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| Name | Class |
|---|---|
| The First Affiliated Hospital with Nanjing Medical University | OTHER |
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This trial is an open-label, multicenter phase Ib/II clinical study to evaluate the efficacy and safety of LBL-024 monotherapy or in combination with albumin-bound paclitaxel in patients with recurrent or metastatic triple negative breast cancer(TNBC).
The trial was divided into two phases.
Stage I (Phase Ib):
Part A: Monotherapy Period:In the phase Ib Part A monotherapy period, a small number of TNBC patients were planned to be enrolled to receive LBL-024 monotherapy.The safety, tolerability, and preliminary efficacy of LBL-024 monotherapy in this population will be assessed by the sponsor and investigator in combination.
Part B: Combination Drug Safety Run-In Period:If the safety and tolerability are good and there is preliminary efficacy in Part A,The investigator discussed with the sponsor to decide whether to continue the study in Part B of Phase Ib.Part B is designed to enroll a small number of TNBC patients to receive LBL-024 combination therapy.
Stage II (Phase II) : If the safety and tolerability are good and there is preliminary efficacy in the first stage,The investigator discusses with the sponsor to decide whether to continue the co-administration expansion study, continue to enroll TNBC patients, and using a randomized, open, positive control trial design.
This study will enroll up to 220 subjects.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| LBL-024 + albumin-bound paclitaxel | Experimental | Experimental group: LBL-024 + albumin-bound paclitaxel. Intravenous infusion. |
|
| Toripalimab + albumin-bound paclitaxel/albumin-bound paclitaxel | Active Comparator | control group: Toripalimab + albumin-bound paclitaxel or albumin-bound paclitaxel. Intravenous infusion. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| LBL-024 for Injection | Drug | Intravenous infusion. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Objective Response Rate (ORR) | According to the evaluation criteria of RECIST V1.1 (solid tumour) ,Proportion of subjects achieving complete response (CR) or partial response (PR).It was used to evaluate the efficacy in Phase Ib. | From all subjects signed the informed consent form up to the completion of the follow-up period of drug withdrawal (28 days after drug withdrawal or before the start of new anti-tumor therapy) |
| Occurrence of adverse event (AE) and serious adverse event (SAE) | Adverse event (AE) will be graded according to the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) 5.0.The safety profile of LBL-024 or LBL-024 Combination Administration will be assessed by monitoring the adverse event (AE) and serious adverse event (SAE) in Phase Ib study. | From all subjects signed the informed consent form up to the completion of the follow-up period of drug withdrawal (90 days after drug withdrawal or before the start of new anti-tumor therapy) |
| Progression-free Survival(PFS) | According to the evaluation criteria of RECIST V1.1 (solid tumour),Time from randomisation to disease progression or death from any cause.It was used to evaluate Time of disease no-progression or Drug resistance in Phase II. | From all subjects signed the informed consent form up to the completion of the follow-up period of drug withdrawal (28 days after drug withdrawal or before the start of new anti-tumor therapy) |
| Measure | Description | Time Frame |
|---|---|---|
| Cmax | Maximum drug concentration in plasma after administration. | From all subjects signed the informed consent form up to the completion of the follow-up period of drug withdrawal (28 days after drug withdrawal or before the start of new anti-tumor therapy) |
| Tmax |
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Inclusion Criteria:
Exclusion Criteria:
Use of immunomodulatory drugs within 2 weeks prior to first dose of study drug.
Patients who received live vaccination within 4 weeks before the first dose of study drug or who are scheduled to receive live vaccination during the study treatment period and within 4 weeks after the last dose.
Patients with clinically uncontrolled pleural effusion, peritoneal effusion, or pericardial effusion.
Active infection within 2 weeks prior to first dose of study drug.
Active infectious disease.
Women with plans for pregnancy,Or women who are pregnant or breastfeeding.
Active hepatitis B or active hepatitis C.
History of mental illness (interfering with understanding or giving informed consent), drug abuse, alcoholism, or drug addiction.
The investigator believes that the subject has other conditions that may affect compliance or are not suitable for participating in this study.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| yongmei Yin | Contact | 025-83718836 | mengdongtao@leadsbiolabs.com |
| Name | Affiliation | Role |
|---|---|---|
| yongmei Yin | The First Affiliated Hospital with Nanjing Medical University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sun Yat-sen University Cancer Center | Recruiting | Guangzhou | Guangdong | 510062 | China |
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| albumin-bound Paclitaxel injection | Drug | Intravenous infusion. |
|
|
| Toripalimab Injection | Drug | Intravenous infusion. |
|
|
After administration,Time to reach maximum drug concentration in plasma. |
| From all subjects signed the informed consent form up to the completion of the follow-up period of drug withdrawal (28 days after drug withdrawal or before the start of new anti-tumor therapy) |
| Immunogenicity | The immunogenicity is evaluated by the incidence of anti-drug antibodies (ADA) and neutralizing antibodies (if applicable) in subjects.Immunogenicity refers to the performance that can elicit an immune response. | From all subjects signed the informed consent form up to the completion of the follow-up period of drug withdrawal (28 days after drug withdrawal or before the start of new anti-tumor therapy) |
| Disease Control Rate(DCR) | Percentage of participants achieving CR, PR, iCR, iPR and stable disease (SD) after treatment. | From all subjects signed the informed consent form up to the completion of the follow-up period of drug withdrawal (28 days after drug withdrawal or before the start of new anti-tumor therapy) |
| Duration of Response(DOR) | DOR is defined as the duration from earliest date of disease response (CR、PR 、iCR or iPR) until earliest date of disease progression or death from any cause(if occurring sooner than progression). | From all subjects signed the informed consent form up to the completion of the follow-up period of drug withdrawal (28 days after drug withdrawal or before the start of new anti-tumor therapy) |
| Sun Yat-sen Memorial Hospital, Sun Yat-sen University | Recruiting | Guangzhou | Guangdong | 510120 | China |
|
| Harbin Medical University Cancer Hospital | Recruiting | Harbin | Heilongjiang | 150081 | China |
|
| Henan Cancer Hospital | Recruiting | Zhengzhou | Henan | 450000 | China |
|
| Jiangsu Province Hospital | Recruiting | Nanjing | Jiangsu | 210029 | China |
|
| The first hospital of Jilin University | Recruiting | Changchun | Jilin | 130021 | China |
|
| Liaoning Cancer Hospital | Recruiting | Shenyang | Liaoning | 110000 | China |
|
| ID | Term |
|---|---|
| D064726 | Triple Negative Breast Neoplasms |
| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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| ID | Term |
|---|---|
| D007267 | Injections |
| D000068196 | Albumin-Bound Paclitaxel |
| C000656314 | toripalimab |
| ID | Term |
|---|---|
| D004333 | Drug Administration Routes |
| D004358 | Drug Therapy |
| D013812 | Therapeutics |
| D017239 | Paclitaxel |
| D043823 | Taxoids |
| D043822 | Cyclodecanes |
| D003516 | Cycloparaffins |
| D006840 | Hydrocarbons, Alicyclic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D004224 | Diterpenes |
| D013729 | Terpenes |
| D000418 | Albumins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
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