This is an open-label, multicenter, dose-escalation phase I study to assess the safety, tolerability and preliminary efficacy of KN044 in participants with all advanced solid tumors who are not able to have current standard anti-tumor therapies. The purpose of this study is to determine the maximum tolerated dose (MTD) , to characterise the safety, pharmacokinetics (PK), immunogenicity, pharmacodynamics (PD) and anti-tumor activity of KN044 as a single agent in adult participants with advanced solid tumors.
This study will involve patients and follow the standard "3 + 3"design. KN044 will be antimedical intravenously over 30 minutes with planned doses of 0.03, 0.1, 0.3, 1, 3, 6,10 mg/kg Once every 3 weeks for first 4 doses, then every 3, or 6, or 12 weeks for up to 1 year if no intolerable toxicities occur and per agreement with investigator antimedical monitor based on emerging data.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
39
The modified phase I "3 + 3" study design was used in dose escalation from low dose to high dose to determine the MTD.Sequential assignment of Patient cohorts to one of five dose levels of KN044: 0.03mg/kg,0.3 mg/kg,1 mg/kg,3 mg/kg,6 mg/kg,10 mg/kg.
Peking Union Medical College Hospital, Chinese Academy of Medical Sciences
Beijing, Beijing Municipality, China
RECRUITINGDose-limiting toxicity for The maximum tolerated dose
Dose-limiting toxicity observation period 6 weeks after the first dose
Time frame: up to 6 weeks
KN044 of adverse event
the adverse events are recorded according to the actual occurrence
Time frame: through study completion, an average of 210 days
KN044 of abnormalities of physical findings and laboratory tests,
The data of the clinical research center is collected and analyzed according to the time point of the test flow chart
Time frame: through study completion, an average of 210 days
PK parameters: Area under curve (AUC)
According to the test schedule, the blood volume of each subject's PK was analyzed and PK analysis was performed.
Time frame: an average of 126 days
PK parameters: Cmax
According to the test schedule, the blood volume of each subject's PK was analyzed and PK analysis was performed.
Time frame: an average of 126 days
PK parameters: Clearance rate (CL)
According to the test schedule, the blood volume of each subject's PK was analyzed and PK analysis was performed.
Time frame: an average of 126 days
PK parameters: t1/2
According to the test schedule, the blood volume of each subject's PK was analyzed and PK analysis was performed.
Time frame: an average of 126 days
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PK parameters: Vss
According to the test schedule, the blood volume of each subject's PK was analyzed and PK analysis was performed.
Time frame: an average of 126 days
PK parameters: dose proportionality
According to the test schedule, the blood volume of each subject's PK was analyzed and PK analysis was performed.
Time frame: an average of 126 days
Incidence of the positive anti-drug antibodies and titers of anti-drug antibodies
According to the test schedule, the blood volume of each subject's anti-drug antibodies was analyzed and anti-drug antibodies analysis was performed.
Time frame: an average of 147 days
Anti-tumor activity as measured by ResponseEvaluationCriteriainSolidTumors Version1.1(RESISTv1.1)
Evaluation of tumor response according to RESISTv1.1 criteria, complete relief(CR), Partial relief(PR), Stable disease(SD), PD、ORR\[CR+PR\])、Disease control rate(DCR\[CR+PR+SD\])、PFS、DOR
Time frame: During the treatment period , the tumor was evaluated every 6 weeks, then every 9 weeks.