This single arm, open label, two stage study will be conducted in several medical centers around Taiwan. Stage one determine safety and tolerability in patients with HCC, and stage two assess anti-tumor activities of GT90001 in combination with nivolumab in patients with metastatic HCC. Subjects who fulfill all the entry criteria and have written informed consent will be enrolled to the study.
Based on published and first-hand experience with the safety and tolerability of both GT90001 and nivolumab, the proposed dose is GT90001 7 mg/kg in combination with nivolumb 3 mg/kg. Nivolumab will first be administered by intravenous infusion over 60 minutes, then 30 minutes later, give GT90001 intravenous infusion for 1 hour. All participants will receive GT90001 + Nivolumab until unacceptable toxicity, disease progression or loss of clinical benefit as determined by the investigator.The primary objective of the study is to determine the safety and tolerability of GT90001 in combination with nivolumab in subjects with advanced and or metastatic HCC who were progressed on or were intolerant of first-line and/or second-line systemic therapy. The secondary objectives will be to evaluate the anti-tumor efficacy and the PK profile of this combination therapy.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
20
Stage1:Dose de-escalation. Stage2:the expansion cohort where one or no DLT takes place in planned study cohort.
National Cheng Kung University Hospital
Tainan, Taiwan
MacKay Memorial Hospital
Taipei, Taiwan
National TaiWan University Hospital
Taipei, Taiwan
Dose-limiting Toxicity(DLT)
Each dose cohort will initially include 6 evaluable patients for assessment of toxicity within the 28 days following the first dose of nivolumab and GT90001.
Time frame: 28 days
overall response rate (ORR)
To estimate ORR, per RECIST 1.1 assessed by investigator review
Time frame: 2 years
the duration of response (DOR),
To evaluate the DOR per RECIST 1.1 assessed by investigator review
Time frame: 2 years
disease control rate (DCR),
To evaluate the DCR per RECIST 1.1 assessed by investigator review
Time frame: 2 years
time to response (TTR)
To evaluate the TTR per RECIST 1.1 assessed by investigator review
Time frame: 2 years
progression-free survival (PFS)
To evaluate the PFS per RECIST 1.1 assessed by investigator review
Time frame: 2 years
maximum concentration (Cmax)
Pharmacokinetics
Time frame: 2 years
time that maximum concentration is observed (tmax)
Pharmacokinetics
Time frame: 2 years
area under the concentration time-curve from time zero to infinity (AUC0∞)
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Pharmacokinetics
Time frame: 2 years
area under the plasma concentration-time curve from time zero hours to time (t hrs), (AUC0-t)
Pharmacokinetics
Time frame: 2 years
area under the plasma concentration-time curve from time zero hours to 24 hours (AUC0-24)
Pharmacokinetics
Time frame: 2 years
terminal elimination rate constant (λz)
Pharmacokinetics
Time frame: 2 years
terminal elimination half life (t½)
Pharmacokinetics
Time frame: 2 years
volume of distribution (Vz)
Pharmacokinetics
Time frame: 2 years
volume of plasma cleared of the drug per unit time (C)
Pharmacokinetics
Time frame: 2 years
Exploratory Biomarker: circulating tumor deoxyribonucleic acid (ctDNA)
HCC-related pathway alterations including VEGF and TGF-β pathway genes
Time frame: 2 years