This is a study to evaluate the maximum tolerated dose (MTD) , occurrence of all adverse events (AEs) and serious adverse events (SAEs) , pharmacokinetic parameters and antitumor effect of TQB3823 tablets in Chinese adult patients with advanced solid tumors .The study was divided into phase Ia and phase Ib, Phase Ia: Dose escalation period, to evaluate the safety and tolerability of TQB3823 tablets, determine MTD;Phase Ib: Effectiveness exploration period, to expand the safe and effective dose group, and to recommend appropriate dosage and method for subsequent clinical research.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
164
TQB3823 is a small molecule Poly ADP-ribose Polymerase (PARP) inhibitor that can inhibit the enzyme activity of PARP1/2, making it difficult to repair the DNA in cancer cells, leading to cell death and delaying or blocking tumor development.
Sun Yat-sen University Cancer Cen
Guangzhou, Guangdong, China
Dose Limiting Toxicities (DLT)
Subjects within 28 days after treatment appear the following toxicity reaction relate to the drug :III °or above of non-hematological toxicity, IV°hematological toxicity ,Neutropenia associated with fever.
Time frame: Baseline up to 28 days
Maximum tolerated dose (MTD)
The highest dose at which no more than 33% of the subjects experience a dose-limiting toxicity (DLT) during treatment
Time frame: Baseline up to 28 days
Adverse events (AEs) and serious adverse events (SAEs)
The occurrence of all AEs and SAEs,such as Anemia, Platelet count decreased, Nausea, Vomiting, Elevated transaminase.
Time frame: Baseline up to 28 days
Overall response rate (ORR)
Overall response rate(From the first drug treatment to the last drug treatment)
Time frame: 21 days
Disease control rate(DCR)
Disease control rate(From the first drug treatment to the last drug treatment)
Time frame: 21 days
Progression-free survival (PFS)
First-time progression of disease/ recurrence /death)
Time frame: 21 days
Duration of Response (DOR)
Baseline up to progression of disease/ recurrence /death
Time frame: 21 days
Time to reach maximum (peak) plasma concentration following drug administration(Tmax)
To characterize the pharmacokinetics of TQB3823 by assessment of time to reach maximum plasma concentration after single and multiple dosing
Time frame: Hour 0 (pre-dose), 1, 2, 3, 4, 6, 8, 11, 24, 48, 72, 120, 168 hours post-dose on single dose; Hour 0(pre-dose) of day 7,day 14 on multiple dose and Hour 0 (pre-dose), 1, 2, 3, 4, 6, 8, 11, 24 hours post-dose on multiple dose of day 21.
Maximum (peak) plasma drug concentration (Cmax)
Cmax is the maximum plasma concentration of TQB3823 or metabolite(s).
Time frame: Hour 0 (pre-dose), 1, 2, 3, 4, 6, 8, 11, 24, 48, 72, 120, 168 hours post-dose on single dose; Hour 0(pre-dose) of day 7,day 14 on multiple dose and Hour 0 (pre-dose), 1, 2, 3, 4, 6, 8, 11, 24 hours post-dose on multiple dose of day 21.
Maximum (peak) steady-state plasma drug concentration during a dosage interval (Cmax,ss)
Cmax is the maximum plasma concentration of TQB3823 or metabolite(s).
Time frame: Hour 0 (pre-dose), 1, 2, 3, 4, 6, 8, 11, 24, 48, 72, 120, 168 hours post-dose on single dose; Hour 0(pre-dose) of day 7,day 14 on multiple dose and Hour 0 (pre-dose), 1, 2, 3, 4, 6, 8, 11, 24 hours post-dose on multiple dose of day 21.
Area under the plasma concentration-time curve from time zero to time t (AUC0-t)、Area under the plasma concentration-time curve from time zero to infinity (ACU0-∞)
To characterize the pharmacokinetics of TQB3823 by assessment of area under the plasma concentration time curve from the first dose to infinity.
Time frame: Hour 0 (pre-dose), 1, 2, 3, 4, 6, 8, 11, 24, 48, 72, 120, 168 hours post-dose on single dose; Hour 0(pre-dose) of day 7,day 14 on multiple dose and Hour 0 (pre-dose), 1, 2, 3, 4, 6, 8, 11, 24 hours post-dose on multiple dose of day 21.
Apparent total clearance of the drug from plasma after oral administration (CL/f)
CL/f is total clearance rate for TQB3823.
Time frame: Hour 0 (pre-dose), 1, 2, 3, 4, 6, 8, 11, 24, 48, 72, 120, 168 hours post-dose on single dose; Hour 0(pre-dose) of day 7,day 14 on multiple dose and Hour 0 (pre-dose), 1, 2, 3, 4, 6, 8, 11, 24 hours post-dose on multiple dose of day 21.
Elimination half-life(t1/2)
t1/2 is time it takes for the blood concentration of TQB3823 or metabolite(s) to drop by half.
Time frame: Hour 0 (pre-dose), 1, 2, 3, 4, 6, 8, 11, 24, 48, 72, 120, 168 hours post-dose on single dose; Hour 0(pre-dose) of day 7,day 14 on multiple dose and Hour 0 (pre-dose), 1, 2, 3, 4, 6, 8, 11, 24 hours post-dose on multiple dose of day 21.
Mean residence time (MRT)
MRT describes the average time that TQB3823 or metabolite(s) remain in the body.
Time frame: Hour 0 (pre-dose), 1, 2, 3, 4, 6, 8, 11, 24, 48, 72, 120, 168 hours post-dose on single dose; Hour 0(pre-dose) of day 7,day 14 on multiple dose and Hour 0 (pre-dose), 1, 2, 3, 4, 6, 8, 11, 24 hours post-dose on multiple dose of day 21.
Minimum steady-state plasma drug concentration during a dosage interval (Css-min)
Css-min is the minimum plasma concentration of TQB3823 or metabolite(s).
Time frame: Hour 0 (pre-dose), 1, 2, 3, 4, 6, 8, 11, 24, 48, 72, 120, 168 hours post-dose on single dose; Hour 0(pre-dose) of day 7,day 14 on multiple dose and Hour 0 (pre-dose), 1, 2, 3, 4, 6, 8, 11, 24 hours post-dose on multiple dose of day 21.
Average steady-state plasma drug concentration during multiple-dose administration (Css-av)
Css-av is mean steady-state plasma concentration of TQB3823 or metabolite(s).
Time frame: Hour 0 (pre-dose), 1, 2, 3, 4, 6, 8, 11, 24, 48, 72, 120, 168 hours post-dose on single dose; Hour 0(pre-dose) of day 7,day 14 on multiple dose and Hour 0 (pre-dose), 1, 2, 3, 4, 6, 8, 11, 24 hours post-dose on multiple dose of day 21.
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