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This is a Phase Ib, open-label, multicenter study of HSK41959 tablets in combination with standard therapy in patients with MTAP-deficient advanced solid tumors. The study consists of dose-escalation and dose-expansion parts and is intended to evaluate the safety, tolerability, dose-limiting toxicity, maximum tolerated dose, pharmacokinetics, pharmacodynamics, and preliminary efficacy of HSK41959 tablets when used together with standard therapy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dose-Escalation Arm | Experimental |
| |
| Dose-Expansion:First-line NSCLC cohort | Experimental |
| |
| Dose-Expansion Second-line NSCLC cohort | Experimental |
| |
| Dose-Expansion First-line PDAC cohort | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| HSK41959 | Drug | Oral administration, QD |
|
| Measure | Description | Time Frame |
|---|---|---|
| DLTs | DLTs assessed during the protocol-defined DLT evaluation period. | 21 days for NSCLC cohorts; 28 days for PDAC cohorts |
| AEs | Rate and severity of adverse events of HSK41959 Tablets in Combination With Standard Therapy | Up to approximately 3 years |
| Measure | Description | Time Frame |
|---|---|---|
| Overall response rate (ORR) | ORR, defined as the proportion of patients who experience a best response of confirmed CR or PR according to RECIST 1.1 | Up to approximately 3 years |
| Disease control rate (DCR) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Shanghai East Hospital | Shanghai | Shanghai Municipality | China |
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| Sintilimab | Drug | Specified dose on specified days |
|
| Pemetrexed + Cisplatin /Carboplatin | Drug | Specified dose on specified days |
|
| Paclitaxel + Carboplatin | Drug | Specified dose on specified days |
|
| Nab-paclitaxel + Carboplatin | Drug | Specified dose on specified days |
|
| Nab-paclitaxel + Gemcitabine | Drug | Specified dose on specified days |
|
| Docetaxel | Drug | Specified dose on specified days |
|
DCR, defined as the proportion of patients who experience a best response of CR, PR, or stable disease (SD) according to RECIST 1.1
| Up to approximately 3 years |
| Progression free survival (PFS) | PFS, defined as the time frocease or death due to any cause, whichever occurs first | Up to approximately 3 years |
| Overall survival (OS) | OS, defined as the time from the first dose of HSK41959 until the date of death due to any cause | Up to approximately 3 years |
| Area under the curve (AUC) of HSK41959 Tablets in Combination With Standard Therapy | Up to approximately 6 months |
| maximum plasma concentration (Cmax) of HSK41959 Tablets in Combination With Standard Therapy | Up to approximately 6 months |
| Tmax(Time to maximum plasma concentration) of HSK41959 Tablets in Combination With Standard Therapy | Up to approximately 6 months |
| ID | Term |
|---|---|
| D002289 | Carcinoma, Non-Small-Cell Lung |
| ID | Term |
|---|---|
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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| ID | Term |
|---|---|
| C000632826 | sintilimab |
| D000068437 | Pemetrexed |
| D002945 | Cisplatin |
| D016190 | Carboplatin |
| C053518 | CP protocol |
| C520255 | 130-nm albumin-bound paclitaxel |
| D000093542 | Gemcitabine |
| D000077143 | Docetaxel |
| ID | Term |
|---|---|
| D006147 | Guanine |
| D007042 | Hypoxanthines |
| D011688 | Purinones |
| D011687 | Purines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
| D005971 | Glutamates |
| D024342 | Amino Acids, Acidic |
| D000596 | Amino Acids |
| D000602 | Amino Acids, Peptides, and Proteins |
| D000600 | Amino Acids, Dicarboxylic |
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
| D017672 | Nitrogen Compounds |
| D017671 | Platinum Compounds |
| D056831 | Coordination Complexes |
| D009930 | Organic Chemicals |
| D003841 | Deoxycytidine |
| D003562 | Cytidine |
| D011741 | Pyrimidine Nucleosides |
| D011743 | Pyrimidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D043823 | Taxoids |
| D043822 | Cyclodecanes |
| D003516 | Cycloparaffins |
| D006840 | Hydrocarbons, Alicyclic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D004224 | Diterpenes |
| D013729 | Terpenes |
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