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This is an open-label, dose-escalation and expansion Phase I clinical trial designed to evaluate the safety, tolerability, pharmacokinetic (PK) profile, immunogenicity, and preliminary antitumor activity of QLF4113 monotherapy in participants with metastatic prostate cancer.
The Phase I trial consists of two parts: Phase Ia and Phase Ib. Phase Ia is a dose-escalation study of QLF4113 monotherapy to determine the recommended phase two dose and assess safety and PK. Then the study will proceed to Phase Ib, a dose-expansion study to further evaluate the preliminary efficacy and safety of QLF4113 monotherapy under the selected doses.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| QLF4113 dose escalation arm | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| QLF4113 for injection | Drug | A PSMA/CD3/CD2 antibody |
|
| Measure | Description | Time Frame |
|---|---|---|
| Maximum tolerated dose (MTD) (Phase Ia) | Maximum tolerated dose is defined as the previous dose level at which 2 or more out of 2-6 participants experienced a dose-limited toxicity (DLT). | From first dose of study treatment until the end of Cycle 1 (21 days) |
| Maximum administered dose (MAD)(Phase Ia) | MAD is defined as follows: a) based on PK data, it is anticipated that at this dose level, the dose-exposure plateau has been reached, b) based on existing safety data, it is judged that dose escalation following this dose level will have a large safety risk or subject intolerance, or c) based on the PK-PD model, it suggested that the optimal target concentration of safety and efficacy has been explored. | From first dose of study treatment until the end of Cycle 1 (21 days) |
| recommended phase II dose (RP2D) | The RP2D will be comprehensively evaluated based on the safety, PK characteristics, and efficacy data from the Phase Ia study. | Through phase Ia completion, approximately 1 year. |
| The incidence and severity of adverse events (AE) (Phase Ib) | Incidence and severity of adverse events (AEs) evaluated according to the National Cancer Institute (NCI)-Common Terminology Criteria for Adverse Events (CTCA) Version 6.0 (v6.0) and American Society for Transplantation and Cellular Therapy (ASTCT) | Through phase Ia completion, approximately 1 year. |
| PSA50 response (Phase Ib) | Best response until progression, as defined by Response Evaluation Criteria in Solid Tumors (RECIST) version (v1.1) and Prostate Cancer Clinical Trials Working Group 3 (PCGW3). | From Screening to confirmed progressive disease (approximately 1 year) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jun Guo, Doctor | Contact | 0086-10- 88121122 | guoj307@126.com |
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| ID | Term |
|---|---|
| D011471 | Prostatic Neoplasms |
| ID | Term |
|---|---|
| D005834 | Genital Neoplasms, Male |
| D014565 | Urogenital Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| D007267 | Injections |
| ID | Term |
|---|---|
| D004333 | Drug Administration Routes |
| D004358 | Drug Therapy |
| D013812 | Therapeutics |
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| Objective response rate (ORR) (phase Ib) | From Screening to confirmed progressive disease (approximately 1 year) |
| D005832 |
| Genital Diseases, Male |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D011469 | Prostatic Diseases |
| D052801 | Male Urogenital Diseases |