This is a Phase Ib, open-label,single-arm, clinical study, aiming to investigate the safety, tolerability and pharmacokinetics of ZKAB001 (a fully human monoclonal antibody targeting the Programmed Death - Ligand 1 (PD-L1) membrane receptor ) combined with capecitabine as adjuvant chemotherapy for patients with biliary tract cancers after radical resection.After completing 8 courses of combined treatment ,ZKAB001 was continued to be administered separately once 3 weeks for a total of 16 cycles or 1 year.
This study includes two phases,the first phase is the dose exploration, 6 subjects were first included at the initial dose to confirm the dose safety. If the toxicity is not tolerated, the dose of the chemotherapeutic agent will be reduced depending on the toxicity(including hematological toxicity and non-hematological toxicity) for further exploration. If it can be tolerated, the recommended dose is determined and expanded on this dose. the second phase is the dose expansion, 4 subjects will be enrolled to further observe the safety and efficacy. The DLT(Dose limited toxicity) observation period is set as the first course of treatment(3 weeks). The end point is that the patient has been taking the drug for 16 cycles or 1 year, or the patient dies or develops intolerable toxicity or confirmed disease recurrence or distant metastasis or withdrawal of informed consent.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
10
ZKAB001 D1 IV 5mg/kg every three weeks,up to 16 cycles or 1 year
Capecitabine po 1000mg / m2/time, 2 times/d for 2 weeks, followed by 1 week of stopping ,three weeks is a course of treatment with a total of 8 courses
Renji Hospital Affiliated to School of Medicine, Shanghai Jiaotong University
Shanghai, China
Dose limiting toxicity (DLT)
Adverse events of level 3 or above related to the study drug occurring within 21 days after the first dose as assessed by CTCAE v5.0.
Time frame: 21 days after first dose
Recommended phase II dose (RP2D)
DLT occurs in no more than 1/6 subjects, this dose is defined as RP2D.
Time frame: 21 days after first dose
AUC(0-t)
Area under curve 0-t
Time frame: 16 periods or 1 year
Cmax
Peak concentration
Time frame: 16 periods or 1 year
Tmax
Peak time
Time frame: 16 periods or 1 year
Disease-free Survival
Form date of randominzation until the date of the first tumor recurrence/ometastasis or death of the subject due to any reason
Time frame: up to 24 months
Overall survival (OS)
From date of randomization until the date of death from any cause or the date of last follow-up whichever came first
Time frame: up to 24 months
the number of subjects presenting detectable anti drug antibodies (ADAs)
To evaluated the number of subjects presenting detectable anti drug antibodies (ADAs)
Time frame: through study completion,an average of 1 year
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