A Phase I/II Study of LM-2417 in Subjects With Advanced Solid Tumours

Phase
Phase 1/Phase 2
Recruitment status
Participants
Lead sponsor
LaNova Medicines Limited
Start date
Number of sites

Summary
This study is to assess the safety and tolerability, obtain the recommended phase 2 dose(RP2D)/or Maximum Tolerated Dose (MTD) for LM-2417 as a single agent or in combination with other anti-tumour agents in subjects with advanced solid tumours.
Short title
A Phase I/II Study of LM-2417 in Subjects With Advanced Solid Tumours
Official title
An Open-label, Dose-escalation, and Dose-expansion Phase I/II Clinical Study of Safety, Tolerability, Pharmacokinetic Profile, and Initial Efficacy of LM-2417 for Injection Alone or in Combination With Other Antitumor Agents in Patients With Advanced Solid Tumors

Control arm
Registry reports results
Listing at source
Recruitment status
Phase
Phase 1/Phase 2
Study type
Interventional

Completion date
First posted
Registry last updated
Primary completion date
Start date

Participants
Participant count basis
Planned participants
Protocol amendments
Number of sites

Data monitoring committee
Registry sponsor category
Lead sponsor
LaNova Medicines Limited
Source registry
ClinicalTrials.gov

Registry ID
ClinicalTrials.gov ID
Registry record
Open registry record

Allocation
Not randomised
Model
Sequential
Purpose
Treatment
Masking
No masking
Sources for study design

  1. Incidence of adverse events (AEs)

    Timeframe: 60 weeks

    Phase I/II

  2. Incidence of dose-limitingtoxicity (DLT)

    Timeframe: 60 weeks

    Phase I/II

  3. Incidence of serious adverse event (SAE)

    Timeframe: 60 weeks

    Phase I/II

  4. Temperatures

    Timeframe: 60 weeks

    Phase I/II

  5. Pulse in BPM(Beat per Minute)

    Timeframe: 60 weeks

    Phase I/II

  6. Blood Pressure in mmHg

    Timeframe: 60 weeks

    Phase I/II

  7. Weight in Kg

    Timeframe: 60 weeks

    Phase I/II

  8. Height in centimeter

    Timeframe: 60 weeks

    Phase I/II

  9. Laboratory tests-Blood Routine examination

    Timeframe: 60 weeks

    Phase I/II

  10. Laboratory tests-Urine Routine test

    Timeframe: 60 weeks

    Phase I/II

  11. Laboratory tests-Blood biochemistry

    Timeframe: 60 weeks

    Phase I/II

  12. Laboratory tests- Coangulation function

    Timeframe: 60 weeks

    Phase I/II

  13. Echocardiography- LVEF(Left Ventricular Ejection Fraction) in percentage

    Timeframe: 60 weeks

    Phase I/II

  14. 12-lead electrocardiogram (ECG) in HR

    Timeframe: 60 weeks

    Phase I/II

  15. 12-lead electrocardiogram (ECG) in RR

    Timeframe: 60 weeks

    Phase I/II

  16. 12-lead electrocardiogram (ECG) in PR

    Timeframe: 60 weeks

    Phase I/II

  17. 12-lead electrocardiogram (ECG) in QRS

    Timeframe: 60 weeks

    Phase I/II

  18. 12-lead electrocardiogram (ECG) in QT

    Timeframe: 60 weeks

    Phase I/II

  19. 12-lead electrocardiogram (ECG) in QTcF

    Timeframe: 60 weeks

    Phase I/II

  20. ECOG(Eastern Cooperative Oncology Group) score

    Timeframe: 60 weeks

    Phase I/II

  21. Overall Response Rate (ORR)

    Timeframe: 76 weeks

    Phase I/II

  1. Pharmacokinetic (PK) Parameter: Maximum Observed Concentration (Cmax)

    Timeframe: 112 weeks

    Phase I/II

  2. PK Parameter:Time of Maximum Observed Concentration (Tmax)

    Timeframe: 112 weeks

    Phase I/II

  3. PK Parameter: Area Under the Concentration-time Curve(AUC)

    Timeframe: 112 weeks

    Phase I/II

  4. PK Parameter: Steady State Maximum Concentration(Cmax,ss) PK Parameter: Steady State Maximum Concentration(Cmax,ss)

    Timeframe: 112 weeks

    Phase I/II

  5. PK Parameter: Steady State Minimum Concentration(Cmin,ss)

    Timeframe: 112 weeks

    Phase I/II

  6. PK Parameter: Systemic Clearance at Steady State (CLss)

    Timeframe: 112 weeks

    Phase I/II

  7. PK Parameter: Accumulation Ratio (Rac)

    Timeframe: 112 weeks

    Phase I/II

  8. PK Parameter: Elimination Half-life (t1/2)

    Timeframe: 112 weeks

    Phase I/II

  9. PK Parameter: Volume of Distribution at Steady-State (Vss)

    Timeframe: 112 weeks

    Phase I/II

  10. PK Parameter: Degree of Fluctuation (DF)

    Timeframe: 112 weeks

    Phase I/II

  11. Immunogenicity of LM-2417

    Timeframe: 112 weeks

    Phase I/II

  12. Biomarker correlation(NaPi2b)

    Timeframe: 112 weeks

    Phase I/II

  13. Duration of Response (DOR) in Month

    Timeframe: 64 weeks

    Phase I/II

  14. Disease control rate (DCR) in percentage

    Timeframe: 64 weeks

    Phase I/II

  15. progression-free survival (PFS) in Month

    Timeframe: 64 weeks

    Phase I/II

  16. Safety: AE/SAE (Number of participants with treatment-related adverse events as Overall survival (OS) in Month

    Timeframe: 64 weeks

    Phase I/II

  17. Changes of target lesions from baseline in Millimeter

    Timeframe: 64 weeks

    Phase I/II

  18. AE/SAE (Number of participants with treatment-related adverse events as assessed by CTCAE v5.0) Safety: AE/SAE (Number of participants with treatment-related adverse events as assessed by CTCAE v5.0)

    Timeframe: 64 weeks

    Phase I/II

Sources for outcomes

Sex
All
Age groups
Adults, Older adults
Minimum age
18 Years
Maximum age
80 Years
Healthy volunteers
No

  1. Subjects who are willing to participate in the study and sign the informed consent form (ICF) prior to any procedure.
  2. Aged 18-80 years old (including boundary values) , male or female.
  3. Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.
  4. Life expectancy ≥ 3 months.
  5. Subjects must have histological or cytological confirmation of recurrent or refractory advanced solid tumors, or currently lack or are intolerant of, standard therapy.
  6. Subjects must have Archived Samples or fresh tumor tissue specimens are required for testing.
  7. At least one evaluable lesion.
  8. Subjects must show appropriate organ and marrow function inlaboratory examinations within 7 days prior to the first dose.
  9. Women of childbearing potential (WOCBP) must agree to use highly effective methods of contraception prior to study entry, during the study and for 6 months after the last dose of study drug.
  10. Subjects who can communicate well with investigators and understand and adhere to the requirements of this study.

Single-agent dose of 6mg/kg, 12mg/kg and and combined cohort:Subjects tested positive for biomarkers.

  1. Previously received with same target therapy.
  2. Subjects has participated in any other interventional clinical trial within 28 days prior to the first dosing of LM-2417.
  3. Subjects with anti-tumor treatment within 21 days prior to the first dosing of LM-2417, including radiotherapy, chemotherapy, endocrine therapy, and immunotherapy, etc.
  4. Any adverse event from prior anti-tumor therapy has not yet recovered to ≤ grade 1 of CTCAE v5.0.
  5. Poorly controlled tumor-related pain.
  6. Subjects with symptomatic/active central nervous system (CNS)metastases.
  7. Subject who have uncontrollable pleural effusion, pericardial effusion, or ascites requiring repeated drainage.
  8. Subjects with known hypersensitivity to antibody therapy;
  9. Subjects who take systemic corticosteroids (> 10 mg daily prednisone equivalents) for more than 7 days or other systemic immunosuppressive medications within 2 weeks prior to the first dosing of LM-2417.
  10. Previous or current known autoimmune disease.
  11. Subject who has interstitial lung disease or a history of pneumonitis that required oral or intravenous glucocorticoids to assist with management.
  12. Use of any live vaccine or live attenuated vaccines within 28 days prior to the first dosing of LM-2417.;
  13. Subjects who are using therapeutic doses of anticoagulants such as heparin or vitamin K antagonists.
  14. Subjects who received major surgery or interventional treatment within28 days prior to the first dosing of LM-2417.
  15. Subject who have history of severe cardiovascular disease.
  16. Subjects who have uncontrolled or severe illness.
  17. HIV infection, active HBV or HCV infection.
  18. Subjects who have other active invasive cancers, other than the one treated in this trial, within 5 years prior to screening.
  19. Child-bearing potential female who have positive results in pregnancy test or are lactating.
  20. Subject who have a known psychiatric diseases or disorders that may affect compliance with the trial.
  21. Subject who is judged as not eligible to participate in this study by the investigator.
Sources for eligibility

  • FuDan University Shanghai Cancer CenterShanghai, ChinaRecruiting
Sources for sites

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