This is a Phase 1, open-label, dose escalation and dose expansion study to evaluate the safety, tolerability, pharmacokinetics and efficacy of FDA018-ADC in patients with advanced/metastatic solid tumors.
This is a first-in-human (FIH), Phase 1, open-label, dose escalation and dose expansion study to evaluate the safety, tolerability, pharmacokinetics and preliminary efficacy of FDA018-ADC in patients with advanced/metastatic solid tumors. FDA018-ADC is administered via intravenous infusion using an accelerated titration method followed by a conventional 3 + 3 study design to identify the maximum tolerated dose (MTD) and dose-limiting toxicities(DLT)during 35-day cycle with 3 doses. The expansion phase enrolled patients into three cohorts defined by tumor type: cohort 1 included patients with locally advanced or metastatic TNBC; cohort 2 included patients with non-small-cell lung cancer (NSCLC); and cohort 3 included those with other locally advanced or metastatic solid tumors. The efficacy and safety, as well as the recommended phase 2 dose (RP2D) were determined in this phase.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
78
Subjects will receive an intravenous infusion of FDA018-ADC until confirmed progression, unaccepted toxicity, or any criterion for withdrawal from the study.
Fudan University Shanghai Cancer Center
Shanghai, Shanghai Municipality, China
The dose limiting toxicity ( DLT)
Evaluated according to NCI CTCAE V5.0
Time frame: From first dose to the end of Cycle 1, up to 35 days.
The maximum tolerated dose (MTD)
Maximum tolerated dose (MTD) is defined as the dose level immediately below the dose level at which 2 or more in a cohort of either 3 or 6 patients experiences a dose limiting toxicity (DLT) attributed to FDA018.
Time frame: From first dose to the end of Cycle 1, up to 35 days.
Adverse Events
To check the numbers of AEs happened during the course of trial.
Time frame: From subject randomization up to 60 months
Objective Response Rate (ORR) according to RECIST 1.1
ORR was defined as the rate an overall best response of either complete response (CR) or partial response (PR) according to RECIST1.1. CR was defined as the disappearance of all target lesions and reduction in short axis of any pathologic lymphnode to \<10 mm. PR was defined as ≥ 30% decrease in the sum of diameters of target lesions, taking the baseline sum diameters.
Time frame: From subject randomization up to 60 months.
Recommended phase II dose (RP2D)
Time frame: From subject randomization up to 60 months.
Time to peak (Tmax)
Tmax of Total Antibody, Total SN-38, Free SN-38, SN-38 Glucuronide and FDA018-ADC will be measured.
Time frame: Up to 17 weeks.
Half-life time (t1/2)
t1/2 of Total Antibody, Total SN-38, Free SN-38, SN-38 Glucuronide and FDA018-ADC will be measured.
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Time frame: Up to 17 weeks.
Peak Plasma Concentration (Cmax)
Cmax of Total Antibody, Total SN-38, Free SN-38, SN-38 Glucuronide and FDA018-ADC will be measured.
Time frame: Up to 17 weeks.
Area under the plasma concentration versus time curve (AUC)
AUC of Total Antibody, Total SN-38, Free SN-38, SN-38 Glucuronide and FDA018-ADC will be measured.
Time frame: Up to 17 weeks.
Number of subjects who develop detectable anti-drug antibodies (ADAs)
The subject's ADA positive rate will be assessed By ELISA.
Time frame: From subject randomization up to 60 months.
Progression free survival(PFS) according to RECIST 1.1
Progression-free survival (PFS) was defined as the interval from the first dose start date to the date of disease progression defined as documented progressive disease (PD) or death from any cause, whichever occurs first.
Time frame: From subject randomization up to 60 months.
Duration of Response(DOR) according to RECIST 1.1
Duration of Response was defined as the duration of overall response measured from the time measurement criteria are met for CR or PR (whichever is first recorded) until the first date that recurrent or progressive disease is objectively documented (taking as reference for progressive disease the smallest measurements recorded since the treatment started).
Time frame: From subject randomization up to 60 months.
Overall Survival (OS) according to RECIST 1.1
Overall survival was defined as the time from the date of the first dose start date to the date of death due to any cause.
Time frame: From subject randomization up to 60 months.