A Phase I Study of Dose Escalation and Dose Expansion To Evaluate the Safety、Tolerability、Pharmacokinetics and Preliminary Efficacy of Paclitaxel Micelles for Injection in Chinese Patients With Advanced Solid Tumor.
The study will be conducted in two parts. The first part is dose escalation and the second part is dose Expansion.During the course of dose escalation, 18-27 subjects will be enrolled to assess the safety、tolerability、pharmacokinetics、preliminary efficacy ,and determine the dose-limiting toxicity (DLT) and maximum tolerated dose(MTD) of Paclitaxel Micelles for Injection, and explore phase II clinical dosages. The second part will be adjusted according to the result of the first part. It will be divided into 4 groups, including advanced breast cancer group, ovarian cancer group, non-small cell lung cancer group and gastric cancer group, with 20 subjects in each group, to further evaluate the safety, tolerance, PK and anti-tumor activity of paclitaxel micelle.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
98
Paclitaxel Micelles for Injection was intravenously administrated for three hours, three weeks constituted one course of treatment.
Paclitaxel Injection was intravenously administrated for three hours, three weeks constituted one course of treatment.
The First Affiliated Hospital,ZheJiang Univercity
Hanzhou, Zhejiang, China
RECRUITINGSafety and tolerability of Paclitaxel Micelles for Injection in dose ascending and dose extension as measured by assessment of maximum tolerated dose (MTD) and dose limiting toxicity (DLT).
MTD was determined as the dose where more than 2 out of 6 subjects experienced DLT
Time frame: 2 years
The recommended dose for the phase II study
Determined as the recommended dose for a phase 2 study based on the adverse events and toxicities at each dose groups
Time frame: 2 years
Cmax of Paclitaxel Micelles for Injection
Defined as maximum observed plasma concentration
Time frame: Cycles 1(each cycle is 21 days) ,Day1 to Day4.
Tmax of Paclitaxel Micelles for Injection
Defined as time to maximum plasma concentration
Time frame: Cycles 1(each cycle is 21 days) ,Day1 to Day4.
AUC0-t of Paclitaxel Micelles for Injection
Defined as area under plasma concentration-time curve from Hour 0 to the last quantifiable measurable plasma concentration
Time frame: Cycles 1(each cycle is 21 days), Day1 to Day4.
AUC0-inf of Paclitaxel Micelles for Injection
Defined as area under plasma concentration-time curve from Hour 0 to infinity
Time frame: Cycles 1(each cycle is 21 days) ,Day1 to Day4.
λz of Paclitaxel Micelles for Injection
Defined as elimination rate constant
Time frame: Cycles 1(each cycle is 21 days), Day1 to Day4.
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t½ of Paclitaxel Micelles for Injection
Defined as the apparent plasma terminal phase disposition half-life
Time frame: Cycles 1(each cycle is 21 days), Day1 to Day4.
CL of Paclitaxel Micelles for Injection
Defined as apparent clearance
Time frame: Cycles 1(each cycle is 21 days), Day1 to Day4.
Vz of Paclitaxel Micelles for Injection
Defined as apparent volume of distribution
Time frame: Cycles 1(each cycle is 21 days), Day1 to Day4.
%AUCex of Paclitaxel Micelles for Injection
Defined as AUC Extrapolated Percentage
Time frame: Cycles 1(each cycle is 21 days), Day1 to Day4.
Objective response rate (ORR) of Paclitaxel Micelles
PR+CR,Imaging evaluations were performed with CT/MRI chest, abdominal, and pelvic scans
Time frame: Baseline to date of first documented progression or date of the patients drop out of the study, up to 24 months.
Disease Control Rate (DCR) of Paclitaxel Micelles
PR+CR+SD,Imaging evaluations were performed with CT/MRI chest, abdominal, and pelvic scans
Time frame: Baseline to date of first documented progression or date of the patients drop out of the study, up to 24 months.
Progression-free survival (PFS) of Paclitaxel Micelles
Imaging evaluations were performed with CT/MRI chest, abdominal, and pelvic scans
Time frame: Baseline to date of first documented progression or date of the patients drop out of the study, up to 24 months.
Duration of remission (DOR) of Paclitaxel Micelles
Imaging evaluations were performed with CT/MRI chest, abdominal, and pelvic scans
Time frame: Baseline to date of first documented progression or date of the patients drop out of the study, up to 24 months.