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This is a Phase 1 clinical study investigating RH125 as monotherapy or in combination therapy in patients with locally advanced or metastatic solid tumors who failed standard treatment, or were intolerant to standard treatment, or declined standard treatment. The aim of the study is to evaluate the tolerability, safety, immunogenicity, and preliminary efficacy of RH125 monotherapy or combination with PD-1 blocker.
This study will be divided into monotherapy dose escalation and combination therapy dose escalation phases. Each phase requires the enrollment of 12-18 subjects, with a total of 24-36 subjects to be enrolled in the entire study. Both the monotherapy dose escalation and combination therapy dose escalation will involve 3 dose levels, which are 100 μg, 150 μg, and 200 μg respectively. A "3+3" design will be adopted, and the Dose-Limiting Toxicity (DLT) observation period will be 21 days for both phases.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| escalation doses between 100μg, 150μg or 200μg of RH125 with or withoout PD-1 blockers | Experimental |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| personalized neoantigen mRNA tumor vaccine | Biological | RH125 is a personalized neoantigen mRNA tumor vaccine which is constructed based on the results of patients' neoantigen sequencing. |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants with Dose-Limiting Toxicities (DLT) | From Day 1 to Day 21 after the first dose | |
| Number of Participants with Adverse Events per CTCAE 5.0 | Up to approximately 24 months | |
| Immunogenicity of a personalized cancer vaccine as measured by interferon-γ secreting T lymphocytes in peripheral blood mononuclear cells (PBMCs) using ELISpot | Up to approximately 24 months | |
| Serious adverse events as graded by CTCAE v5.0 | Up to approximately 24 months | |
| adverse event of special interest as graded by CTCAE v5.0 | Up to approximately 24 months |
| Measure | Description | Time Frame |
|---|---|---|
| Objective Response Rate (ORR) | ORR is defined as the proportion of participants whose best overall response is complete response (CR) or partial response (PR) per RECIST 1.1. | Up to approximately 24 months |
| Disease Control Rate(DCR) |
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Inclusion Criteria:
1). Hematology: ANC ≥ 1.5 × 10⁹/L, PLT ≥ 100 × 10⁹/L, HGB ≥ 100 g/L. Within one week before screening, the subject must not have received blood or platelet transfusions, G-CSF, or erythropoietin (EPO); 2). Renal function: Serum creatinine ≤ 1.5 × ULN or creatinine clearance ≥ 60 mL/min (calculated using the Cockcroft-Gault formula); 3). Liver function: AST and ALT ≤ 2.5 × ULN (≤ 5 × ULN for patients with liver cancer or liver metastases); TBIL ≤ 1.5 × ULN (patients with Gilbert's syndrome: TBIL < 3 × ULN); 4). Coagulation: INR ≤ 1.5 × ULN or APTT ≤ 1.5 × ULN (except for patients on anticoagulants).
8.. Male subjects with reproductive potential and female subjects of childbearing potential agree to use effective contraception from the time of informed consent until 6 months after the last dose of investigational drug.
Women of childbearing potential include premenopausal women and those within 2 years post-menopause.
A negative serum pregnancy test is required within 7 days before the first dose of the investigational product.
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jianhua Chang | Contact | +86-180-3816-8872 | changjianhuacp@163.com |
| Name | Affiliation | Role |
|---|---|---|
| Binghe Xu | Cancer Hospital Chinese Academy of Medical Science, Shenzhen Center | Principal Investigator |
| Jianhua Chang | Cancer Hospital Chinese Academy of Medical Science, Shenzhen Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cancer Hospital Chinese Academy of Medical Sciences, Shenzhen Center | Shenzhen | Guangdong | 518100 | China |
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ORR is defined as the proportion of participants whose best overall response is complete response (CR) , partial response (PR) or stable disease (SD) per RECIST 1.1.
| Up to approximately 24 months |
| Rime to response(TTR) | TTR is defined as time to the first tumor response (complete response (CR) or partial response (PR)) per RECIST 1.1. | Up to approximately 24 months |
| Duration of Response(DoR) | DoR is defined as time from first tumor response (partial or complete) until either radiological disease progression, clinical/symptomatic disease progression or death (whichever is sooner) per RECIST 1.1. | Up to approximately 24 months |
| Progression Free Survival(PFS) | PFS is defined as time between the date of first dose and the date of either radiological disease progression per RECIST 1.1, clinical/symptomatic disease progression or death (whichever is sooner). | Up to approximately 24 months |
| Overall Survival(OS) | OS is defined as time between the date of the first dose of study drug and the date of death due to any cause. | Up to approximately 24 months |