This Phase 1/2, multicenter, first-in-human, open-label, dose-escalation, dose expansion, and clinical expansion study will evaluate the safety, tolerability, pharmacokinetics, and preliminary anti-tumor efficacy of HLX301 administered as a single-agent by IV infusion every 2 weeks to patients with locally advanced or metastatic solid malignancies, who have failed or are intolerant to standard therapy, or for whom no standard therapy is available. This study has three parts: phase 1a dose escalation, phase 1b dose expansion, and phase 2 clinical expansion.
Up to 150 patients will be included in this study. Up to 30 DLT evaluable patients will be enrolled in phase 1a (dose escalation), 40 per-protocol treated patients in phase 1b (dose expansion), and 80 per-protocol treated patients in phase 2. Phase 1a uses the Bayesian optimal interval (BOIN) design, to investigate the safety and determine the MTD of HLX301. BOIN design combines rule-based and model-based design, allowing for flexibility of dose escalation and de-escalation, and high patient enrollment in doses closest to the target toxicity rate (pre-defined as 30% in this study). This study will also evaluate safety profiles at different dose levels, PK parameters, pharmacodynamic markers, immunogenicity, and the preliminary efficacy of the drug. Following dose escalation and determination of the MTD, additional patients with NSCLC will be enrolled in phase 1b dose expansion to further evaluate PK and pharmacodynamic characteristics, and preliminary efficacy in order to determine the RP2D. The phase 2 clinical expansion will include patients with various cancer types, including: 20 per-protocol treated patients with non-small cell lung cancer (NSCLC) 20 per-protocol treated patients with gastric/esophagogastric junction adenocarcinoma (GC/EGJ) 20 per-protocol treated patients with head and neck squamous cell carcinoma (HNSCC) 20 per-protocol treated patients with urothelial carcinoma (UC)
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
150
A Recombinant Humanized Anti-PDL1 and Anti-TIGIT Bispecific Antibody, HLX301 will be administered as a single intravenous (IV) infusion on Day 1 in each 14-day cycle
Blacktown Hospital
Blacktown, New South Wales, Australia
NOT_YET_RECRUITINGChris O'Brien Lifehouse
Camperdown, New South Wales, Australia
NOT_YET_RECRUITINGSunshine Coast University Private Hospital
Birtinya, Queensland, Australia
RECRUITINGSouthern Oncology Clinical Research Unit
Adelaide, South Australia, Australia
NOT_YET_RECRUITINGCabrini Hospital
Brighton, Victoria, Australia
NOT_YET_RECRUITINGPhase 1a: Safety assessments in patients receiving the trial drug
including incidence, nature, and severity of adverse events graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v5.0
Time frame: 2 years
Phase 1a: The proportion of patients experiencing dose limiting toxicity (DLT) events
Time frame: From baseline to the end of cycle 2 (28 days)
Phase 1a: The maximum tolerated dose (MTD) of HLX301
Time frame: From baseline to the end of cycle 2 (28 days)
Phase 1b: Recommended phase 2 dose (RP2D)
One of the two doses in phase 1b with a more favorable safety profile, a favorable PK/PD/ADA profile, and potential clinical efficacy will be selected as the recommended phase 2 dose (RP2D)
Time frame: From baseline to 48 weeks after first infusion
Phase 2: Objective response rate (ORR) defined as achieving a complete response or partial response as determined by the investigator according to RECIST v1.1
Objective response rate (ORR) defined as achieving a complete response or partial response as determined by the investigator according to RECIST v1.1 • Disease control rate (DCR) defined as achieving the complete response, partial response, or stable disease as determined by the investigator according to RECIST v1.1
Time frame: 2 years
Phase 2: Disease control rate (DCR) defined as achieving the complete response, partial response, or stable disease as determined by the investigator according to RECIST v1.1
Time frame: 2 years
Phase 2: Duration of response (DOR) defined as the time from the first occurrence of a documented ORR to disease progression, as determined by the investigator according to RECIST v1.1
Time frame: 2 years
Phase 1a: The pharmacokinetic parameters of HLX301: Peak concentration (Cmax, Cmax,ss)
Time frame: 2 years
Phase 1a: The pharmacokinetic parameters of HLX301: Time to peak (Tmax, Tmax,ss)
Time frame: 2 years
Phase 1a: The pharmacokinetic parameters of HLX301: Area under the concentration-time curve (AUC0-inf, AUC0-t, AUCss)
Time frame: 2 years
Phase 1a: The pharmacokinetic parameters of HLX301: Elimination half-life (t1/2)
Time frame: 2 years
Phase 1a: The pharmacokinetic parameters of HLX301: Clearance (CL, CLss)
Time frame: 2 years
Phase 1a: The pharmacokinetic parameters of HLX301: Volume of distribution (Vz, Vss)
Time frame: 2 years
Phase 1a: The pharmacodynamic profiles of HLX301 as determined by receptor occupancy of HLX301 on circulating T cells
Time frame: 2 years
Phase 1a: The incidence of treatment-emergent anti-drug antibodies (ADA) of HLX301
Time frame: 2 years
Phase 1b: The preliminary efficacy as determined by ORR
Time frame: 2 years
Phase 1b: The preliminary efficacy as determined by DCR
Time frame: 2 years
Phase 1b: The preliminary efficacy as determined by DOR
Time frame: 2 years
Phase 2: The safety profile
assessing incidence, nature, and severity of adverse events according to NCI CTCAE v5.0
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Time frame: 2 years
Phase 2: To investigate the correlation between PD-L1 expression levels and anti-tumor activity of HLX301 in patients with NSCLC, GC/EJC, HNSCC and UC
Time frame: 2 years