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| ID | Type | Description | Link |
|---|---|---|---|
| NCC6293 | Other Identifier | National Cancer Center/Cancer Hospital, CAMS |
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This is an open-label phase I master platform study to evaluate the safety, tolerability and preliminary anti-tumor efficacy of multiple inhaled in-vivo mRNA immunotherapies in adult patients with advanced solid tumors. Subjects will receive inhalation mRNA formulations at ascending dose levels following a 3+3 dose-escalation design to determine maximum tolerated dose and recommended phase II dose.
This is an open-label, single-arm, phase I master platform clinical trial designed to assess the safety, tolerability, pharmacokinetic profiles and preliminary anti-tumor activity of multiple investigational inhaled in-vivo mRNA multi-target immunotherapy candidates in adult subjects diagnosed with unresectable locally advanced or metastatic solid tumors.
The study adopts the standard 3+3 dose-escalation design for each individual mRNA product. Eligible participants will receive study drug via pulmonary inhalation on predefined treatment cycles with gradual dose increment across sequential cohorts to identify the maximum tolerated dose (MTD) and recommended phase 2 dose (RP2D). After completion of dose escalation, an optional expansion cohort at RP2D will be enrolled to further characterize safety and preliminary anti-tumor efficacy.
All enrolled patients will undergo regular safety monitoring including adverse event recording, laboratory examinations, pulmonary function test and radiological tumor assessment per protocol schedule. The primary study endpoints focus on treatment-related adverse events and MTD determination; secondary endpoints include objective response rate, disease control rate, duration of response as well as pharmacokinetic parameters of inhaled mRNA agents. Subjects will continue assigned study treatment until confirmed disease progression, unacceptable toxicity, withdrawal of consent or study closure.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Inhaled mRNA Immunotherapy | Experimental | All enrolled subjects will receive inhaled mRNA immunotherapy via Breezhaler dry powder inhaler.
Dose escalation will follow a standard 3+3 design. Treatment duration will not exceed 52 weeks. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Inhaled mRNA | Biological | Inhaled mRNA dry powder formulation, administered via a low-resistance dry powder inhaler. |
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| Measure | Description | Time Frame |
|---|---|---|
| Safety and Tolerability | The primary endpoint is to assess the safety and tolerability of inhaled mRNA immunotherapy, including the incidence and severity of adverse events (AEs), serious adverse events (SAEs), and dose-limiting toxicities (DLTs). | From the first dose of study treatment up to 30 days after the last dose. |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum Tolerated Dose (MTD) / Recommended Phase 2 Dose (RP2D) | To determine the maximum tolerated dose (MTD) and recommended phase 2 dose (RP2D) of inhaled mRNA immunotherapy using a standard 3+3 dose-escalation design. | Up to 28 days after the last dose in each dose cohort. |
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Inclusion Criteria:
Exclusion Criteria:
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| ID | Term |
|---|---|
| D009369 | Neoplasms |
| D009362 | Neoplasm Metastasis |
| ID | Term |
|---|---|
| D009385 | Neoplastic Processes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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Single-arm open-label phase I trial with standard 3+3 dose-escalation design for multiple inhaled mRNA immunotherapy agents.
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Open-label study, no blinding implemented.
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