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This is an open-label, multicenter, Phase II clinical study designed to evaluate the safety and efficacy of JSKN033 in the treatment of patients with advanced NSCLC. The study is divided into two phases: Part 1 (Dose Selection) and Part 2 (Cohort Expansion). Enrolled subjects are patients with locally advanced (Stage IIIB/IIIC) or metastatic (Stage IV) NSCLC who are not eligible for curative treatment. Part 1 (Dose Selection): It consists of two dose groups, with a maximum of 20 subjects enrolled in each group. Part 2 (Cohort Expansion): It consists of two cohorts, with a maximum of 60 subjects enrolled in each cohort.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part 1 (Dose Selection) and Part 2 (Cohort Expansion) | Experimental | JSKN033 is administered at the predefined dose, once per treatment cycle. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| JSKN033 Injection | Drug | JSKN033 is a fixed-dose combination consisting of JSKN003 (a HER2-targeted ADC) and envafolimab (a PD-L1 inhibitor) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number and Severity of Treatment-emergent Adverse Events (TEAEs) | The incidence and severity of TEAEs and TRAEs (Treatment-related Adverse Events, graded according to NCI CTCAE 5.0), Serious AEs (SAEs), laboratory tests, etc. | Baseline up to 30 days after the last dose of study drug, up to 1 year |
| Objective response rate (ORR) | ORR was defined as the proportion of subjects achieving Complete Response (CR) or Partial Response (PR) | Up to 1 year after the last participant receives the last dose |
| Measure | Description | Time Frame |
|---|---|---|
| Duration of response (DoR) | Duration of response for responders (CR or PR) is defined as the time interval between the date of earliest qualifying response and the date of PD or death for any cause, whichever occurs earlier | Up to 1 year after the last participant receives the last dose |
| Disease control rate (DCR) |
| Measure | Description | Time Frame |
|---|---|---|
| Correlation between biomarkers (HER2 mutation status, HER2/PD-L1 expression levels) in tumor tissue samples and efficacy. | Up to 1 year after the last participant receives the last dose |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Lin Wu, Doctor | Contact | +86 731 8976 2300 | wulin-calf@vip.163.com |
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DCR was defined as the proportion of subjects whose best overall response is CR, PR, or Stable Disease (SD) |
| Up to 1 year after the last participant receives the last dose |
| Clinical benefit rate (CBR) | Clinical benefit rate (CR+PR+[stable disease (SD) ≥ 6 months]) is defined as those participants with best response as CR or PR or else SD with a duration of at least 6 months. SD for 6 months duration was defined as the time from the first dose to the first documentation of PD or to the last adequate response assessment prior to data cut-off date, whichever is earlier. | Up to 1 year after the last participant receives the last dose |
| Progression-free Survival (PFS) | PFS is defined as the time from the date of first study dose to disease progression or death whichever occurs first. Subjects without event (no disease progression or alive at last visit) will be censored at the date of "last tumor assessment". | Up to 1 year after the last participant receives the last dose |
| Overall survival (OS) | OS was defined as the time from the date of first dose until the date of death from any cause | Up to 1 year after the last participant receives the last dose |
| PK parameter: Cmax | Maximum (Peak) Observed blood Concentration (Cmax) | Post last dose up to Day 90 |
| PK parameter: Tmax | Time of Maximum blood Concentration (Tmax) | Post last dose up to Day 90 |
| PK parameter: AUC | The blood PK parameters of JSKN033 and its analytes for area under the concentration-versus-time curve from time 0 to the last quantifiable concentration as calculated by the linear-up log-down trapezoidal method (AUClast) and AUC from time 0 to infinity (AUCinf) elimination rate constant associated with the terminal phase were estimated using standard non-compartmental methods. | Post last dose up to Day 90 |
| PK parameter: Terminal Elimination Half-life (t1/2) | Post last dose up to Day 90 |
| PK parameter: Volume of distribution (V) | Post last dose up to Day 90 |
| PK parameter: trough concentration (Ctrough) | Post last dose up to Day 90 |
| PK parameter: Clearance (CL) | Post last dose up to Day 90 |
| PK parameter: Accumulation index (Rac) | Post last dose up to Day 90 |
| PK parameter: Mean residence time (MRT) | Post last dose up to Day 90 |
| Incidence of anti-drug antibodies (ADAs), antibody titers, and incidence of neutralizing antibodies | Post last dose up to Day 90 |
| ID | Term |
|---|---|
| D002289 | Carcinoma, Non-Small-Cell Lung |
| ID | Term |
|---|---|
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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