Advanced Solid Tumor
Conditions
Keywords
BR790,SHP2, checkpoint inhibitor, PD-1, NSCLC, CRC, HNSCC
Brief summary
This study is a Phase I/IIa, multi-center, open-label study of BR790 in combination with Tislelizumab with a dose escalation part followed by a dose expansion part in adult subjects with advanced solid tumors. These treatment to characterize the safety, tolerability, PK, PD and preliminary antitumor activity. The study treatment will be administered until the subject experiences unacceptable toxicity, progressive disease, and/or has treatment discontinued at the discretion of the Investigator or the subject, or due to withdrawal of consent.
Detailed description
Phase 1 (Dose Escalation Phase of BR790 Tablets Combined with Tislelizumab Injection): According to the incidence of DLT in BR790 Tablets Combined with Tislelizumab Injection Monoclonal Antibody in the Treatment of Advanced Solid Tumors, MTD and the Phase 2 clinical trial dose (RP2D) combining PK , efficacy and safety data were determined. Stage II (BR790 Tablets combined with tislelizumab injection dose expansion stage): Evaluate the objective response rate (ORR) of BR790 Tablets combined with tislelizumab injection according to Response Evaluation Criteria in Solid Tumors (RECIST) V1.1 .
Interventions
DRUGBR790+Tislelizumab
BR790 will be administered orally, variable dose. Tislelizumab will be administered as an intravenous infusion,fixed dose.
Sponsors
Shanghai Gopherwood Biotech Co., Ltd.
Study design
Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
1. Sign informed consent voluntarily. 2. Age ≥18 and ≤75 years old. 3. Subjects with advanced solid tumors diagnosed by histology or cytology，whose desease progressed after standard treatment or have no standard treatment. 4. Had at least one measurable lesion. 5. ECOG≤1. 6. Expected survival period ≥ 3 months.
Exclusion criteria
1. Any previous treatment with SHP-2 inhibitor. 2. Symptomatic brain metastases. 3. Subjects with thoracic/ascites fluid that need drainage or intervention. 4. Subjects with not enough organ functional reserve at baseline, which met at least one of the following criteria： ANC\<1.5×10\^9/L PLT\<100×10\^9/L Hb\<90g/L TBIL\>1.5×ULN ALT, AST\>2.5×ULN (without liver metastases) or ALT, AST\>5×ULN (with liver metastases), Cr \>1.5×ULN. 5. With uncontrolled severe disease.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Dose limiting toxicity (DLT) | 24 months | Incidence of dose limiting toxicities (DLTs) in the dose escalation phase. A DLT is defined as an adverse event or abnormal laboratory value assessed as unrelated to disease, disease progression, inter-current illness, or concomitant medications that occurs within the first treatment cycle. (Dose escalation phase) |
| maximum tolerated dose (MTD) | 24 months | Measurements of MTD (i.e. the highest dose of BR790 associated with the occurrence of Dose Limiting Toxicities (DLTs) in \<33% of patients) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| t1/2 | 24 months | Half life of BR790 |
| Duration of response ( DCR ) | 24 months | DCR is defined as proportion of participants with complete response, partial response, stable disease(CR+PR+SD). (Dose escalation phase) |
| Area under the plasma concentration-time curve (AUC) | 24 months | Area under the plasma concentration time curve of BR790 |
| Progression-free survival (PFS) | 24 months | PFS is defined as the interval of time between the date of first treatment to the earliest date of disease progression or death which occurs first. (Dose escalation phase) |
| Overall survival (OS) | 24 months | OS is defined as the interval of time between the date of first treatment until death, loss to follow up or termination of the study by the sponsor(Dose escalation phase) |
| Duration of response ( DOR ) | 24 months | DOR is defined as the time from the participant's initial objective response (CR or PR) to study drug therapy, to disease progression or death due to any cause, whichever occurs first. (Dose escalation phase) |
| Plasma concentration (Cmax) | 24 months | Highest observed plasma concentration of BR790 |
Countries
China
Contacts
Primary Contactxiao Chen
Outcome results
None listed