors.
Subjects who have received the following treatments:
Active malignancies within past 2 years, except studied cancer and cured localized tumors (e.g., basal cell carcinoma, squamous cell carcinoma, superficial bladder cancer, cervical carcinoma in situ, breast carcinoma in situ).
Subjects have not recovered from prior treatment-related or other anti-cancer therapy-related AEs (alopecia, ≤Grade 2 sensory neuropathy, or other ≤Grade 2 AEs deemed non-safety risks by investigator are acceptable) to ≤Grade 1 or baseline.
Known active central nervous system metastases. Untreated asymptomatic or treated brain metastasis subjects with radiologically confirmed stable status for ≥4 weeks and no need for steroids/antiepileptics ≥2 weeks may be enrolled. Leptomeningeal metastases (symptomatic or asymptomatic) must be excluded.
Subjects with any cardiovascular/cerebrovascular diseases/conditions/indications.
At screening, participants with active syphilis, immunodeficiency disease (HIV), active hepatitis (HBV, HCV), except for asymptomatic chronic hepatitis B or C carriers.
History of interstitial pneumonia, idiopathic pulmonary fibrosis, organizing pneumonia (e.g., bronchiolitis obliterans), drug-induced pneumonia, idiopathic pneumonia, or evidence of active pneumonia found on chest computed tomography (CT) during screening; previous use of hormone shock therapy for pneumonia.
Complete or incomplete intestinal obstruction or imaging findings indicating risk of intestinal obstruction.
Presence of other diseases that may affect the efficacy and safety of the IMP.
Presence of large or symptomatic moderate pleural effusion, pericardial effusion, or ascites during screening that remains poorly controlled despite treatments like drainage.
Unstable thrombotic events requiring therapeutic intervention within 6 months prior to screening, including deep vein thrombosis, arterial thrombosis, and pulmonary embolism; excluding catheter-related thrombosis.
Previous solid organ transplantation.
Known or suspected allergy to IMP components or their analogs.
Pregnant or breastfeeding women.
Investigator's judgment that the subject is unsuitable for participation (e.g., non-optimal treatment benefit, poor compliance, etc.).
Received strong or moderate CYP3A4 inhibitors or inducers within 1 week prior to dosing or 5 half-lives (whichever is longer), or anticipated need for long-term use of strong or moderate CYP3A4 inhibitors or inducers during study intervention and within 30 days after last dose.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Hua Liu | Contact | +8615821804591 | cxyliuhua@eastchinapharm.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Zhongshan Hospital, Fudan University | Recruiting | Shanghai | China |
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| up to 7 days following last dose |
| Incidence and severity of adverse events(for dose expansion phase) | The safety profile of HDM2012 will be assessed by monitoring the adverse events (AE) per the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v5.0. | Until 30 days after the last dose or initiation of a new antineoplastic therapy, whichever occurs first |
| Objective Response Rate (ORR)(for dose escalation phase) | Objective response rate (ORR), which includes best response of complete response (CR) or partial response (PR) as assessed by the investigator. | through study completion, an average of 1 year |
| Time to Response (TTR) | TTR is defined as the interval from the start of study therapy to the first documentation of an objective response. | From date of first dose until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 100 months |
| Progression free survival (PFS) | PFS is defined as the interval from the start of study therapy to the earlier of the first documentation of disease progression/relapse or death from any cause. | From date of first dose until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 100 months |
| Duration of Response (DOR) | DOR is defined as the interval from the first documentation of objective response to the earlier of the first documentation of disease progression/relapse or death from any cause. | From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to100 months |
| Overall survival (OS) | OS is defined as the interval from the start of study therapy to death from any cause. | From date of first dose until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 100 months |