Phase I/II Clinical Trial of Dose-tolerance, Pharmacokinetics and Iodine Uptake Effects For Recombinant Human Thyroid Stimulating Hormone In Post-thyroidectomized Patients
This phase I/II study of rhTSH, To observe the safety and tolerability characteristics of different doses of rhTSH In Post-thyroidectomized Patients, and to observe the dose-limiting toxicity (DLT) and maximum tolerated dose (MTD).
rhTSH was dissolved in 1.2 mL of sterile water for injection to obtain a solution containing 0.9 mg/mL rhTSH.
Eligibility
Sex: ALLMin age: 18 YearsMax age: 75 Years
Medical Language ↔ Plain English
Inclusion Criteria:
* Pathological diagnosis of differentiated thyroid cancer, including papillary thyroid cancer (including papillary carcinoma follicular subtype), follicular thyroid cancer, and Hurthle cell thyroid cancer;
* Screening ages 18-75 (including 18 Age and 75 years old, male or female;
* Weight 45kg-80kg (including 45kg and 80kg, limited to the dose escalation test);
* Complete thyroidectomy or near total resection, and plan to start 131I diagnosis or ablation Patients
* Serum TSH ≤ 0.5 mU/L;
* Women of childbearing age are HCG-negative and must continue contraception until more than 3 months after the end of the trial;
* Subjects (including partners) from 2 weeks prior to dosing to the last study drug There is no pregnancy plan within 3 months after the drug and voluntary effective contraceptive measures are taken. For specific contraceptive measures, see Appendix 3;
* Normal ECG. Intermittent atrial premature beats, supraventricular tachycardia (SVT) or supraventricular block-independent PR interval abnormalities, right bundle branch block, mild sinus bradycardia (asymptomatic, and no treatment required) Can be grouped;
* Low iodine diet before enrollment for more than 4 weeks;
* Patients are voluntarily enrolled, and written informed consent forms can be used for treatment and visits as required by the program.
Exclusion Criteria:
* Patients who are not eligible for THST withdrawal due to pituitary disease or other diseases;
* Patients not eligible for 131I diagnosis or treatment;
* Any significant clinical and laboratory abnormalities (eg, severe cardiopulmonary disease, hepatic insufficiency, renal function) Incomplete, congestive heart failure, advanced lung disease or advanced cardiovascular and cerebrovascular disease, active infection);
* Hypertensive patients who cannot be reduced to the following range due to medical treatment (systolic blood pressure \<140 mmHg, diastolic blood pressure \<90 mmHg);
* Patients who have used any water-soluble radiographic contrast agent intravenously within 4 weeks before administration;
* Patients who underwent intrathecal iodine angiography or gallbladder iodine imaging within 3 months prior to administration;
* taken/eaten within 4 weeks prior to administration Drugs/foods that affect iodine uptake or metabolism, such as multivitamins, glucocorticoids, diuretics, lithium, thiouracil, tazobactam, algae, iodine (except thyroid hormone replacement therapy);
* before administration Stroke, unstable angina (CCS class II or higher), atrial fibrillation or medication (within beta blocker or digoxin) within 6 months Patients with a history of arrhythmia;
* pregnant or lactating women;
* a history of drug use and/or alcohol abuse within 3 months prior to dosing;
* patients who are allergic to rhTSH and its excipients;
* patients with positive infection-related tests : Includes hepatitis C and AIDS;
* Participated in any drug or medical device clinical trial within 1 month prior to the trial;
* Those who were unable to participate in the trial as judged by the investigator.
Locations (1)
Peking Union Medical College Hospital
Beijing, Beijing Municipality, China
Outcomes
Primary Outcomes
MTD
the maximum tolerated dose
Time frame: up to 7 days
Secondary Outcomes
Cmax
maximum serum thyrotropin concentrations
Time frame: up to 5 days
AUC
area under curve of serum thyrotropin concentration
Time frame: up to 5 days
Serum Tg
serum Tg levels
Time frame: up to 7 days
radioiodine uptake
whole body radioiodine imaging after rhTSH administration and after thyroid hormone withdrawal