A Trial to Evaluate Safety, Tolerability, Pharmacokinetics and Preliminary Efficacy of TST001 in Advanced or Metastatic Solid Tumors

Trial statusRecruiting
Trial phasePhase 1, Phase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorSuzhou Transcenta Therapeutics Co., Ltd.

About this trial

This is an open-label, multi-center, Phase I trial of TST001. Subjects with locally advanced or metastatic solid tumors will be enrolled. The study will consist of two parts: Part A is dose escalation and dose expansion phase for mono-therapy, and Part B is dose escalation and dose expansion phase for combination therapy in gastric, gastroesophageal junction(G/GEJ) and biliary tract cancer, etc.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Sign the Informed Consent Form (ICF) voluntarily, understand the study and be willing and able to comply with all study procedures;

Male or female ≥ 18 years at signing the ICF;

Mono-therapy dose escalation study: The subjects who have no option of or are intolerable to SOC.

ECOG performance status of 0-1;

Disqualifiers

The subjects with locally advanced or metastatic G/GEJ adenocarcinoma who are supposed to be enrolled into the combination therapy cohorts with CAPOX and CAPOX+nivolumab (Cohort C and G) have previously received systemic chemotherapy; and the subjects in the Cohort G have previously received PD1/PD-L1/CTLA4 antibody treatment. The subjects will be eligible provided that they have completed neoadjuvant or adjuvant chemotherapy at least 6 months prior to the initial dosing of the study; The subjects with locally advanced or metastatic G/GEJ adenocarcinoma who are supposed to be enrolled into the combination therapy cohort with paclitaxel (Cohort D) have previously received taxane drugs.

The subjects who previously received radiotherapy within 4 weeks prior to the initial dosing of the investigational drug (the subjects who previously received local radiotherapy for bone metastases treatment within 4 weeks with the radiotherapy related AE resolved to ≤ Grade 1 will be eligible);

The subjects who previously received other systematic anti-tumor drug therapies within 4 weeks or 5 half-lives prior to the initial dosing of the investigational drug (whichever is shorter); The medication (such as zoledronic acid) for bone metastases related events will not influence on the enrollment;

The subjects who previously received major surgery (exclusive of aspiration biopsy) within 8 weeks prior to the initial dosing of the investigational drug, or who are expected to undergo major surgery, or who are in the conditions such as severe unhealed wound, trauma, and ulcer;

Trial design

Design model

Parallel

Treatments tested in this trial

  • TST001

    Drug

    TST001 will be administered by specified doses on specified day

  • Oxaliplatin

    Drug

    Oxaliplatin will be administered by specified doses on specified day

  • Capecitabine

    Drug

    Capecitabine will be administered by specified doses on specified day

  • Paclitaxel

    Drug

    Paclitaxel will be administered by specified doses on specified day

  • Gemcitabine

    Drug

    Gemcitabine will be administered by specified doses on specified day

  • Cisplatin

    Drug

    Cisplatin will be administered by specified doses on specified days Oxaliplatin will be administered by specified doses on specified day Drug: Capecitabine Capecitabine will be administered by specified doses on specified day

  • Nivolumab

    Drug

    Nivolumab will be administered by specified doses on specified day

Treatment groups

320 Participants
are divided into 10 treatment groups

10

Treatment groups

See each treatment group below.

Group A: dose escalation Q2WExperimental treatment 1 intervention
Group B: dose escalation Q3WExperimental treatment 1 intervention
Group C: Cohort AExperimental treatment 1 intervention
Group D: Cohort BExperimental treatment 1 intervention
Group E: Cohort EExperimental treatment 1 intervention
Group F: Cohort CExperimental treatment 3 interventions
Group G: Cohort DExperimental treatment 2 interventions
Group H: Cohort FExperimental treatment 3 interventions
Group I: Cohort GExperimental treatment 4 interventions
Group J: Cohort H (TST001 plus nivolumab)Experimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Participant Safety as characterized by frequency and severity of adverse events(according to NCI CTCAE 5.0).

An AE is any untoward medical occurrence in a subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.

Time frame
up to 30 days following last dose.
2

Maximum Tolerated Dose (MTD)

The maximum tolerated dose (MTD) is commonly estimated to be the maximum dose that can be determined through DLT of two among 6 subjects administered with TST001 Q2W in 28 days cycles.

Time frame
up to 28 days following first dose
3

Maximum Tolerated Dose (MTD)

The maximum tolerated dose (MTD) is commonly estimated to be the maximum dose that can be determined through DLT of two among 6 subjects administered with TST001 once every 3 weeks in 21 days cycles.

Time frame
up to 21days following first dose
4

Recommended Phase 2 Dose (RP2D)

The RP2D will be determined during the dose expansion stage of the study. RP2D will be determined using available safety and efficacy data.

Time frame
up to 30 days following last dose

Secondary outcomes

1

Area under plasma concentration vs time curve (AUC) for TST001

Changes in AUC over time in participants with TST001.

Time frame
up to 30 days following last dose
2

Peak plasma concentration (Cmax) for TST001

Cmax is the maximum plasma concentration.

Time frame
up to 30 days following last dose
3

Time to maximum observed plasma concentration (Tmax)

Tmax is the time in hrs/days it takes to reach Cmax after dosing with TST001

Time frame
up to 30 days following last dose
4

Terminal elimination half life (t1/2)

Time for the plasma level of TST001 to decrease b y 1/2 during the terminal elimination phase.

Time frame
up to 30 days following last dose

Other outcomes

Sponsors and contacts

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