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This is a phase 1a/1b, open-label, multicenter, dose-escalation and dose-expansion study evaluating the safety, tolerability, antitumor activity, pharmacokinetics, and pharmacodynamics of FXB0871 monotherapy in adults with selected locally advanced or metastatic solid tumors. In Part Ia, participants with selected solid tumors that have progressed after, are intolerant to, or are not suitable for standard therapy will receive FXB0871 in dose-escalation cohorts to determine the maximum tolerated dose and/or recommended phase 2 dose. In Part Ib, participants with PD-(L)1-resistant non-small cell lung cancer or hepatocellular carcinoma will receive FXB0871 in dose-expansion cohorts to further evaluate antitumor activity, safety, and dose optimization.
This first-in-human study consists of a dose-escalation part (Part Ia) and a dose-expansion part (Part Ib). In Part Ia, adults with selected locally advanced or metastatic solid tumors will receive FXB0871 monotherapy by intravenous infusion every 2 weeks in sequential pre-determinde dose cohorts using a Bayesian optimal interval design. The planned dosing schedule is every 2 weeks, with a dose-limiting toxicity observation period of the first 2 treatment cycles. Additional intermediate dose levels, cohort expansion, and schedule optimization to every 3 or 4 weeks may be allowed according to protocol-defined safety, PK/PD, and preliminary antitumor activity data.
Part Ib will start after determination of the monotherapy recommended phase 2 dose (RP2D). Cohort A will enroll participants with PD-(L)1-resistant locally advanced or metastatic non-small cell lung cancer and randomize them 1:1 to receive FXB0871 at the RP2D or at a lower dose selected on the basis of Part Ia data. Cohort B will enroll participants with PD-(L)1-resistant locally advanced or metastatic hepatocellular carcinoma to receive FXB0871 at the RP2D. Participants may continue study treatment for up to 12 months or until unacceptable toxicity, disease progression, or another protocol-defined discontinuation criterion is met.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Arm1:Part Ia Dose Escalation | Experimental | Participants with selected locally advanced or metastatic solid tumors will receive FXB0871 monotherapy by intravenous infusion every 2 weeks in sequential pre-determined dose-escalation cohorts or at intermediate dose levels every 2 weeks |
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| Arm2:Part Ib Dose Expansion (NSCLC, RP2D) | Experimental | Participants with locally advanced or metastatic IO-resistant NSCLC will be randomized 1:1 to receive FXB0871 monotherapy at RP2D from Phase Ia by intravenous infusion every 2 weeks |
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| Arm3:Part Ib Dose Expansion(NSCLC, <RP2D) | Experimental | Participants with locally advanced or metastatic IO-resistant NSCLC will be randomized 1:1 to receive FXB0871 monotherapy at a selected lower dose than RP2D from Phase Ia by intravenous infusion every 2 weeks |
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| Arm4:Part Ib Dose Expansion(HCC, RP2D) | Experimental | Participants with locally advanced or metastatic IO-resistant HCC will receive FXB0871 monotherapy at RP2D from Phase Ia by intravenous infusion every 2 weeks |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Intervention1:FXB0871 | Biological | FXB0871 is administered by intravenous infusion at pre-determined dose level in Part Ia every 2 weeks. Treatment may continue for up to 12 months or until unacceptable toxicity, disease progression, or another protocol-defined discontinuation criterion is met. |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence and severity of dose-limiting toxicities (DLTs) in Phase Ia | Percentage of participants with protocol-defined DLTs during the DLT observation period in the dose-escalation phase | First 2 cycles after first dose (each cycle = 14 days; approximately 28 days). |
| Incidence and severity of adverse events (AEs), serious adverse events (SAEs), AEs leading to dose delay/interruption/reduction/treatment discontinuation in Phase Ia | Safety assessed by the incidence of treatment-emergent adverse events, serious adverse events, AEs leading to dose delay/interruption/reduction/treatment discontinuation in Phase Ia. | From first dose through 90 days after last dose or initiation of new anti-tumor therapy, whichever occurs first |
| Objective response rate (ORR) in Phase Ib | ORR defined as the proportion of participants with a best overall response of complete response (CR) or partial response (PR) per RECIST v1.1 in Phase Ib. | From first dose until disease progression, start of new anti-tumor therapy, withdrawal, death, or end of study (assessed every 8±1 weeks; approximately up to 24 months). |
| Measure | Description | Time Frame |
|---|---|---|
| Objective response rate (ORR) in Phase Ia | Objective response rate (ORR), defined as the proportion of participants with a best overall response of complete response (CR) or partial response (PR), as assessed per RECIST v1.1 in Phase Ia. | From first dose until disease progression, start of new anti-tumor therapy, withdrawal, death, or end of study, whichever occurs first (tumor assessments every 8 ± 1 weeks; approximately up to 24 months). |
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Inclusion Criteria:
Key Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Caicun Zhou | Contact | +86 13301825532 | caicunzhoudr@163.com | |
| Fei Zhou | Contact | +86 13801751704 | story185@126.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Shanghai East Hospital | Shanghai | Shanghai Municipality | 200000 | China |
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| Intervention2:FXB0871 | Biological | FXB0871 is administered by intravenous infusion at pre-determined dose level in Phase Ib every 2 weeks. Treatment may continue for up to 12 months or until unacceptable toxicity, disease progression, or another protocol-defined discontinuation criterion is met. |
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| Intervention3:FXB0871 | Biological | FXB0871 is administered by intravenous infusion at pre-determined dose level in Phase Ib every 2 weeks. Treatment may continue for up to 12 months or until unacceptable toxicity, disease progression, or another protocol-defined discontinuation criterion is met. |
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| Intervention4:FXB0871 | Biological | FXB0871 is administered by intravenous infusion at pre-determined dose level in Phase Ib every 2 weeks. Treatment may continue for up to 12 months or until unacceptable toxicity, disease progression, or another protocol-defined discontinuation criterion is met. |
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| Disease control rate (DCR) in Phase Ia | Disease control rate (DCR), defined as the proportion of participants with a best overall response of CR, PR, or stable disease (SD), as assessed per RECIST v1.1 in Phase Ia. | From first dose until disease progression, start of new anti-tumor therapy, withdrawal, death, or end of study, whichever occurs first (tumor assessments every 8 ± 1 weeks; approximately up to 24 months). |
| Duration of response (DOR) in Phase Ia | Duration of response (DOR), defined for participants with confirmed CR or PR as the time from first documented response to first documented disease progression or death from any cause, whichever occurs first, as assessed per RECIST v1.1 in Phase Ia. | From first documented CR or PR until first documented disease progression or death from any cause, whichever occurs first (approximately up to 24 months). |
| Progression-free survival (PFS) in Phase Ia | Progression-free survival (PFS), defined as the time from first dose to first documented disease progression or death from any cause, whichever occurs first, as assessed per RECIST v1.1 in Phase Ia. | From first dose until first documented disease progression or death from any cause, whichever occurs first (approximately up to 24 months). |
| Peak serum concentration (Cmax) | Maximum observed concentration | Predose up to Day 8 |
| Time to maximum observed concentration (Tmax) | Time to maximum observed drug concentration | Predose up to Day 8 |
| Area under the serum concentration-time curve (AUC0-last) | Area under the serum concentration-time curve from time 0 to last measurable drug concentration | Predose up to Day 8 |
| Area under the serum concentration-time curve (AUC0-∞) | Area under the concentration-time curve from time zero (pre-dose) extrapolation to infinite time | Predose up to Day 8 |
| Area under the serum concentration-time curve (AUCtau) | Area under the concentration-time curve over the dosing interval | Predose up to Day 8 |
| Trough concentration (Ctrough) | Observed concentration at the end of a dosing interval, immediately before next administration | up to Day 8 |
| Clearance (CL) | Systemic (total body) clearance following iv administration | Predose up to Day 8 |
| Volume of distribution (Vz) | Volume of distribution following iv administration | Predose up to Day 8 |
| Half-life (t1/2) | Terminal phase half-life | Predose up to Day 8 |
| Average concentration (Cavg) | Average concentration over a dosing interval | Predose up to Day 8 |
| Accumulation ratio (Rac) | Accumulation ratio | Predose up to Day 8 |
| Incidence and severity of AEs/SAEs and AEs leading to dose modification or discontinuation in Phase Ib | Safety and tolerability in the dose-expansion phase. | From first dose through 90 days after last dose or initiation of new anti-tumor therapy, whichever occurs first. |
| ORR by modified RECIST (mRECIST) in the HCC cohort of Phase Ib | ORR in participants with hepatocellular carcinoma assessed by mRECIST. | From first dose until disease progression, start of new anti-tumor therapy, withdrawal, death, or end of study (assessed every 8±1 weeks; approximately up to 24 months). |
| Disease control rate (DCR) in Phase Ib | Disease control rate (DCR), defined as the proportion of participants with a best overall response of CR, PR, or SD, as assessed per RECIST v1.1 in Phase Ib. | From first dose until disease progression, start of new anti-tumor therapy, withdrawal, death, or end of study, whichever occurs first (tumor assessments every 8 ± 1 weeks; approximately up to 24 months). |
| Time to response (TTR) in Phase Ib | Time to response (TTR), defined as the time from first dose to the first documented CR or PR, as assessed per RECIST v1.1 in Phase Ib. | From first dose to first documented CR or PR (tumor assessments every 8 ± 1 weeks; approximately up to 24 months). |
| Duration of response (DOR) in Phase Ib | Duration of response (DOR), defined for participants with confirmed CR or PR as the time from first documented response to first documented disease progression or death from any cause, whichever occurs first, as assessed per RECIST v1.1 in Phase Ib. | From first documented CR or PR until first documented disease progression or death from any cause, whichever occurs first (approximately up to 24 months). |
| Title:Progression-free survival (PFS) in Phase Ib | Progression-free survival (PFS), defined as the time from first dose to first documented disease progression or death from any cause, whichever occurs first, as assessed per RECIST v1.1 in Phase Ib. | From first dose until first documented disease progression or death from any cause, whichever occurs first (approximately up to 24 months). |
| Overall survival (OS) in Phase Ib | Overall survival measured from first dose to death from any cause. | From first dose until death from any cause (approximately up to 24 months). |
| ID | Term |
|---|---|
| D002289 | Carcinoma, Non-Small-Cell Lung |
| D006528 | Carcinoma, Hepatocellular |
| 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 |
| D000230 | Adenocarcinoma |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
| D008113 | Liver Neoplasms |
| D004067 | Digestive System Neoplasms |
| D004066 | Digestive System Diseases |
| D008107 | Liver Diseases |
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