SHR1459 is a selective small molecule BTK inhibitor developed by Jiangsu Hengrui medicine Limited, by inhibiting the phosphorylation of BTK and down regulation of BCR signal transduction pathway, And then selectively inhibit the proliferation and migration of B cell tumor.
SHR1459 is a selective small molecule BTK inhibitor developed by Jiangsu Hengrui medicine Limited, by inhibiting the phosphorylation of BTK and down regulation of BCR signal transduction pathway, And then selectively inhibit the proliferation and migration of B cell tumor. The objective of this phase 1 study is to evaluate the safety and tolerance of SHR1459 in patients with replaced/refractory mature B cell neoplasms, in order to determine the maximum tolerated dose (MTD) and recommended dose for phase 2 clinical study (RP2D);
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
86
SHR1459 will be administered continually till disease progression or unacceptable toxicity.
Blood disease hospital of Chinese Academy of Medical Sciences
Tianjin, Tianjin Municipality, China
Incidence and severity of treatment-emergent adverse events (AEs) [Safety and Tolerability])
The incidence and severity of treatment-emergent AEs will be collected and the safety and tolerability of SHR1459 will be assessed
Time frame: through study completion, an average of about 6 months
Recommended phase 2 dose (RP2D)
Recommended phase 2 dose (RP2D) and/or maximum tolerated dose (MTD) will be established according to the incidence of dose-limiting toxicities (DLTs) of escalated doses of SHR1459
Time frame: 28 days since the date of first dose
Objective response rate (ORR)
Assess the response rate of subjects to the treatment of SHR1459
Time frame: every 8 weeks through study completion, an average of about 6 months
Duration of Response (DoR)
Assess the duration of complete/partial response after the treatment of SHR1459
Time frame: every 8 weeks through study completion, an average of about 6 months
Progression-free survival (PFS)
Assess the survival condition of the subjects after the treatment of SHR1459
Time frame: every 8 weeks through study completion, an average of about 6 months
Time to Response (TTR)
Assess time to response of SHR 1459 after treatment
Time frame: every 8 weeks through study completion, an average of about 6 months
Time to peak (Tmax)
Pharmacokinetics profile of a single dose SHR1459 and its metabolite (plasma): Time to peak (Tmax) of plasma concentration
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Time frame: Day 1 and Day 2 of the single dose
Maximum plasma concentration (Cmax)
Pharmacokinetics profile of a single dose SHR1459 and its metabolite (plasma): Maximum plasma concentration (Cmax)
Time frame: Day 1 and Day 2 of the single dose
Halflife (T1/2)
Pharmacokinetics profile of a single dose SHR1459 and its metabolite (plasma): Halflife (T1/2)
Time frame: Day 1 and Day 2 of the single dose
Clearance/ bioavailability (CL/F)
Pharmacokinetics profile of a single dose SHR1459 and its metabolite (plasma): Clearance/ bioavailability (CL/F)
Time frame: Day 1 and Day 2 of the single dose
apparent volume of distribution/bioavailability (Vd/F)
Pharmacokinetics profile of a single dose SHR1459 and its metabolite (plasma): apparent volume of distribution/bioavailability (Vd/F)
Time frame: Day 1 and Day 2 of the single dose
Area under curve (AUC)
Pharmacokinetics profile of a single dose SHR1459 and its metabolite (plasma): Area under curve (AUC)
Time frame: Day 1 and Day 2 of the single dose
Area under curve, steady state (AUCss)
Pharmacokinetics profile of a single dose SHR1459 and its metabolite (plasma): Area under curve, steady state (AUCss)
Time frame: Day 1 of cycle 1 to day 1 of cycle 4 (28 days/cycle)
Maximum plasma concentration, steady state (Cmax,ss)
Pharmacokinetics profile of a single dose SHR1459 and its metabolite (plasma): Maximum plasma concentration, steady state (Cmax,ss)
Time frame: Day 1 of cycle 1 to day 1 of cycle 4 (28 days/cycle)
Time to peak, steady state (Tmax,ss)
Pharmacokinetics profile of a single dose SHR1459 and its metabolite (plasma): Time to peak, steady state (Tmax,ss)
Time frame: Day 1 of cycle 1 to day 1 of cycle 4 (28 days/cycle)
Halflife (T1/2)
Pharmacokinetics profile of a single dose SHR1459 and its metabolite (plasma): Halflife (T1/2)
Time frame: Day 1 of cycle 1 to day 1 of cycle 4 (28 days/cycle)
Apparent volume of distribution, steady state/bioavailability (Vss/F)
Pharmacokinetics profile of a single dose SHR1459 and its metabolite (plasma): Apparent volume of distribution, steady state/bioavailability (Vss/F)
Time frame: Day 1 of cycle 1 to day 1 of cycle 4 (28 days/cycle)
Clearance/ bioavailability (CL/F)
Pharmacokinetics profile of a single dose SHR1459 and its metabolite (plasma): Clearance/ bioavailability (CL/F)
Time frame: Day 1 of cycle 1 to day 1 of cycle 4 (28 days/cycle)
Accumulation index (Rac)
Pharmacokinetics profile of a single dose SHR1459 and its metabolite (plasma): Accumulation index (Rac)
Time frame: Day 1 of cycle 1 to day 1 of cycle 4 (28 days/cycle)