Dose-escalation study will be conducted in patients with locally advanced/metastatic solid tumors who have failed standard treatment, or cannot tolerate standard treatment, or have no recommended standard treatment, or do not apply standard treatment, to evaluate the safety, PK, tolerability and effectiveness of VC004. According to the efficacy, safety and PK of dose-escalation study , the investigator and the sponsor jointly determine the dose for dose extension, and evaluate the anti-tumor effect of VC004 on NTRK fusion-positive subjects, and provide more information for RP2D. According to the tolerability and pharmacokinetic results of dose-escalation study , an appropriate dose or MTD will be selected, namely RP2D, to further assess anti-tumor efficacy and safety in patients with NTRK fusion-positive locally advanced/metastatic solid tumors . ORR will be chosen as the main efficacy indicator to evaluate the anti-tumor efficacy and safety of VC004 .
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
115
25 mg capsules,50 mg capsules,100 mg capsules.
Anhui Provincial Cancer Hospital
Hefei, Anhui, China
NOT_YET_RECRUITINGChongqing University Cancer Hospital
Chongqing, Chongqing Municipality, China
NOT_YET_RECRUITINGFujian Cancer Hospital
Fuzhou, Fujian, China
NOT_YET_RECRUITINGGuangxi Medical University Affiliated Tumor Hospital
Nanning, Guangxi, China
NOT_YET_RECRUITINGHainan Cancer Hospital
Haikou, Hainan, China
NOT_YET_RECRUITINGThe Fourth Hospital of Hebei Medical University
Shijiazhuang, Hebei, China
NOT_YET_RECRUITINGHarbin Medical Univercity Cancer Hospital
Harbin, Heilongjiang, China
NOT_YET_RECRUITINGHenan Cancer Hospital
Zhengzhou, Henan, China
RECRUITINGHunan Cancer Hospital
Changsha, Hunan, China
RECRUITINGJiangsu Province Hospital of Chinese Medicine
Nanjing, Jiangsu, China
RECRUITING...and 11 more locations
Safety&Tolerability
Adverse events (CTCAE5.0)and/or laboratory testsand/or electrocardiogramand/or echocardiogramand/or vital signsand/or physical examination
Time frame: 4 years
Phase II recommended dose(RP2D)
According to the tolerability and pharmacokinetic results of different dose groups completed during the dose escalation phase, an appropriate dose or MTD is selected as RP2D
Time frame: 1.5 years
Maximum tolerated dose(MTD)(If any)
If ≥2 cases of DLT are observed at a certain dose (up to 6 subjects), the dose will be considered an intolerable dose, and the previous dose group will be regarded as MTD
Time frame: 1.5 years
Objective response rate(ORR)
The proportion of subjects whose best overall response is CR or PR in the study assessed by IRC/investigator according to RECIST v1.1 or RANO
Time frame: 4 years
Maximum Observed Plasma Concentration (Cmax)
Time frame: 0 min ,15 min,30 min,1 hour (h),2 h,3 h,4 h,6 h,8 h,12 h,24 h,48 h
Peak time(Tmax)
Time frame: 0 min ,15 min,30 min,1 hour (h),2 h,3 h,4 h,6 h,8 h,12 h,24 h,48 h
half-time(t1/2)
Time frame: 0 min ,15 min,30 min,1 hour (h),2 h,3 h,4 h,6 h,8 h,12 h,24 h,48 h
Area Under the Curve From Time Zero to Last Quantifiable Concentration(AUC)
Time frame: 0 min ,15 min,30 min,1 hour (h),2 h,3 h,4 h,6 h,8 h,12 h,24 h,48 h
Apparent volume of distribution(Vz/F)
Time frame: 0 min ,15 min,30 min,1 hour (h),2 h,3 h,4 h,6 h,8 h,12 h,24 h,48 h
Duration of Remission (DOR)
Time from the first recording of remission (CR or PR) to the first recording of disease progression or death (whichever occurs first)
Time frame: 2.5 years
Progression-free survival (PFS)
The time from the subject receiving the first study treatment to the appearance of disease progression or death from any cause (whichever occurs first)
Time frame: 2.5 years
Overall survival (OS)
The time from the date of first medication to the date of death from any cause
Time frame: 2.5years
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