The purpose of study is to evaluate the safety, pharmacokinetics and anti-tumor effects of CKD-702 as a monotherapy and to determine the Recommended Phase 2 Dose(RP2D) in patients with advanced or metastatic non-small cell lung cancer who failed to standard therapy.
This open label, multi center, first-in-human study consists of 2parts. -Part 1: The dose is increased according to the prescribed dose escalation schedule. Dose escalation proceeds until the maximum tolerated dose(MTD) is reached. Dose-limiting toxicity (DLT) is evaluated after completing cycle 1 administration for all subjects enrolled for each dose group in order to determine whether to proceed to the next level. all matters related to dose escalation are subject to the decision of the SRC. If DLT occurs in two subjects during the first dose level process, the dose level reset by the SRC is reflected and study protocol amendment procedure is followed accordingly. Following completion of the DLT evaluation of the planned dose level in this study, the SRC reviews the outcome of the evaluation and determines whether to set additional dosing or proceed to PART 2 (Dose expansion). -Part 2: In Part 2, the recommended phase 2 dose (RP2D) of the CKD-702 Inj. determined in Part 1 is set as the treatment dose, and the dose must be administered with the same administration methods as Part 1, repeating cycles.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
74
In principle, based on 1 cycle of 28 days (4 weeks), administer CKD-702 Inj. once every 2 weeks over 4 weeks.
Seoul National University Hospital
Seoul, South Korea
RECRUITINGPart 1: Maximum Tolerated Dose and/or Recommended Phase 2 Dose
To determine the maximum tolerated dose (MTD) and/or the recommended phase 2dose (RP2D)
Time frame: Through study completion, an average of 2years
Part 2: Objective Response Rate
To evaluate the objective response rate(ORR)
Time frame: Through study completion, an average of 2years
Part 1(Dose Escalation): Pharmacokinetics(AUClast of CKD-702 after a single dose)
1\) AUClast of CKD-702 after a single dose
Time frame: C1D1 Pre-dose, Start of Infusion 0.5, 1hr, End of Infusion and End of Infusion 2, 6, 22, 70, 166, 336hrs, C2D1 Pre-dose, Start of Infusion 0.5, 1hr, End of Infusion and End of Infusion 2, 6, 22, 70, 166, 336hrs
Part 1(Dose Escalation): Pharmacokinetics( AUCinf of CKD-702 after a single dose)
2\) AUCinf of CKD-702 after a single dose
Time frame: C1D1 Pre-dose, Start of Infusion 0.5, 1hr, End of Infusion and End of Infusion 2, 6, 22, 70, 166, 336hrs, C2D1 Pre-dose, Start of Infusion 0.5, 1hr, End of Infusion and End of Infusion 2, 6, 22, 70, 166, 336hrs
Part 1(Dose Escalation): Pharmacokinetics(Cmax of CKD-702 after a single dose)
3\) Cmax of CKD-702 after a single dose
Time frame: C1D1 Pre-dose, Start of Infusion 0.5, 1hr, End of Infusion and End of Infusion 2, 6, 22, 70, 166, 336hrs, C2D1 Pre-dose, Start of Infusion 0.5, 1hr, End of Infusion and End of Infusion 2, 6, 22, 70, 166, 336hrs
Part 1(Dose Escalation): Pharmacokinetics(t1/2 of CKD-702 after a single dose)
4\) t1/2 of CKD-702 after a single dose
Time frame: C1D1 Pre-dose, Start of Infusion 0.5, 1hr, End of Infusion and End of Infusion 2, 6, 22, 70, 166, 336hrs, C2D1 Pre-dose, Start of Infusion 0.5, 1hr, End of Infusion and End of Infusion 2, 6, 22, 70, 166, 336hrs
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Part 1(Dose Escalation): Pharmacokinetics(Tmax of CKD-702 after a single dose)
5\) Tmax of CKD-702 after a single dose
Time frame: C1D1 Pre-dose, Start of Infusion 0.5, 1hr, End of Infusion and End of Infusion 2, 6, 22, 70, 166, 336hrs, C2D1 Pre-dose, Start of Infusion 0.5, 1hr, End of Infusion and End of Infusion 2, 6, 22, 70, 166, 336hrs
Part 1(Dose Escalation): Pharmacokinetics(CL of CKD-702 after a single dose)
6\) CL of CKD-702 after a single dose
Time frame: C1D1 Pre-dose, Start of Infusion 0.5, 1hr, End of Infusion and End of Infusion 2, 6, 22, 70, 166, 336hrs, C2D1 Pre-dose, Start of Infusion 0.5, 1hr, End of Infusion and End of Infusion 2, 6, 22, 70, 166, 336hrs
Part 1(Dose Escalation): Pharmacokinetics(Vz of CKD-702 after a single dose)
7\) Vz of CKD-702 after a single dose
Time frame: C1D1 Pre-dose, Start of Infusion 0.5, 1hr, End of Infusion and End of Infusion 2, 6, 22, 70, 166, 336hrs, C2D1 Pre-dose, Start of Infusion 0.5, 1hr, End of Infusion and End of Infusion 2, 6, 22, 70, 166, 336hrs
Part 1(Dose Escalation): Pharmacokinetics(MRT of CKD-702 after a single dose)
8\) MRT of CKD-702 after a single dose
Time frame: C1D1 Pre-dose, Start of Infusion 0.5, 1hr, End of Infusion and End of Infusion 2, 6, 22, 70, 166, 336hrs, C2D1 Pre-dose, Start of Infusion 0.5, 1hr, End of Infusion and End of Infusion 2, 6, 22, 70, 166, 336hrs
Part 1(Dose Escalation): Pharmacokinetics(AUClast CKD-702 after a repeated dose)
9\) AUClast CKD-702 after a repeated dose
Time frame: C1D1 Pre-dose, Start of Infusion 0.5, 1hr, End of Infusion and End of Infusion 2, 6, 22, 70, 166, 336hrs, C2D1 Pre-dose, Start of Infusion 0.5, 1hr, End of Infusion and End of Infusion 2, 6, 22, 70, 166, 336hrs
Part 1(Dose Escalation): Pharmacokinetics(Cmax,ss CKD-702 after a repeated dose)
10\) Cmax,ss CKD-702 after a repeated dose
Time frame: C1D1 Pre-dose, Start of Infusion 0.5, 1hr, End of Infusion and End of Infusion 2, 6, 22, 70, 166, 336hrs, C2D1 Pre-dose, Start of Infusion 0.5, 1hr, End of Infusion and End of Infusion 2, 6, 22, 70, 166, 336hrs
Part 1(Dose Escalation): Pharmacokinetics(Cmin,ss CKD-702 after a repeated dose)
11\) Cmin,ss CKD-702 after a repeated dose
Time frame: C1D1 Pre-dose, Start of Infusion 0.5, 1hr, End of Infusion and End of Infusion 2, 6, 22, 70, 166, 336hrs, C2D1 Pre-dose, Start of Infusion 0.5, 1hr, End of Infusion and End of Infusion 2, 6, 22, 70, 166, 336hrs
Part 1(Dose Escalation): Pharmacokinetics(Cav,τ CKD-702 after a repeated dose)
12\) Cav,τ CKD-702 after a repeated dose
Time frame: C1D1 Pre-dose, Start of Infusion 0.5, 1hr, End of Infusion and End of Infusion 2, 6, 22, 70, 166, 336hrs, C2D1 Pre-dose, Start of Infusion 0.5, 1hr, End of Infusion and End of Infusion 2, 6, 22, 70, 166, 336hrs
Part 1(Dose Escalation): Pharmacokinetics(t1/2 CKD-702 after a repeated dose)
13\) t1/2 CKD-702 after a repeated dose
Time frame: C1D1 Pre-dose, Start of Infusion 0.5, 1hr, End of Infusion and End of Infusion 2, 6, 22, 70, 166, 336hrs, C2D1 Pre-dose, Start of Infusion 0.5, 1hr, End of Infusion and End of Infusion 2, 6, 22, 70, 166, 336hrs
Part 1(Dose Escalation): Pharmacokinetics(Tmax,ss CKD-702 after a repeated dose)
14\) Tmax,ss CKD-702 after a repeated dose
Time frame: C1D1 Pre-dose, Start of Infusion 0.5, 1hr, End of Infusion and End of Infusion 2, 6, 22, 70, 166, 336hrs, C2D1 Pre-dose, Start of Infusion 0.5, 1hr, End of Infusion and End of Infusion 2, 6, 22, 70, 166, 336hrs
Part 1(Dose Escalation): Pharmacokinetics(CLss CKD-702 after a repeated dose)
15\) CLss CKD-702 after a repeated dose
Time frame: C1D1 Pre-dose, Start of Infusion 0.5, 1hr, End of Infusion and End of Infusion 2, 6, 22, 70, 166, 336hrs, C2D1 Pre-dose, Start of Infusion 0.5, 1hr, End of Infusion and End of Infusion 2, 6, 22, 70, 166, 336hrs
Part 1(Dose Escalation): Pharmacokinetics(Vss CKD-702 after a repeated dose)
16\) Vss CKD-702 after a repeated dose
Time frame: C1D1 Pre-dose, Start of Infusion 0.5, 1hr, End of Infusion and End of Infusion 2, 6, 22, 70, 166, 336hrs, C2D1 Pre-dose, Start of Infusion 0.5, 1hr, End of Infusion and End of Infusion 2, 6, 22, 70, 166, 336hrs
Part 1(Dose Escalation): Pharmacokinetics(MRT CKD-702 after a repeated dose)
17\) MRT CKD-702 after a repeated dose
Time frame: C1D1 Pre-dose, Start of Infusion 0.5, 1hr, End of Infusion and End of Infusion 2, 6, 22, 70, 166, 336hrs, C2D1 Pre-dose, Start of Infusion 0.5, 1hr, End of Infusion and End of Infusion 2, 6, 22, 70, 166, 336hrs
Part 1(Dose Escalation): Pharmacokinetics(accumulation ratio CKD-702 after a repeated dose)
18\) accumulation ratio CKD-702 after a repeated dose
Time frame: C1D1 Pre-dose, Start of Infusion 0.5, 1hr, End of Infusion and End of Infusion 2, 6, 22, 70, 166, 336hrs, C2D1 Pre-dose, Start of Infusion 0.5, 1hr, End of Infusion and End of Infusion 2, 6, 22, 70, 166, 336hrs
Part 1(Dose Escalation): Pharmacokinetics(PTF of CKD-702 CKD-702 after a repeated dose)
19\) PTF of CKD-702 CKD-702 after a repeated dose
Time frame: C1D1 Pre-dose, Start of Infusion 0.5, 1hr, End of Infusion and End of Infusion 2, 6, 22, 70, 166, 336hrs, C2D1 Pre-dose, Start of Infusion 0.5, 1hr, End of Infusion and End of Infusion 2, 6, 22, 70, 166, 336hrs
Part 1(Dose Escalation): Immunogenicity(Analyze the idiotype antibody for hu8C4 (anti-cMET) Fab)
-Analyze the idiotype antibody for hu8C4 (anti-cMET) Fab
Time frame: C1D1 Pre-dose, C1D15 Pre-dose, C2D1 Pre-dose, C3D1 Pre-dose, C4D1 Pre-dose,
Part 1(Dose Escalation): Immunogenicity(Analyze the idiotype antibody for Vectibix scFv (anti-EGFR)
-Analyze the idiotype antibody for Vectibix scFv (anti-EGFR)
Time frame: C1D1 Pre-dose, C1D15 Pre-dose, C2D1 Pre-dose, C3D1 Pre-dose, C4D1 Pre-dose,
Part 2(Dose Expansion): Overall Survival
To evaluate overall survival (OS)
Time frame: Through study completion, an average of 3years
Part 2(Dose Expansion): Progression-Free Survival
To evaluate progression-free survival (PFS)
Time frame: Through study completion, an average of 3years
Part 2(Dose Expansion): Duration of Response
To evaluate the duration of response (DoR)
Time frame: Through study completion, an average of 3years
Part 2(Dose Expansion): Disease Control Rate
To evaluate the disease control rate (DCR)
Time frame: Through study completion, an average of 3years