This is a Phase I dose escalation trial to assess dose-limiting toxicity (DLT) and MTD of JS001+GP in advanced/metastatic TNBC patients, and to determine the recommended Phase II dose and the best combination regimen.
There will be 3 stages in this trial. Stage 1 is the dose escalation stage. JS001 will be tested in combination with GP in 3 dose levels. Level 1: 120mg Level 2: 240mg Level 3: 480mg Patients will receive JS001+GP for 6 cycles and JS001 maintenance therapy for up to approximately 2 years. JS001 will be given on d1 every 3 weeks with GP and every 2 weeks in maintenance therapy. The first group of participants will receive the lowest dose level of JS001 at 120mg. Each new group will receive a higher dose of JS001 than the group before it until 480mg. Stage 2 is the dose expansion stage. Dose expansion will be carried out to expand to 12 patients in the highest dose level at which the patient can tolerate well. This dose will also be recommended as phase 2 dose(RP2D). Stage 3 is the sequential treatment stage. Patients receive 6 cycles of GP without JS001 and then receive JS001 maintenance therapy for up to approximately 2 years.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
31
In this arm, JS001 120mg will be given at d1; Gem 1000mg/m2 d2,9; DDP(cisplatin) 75mg/m2 d2
In this arm, JS001 240mg will be given at d1; Gem 1000mg/m2 d2,9; DDP 75mg/m2 d2
In this arm, JS001 480mg will be given at d1; Gem 1000mg/m2 d2,9; DDP 75mg/m2 d2
Fudan University Shanghai Cancer Center
Shanghai, China
Maximum Tolerated Dose (MTD) of JS001 when combined with GP
If 1/6 patients has grade 3 or higher toxicity then escalation proceeds, if 2/6 has grade 3 or greater toxicity then this is declared MTD.
Time frame: 3 weeks
Peak Plasma Concentration (Cmax)
Cmax of JS001
Time frame: 85 days
Area under the plasma concentration versus time curve (AUC)
AUC of JS001
Time frame: 85 days
other pharmacokinetics(PK) characteristics of JS001+GP
half life of JS001
Time frame: 85 days
Incidence of Treatment-Emergent Adverse Events
Incidence of Adverse Events that need to be treated immediately
Time frame: 85 days
Incidence of Severe Adverse Events
Incidence of Adverse Events that cause hospitalization, inability, death, etc
Time frame: 85 days
objective response rate of JS001+GP
objective response rate(%) is the sum of CR(complete remission) rate and PR(partial remission) rate
Time frame: 1 year
disease control rate of JS001+GP
disease control rate(%) is the sum of CR rate and PR rate and SD(stable disease) rate for more than 6 weeks
Time frame: 1 year
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In this arm,Patients receive 6 cycles of GP without JS001 and then receive JS001 maintenance therapy for up to approximately 2 years. JS001 will be given at RP2D.
duration of regression of JS001+GP
duration of regression(months) is the time interval from randomization to disease progression
Time frame: 1 year
time to regression of JS001+GP
time to regression(months) is the time interval from randomization to disease regressin
Time frame: 1 year
progression free survival of JS001+GP
progression free survival(months) is the time interval from randomization to disease progression or death from any reason
Time frame: 1 year
overall survival of JS001+GP
overall survival(months) is the time interval between randomization and death from any reason
Time frame: 1 year
best combination regimen
Is JS001 combined with GP or GP followed by JS001 better in safety (incidence of grade 3-4 toxicity) and efficacy(Response Rate and PFS)
Time frame: 1 year