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This is an open-label, multicenter, Phase Ib/II clinical study designed to evaluate the safety, tolerability, efficacy, pharmacokinetics (PK), and pharmacodynamics (PD) of FL115 in combination with the anti-PD-1 monoclonal antibody, in participants with advanced solid tumors. All enrolled participants will receive FL115 and Sintilimab via intravenous (IV) infusion. Treatment will continue until disease progression (excluding pseudoprogression), unacceptable toxicity, or other protocol-specified criteria for study or treatment discontinuation, whichever occurs first.
The study consists of two parts: a dose-escalation phase (Phase Ib) and a cohort-expansion phase (Phase II). The Phase 2 part will explore the preliminary efficacy and safety of the combination therapy in patients with advanced solid tumors across different tumor types.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Combined treatment | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| FL115+PD-1 | Drug | Combined treatment |
|
| Measure | Description | Time Frame |
|---|---|---|
| Safety and Tolerance | Number of participants with treatment-related adverse events as assessed by CTCAE v5.0 | From screening to 30 days after last dose |
| MTD/RDE | Maximal Tolerance Dose/Recommended dosage expand | through study completion, an average of 15 months |
| ORR | The researchers evaluated the objective response rate (ORR) as per RECIST v1.1. | About 24 months |
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Inclusion Criteria:
Male or female subjects aged 18 years or older and up to 80 years old.
Phase 1b:Patients with specific advanced solid tumors confirmed by histology or cytology who have failed all standard therapies, have no available standard treatment options, or are currently not suitable for standard treatment.
Phase 2:Patients with advanced solid tumors of specific types, either previously treated with or naïve to standard therapies.
With at least one measurable lesion (according to RECIST v1.1).
ECOG score: 0 - 1.
Expected survival period ≥ 12 weeks (judged by the investigator).
Sufficient organ function.
Voluntary written informed consent and agree to comply with all protocol-specified procedures and follow-up evaluations.
Fertile subjects (male and female) and their partners agree to use acceptable, investigator-approved contraception during the study-required period.
Exclusion Criteria:
If any of the following criteria are met, the subjects will be excluded from the study:
History of previous anti-tumor treatment:
History of other previous treatments and toxicity recovery:
Past medical history and surgical history:
Malignant tumors of the blood system (such as acute lymphocytic leukemia, acute myeloid leukemia, myelodysplastic syndrome, chronic lymphocytic leukemia, chronic myeloid leukemia, non-Hodgkin's lymphoma, Hodgkin's lymphoma, and multiple myeloma).
Subjects with active central nervous system (CNS) metastatic lesions or meningeal metastasis. Exception: Asymptomatic subjects with CNS metastatic tumors if the clinical condition is controlled.
Subjects who had other malignant tumors within 2 years before screening. Subjects with curable local tumors (such as basal or squamous cell skin cancer, cervical or breast carcinoma in situ), can be included after clear cure.
Have active autoimmune diseases or a history of autoimmune diseases requiring systemic steroids or immunosuppressants, such as rheumatoid arthritis, lupus, Wegener's granulomatosis, Sjogren's syndrome, IBD, multiple sclerosis, myasthenia gravis, myositis, autoimmune hepatitis, vasculitis, immune thrombocytopenia, autoimmune hemolytic anemia, or glomerulonephritis.
Exception: subjects with well-controlled endocrine disorders treated with HRT (e.g., hypothyroidism, type 1 diabetes).
Subjects had any of the following pulmonary toxic reactions/diseases in the past:
Significantly clinically significant severe pulmonary-specific diseases, including but not limited to: pulmonary embolism, severe asthma, severe chronic obstructive pulmonary disease, history of idiopathic pulmonary fibrosis, organizing pneumonia (such as obliterative bronchiolitis), history of drug-induced pneumonia.
Active interstitial lung disease (ILD) or interstitial pneumonia; history of requiring hormone or other immunosuppressant treatment for ILD or (non-infectious) pneumonia.
Found by history or CT examination that there was active tuberculosis infection within 1 year before enrollment or more than 1 year ago with no regular treatment.
Judged by the investigator to have uncontrollable pleural effusion, pericardial effusion, or peritoneal effusion.
Have a significant clinical history of cardiovascular diseases.
Underwent major surgery within 4 weeks prior to signing the informed consent form.
Infectious Disease History:
Other Conditions.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Xuxiajun Medical Director | Contact | +86-18101882657 | xiajunxu@forlongbiotech.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sun Yat-sen University Cancer Center | Recruiting | Guangzhou | Guangdong | 510000 | China |
As the research has not yet begun, we will revise the plan based on the actual situation of the research after we obtain some data.
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