The purpose of this study is to evaluate the safety and tolerability of different doses of M802 in patients with HER2-positive advanced solid tumors, and to determine the dose limiting toxicity (DLT) and the maximum tolerated dose (MTD) so as to provide basis for the recommended phase 2 dose (RP2D).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
34
Cohort 1, subjects will be administered M802 via intravenous infusion on Day 1, Day 8, Day 15, and Day 22 of each 28-day treatment cycle at dose levels. The starting dose is 2 μg, and the maintenance dose during core treatment period and extended treatment period is 5 μg.
Cohort 2, subjects will be administered M802 via intravenous infusion on Day 1, Day 8, Day 15, and Day 22 of each 28-day treatment cycle at dose levels. The starting dose is 5 μg, and the maintenance dose during core treatment period and extended treatment period is 10 μg.
Cohort 3, subjects will be administered M802 via intravenous infusion on Day 1, Day 8, Day 15, and Day 22 of each 28-day treatment cycle at dose levels. The starting dose is 10 μg, and the maintenance dose during core treatment period and extended treatment period is 20 μg.
wuhan YZY Biopharma Co.,Ltd.
Wuhan, Hubei, China
MTD
Number of DLTs (dose limiting toxicities) during the first 28 days after the first administrations of study drug in each cohort.
Time frame: From the time of first dosing (Day 1) until the forth dosing (Day 28)
RP2D
Incidence and severity of AEs, and SAEs, including but not limited to laboratory values, PK and biomarkers. All AEs will be classified as Grades 1 through 5 as defined by NCI CTCAE v5.0.
Time frame: From the start of administration to the end of the study or 28 days after the administration is stopped (up to 1 years and 28 days)
Area under the curve (AUC) of M802
The endpoints for assessment of PK of M802 include serum concentrations of M802 at different timepoints after M802 administration.
Time frame: From the time of first dosing (Day 1) until disease progression or toxicity intolerance (up to 1 years).
Maximum observed concentration (Cmax) of M802
The endpoints for assessment of PK of M802 include serum concentrations of M802 at different timepoints after M802 administration.
Time frame: From the time of first dosing (Day 1) until disease progression or toxicity intolerance (up to 1 years).
Minimum observed concentration (Cmin) of M802
The endpoints for assessment of PK of M802 include serum concentrations of M802 at different timepoints after M802 administration.
Time frame: From the time of first dosing (Day 1) until disease progression or toxicity intolerance (up to 1 years).
Expression levels of CEA
As tumor marker, expression levels of CEA will be tested in hospitals.
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Cohort 4, subjects will be administered M802 via intravenous infusion on Day 1, Day 8, Day 15, and Day 22 of each 28-day treatment cycle at dose levels. The starting dose is 20 μg, and the maintenance dose during core treatment period and extended treatment period is 50 μg.
Cohort 5, subjects will be administered M802 via intravenous infusion on Day 1, Day 8, Day 15, and Day 22 of each 28-day treatment cycle at dose levels. The starting dose is 50 μg, and the maintenance dose during core treatment period and extended treatment period is 100 μg.
Cohort 6, subjects will be administered M802 via intravenous infusion on Day 1, Day 8, Day 15, and Day 22 of each 28-day treatment cycle at dose levels. The starting dose is 100 μg, and the maintenance dose during core treatment period and extended treatment period is 150 μg.
Cohort 7, subjects will be administered M802 via intravenous infusion on Day 1, Day 8, Day 15, and Day 22 of each 28-day treatment cycle at dose levels. Dose on D1 is 150 μg, and on D8, D15, D22 is 225 μg.
Cohort 8, subjects will be administered M802 via intravenous infusion on Day 1, Day 8, Day 15, and Day 22 of each 28-day treatment cycle at dose levels. The starting dose is 225 μg, and the maintenance dose during core treatment period and extended treatment period is 300 μg.
Time frame: From the time of screening period until disease progression or toxicity intolerance (up to 1 years and 28 days).
Expression levels of CA15-3
As tumor marker, expression levels of CA15-3 will be tested in hospitals.
Time frame: From the time of screening period until disease progression or toxicity intolerance (up to 1 years and 28 days).
Expression levels of CA125
As tumor marker, expression levels of CA125 will be tested in hospitals.
Time frame: From the time of screening period until disease progression or toxicity intolerance (up to 1 years and 28 days).
Expression levels of CA19-9
As tumor marker, expression levels of CA19-9 will be tested in hospitals.
Time frame: From the time of screening period until disease progression or toxicity intolerance (up to 1 years and 28 days).
Expression levels of CA72-4
As tumor marker, expression levels of CA72-4 will be tested in hospitals.
Time frame: From the time of screening period until disease progression or toxicity intolerance (up to 1 years and 28 days).
Cytokines
The levels of pharmacodynamic cytokines will be determined at the PD central laboratory.
Time frame: From the time of first dosing (Day 1) until disease progression or toxicity intolerance (up to 1 years).
Number of subjects who develop detectable anti-drug antibodies (ADAs)
The immunogenicity of M802 will be assessed by summarizing the number of subjects who develop detectable anti-drug antibodies (ADAs).
Time frame: From the time of first dosing (Day 1) until disease progression or toxicity intolerance (up to 1 years).
The antibody titer of the neutralizing antibody
The immunogenicity of M802 will be collected by testing the antibody titer of the neutralizing antibody.
Time frame: From the time of first dosing (Day 1) until disease progression or toxicity intolerance (up to 1 years).
ORR
Objective response rate (ORR) is defined as the proportion of patients with complete response (CR) and partial response (PR), based on RECIST Version 1.1.
Time frame: From the time of first dosing (Day 1) until disease progression or toxicity intolerance (up to 1 years).
DCR
Disease Control Rate (DCR) is defined as the proportion of patients with complete response (CR) and partial response (PR), based on RECIST Version 1.1.
Time frame: From the time of first dosing (Day 1) until disease progression or toxicity intolerance (up to 1 years).