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| Name | Class |
|---|---|
| Hangzhou Innogate Pharma Co., Ltd | UNKNOWN |
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This is an open-label, multicenter Phase 1 first-in-human trial of SYH2095, a selective KAT6A/B inhibitor. The trail contains two segments: Part 1A dose escalation and Part 2A cohort expansion. Part 1A uses the BOIN dose-escalation design, enrolling patients with advanced malignant tumors with no effective standard treatment. Its primary goals are to assess safety and tolerability, define dose-limiting toxicity (DLT) and maximum tolerated dose (MTD), and establish the recommended expansion dose (RDE). Part 2A is an expansion cohort using the RDE identified in Part 1A,. All participants receive oral SYH2095 once daily in 4-week treatment cycles. Safety evaluations, tumor imaging, pharmacokinetic (PK), pharmacodynamic (PD) and biomarker analyses will be performed at scheduled time points throughout treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SYH2095 Monotherapy Dose Escalation Cohort (1A) | This arm adopts sequential ascending dose cohorts for dose-escalation evaluation, and enrolls participants with malignancies. |
| |
| SYH2095 Monotherapy Expansion Cohort (2A) | SYH2095 at RDE (QD, oral), Enroll treated malignant tumors. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SYH2095 | Drug | Selective KAT6A/B inhibitor, oral tablet.. Administered orally once daily on an empty stomach, 4 weeks per treatment cycle. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of Dose-Limiting Toxicity | Proportion of participants with DLT during the first 28-day treatment cycle (DLT observation period), assessed per NCI-CTCAE 6.0. | End of Part 1 Dose Escalation and Backfill phase (each cycle is 28 days; all safety data collected through Day 28 of Cycle 1 for every dose-escalation subject)] |
| Maximum Tolerated Dose (MTD) of SYH2095 | Determine the MTD of SYH2095 for monotherapy based on DLT and overall safety data. | End of Part 1 Dose Escalation and Backfill phase (each cycle is 28 days; all safety data collected through Day 28 of Cycle 1 for every dose-escalation subject)] |
| Maximum Tolerated Dose of SYH2095 | Description: Determine the MTD of SYH2095 for monotherapy based on DLT and overall safety data | End of Part 1 Dose Escalation phase (each cycle is 28 days; safety data collected through Day 28 of Cycle 1 for all dose-escalation subjects)] |
| Objective Response Rate | Confirmed ORR assessed by investigators per RECIST 1.1 in cohort expansion participants. | 2 years |
| Phase 2 Recommended Dose of SYH2095 | Determine RP2D for monotherapy based on safety, PK and efficacy data. | 2 years |
| Overall Safety Profile | Incidence, severity and causality of adverse event | From informed consent to 28 days after last study drug administration |
| Maximum Observed Concentration (Cmax) |
| Measure | Description | Time Frame |
|---|---|---|
| Time to Maximum concentration (Tmax) | Pharmacokinetic (PK) assessments for SYH2095 Part 1A and Part 2A | 2 years |
| AUC from time zero to time of last measurable concentration (AUClast) | Pharmacokinetic (PK) assessments for SYH2095 Part 1A and Part 2A |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacodynamic (PD) Changes of H3K23ac | Dynamic changes of peripheral blood H3K23ac level after SYH2095 administration | 2 years |
Inclusion Criteria:
Fully understand this clinical trial, and voluntarily sign a written informed consent form (ICF);
Age ≥ 18 years (at the time of informed consent), male or female;
Eastern Cooperative Oncology Group Performance Status (ECOG PS) score 0-1;
Estimated life expectancy ≥ 3 months;
At least one measurable or evaluable tumor lesion at baseline per RECIST V1.1;
For advanced HR+/HER2- breast cancer, the following requirements must be met:
8.Participants must meet the following laboratory tests requirements (all test results must be completed within 7 days before the first dose without corrective interventions such as transfusion, hematopoietic growth factors, etc., or stable for more than 7 days after treatment)
Exclusion Criteria:
Presence of known active Central Nervous System (CNS) metastases and/or carcinomatous meningitis. Participants with prior locoregional treatment for brain metastases may be enrolled only if medically stable for ≥ 4 weeks prior to the first dose. Medically stable is defined as the following conditions: no clinical symptoms attributable to CNS metastases within 4 weeks prior to the first dose (e.g., progressive or new neurological deficit, epileptic seizure, increased intracranial pressure, vomiting, papilledema, or headache); no evidence of CNS neoplasm relapse/progression on imaging assessments within 4 weeks prior to the first dose; no glucocorticoid therapy (>10 mg/day prednisone or equivalent) for ≥4 weeks prior to the first dose;
Participants with uncontrolled third interstitial effusions (e.g., pericardial effusion, pleural effusion, ascites) that cannot be controlled by repeated drainage or other interventions, and who are not suitable for enrollment by the investigator;
Participants with history of severe cardiovascular disease within 6 months prior to the first dose, including any of the following: (1) Congestive heart failure (New York Heart Association (NYHA) class > grade Ⅱ); (2) Severe/unstable angina, or new-onset angina pectoris within 3 months before the first dose; (3) Participants with myocardial ischaemia requiring long-term pharmacologic control, or heart failure (NYHA class Ⅲ-Ⅳ); (4) History of acute myocardial infarction; (5) Any grade ≥2 supraventricular or ventricular arrhythmia requiring treatment or intervention; (6) History of atrial fibrillation, coronary/peripheral artery bypass grafting, or transient ischaemic attack (TIA) with cerebrovascular symptoms; (7) Uncontrolled hypertension at screening (despite pharmacotherapy: diastolic blood pressure ≥ 100 mmHg and/or systolic blood pressure ≥ 160 mmHg);(8) QTcF≥ 470 ms on 12-lead (ECGs) performed in triplicate;
Participants with factors affecting oral administration (e.g., dysphagia, intestinal obstruction); or active gastrointestinal diseases or other conditions that may significantly alter drug absorption, distribution, metabolism, or excretion (including active inflammatory bowel disease, chronic diarrhea, frequent vomiting, enterocolitis, etc.);
Participants with active autoimmune disease, a history of immunodeficiency or autoimmune disease, or a history of non-active autoimmune disease requiring long-term treatment with systemic corticosteroids or immunosuppressants agents, or with conditions associated with immunodeficiency (including HIV, congenital immunodeficiency diseases, etc.), or a history of organ transplantation (including allogeneic bone marrow transplantation);
Drug-induced pneumonia, interstitial lung disease (ILD), or immune-mediated pneumonitis; or a history of active radiation pneumonitis requiring steroid therapy, or other severe lung dysfunction diseases, symptoms or signs at screening (e.g., severe chronic obstructive pulmonary disease (COPD), pulmonary fibrosis, etc.);
Presence of active hepatitis B, active hepatitis C, active tuberculosis, or active syphilis infection, including:
A. Active hepatitis B: HBsAg positive and HBV-DNA quantitative titer test ≥20 IU/mL or HBV-DNA ≥102; B. Active Hepatitis C: anti-HCV positive and HCV-RNA positive; C. Active tuberculosis: history of tuberculosis treatment within 2 years prior to the first dose; D. Active syphilis: presence of syphilis infection requiring systemic therapy;
Participants with a diagnosis of other malignant tumor within the past 5 years (except those with basal cell carcinoma of the skin, squamous cell carcinoma of the skin, papillary thyroid carcinoma, or carcinoma in situ [e.g., cervical carcinoma in situ, breast ductal carcinoma in situ] that have received radical treatment);
Use of strong/moderate inhibitors or inducers of CYP3A4 within 2 weeks prior to the first dose;
Use of proton pump inhibitors (PPIs) within 2 weeks prior to the first dose;
History of nervous system or psychiatric disorders, history of psychotropic drug abuse, or drug addiction ; alcohol or drug abuse/dependence, which may interfere with the administration of the investigational product, affect the assessment and judgment of investigational product's toxicity and AEs, or result in inadequate or decreased trial compliance; participants with other severe physical or laboratory abnormalities that, in the investigator's judgment, may increase the risk to the participant or interfere with the clinical trial results, and are thus considered unsuitable for trial participation;
Received any anti-tumor therapy or enrolled in other interventional clinical trial within 4 weeks prior to the first dose, including cytotoxic drugs, endocrine therapy, immunotherapy, targeted therapy, surgery (except puncture biopsy, peripherally inserted central catheterisation or infusion port catheterization) or other clinical trial investigational products; or received radiotherapy within 2 weeks prior to the first dose;
Previous anti-tumor therapy-related toxicity that has not recovered to CTCAE version 6.0 grade ≤1 (except toxicities determined by the investigator to post no safety risk, e.g., alopecia, fatigue, isolated laboratory abnormalities, peripheral neuropathy, etc.);
Previous participation in any clinical trial involving a KAT6A/B or KAT7 inhibitor;
Hypersensitivity to any investigational product or its excipients in this clinical trial;
Female participants who are pregnant, breastfeeding, or planning a pregnancy during the trial;
Participants with active infection requiring treatment with antibiotics, antivirals or antifungals, or unexplained fever >38.5℃ within 2 weeks prior to the first dose (except tumor-related fever as determined by the investigator);
Participants with hemorrhagic events within 4 weeks prior to the first dose (e.g., active gastrointestinal bleeding, gross hematuria, haemoptysis, etc.);
Presence of severe bone injury due to bone metastases, as determined by the investigator, including uncontrolled severe bone pain, pathological fractures at critical sites, or spinal cord compression that occurred within 6 months prior to the first dose or is expected to occur in the near future;
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Study population: Patients diagnosed with malignant tumors for whom no established standard therapeutic regimen is available.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Clinical Trial Information Team Officer | Contact | +86-311 6908 5587 | ctr-contact@cspc.cn |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tianjin Medical University Cancer Institute and Hospital | Tianjin | Tianjing | 300060 | China |
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Pharmacokinetic (PK) assessments for SYH2095 Part 1A and Part 2A |
| 2 years |
| 2 years |
| Terminal Elimination half-life (t1/2) | Pharmacokinetic (PK) assessments for SYH2095 Part 1A and Part 2A | 2 years |
| Steady-State Cmax | Pharmacokinetic (PK) assessments for SYH2095 Part 1A and Part 2A | 2 years |
| Steady-state Tmax (Tmax,ss) | Pharmacokinetic (PK) assessments for SYH2095 Part 1A and Part 2A | 2 years |
| Steady state AUC during a dosage interval (τ) (AUCτ,ss) | Pharmacokinetic (PK) assessments for SYH2095 Part 1A and Part 2A | 2 years |
| Steady-state apparent total clearance (CLss/F) | Pharmacokinetic (PK) assessments for SYH2095 Part 1A and Part 2A | 2 years |
| Progression Free Survival (PFS) | Progression Free Survival (PFS) | 2 years |
| Overall survival (OS) | Overall survival (OS) | 2 years |
| Duration of Response (DOR) | Duration of Response (DOR) | 2 years |
| Disease Control Rate (DCR) | Disease Control Rate (DCR) | 2years |