The goal of this clinical trial is to evaluate the safety, tolerability, pharmacokinetics (PK), and preliminary efficacy of T-1201 injection in subjects with advanced solid tumors refractory to standard therapy, or for whom no standard therapy is available. The main questions it aims to answer are: * The Maximum tolerated dose (MTD) of T-1201 on different dosing schedules. * The Recommended Phase 2 dose (RP2D) of T-1201 on different dosing schedules. Researchers will evaluate the safety, tolerability, pharmacokinetics (PK), and preliminary efficacy of T-1201. Participants will: Received T-1201 either once every 4 (Part A)/2 (Part B)/3 (Part C) weeks, depend on they participate in which parts of study. Visit the clinic once every 2/3 weeks for checkups and tests
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
40
T-1201 Injection 100 mg Kit contains lyophilized powder with a sterile aqueous solution formulated for intravenous administration.
Kaohsiung Medical University Chung-Ho Memorial Hospital
Kaohsiung City, Taiwan
RECRUITINGNational Cheng Kung University Hospital
Tainan, Taiwan
RECRUITINGMaximum tolerated dose (MTD)
MTD is highest dose level in which 6 patients have been treated with at most 1 experiencing dose limiting toxicity (DLT).
Time frame: First treatment cycle (i.e., the first 28 days post the first dose)
Recommended Phase 2 dose (RP2D) dose (RP2D)
To determine the recommended Phase 2 dose (RP2D)
Time frame: First treatment cycle (i.e., the first 28 days post the first dose)
Frequency, type, severity and relationship to study drug of adverse events (AEs)
Incidence of Treatment-Emergent Adverse Events \[Safety and Tolerability\]
Time frame: At least 2 months
Pharmacokinetic profiles: Cmax of T-1201 and its metabolite(s) [0060 and SN-38]
Maximum plasma concentration (Cmax ) of T-1201, 0060, and SN-38 from plasma concentration-time profiles.
Time frame: 340 hours
Pharmacokinetic profiles: Tmax of T-1201 and its metabolite(s) [0060 and SN-38]
Time to reach maximum concentration (Tmax ) of T-1201, 0060, and SN-38 from plasma concentration-time profiles.
Time frame: 340 hours
Pharmacokinetic profiles: MRT of T-1201 and its metabolite(s) [0060 and SN-38]
Mean residence time (MRT) of T-1201, 0060, and SN-38 from plasma concentration-time profiles.
Time frame: 340 hours
Pharmacokinetic profiles: AUC of T-1201 and its metabolite(s) [0060 and SN-38]
The area under the plasma concentration-time curve (AUC) of T-1201, 0060, and SN-38 from plasma concentration-time profiles.
Time frame: 340 hours
Pharmacokinetic profiles: T1/2 of T-1201 and its metabolite(s) [0060 and SN-38]
Terminal half-life (T1/2 ) of T-1201, 0060, and SN-38 from plasma concentration-time profiles.
Time frame: 340 hours
Assess preliminary anti-tumor activity: ORR of T-1201 according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1
Objective response rate (ORR)
Time frame: At least 56 days
Assess preliminary anti-tumor activity: CBR of T-1201 according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1
Clinical benefit rate (CBR)
Time frame: At least 56 days
Assess preliminary anti-tumor activity: DOR of T-1201 according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1
Duration of response (DOR)
Time frame: At least 56 days
Assess preliminary anti-tumor activity of T-1201 according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1
Time to tumor progression per RECIST v1.1
Time frame: At least 56 days
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