This is an open-label, dose escalation, first-in-human study of HLX20, an anti-PD-L1 monoclonal antibody, in patients with metastatic or recurrent solid tumors who have failed standard therapy.
Tumor microenvironment plays an important role in the interaction of immune cells with cancer . The identification of programmed cell death receptor 1 (PD-1) and programmed death ligand-1 (PD-L1) have provided the scientific rationale and supports the clinical development of agents targeting this pathway. Currently, PD-1 and PD-L1 inhibitory pathway blockade has demonstrated impressive activity against a spectrum of multiple tumor types, including Hodgkin's lymphoma, melanoma, bladder cancer, lung cancer, renal cell carcinoma. HLX20 is a novel anti-PD-L1 monoclonal antibody. In the nonclinical pharmacology studies, HLX20 has demonstrated anti-tumor activities in xenogenic animal models comparable to currently available anti-PD-L1 monoclonal antibodies. HLX20 binds to PD-1 and PD-L1 inhibitory pathway and human PD-L1 at high affinity, and mouse PD-L1 at much lower affinity. HLX20 does not cause hemolysis to human red blood cells and has no local irritation to human tissues. (The results of pharmacokinetic (PK)/toxicokinetic studies in cynomolgus studies have been described in detail in the Investigator's Brochure.)The no-observable adverse effect level (NOAEL) is set at 100 mg/kg every 2 weeks for 13 weeks in cynomolgus studies. Based on these results, the initial dose 1 mg/kg every 2 weeks was chosen for this study .This dose level is approximately 30-fold lower than the human equivalent dose of NOAEL from preclinical toxicology studies. An adaptive Bayesian dose-finding design will be used to identify the MTD (maximum tolerated dose). The target toxicity rate for the MTD is set at 0.3 and the maximum sample size is 30.The safety profiles at different dose levels, PK parameters, biomarkers, pharmacodynamic markers, immunogenicity as well as the preliminary efficacy of the drug, will also be investigated in this study.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
26
a Human Monoclonal Antibody Targeting Programmed Death Ligand-1 (PD-L1) Protein
Kinghorn cancer centre
Darlinghurst, New South Wales, Australia
Macquarie University
Darlinghurst, New South Wales, Australia
Sunshine Coast University Hospital
Brisbane, Queensland, Australia
Gold Coast Hospital
Southport, Queensland, Australia
Maximum tolerated dose of HLX20 in solid tumors patients
The target toxicity rate in this study for the MTD is set at 0.3 ( 30% DLT) identified by an adaptive Bayesian dose-finding design .
Time frame: 1 year
Maximum serum concentration (Cmax) of HLX20.
Time frame: 1 year
Minimum serum concentration (Cmin) of HLX20.
Time frame: 1 year
Area under serum concentration-time curve within one dosing interval (AUC0-tau) of HLX20.
Time frame: 1 year
Terminal elimination half-life (T1/2) of HLX20 in different cohorts
Time frame: 1 year
Clearance rate (CL) of HLX20
Time frame: 1 year
Volume of distribution at steady state (Vss) of HLX20.
Time frame: 1 year
Immunogenicity
The presence and percentage of anti-HLX20 antibody
Time frame: 1 year
Disease control rate (DCR)
Number of patients with complete response/partial response/stable disease divided by the total number of patients treated
Time frame: 1 year
Overall response rate (ORR).
Number of patients with confirmed complete or partial response, divided by the total number of treated patients with measurable disease at baseline
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CMAX Clinical research
Adelaide, South Australia, Australia
Cabrini Hospital
Melbourne, Victoria, Australia
Time frame: 1 year
Receptor occupancy of PD-L1 on human T-cells.
Time frame: 1 year