The main purpose of • To evaluate the safety, tolerability and pharmacokinetic characteristics of SIBP-03(Recombinant anti-HER3 humanized monoclonal antibody injection). A secondary purpose * Assess the immunogenicity of SIBP-03. Exploratory purpose * Explore potential biomarkers; * Preliminary evaluation of the antitumor efficacy of SIBP-03.
To evaluate the safety, tolerability, pharmacokinetics, immunogenicity and preliminary efficacy of recombinant anti-HER3 humanized monoclonal antibody injection when treating the patients with advanced malignant solid tumors. This study is an open, multi-dose escalation and extension study of single and multiple dosing. This study was divided into two phases: the first phase was dose escalation phase, the second phase was joint expansion phase, in which the dose escalation phase was a single-center study, and the joint expansion phase was a multi-center study. Stage 1, dose escalation stage: Six dose groups of 2, 5, 10, 15, 20 and 40 mg/kg were planned, then exploring the most appropriate dose. The second stage, combined use extension stage: According to the preliminary data of drug safety, tolerance, pharmacokinetics and efficacy obtained in the dose escalation stage, combined with the clinical study results of similar drugs, 5mg/kg and 10mg/kg dose levels were selected to enter the combined extension stage and used in patients with advanced head and neck squamous cell carcinoma or with breast cancer.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
36
Stage 1: Six dose groups of 2, 5, 10, 15, 20 and 40 mg/kg were planned. Dose increments began at 2 mg/kg using accelerated titration. In the first dose group, after the first patient was injected with Sibp-03, if the subject developed toxicity grade ≥2(CTCAE v5.0 standard)within 21 days of initial administration,then the subject increased to 3 and the study design method in this dose level convert to "3+3". If the subject didn't develop toxicity grade ≥2, then the study of the second and next dose group can be carried out using "3+3" incremental design. Stage 2: Cohort 1 included patients with advanced head and neck squamous cell carcinoma and cohort 2 included patients with breast cancer. According to the results of dose escalation stage and similar drug trials, 5mg/kg and 10mg/kg dose levels were selected to enter this phase. Each cohort will be extended to include 6-8 subjects to receive this product in combination with the standard treatment study.
Fudan University Shanghai Cancer Center
Shanghai, Shanghai Municipality, China
AE(Adverse Events)
That is adverse events, any adverse events that occurred to the subject during the study period.
Time frame: 28 days after the last dose
SAE(Serious Adverse Events)
That is serious adverse events, any serious adverse events that occurred to the subject during the study period.
Time frame: 28 days after the last dose
AUC(Area Under The Plasma Concentration Versus Time Curve)
It shows the degree to which a drug is absorbed and used in the body.
Time frame: 28 days after the last dose
Cmax(Peak Plasma Concentration)
It shows the highest plasma concentration of a drug that can be achieved after administration
Time frame: 28 days after the last dose
Tmax(Peak Time)
That is peak time of drug action, it shows the time required to reach the maximum concentration on the subject plasma concentration curve after administration.
Time frame: 28 days after the last dose
T ½(Terminal elimination half-life)
It reflects how quickly the drug is eliminated from the body.
Time frame: 28 days after the last dose
CL(Clearance Rate)
Apparent volume of drug distribution removed from the body per unit time.
Time frame: 28 days after the last dose
Pulse rate
Pulse rate of the subject.
Time frame: 28 days after the last dose
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Respiratory rate
Respiratory rate of the subject.
Time frame: 28 days after the last dose
Body temperature
Body temperature of the subject.
Time frame: 28 days after the last dose
Blood pressure
Blood pressure of the subject.
Time frame: 28 days after the last dose
ADA(Anti-drug Antibody)
The incidence of anti-drug antibody.
Time frame: The 1 day the test results reported after the last dose
NAb(Neutralizing Antibody)
The incidence of neutralizing antibody.
Time frame: The 1 day the test results reported after the last dose