An open-label, dose-escalation, phase I clinical study to evaluate the safety and tolerability of JS004 injection in the patients with advanced solid tumors who have failure in standard of care and are unable to tolerate standard of care and/or have no available standard of care. The study is divided into screening period, treatment period, and follow-up period. 1. Screening period: Subjects will be included in the screening period after signing the informed consent form (ICF). The screening period is up to 28 days, subjects will enter the study treatment period if they meet all the inclusion criteria and none of exclusion criterion. 2. Treatment period: Subjects will be allocated to the designated dose group to receive corresponding treatment in accordance with the progress of study. Subjects in dose escalation phase will receive DLT observation at first, and upon completion of DLT observation, the subjects will continue their administration at the original dose if they are tolerated as judged by investigator, until progression of disease, intolerable toxicity or other reasons specified in the protocol. Subjects in the dose extension phase receive appropriate study treatment until disease progression, intolerance of toxicity, or other causes specified in the protocol occur. Response evaluation criteria in solid tumors (RECIST v1.1) will be used for efficacy evaluation every 9 weeks (±7 days) in the first year and every 12 weeks (±7 days) in the 2nd year and thereafter. 3. Follow-up period: A safety follow-up visit is required 30 days (±7 days) after the last dose of study drug or before the initiation of new antitumor therapy. If the new antitumor therapy has not been initiated, additional safety follow-up should be completed 90 days (±7 days) after the last dose as far as possible.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
47
Biological: JS004, Intravenous infusion; Toripalimab Injection, Intravenous infusion
Fujian Provincial Cancer Hospital
Fuzhou, Fujian, China
Tumor Hospital affiliated to Harbin Medical University
Harbin, Heilongjiang, China
Hunan Cancer Hospital
Changsha, Hunan, China
Nanjing Drum Tower Hospital
Nanjing, Jiangsu, China
First Hospital of Jilin University
Changchun, Jilin, China
West China Hospital of Sichuan University
Chengdu, Sichuan, China
Run Run Shaw Hospital affiliated to Zhejiang University Medical College
Hangzhou, Zhejiang, China
Zhejiang Cancer Hospital
Hangzhou, Zhejiang, China
Beijing Cancer Hospital
Beijing, China
Fudan University Shanghai Cancer Center
Shanghai, China
...and 1 more locations
To evaluate the safety and tolerability of JS004 injection alone and in combination with Toripalimab in patients with advanced solid tumors.
Including incidence of dose limiting toxicity (DLT); incidence and severity of adverse event (AE), serious adverse event (SAE) and immune related adverse event (irAE); laboratory results with clinical significance and other tests with abnormal results.
Time frame: 2 years
Determine the maximum tolerated dose (MTD)/recommended extended dose (RDE) of JS004 injection monotherapy and combination with Toripalimab in patients with advanced solid tumors.
The maximum tolerated dose (MTD) is defined as the maximum dose at which \<1/3 subjects experience any DLTs and at least 6 evaluable subjects are required at each dose level.
Time frame: 2 years
To preliminarily evaluate the efficacy of JS004 injection as a single drug and combined with Toripalimab.
Objective response rate (ORR), duration of response (DOR), disease control rate (DCR), time to response (TTR), progression-free survival (PFS) in accordance with RECIST 1.1 and overall survival (OS).
Time frame: 2 years
To evaluate the pharmacokinetic profile of JS004 Injection as a single drug and combined with Toripalimab.
Drug concentration in individual subject at different time points after administration.
Time frame: 2 years
To evaluate the pharmacokinetic profile of JS004 Injection as a single drug and combined with Toripalimab.
Peak concentration (Cmax)
Time frame: 2 years
To evaluate the pharmacokinetic profile of JS004 Injection as a single drug and combined with Toripalimab.
Time to peak (Tmax)
Time frame: 2 years
To evaluate the pharmacokinetic profile of JS004 Injection as a single drug and combined with Toripalimab.
Area under the serum concentration-time curve (AUC0-t and AUC0-∞)
Time frame: 2 years
To evaluate the pharmacokinetic profile of JS004 Injection as a single drug and combined with Toripalimab.
Clearance (CL)
Time frame: 2 years
To evaluate the pharmacokinetic profile of JS004 Injection as a single drug and combined with Toripalimab.
Volume of distribution under steady state (Vss)
Time frame: 2 years
To evaluate the pharmacokinetic profile of JS004 Injection as a single drug and combined with Toripalimab.
Mean retention time (MRT)
Time frame: 2 years
To evaluate the pharmacokinetic profile of JS004 Injection as a single drug and combined with Toripalimab.
Elimination half-life (t1/2)
Time frame: 2 years
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