This is a phase Ⅰ, first-in-human, open-label, dose escalation study to evaluate the safety and tolerability, PK, immunogenicity and preliminary anti-tumor activity of LM-102 injection in subjects with CLDN18.2-positive advanced solid tumors.
This is a phase Ⅰ, first-in-human, open-label, dose escalation study to evaluate the safety and tolerability, PK, immunogenicity and preliminary anti-tumor activity of LM-102 injection in subjects with CLDN18.2-positive advanced solid tumors. Dose Escalation Traditional '3+3' escalation design will be used. Dose escalation consists of five ascending dose levels of LM-102 (3 mg/kg, 10 mg/kg, 20 mg/kg, 30 mg/kg and 40 mg/kg). All subjects will be administered every 3 weeks (1 cycle=21 days) with a dose of LM-102 as a 2 h (120±10 min) intravenous (IV) infusion until the disease progression, intolerance, subject discontinuation/informed consent withdrawal, or at the discretion of the investigator in consultation with sponsor. After all the subjects in each cohort complete the DLT assessment, the safety monitor committee (SMC) will make decisions for dose escalations, exploring intermediate/higher doses or terminating dose escalations according to the safety, tolerability, PK and immunogenicity data. The SMC may also adjust the dosage, frequency of administration, PK sample collection plan, etc. Based upon safety, tolerability, PK, and immunogenicity, the MTD or OBD will be determined by SMC. And the RP2D will be determined based on DLTs, MTD or OBD, and the totality of the safety data throughout the study, including dose modifications and delays, PK, and immunogenicity data, etc. The study will consist of 3 periods: 1. Screening period (up to 28 days before the first dose); 2. Treatment period; 3. Follow-up period \[28 (±3) days after end of treatment (EOT)/early withdrawal or before other anti-tumor treatments (whichever occurs earlier)\]. Safety, tolerability and anti-tumor activity evaluation of LM-102 will be conducted throughout the study.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
9
Traditional '3+3' escalation design will be used. Dose escalation consists of five ascending dose levels of LM-102 (3 mg/kg, 10 mg/kg, 20 mg/kg, 30 mg/kg and 40 mg/kg). All subjects will be administered every 3 weeks (1 cycle=21 days) with a dose of LM-102 as a 2 h (120±10 min) intravenous (IV) infusion until the disease progression, intolerance, subject discontinuation/informed consent withdrawal, or at the discretion of the investigator in consultation with sponsor, at most till by one year.
Sarcoma Oncology Research Center, Cancer Center of Southern California
California City, California, United States
Indiana University Melvin and Bren Simon Cancer Center
Indianapolis, Indiana, United States
Henry Ford Cancer Institute
Detroit, Michigan, United States
Gabrail Cancer and Research Center
Canton, Ohio, United States
Number of participants with adverse events and serious adverse events
The safety profile of LM102 will be assessed by monitoring the adverse events (AE) per the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v5.0
Time frame: From screening up to 1 year
Maximum tolerated dose (MTD)
MTD is defined as the highest dose level at which no more than 1 out of 6 subjects experiences a DLT during the first cycle
Time frame: Cycle 1 of each cohort. Duration of one cycle is 3 weeks
Dose-limiting toxicities (DLT)
DLT is defined as a toxicity (adverse event at least possibly related to YH002) occurring during the DLT observation period (the initial 21 days)
Time frame: Cycle 1 of each cohort. Duration of one cycle is 3 weeks
Change in Vital Signs-ear temperature
Change in vital signs-ear temperature will be measured after the subject has been fully rested.
Time frame: Baseline (Week 0) through approximately 1 year after first administration of LM102
Change in Vital Signs-pluse rate
Change in vital signs-pluse rate will be measured after the subject has been fully rested.
Time frame: Baseline (Week 0) through approximately 1 year after first administration of LM102
Change in Vital Signs-blood pressure
Change in vital signs-blood pressure will be measured after the subject has been fully rested.
Time frame: Baseline (Week 0) through approximately 1 year after first administration of LM102
Change in Electrocardiogram (ECG)-RR interval
RR interval of 12-lead ECG will be performed in the supine position after the patients are fully rested at each timepoint for once. RR is the standard heart rate which calculated by 60 divided by heart rate.
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Oklahoma University- Stephenson Cancer Center
Oklahoma City, Oklahoma, United States
University of Texas MD Anderson Cancer Center
Houston, Texas, United States
Time frame: Baseline (Week 0) through approximately 1 year after first administration of LM102
Change in Electrocardiogram (ECG)-QT interval
QT interval of 12-lead ECG will be performed in the supine position after the patients are fully rested at each timepoint for once.
Time frame: Baseline (Week 0) through approximately 1 year after first administration of LM102
Change in Electrocardiogram (ECG)-QRS duration
QRS duration of 12-lead ECG will be performed in the supine position after the patients are fully rested at each timepoint for once.
Time frame: Baseline (Week 0) through approximately 1 year after first administration of LM102
Incidence of Abnormal Clinical Laboratory Test Results-hematology
Number of participants with incidence of abnormal clinical lab test results like hematology will be assessed.
Time frame: Baseline (Week 0) through approximately 1 year after first administration of LM102
Incidence of Abnormal Clinical Laboratory Test Results-Biochemistry
Number of participants with incidence of abnormal clinical lab test results like Biochemistry will be assessed.
Time frame: Baseline (Week 0) through approximately 1 year after first administration of LM102
Incidence of Abnormal Clinical Laboratory Test Results-Urinalysis
Number of participants with incidence of abnormal clinical lab test results like Urinalysis will be assessed.
Time frame: Baseline (Week 0) through approximately 1 year after first administration of LM102
Incidence of Abnormal Clinical Laboratory Test Results-Coagulation test
Number of participants with incidence of abnormal clinical lab test results like Coagulation test will be assessed.
Time frame: Baseline (Week 0) through approximately 1 year after first administration of LM102
Area under the serum concentration versus time curve within one dosing interval (AUCtau)
To determine the pharmacokinetics (PK) profile of LM102
Time frame: Up to 1 year
Volume of distribution (Vd)
To determine the pharmacokinetics (PK) profile of LM102
Time frame: Up to 1 year
Volume of distribution at steady state (Vss)
To determine the pharmacokinetics (PK) profile of LM102
Time frame: Up to 1 year
Maximum serum concentration (Cmax)
To determine the PK profile of LM102 as single agent
Time frame: Up to 1 year
Trough concentration before the next dose is administered (Ctrough)
To determine the PK profile of LM102
Time frame: Up to 1 year
Time to reach maximum serum concentration (Tmax)
To determine the PK profile of LM102
Time frame: Up to 1 year
Clearance (CL)
To determine the PK profile of LM102
Time frame: Up to 1 year
Terminal half-life (T1/2)
To determine the PK profile of LM102
Time frame: Up to 1 year
Dose proportionality
To determine the PK profile of LM102
Time frame: Up to 1 year
Incidence of anti-drug antibodies (ADAs)
To assess the immunogenicity of LM102
Time frame: Up to 1 year
Incidence of neutralizing antibodies (NAbs)
To assess the immunogenicity of LM102
Time frame: Up to 1 year
Objective response rate (ORR)
To assess the preliminary antitumor activity of LM102,The ORR, using RECIST 1.1 criteria, was defined as the percentage of participants in the analysis population who had a confirmed Complete Response (CR; disappearance of all target lesions) or Partial Response (PR; at least a 30% decrease in the sum of diameters of target lesions) at any time during the study, based on Investigator assessment.
Time frame: Up to 1 year
Best of response (BOR)
To assess the preliminary antitumor activity of LM102
Time frame: Up to 1 year
Disease control rate (DCR)
To assess the preliminary antitumor activity of LM102
Time frame: Up to 1 year