HCC, Liver Cancer
Conditions
Keywords
first line, HCC, PM1009, PM8002
Brief summary
This study to evaluate the preliminary efficacy, safety and pharmacokinetics of PM8002 combined with PM1009 in Patients with first-line Hepatocellular Carcinoma.
Detailed description
The study is divided into two parts. The first part is a phase Ib, single-arm study, which is planned to enroll 3-28 subjects. The second part is a phase II randomized, parallel-controlled, four-arm, open-label study, which is planned to enroll approximately 120 subjects.
Interventions
PM8002 via IV infusion, Q3W
PM8002 via IV infusion, Q3W
atezolizumab,1200mg, via IV infusion, Q3W
bevacizumab,15mg/kg, via IV infusion, Q3W
Sponsors
Study design
Eligibility
Inclusion criteria
1. Voluntary participation in clinical studies; 2. Male or female, aged ≥ 18 years; 3. Pathologically or clinically confirmed (according to AASLD), unresectable locally advanced and/or metastatic HCC; 4. Child-Pugh liver function score ≤7; 5. No prior systemic therapy for locally advanced or metastatic and/or unresectable HCC; 6. At least 1 measurable lesion ; 7. Adequate organ function; 8. ECOG score of 0 to 1; 9. Life expectancy ≥ 12 weeks;
Exclusion criteria
1. Pathologically confirmed fibrolamellar HCC, sarcomatoid HCC, cholangiocarcinoma and other components; 2. History of serious allergic diseases; 3. The toxicity of previous anti-tumor therapy has not been alleviated; 4. History of severe cardiovascular diseases within 6 months; 5. Current presence of uncontrolled pleural, pericardial, and peritoneal effusions; 6. History of allogeneic hematopoietic stem cell transplantation or allogeneic organ transplantation; 7. History of alcohol abuse, psychotropic substance abuse or drug abuse; 8. Human immunodeficiency virus (HIV) infection or known acquired immunodeficiency syndrome; 9. Pregnant or lactating women; 10. Other conditions considered unsuitable for this study by the investigator.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Objective response rate(ORR) | Up to approximately 2 years | ORR is the proportion of subjects with complete response (CR) or partial response (PR), based on RECIST v1.1. |
| Optimal dosing regimen of PM8002 in combination with PM1009 | Up to approximately 2 years | To determine the dosing regimen of PM8002 in combination with PM1009 |
| Treatment related adverse events (TRAEs) | Up to 30 days after last treatment | The incidence and severity of TRAEs graded according to NCI-CTCAE v5.0 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Progression free survival (PFS) | Up to approximately 2 years | PFS is defined as the time from the start of treatment until the first documentation of disease progression or death due to any cause, whichever occurs first |
| Overall survival (OS) | Up to approximately 2 years | OS is the time from the date of randomization or first dosing date to death due to any cause |
| Maximum observed concentration [Cmax] | Up to 30 days after last treatment | To evaluate the Cmax of Combination regimen . |
| Time to Cmax [Tmax] | Up to 30 days after last treatment | To evaluate the Tmax of Combination regimen . |
| Objective response rate(ORR)(mRECIST) | Up to approximately 2 years | ORR is the proportion of subjects with complete response (CR) or partial response (PR), based on mRECIST |
| Area under the concentration-time curve [AUC0-last] | Up to 30 days after last treatment | To evaluate the AUC0-last of Combination regimen . |
| AUC to the end of the dosing period(AUC0-tau) | Up to 30 days after last treatment | To evaluate the AUC0-tau of Combination regimen . |
| Apparent terminal elimination half-life (t1/2) | Up to 30 days after last treatment | To evaluate the t1/2 of Combination regimen . |
| Anti-drug antibody (ADA) | Up to 30 days after last treatment | To evaluate the incidence of ADA to PM8002 |
| Minimum observed concentration [Cmin] | Up to 30 days after last treatment | To evaluate the Cmin of Combination regimen . |
| Disease control rate (DCR) | Up to approximately 2 years | DCR is defined as the proportion of subjects with complete response (CR), partial response (PR) or stable disease (SD) based on RECIST v1.1 and mRECIST |
| Duration of response (DOR) | Up to approximately 2 years | DOR is defined as the duration from the first documentation of objective response to the first documented disease progression or death due to any cause, whichever occurs first |