Advanced Hepatocellular Carcinoma
Conditions
Brief summary
This is a dose escalation study based on 3+3 design with the aim to establish MTD and provide RP2D. PLM60 is to administered by multi-cycle intravenous infusion.
Interventions
Intravenous infusion
Sponsors
Study design
Eligibility
Inclusion criteria
* Signed informed consent from the patient; * ECOG performance status of 0 or 1; * Histologically/cytologically confirmed diagnosis of advanced HCC; * Adequate washout period for previous anti-tumor therapy; * Measurable disease according to RECIST v1.1; * Life expectancy ≥ 12 weeks; * Adequate organ function; * Child-Pugh grade A or partial grade B; BCLC stage B or C;V
Exclusion criteria
* Prior treatment with Mitoxantrone or Liposome-entrapped Mitoxantrone, or other anthracyclines, with the total cumulative dose of \> 360 mg/m2 ; * Any drug-related adverse event derived from any previous anti-tumor treatment, excluding alopecia, Pigmentation, or other toxicity with little safety risk for subjects, that has not recovered to grade1 or less; * Active central nervous system (CNS) metastases (brain or leptomeningeal metastases, etc.); * Any history of other malignancy within 5 years; * Untreated hepatitis infection; * HIV positive; * History of liver transplantation, severe cirrhosis, hepatic encephalopathy; * Inadequate cardiac function; * Pregnant or lactating women.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Dose-limited toxicity (DLT) | 1year | To identify the dose-limited toxicity (DLT). |
| Maximum tolerated dose (MTD) | 1 year | To identify the maximum tolerated dose (MTD). |
| Recommended Phase II Dose (RP2D) | 1 year | To identify the Recommended Phase II Dose (RP2D) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Area under the plasma concentration versus time curve (AUC) | 2 years | To preliminarily evaluate the AUC in patients with advanced HCC. |
| Peak Plasma Concentration (Cmax) | 2 years | To preliminarily evaluate Cmax in patients with advanced HCC. |
| Time of peak plasma concentration (Tmax) | 2 years | To preliminarily evaluate Tmax in patients with advanced HCC. |
| Median overall survival (OS) | 2 years | To preliminarily evaluate ORR in patients with advanced HCC. |
| Median progression free survival (PFS) | 2 years | To preliminarily evaluate PFS in patients with advanced HCC. |
| Overall response rate (ORR) | 2 years | To preliminarily evaluate ORR in patients with advanced HCC. |
| Duration of Response (DoR) | 2 years | To preliminarily evaluate DoR in patients with advanced HCC. |