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临床试验 NCT06929195 针对Advanced Malignant Tumours目前招募中。请查看临床试验雷达卡片视图和 AI 发现工具了解所有详情,或在此提出任何问题。 | ||
评价tqb2210注射液耐受性的临床试验 I期 90 单克隆抗体
Phase I Clinical Trial Evaluating the Tolerability, Pharmacokinetics, and Preliminary Efficacy of TQB2210 Injection in Subjects With Advanced Malignant Tumors
- TQB2210-I-01
| 参与者组/试验组 | 干预措施/治疗方法 |
|---|---|
实验性TQB2210 Injection Dose escalation experiment:
Intravenous infusion once of TQB2210 for injection every two weeks, 28 days as one treatment cycle.
(1.0 mg/kg, 3.0 mg/kg, 8.0 mg/kg, 16.0 mg/kg, 24.0 mg/kg)
Dose expansion experiment:
Chose one or two appropriate dose groups in the dose escalation experiment to amplify. | TQB2210 Injection TQB2210 injection is a humanized monoclonal antibody against FGFR2b, which can bind to FGFR2b with high specificity. It inhibits tumor growth by blocking the signaling pathway mediated by fibroblast growth factor receptor. Its binding is concentration dependent. |
| 结果指标 | 度量标准描述 | 时间框架 |
|---|---|---|
Dose Limiting Toxicity (DLT) | DLT will be defined as toxicities that meet pre-defined severity criteria(according to the NCI CTCAE v5.0 toxicity assessment criteria), and assessed as having a suspected relationship to study drug that occurred within the first cycle(28 days) of treatment. | During the first cycle. Each cycle is 28 days |
Maximum tolerated dose (MTD) | MTD was defined as the highest dose at which dose-limiting toxicity (DLT) occurred in less than 33% of patients. | During the first cycle. Each cycle is 28 days |
Recommended Phase II Dose | The recommended dosage for subsequent Phase II studies will be based on MTD (Maximum Tolerant Dose), pharmacokinetics, preliminary efficacy and safety comprehensively determined. | During the first cycle. Each cycle is 28 days |
Objective Response Rate (ORR) (dose expansion phase) | Defined as the percentage of Complete Response (CR) plus partial response (PR) assessed by Response Evaluation Criteria In Solid Tumors (RECIST) v1.1 criteria. | Up to 2 years |
| 结果指标 | 度量标准描述 | 时间框架 |
|---|---|---|
Adverse event rate | The occurrence of all adverse events (AEs), serious adverse events (SAEs) and treatment-related adverse events (TEAEs) evaluated by Common Terminology Criteria for Adverse Events (CTCAE) 5.0. | Up to 2 years |
Objective Response Rate (ORR) (dose escalation phase) | Defined as the percentage of Complete Response (CR) plus partial response (PR) assessed by Response Evaluation Criteria In Solid Tumors (RECIST) v1.1 criteria. | Up to 2 years |
Disease control rate (DCR) | Defined as the proportion of subjects with CR, PR, or Stable Disease (SD). | Up to 2 years |
Duration of Response (DOR) | Defined as the time from first documented response to documented disease progression. | Up to 2 years |
Progress Free Survival (PFS) | Defined as the time from the first dose of TQB2210 to the first occurrence of disease progression or death from any cause. | Up to 2 years |
Overall Survival (OS) | Overall survival refers to the time from the first treatment to death from any cause. | Up to 2 years |
Pharmacokinetics: The area under the curve (AUC) | The area under the curve (AUC) of serum concentration of TQB2210. | 2 hours pre-dose, 0,2,6,24,48,72,120,168 hours after dose on cycle1 day1 and cycle3 day1; 2 hours pre-dose on cycle1 day15 and cycle3 day15, each cycle is 28 days. |
Pharmacokinetics:Peak concentration (Cmax) | Maximum observed concentration (Cmax) of TQB2210 antibody. | 2 hours pre-dose, 0,2,6,24,48,72,120,168 hours after dose on cycle1 day1 and cycle3 day1; 2 hours pre-dose on cycle1 day15 and cycle3 day15, each cycle is 28 days. |
Pharmacokinetics: T1/2 | Terminal half-life (T1/2) | 2 hours pre-dose, 0,2,6,24,48,72,120,168 hours after dose on cycle1 day1 and cycle3 day1; 2 hours pre-dose on cycle1 day15 and cycle3 day15, each cycle is 28 days. |
Pharmacokinetics: Apparent Clearance (CL/F) | Apparent Clearance: Apparent clearance refers to the rate of drug removal in the body, which reflects the degree of drug elimination in the body, as well as the bioavailability of the drug in the body | 2 hours pre-dose, 0,2,6,24,48,72,120,168 hours after dose on cycle1 day1 and cycle3 day1; 2 hours pre-dose on cycle1 day15 and cycle3 day15, each cycle is 28 days. |
Pharmacokinetics: Vss/F | When the drug distribution in plasma and tissue reaches equilibrium, the drug distribution in the body body according to the plasma drug concentration at this time is the required body fluid volume called apparent distribution volume. | 2 hours pre-dose, 0,2,6,24,48,72,120,168 hours after dose on cycle1 day1 and cycle3 day1; 2 hours pre-dose on cycle1 day15 and cycle3 day15, each cycle is 28 days. |
Immunogenicity: The incidence of drug-resistant antibodies (ADA) and neutralizing antibodies (NAb) | The incidence of drug-resistant antibodies (ADA) and neutralizing antibodies (NAb) | Cycle1 Day1, Cycle2 Day1, Cycle6 Day1; Cycle12 Day1: pre-dose 120 minutes; At the end of treatment visit (EOT) 30 days after the end of the infusion. Each cycle is 28 days. |
- Age: 18-75 years old; Eastern Cooperative Oncology Group Performance Status (ECOG-PS), score: 0-1; The expected survival time is more than 3 months.
- At least one tumour lesion that can be evaluated according to Response Evaluation Criteria In Solid Tumors (RECIST) v1.1 in the dose-escalation phase and at least one measurable lesion in the dose-expansion phase.
- Good function of major organs.
- Patients with advanced malignant tumours confirmed by histology or cytology, disease progression or intolerance after adequate standard treatment, lack of standard treatment options.
- Can provide tumor tissue specimens collected fresh or sliced within 6 months (preserved in wax blocks collected within 3 years) for further detection for FGFR2b expression
- Fertile subjects should agree that contraception must be used during the study and for 6 months after the end of the study; Women of childbearing age had a negative serum pregnancy test within 7 days prior to study enrollment and had to be non-lactating subjects.
- Evidence of a personally signed and dated informed consent document indicating that the patient has been informed of all pertinent aspects of the study.
Has had or is currently suffering from other malignant tumors
There are diseases that affect intravenous injection and venous blood collection
Adverse reactions from previous treatments have not recovered to CTCAE v5.0 Grade 1
Received major surgical treatment, significant traumatic injury within 4 weeks prior to the first dose of TQB2210, or exist long-term unhealed wounds or fractures
Subjects who experience any bleeding or bleeding events ≥ CTCAE grade 3 within 4 weeks prior to the first dose of TQB2210
An arterial/venous thrombotic event occurred within 6 months prior to to the first dose of TQB2210
Patients with active viral hepatitis that is poorly controlled
Active syphilis patients requiring treatment
A history of active pulmonary tuberculosis, idiopathic pulmonary fibrosis, institutional pneumonia, drug-induced pneumonitis/radiation pneumonia requiring treatment or active pneumonia with obvious clinical symptoms, interstitial pneumonia requiring treatment
Subjects with any severe and/or uncontrolled illnesses
Individuals who are preparing for or have previously undergone allogeneic bone marrow transplantation or solid organ transplantation
History of hepatic encephalopathy
Suffering from significant cardiovascular disease
Active or uncontrolled severe infections
Patients with renal failure requiring hemodialysis or peritoneal dialysis;
Corneal defects, corneal ulcers, keratitis or keratoconus, history of corneal transplantation, or other known corneal abnormalities that may increase the risk of developing corneal ulcers within 6 months prior to the first treatment or currently present
History of retinal disease or retinal detachment, or increased risk of retinal detachment according to the opinion of an ophthalmologist
Acute ophthalmic diseases that continue to progress within the first 4 weeks of enrollment
Unwilling to avoid using contact lenses during research treatment
History of immunodeficiency, includingHuman Immunodeficiency Virus(HIV) positivity or other acquired or congenital immunodeficiency diseases
There are poorly controlled autoimmune diseases that require the use of immunosuppressants or systemic hormone therapy to achieve immunity Subjects who inhibit the purpose and need to continue using it within 7 days before the first administration
Individuals with epilepsy who require treatment
Poor control of diabetes
Tumor related symptoms and treatment:
- Received chemotherapy, immunotherapy, small molecule targeted drugs, etc. within 3 weeks before the first administration;
- Traditional Chinese patent medicines and simple preparations with anti-tumor indications specified in the National Medical Products Administration (NMPA )approved drug directions within 1 week before the first drug use;
- Imaging (Computed Tomography or Magnetic Resonance Imaging) shows that the tumor has invaded important blood vessels, or the researcher has determined that the tumor is highly likely to invade important blood vessels and cause fatal massive bleeding during subsequent studies;
- Uncontrolled pleural effusion, pericardial effusion, or moderate to severe ascites that still require repeated drainage;
- Known to have spinal cord compression, meningeal metastasis/malignant meningitis, accompanied by symptoms of brain metastasis, or symptoms/imaging control time less than 4 weeks. Within 2 weeks before the start of treatment, steroid therapy or dehydration agents are still required;
- For non-small cell lung cancer subjects known to have meaningful gene mutations such as epidermal growth factor receptor (EGFR) mutations, anaplastic lymphoma kinase (ALK) fusion, ROS Proto-Oncogene 1, Receptor Tyrosine Kinase (ROS) fusion, etc., they should have received corresponding targeted therapy;
- Subjects with known human epidermal growth factor receptor 2 (HER2) positive gastric/gastroesophageal junction cancer and breast cancer should have received corresponding anti HER2 treatment;
Known to be allergic to research drug excipient components
Previously received targeted FGFR2b monoclonal antibod therapy
Previously received chemotherapy drugs used in the protocol (limited to subjects receiving combination therapy during the dose escalation phase only)
Individuals who have participated in and used other anti-tumor clinical trial drugs within 4 weeks prior to their first medication.
According to the judgment of the researchers, there are situations that seriously endanger the safety of the subjects or affect their ability to complete the study
Beijing Municipality
Chongqing Municipality
Guangdong
Henan
Hunan
Shanghai Municipality
Zhejiang