This study is an open and single-center Phase I clinical research on patients with advanced pancreatic cancer, for evaluating their adverse reactions or tolerance to K-001, so as to determine the safe and reasonable dosage and dosing regimen.
According to past experience to toxicology studies and clinical test, K-001 at a dose of 2700mg/day has a good safety profile for human body. Upon observation, pancreatic cancer patients receiving a medication at 2160mg/day (1080mg BID) have had good therapeutic efficacy, no sign of significant toxicity. Dosing regimen: Phase I clinical test: maximum dose of monotherapy at 2700mg/day. Four groups of repeated administration of monotherapy, at least 3 patients for each group. Group A: 2700mg/d (1350mg BID); Group B: 3240mg/d (1620mg BID); Group C: 3780mg/d (1890mg BID); Group D: 4320mg/d (2160mg BID). Twice a day, to be taken with warm water on an empty stomach; 4 weeks' administration for each group. In case of severe adverse reactions associated with the test drug, or if half of the participants show adverse reactions at Ⅲ level and above, the test should be terminated. The maximum dosage not causing the above-described situation shall be considered as the maximum tolerated dose or the biologically effective dose. After the test, continuous medication shall be given upon request from patients.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
12
In case of severe adverse reactions associated with the test drug, or if half of the participants show adverse reactions at Ⅲ level and above, the test should be terminated. The maximum dosage not causing the above-described situation shall be considered as the maximum tolerated dose or the biologically effective dose. After the test, continuous medication shall be given upon request from patients.
Shanghai General Hospital
Shanghai, Shanghai Municipality, China
The maximum-tolerated dose (MTD) of K-001
The maximum-tolerated dose (MTD) of K-001 will be defined as the maximum dose level at which no more than one patient out of three experiences a dose-limiting toxicity (DLT) using Common Terminology Criteria for Adverse Events (CTCAE) criteria, version 4.0. If none of the patient experiences DLT, the maximum dose in the trial (4320mg/d) will be defined as MTD and the biologically effective dose.
Time frame: day 29
Change of life quality assessed using EORTC QLQ-C30 V 3.0
EORTC QLQ-C30 V 3.0
Time frame: within 7 days before taking drugs and day 8, day 15, day 22 and day 29
Change from Baseline of the Treg cell count
Laboratory tests: blood immunity test of FOXP3+CD4+Treg cell count
Time frame: within 14 days before taking drugs, day 15 and day 29
Evaluation of suffered pains assessed using Numerical Rating Scale (NRS)
Numerical Rating Scale (NRS)
Time frame: within 7 days before taking drugs and day 8, day 15, day 22 and day 29
Change from Baseline of the C-reactive protein (CRP)
Evaluation the level of CRP with laboratory tests of blood.
Time frame: within 14 days before taking drugs, day 15 and day 29
Clinical efficacy of K-001 assessed by disease control rate (DCR) according to RECIST V 1.0 criteria
Evaluate patients with imaging, including CT/MRI of the chest, abdomen and pelvic, and get disease control rate (DCR) according to RECIST V 1.0 criteria.
Time frame: day 29
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