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This is a phase I, open-label, single-arm, single-center, dose-escalation study to evaluate the safety, tolerability, and preliminary anti-tumor activity of NCP-IL-22BP mRNA, a non-cationic peptide-delivered mRNA encoding interleukin-22 binding protein (IL-22BP), administered by intratumoral injection in patients with advanced malignant solid tumors who have failed second-line therapy. The study employs a classical "3+3" dose-escalation design with three dose levels (25 μg, 50 μg, and 100 μg mRNA). Each subject will receive 5 doses at weekly intervals. The primary objective is to assess the safety and tolerability of NCP-IL-22BP mRNA, and the secondary objective is to evaluate its preliminary anti-tumor activity.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| NCP-IL-22BP mRNA Dose Level 1 (25 μg) | Experimental |
| |
| NCP-IL-22BP mRNA Dose Level 2 (50 μg) | Experimental |
| |
| NCP-IL-22BP mRNA Dose Level 3 (100 μg) | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 25 μg NCP-IL-22BP mRNA | Biological | NCP-IL-22BP mRNA administered by intratumoral injection, 5 doses at weekly intervals |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of Dose-Limiting Toxicities | Number and percentage of subjects experiencing DLT during the first treatment cycle (from first dose through 7 days after the fifth dose), assessed per CTCAE v5.0 | From the first dose to 3 weeks post-dose. (approximately 3 weeks) |
| Measure | Description | Time Frame |
|---|---|---|
| Objective Response Rate (ORR) | Proportion of subjects achieving complete response (CR) or partial response (PR) per RECIST v1.1 | From the time when the patients were enrolled in the study until one month after the last dose of the IL-22BP was injected.The time window was typically 2 months. |
| Disease Control Rate |
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Inclusion Criteria:
Male or female patients aged ≥18 and ≤70 years
Histopathologically confirmed advanced recurrent/metastatic malignant solid tumors that have failed second-line therapy with no standard treatment options available (e.g., advanced soft tissue sarcoma, head and neck squamous cell carcinoma, malignant melanoma)
ECOG Performance Status score: 0-1
Estimated life expectancy ≥3 months
At least 28 days since prior chemotherapy, radiotherapy, or surgery
At least 6 weeks since prior use of nitrosoureas or mitomycin C
Adequate organ function within 14 days prior to enrollment:
Signed written informed consent
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Xingchen Peng | Contact | 18980606753 | pxx2014@scu.edu.cn |
| Name | Affiliation | Role |
|---|---|---|
| Xingchen Peng | The West China Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| West China Hospital | Chengdu | Sichuan | 610000 | China |
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| ID | Term |
|---|---|
| D009369 | Neoplasms |
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| 50 μg NCP-IL-22BP mRNA | Biological | NCP-IL-22BP mRNA administered by intratumoral injection, 5 doses at weekly intervals |
|
| 100 μg NCP-IL-22BP mRNA | Biological | NCP-IL-22BP mRNA administered by intratumoral injection, 5 doses at weekly intervals |
|
Proportion of subjects achieving CR, PR, or stable disease (SD) per RECIST v1.1 |
| From the time when the patients were enrolled in the study until one month after the last dose of the IL-22BP was injected.The time window was typically 2 months. |
| Time to first complete remission, partial remission on treatment with IL-22BP preparation. | Complete Response: All target lesions disappear, no new lesions emerge, and tumor markers return to normal. This means that, from the perspective of imaging and relevant examinations, the tumor has completely vanished, and the patient's condition has achieved the most ideal improvement. For example, in the treatment of lymphoma, if enlarged lymph nodes completely disappear as detected by imaging examinations such as PET-CT, and relevant tumor markers in the blood also return to normal, it can be judged as a complete response. Partial Response: The sum of the maximum diameters of target lesions is reduced by ≥ 30%, and no new lesions appear. Taking lung cancer as an example, if the sum of the maximum diameters of lung tumors is reduced by more than 30% after treatment and no new tumor lesions are detected, it is in a partial response state. This situation indicates that the tumor responds to the treatment and the patient's condition is under a certain degree of control. | From the time when the patients were enrolled in the study until one month after the last dose of the IL-22BP was injected.The time window was typically 2 months. |
| Duration of Response | It is defined as the time between the first confirmation of complete response, partial response and the first disease progression or death from any cause. | From the time when the patients were enrolled in the study until one month after the last dose of the IL-22BP was injected.The time window was typically 2 months. |