This is a multi-center phase II clinical trial to evaluate the anti-tumor activity and safety of HX009 in subjects with advanced solid tumors.
The present study is comprised of two parts: the efficacy estimation part and the key phase II part. In the first part, subjects with unresectable locally advanced or metastatic solid tumors (confirmed by histology or pathology) will be enrolled. Tumor types of special interest include biliary cancers, head and neck cancers, esophageal cancers, sarcoma, and malignant mesothelioma, and at least 8 subjects will be enrolled for each of these tumor types. Subjects with biliary cancers and other tumor types based on the efficacy data of the first part will be enrolled in the second part of the study. Subjects will receive HX009 via intravenous infusion at 5 mg/Kg once every 2 weeks. Treatment will continue until loss of clinical benefit at the discretion of the investigator, or intolerable toxicity, or withdrawal of consent, or disease progression, or death, or loss of follow-up (whichever occurs first). The maximum duration of treatment with HX009 is one year. Tumor evaluation is conducted by the investigator according to the Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) and immune RECIST (iRECIST), and is repeated every 6 weeks. Adverse events (AEs) are graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
20
Eligible participants will receive HX009 treatment at 5mg/Kg via IV infusion over 60-120 minutes, and the scheduled dosing cycle is once every 2 weeks.
Cancer Hospital Chinese Academy of Medical Sciences, Shenzhen Center
Shenzhen, Guangdong, China
Objective response rate (ORR) of patients with solid tumors treated with HX009 assessed by the Independent Review Committee (IRC)
The ORR is defined as the percentage of participants in the analysis population who had a confirmed Complete Response or Partial Response using RECIST 1.1 criteria.
Time frame: Approximately 1 year
Objective response rate(ORR) of patients with solid tumors treated with HX009 per Investigator Assessment
The ORR is defined as the percentage of participants in the analysis population who had a confirmed Complete Response or Partial Response using RECIST 1.1 criteria.
Time frame: Approximately 1 year
Duration of response (DoR) of patients with solid tumors treated with HX009
The DoR is defined as the time from the first recorded response (CR or PR) to the first recorded tumor progression or death due to any cause.
Time frame: Approximately 1 year
Disease control rate (DCR) of patients with solid tumors treated with HX009
The DCR is defined as the percentage of participants in the analysis population who had a confirmed Complete Response, or Partial Response, or Stable Disease using RECIST 1.1 criteria.
Time frame: Approximately 1 year
Progression-free survival (PFS) of patients with solid tumors treated with HX009
PFS is defined as the time from the start of the first dose and the first documented disease progression using RECIST 1.1 criteria or death of any cause.
Time frame: Approximately 1 year
Overall survival (OS) of patients with solid tumors treated with HX009
OS is defined as the time between the start of the first dose and death of any cause.
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Time frame: Approximately 1 year
Incidence of treatment-related adverse events in patients with advanced solid tumors treated with HX009
Adverse events (AEs) related to HX009 as determined by the investigator are recorded and graded according to the Common Terminology Criteria for Adverse Events (CTCAE - Version 5.0).
Time frame: AEs will be collected from the start of the study treatment up to 90 days after the last dose.
Severity of treatment-related adverse events in patients with advanced solid tumors treated with HX009
Adverse events (AEs) related to HX009 as determined by the investigator are recorded and graded according to the Common Terminology Criteria for Adverse Events (CTCAE - Version 5.0).
Time frame: AEs will be collected from the start of the study treatment up to 90 days after the last dose.
Number of patients having detectable anti-drug antibody (ADA) of HX009
Detection of ADA is a measure of immunogenicity of HX009
Time frame: Approximately 1 year
Number of patients having detectable neutralizing antibody (Nab) of HX009
Detection of Nab is a measure of immunogenicity of HX009
Time frame: Approximately 1 year
Elimination half-life (t1/2β) of HX009 in patients with advanced solid tumors
Key pharmacokinetic parameter
Time frame: Approximately 1 year
Mean residence time in the body (MRT) of HX009 in patients with advanced solid tumors
Key pharmacokinetic parameter
Time frame: Approximately 1 year
Area under the concentration-time curve (AUC0-t) of HX009 in patients with advanced solid tumors
Key pharmacokinetic parameter
Time frame: Approximately 1 year
Peak plasma concentration (Cmax) of HX009 in patients with advanced solid tumors
Key pharmacokinetic parameter
Time frame: Approximately 1 year
Time to peak plasma concentration (Tmax) of HX009 in patients with advanced solid tumors
Key pharmacokinetic parameter
Time frame: Approximately 1 year