This is an open label Phase I/II trial of LM-102 injection, a recombinant humanized monoclonal antibody targeting Claudin 18.2 (CLDN18.2). It is being tested in advanced solid tumors including gastric cancer/gastroesophageal junction adenocarcinoma, Pancreatic Cancer, Biliary Tract Cancer, esophageal adenocarcinoma and ovarian mucous carcinoma.
This study includes phase I dose escalation and phase II dose expansion. Phase I dose escalation consists of LM-102 monotherapy dose escalation (Part Ia) and LM-102 combination dose escalation (Part Ib): Part Ia is LM-102 monotherapy dose escalation, will be conducted among the subjects with recurrent or refractory advanced solid tumors to determine the RP2D of LM-102 monotherapy;Statistical designs include an initial accelerated titration at the first dose level followed by the i3+3 design at other four dose levels ; Part Ib is the dose escalation of LM-102 combined with SOC, will be conducted in the subjects with advanced gastric and gastroesophageal junction adenocarcinoma(GC/GEJ), pancreatic cancer (PC)and biliary tract carcinoma(BTC), respectively in first setting or second setting, to explore the recommended dose of LM-102 in combination SOC for dose expansion, 4 cohorts are planned; Phase II dose expansion consists of LM-102 monotherapy dose escalation (Part IIa) and LM-102 combination dose escalation (Part IIb): Part IIa is the dose expansion of LM-102 monotherapy, 3 cohorts are planned in the subjects with CLDN18.2 positive, recurrent or refractory advanced GC/GEJ , PC , BTC , to explore the preliminary efficacy of LM-102 monotherapy in the target tumor types; Part IIb is the dose expansion of LM-102 in combination with SOC, 4 cohorts are planned in the subjects with advanced, CLDN18.2 positive, treatment naïve GC/GEJ, PC, BTC, and in the subjects with GC/GEJ who have progressed on first line treatment, with the aim to to explore the preliminary efficacy of LM-102 monotherapy in the target tumor types;
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
11
LM-102 Injection with dose escalation stage of 3mg/kg up to 40mg/kg, as well as dose expansion stage with recommended dose level from dose escalation stage.
LM-102 Injection with appropriate dose level(s), combined with SOC.
Fudan Zhongshan Hospital
Shanghai, Shanghai Municipality, China
The incidence and case number of DLT (Dose Limiting Toxicity) during observation period
DLT is short for Dose Limiting Toxicity. dose-limiting describes side effects of a drug or other treatment that are serious enough to prevent an increase in dose or level of that treatment.
Time frame: up to 21 days following first dose
Participant Safety as characterized by frequency and severity of adverse events(according to NCI CTCAE 5.0)
An AE is any untoward medical occurrence in a subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
Time frame: up to 31 days following last dose or other anti-cancer therapy
Recommended Phase II Dose (RP2D)
The RP2D will be determined during the dose expansion stage of the study. RP2D will be determined using available safety and efficacy data.
Time frame: up to 21 days following first dose
Maximum Tolerated Dose (MTD)
The MTD is defined as the dose of which the toxicity rate is lower than the upper bound of EI p\_T+ϵ\_1= 0.35 and closest to the target toxicity rate of p\_T= 0.3 during the DLT observation period (21 days after the first administration in cycle 1 on day 1).
Time frame: up to 21 days following first dose
Area under plasma concentration vs time curve (AUC) for LM-102
changes in AUC over time in participants with LM-102
Time frame: Up to finished circle 5 (each cycle is 21 days)
Peak plasma concentration (Cmax) for LM-102
Cmax is the maximum plasma concentration.
Time frame: Up to finished circle 5 (each cycle is 21 days)
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Time to maximum observed plasma concentration (Tmax)
Tmax is the time in hrs/days it takes to reach Cmax after dosing with LM-102
Time frame: Up to finished circle 5 (each cycle is 21 days)
Terminal elimination half life (t1/2)
Time for the plasma level of LM-102 to decrease by 1/2 during the terminal elimination phase
Time frame: Up to finished circle 5 (each cycle is 21 days)
Immunogenicity
by measurement of Incidence of anti-drug antibodies (ADA)
Time frame: up to 31 days following last dose
Disease Control Rate(DCR )
as measured by RECIST v1.1
Time frame: through study completion, an average of 8 months.
Duration of Response (DOR)
as measured by RECIST v1.1
Time frame: through study completion, an average of 8 months.
Progression free survival (PFS)
as measured by RECIST v1.1
Time frame: through study completion, an average of 8 months.