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This is a Phase 1, open-label, multicenter study to evaluate the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of HSK46256 tablets, a selective PARP1 inhibitor, in patients with advanced solid tumors. The study consists of a dose escalation phase and a dose expansion phase. In the dose escalation phase, a 3+3 dose escalation design will be used to evaluate multiple dose levels. The dose expansion phase will enroll patients into expansion cohorts at selected dose levels to further evaluate safety and preliminary efficacy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| HSK46256 as monotherapy | Experimental | Drug: HSK46256 Administration: Oral tablet, once daily (except during the single-dose period) Regimen: Single-agent, dose-escalation Duration: Until disease progression or treatment discontinuation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| HSK46256 | Drug | Oral administration. Dose escalation: an initial single-dose period followed by multiple-dose cycles until disease progression or intolerable toxicity. Dose expansion: multiple-dose cycles directly. Specific dose levels and dosing frequency will be determined based on dose-escalation data. |
| Measure | Description | Time Frame |
|---|---|---|
| DLTs | Incidence of dose-limiting toxicities (DLTs) at Cycle1 | Up to 24 days |
| MTD | Maximum Tolerated Dose | Up to 24 days |
| Measure | Description | Time Frame |
|---|---|---|
| Progression-Free Survival (PFS) | Up to 24 months | |
| Duration of Response (DOR) | Up to 24 months | |
| Disease Control Rate (DCR) |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacodynamic (PD) markers: PARP1 inhibition and biomarker modulation | Circle 1 (21 days) |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fudan University Shanghai Cancer Center | Shanghai | China |
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|
| Up to 24 months |
| Radiographic Progression-Free Survival (rPFS, prostate cancer only) | Up to 24 months |
| Objective Response Rate (ORR) | Complete response + Partial response (CR+PR) based on RECIST 1.1. | Up to 24 months |
| PK parameters of HSK46256 | Peak plasma concentration (Cmax) | Circle 1 (21 days) |
| Pharmacokinetic parameters of HSK46256 | Area Under the Plasma Concentration-Time Curve (AUC) | Circle 1 (21 days) |
| Pharmacokinetic parameters of HSK46256 | Half-life (T1/2) | Circle 1 (21 days) |