This is an early phase clinical study using NEI-01 as single agent in oncology indication. This is an open label study and it's divided into two parts. Part 1: This part is ascending dose design to determine the safety and tolerability of NEI-01 and find out recommended dose of NEI-01 in solid tumor patient. Part 2: This part is extended dose design to determine the effectiveness of NEI-01 in in solid tumor and acute myeloid leukemia patients.
This is a Phase 1, open-label, non-randomized, 2-part dose-escalation and cohort expansion study of NEI-01 monotherapy in patients with advanced solid tumors or relapsed/refractory acute myeloid leukemia (AML). This study consists of 2 parts: Part 1) the dose-escalation part in patients with advanced solid tumors and Part 2) the cohort expansion part of the study of NEI-01 in patients with advanced solid tumors or relapsed/refractory AML. The primary objective of Part 1 are to evaluate the safety and tolerability of NEI-01, identify the maximum tolerated dose (MTD), and define the RDL for Part 2 of the study. The pharmacokinetics (PK) profile and preliminary efficacy of NEI-01 will also be evaluated whereas Part 2 is to assess the safety, tolerability and efficacy at weekly doses of NEI-01 at the RDL in subjects with advanced solid tumors or relapsed/refractory AML. Part 1: This part will be conducted in 4 dose ascending cohorts, including single dose and multiple dose periods. The DLT will be observed up to pre-dose assessment of Day 50. Dose escalation decision will be made based on safety data collected from all the subjects enrolled in the dose group will be evaluated by a Data and Safety Monitoring Committee (DSMC). Part 2: This part will only include the recommended dose (RDL) defined in Part 1. NEI-01 will be administered as a single agent in patients with advanced solid tumors (Cohort 1) or relapsed/refractory AML (Cohort 2). It will start after the RDL has been defined in Part 1 of the study. All subjects will receive weekly doses of NEI-01 at the RDL.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Part1: Single dose period: Intravenous single dose of NEI-01 with 4 ascending dose levels. Multiple dose period: Intravenous weekly dose of NEI-01 for 9 weeks with 4 ascending dose levels. Part2: Intravenous weekly dose of NEI-01 at the recommended dose obtained from Part 1
The University of Hong Kong Phase I Clinical Trials Centre
Hong Kong, Hong Kong
Part1: MTD / RDL
MTD (Maximum tolerable dose) / Recommended dose level (RDL)
Time frame: 12 months
Part1: Occurrence of DLT
Occurrence of DLT (Dose Limiting Toxicity)
Time frame: Day 1 of single dosing till pre-dose assessment of Day 50
Part1: Occurrence of AE and SAE(NCI CTCAE 5.0)
Occurrence of Adverse Event (AE) and Serious Adverse Event (SAE) (NCI CTCAE 5.0)
Time frame: From start of study until 28 days after last dose
Part1: Frequency of AE and SAE(NCI CTCAE 5.0)
Frequency of Adverse Event (AE) and Serious Adverse Event (SAE) (NCI CTCAE 5.0)
Time frame: Time Frame: From start of study until 28 days after last dose
Part2: Occurrence of AE and SAE(NCI CTCAE 5.0)
Occurrence of Adverse Event (AE) and Serious Adverse Event (SAE) (NCI CTCAE 5.0)
Time frame: From start of study until 28 days after last dose
Part2: Frequency of AE and SAE(NCI CTCAE 5.0)
Frequency of Adverse Event (AE) and Serious Adverse Event (SAE) (NCI CTCAE 5.0)
Time frame: From start of study until 28 days after last dose
Part 2: DCR
Disease Control Rate (DCR) Evaluate by RECIST 1.1 or 2003 IWG AML Response Criteria
Time frame: From prior to first dose of study medication, within 2 days after Week 6 Day 1, then every 6 weeks until treatment discontinuation
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Enrollment
24
Part 1: Pharmacokinetics Profile - AUC 0-t
The area under the plasma drug concentration-time curve up to t = 504h (AUC0-t)
Time frame: Single dose : Pre-dose, 0 hour, 0.25hour, 0.5hour, 0.75 hour, 1hour, 6hours, 12hours, 24hours, 48hours, 72 hours, 168 hours, 336 hours and 504 hours post-end of infusion of the initial dose
Part 1: Pharmacokinetics Profile - AUC 0-infinity
The area under the plasma drug concentration-time curve to infinite time (AUC0-infinity)
Time frame: Single dose : Pre-dose, 0 hour, 0.25hour, 0.5hour, 0.75 hour, 1hour, 6hours, 12hours, 24hours, 48hours, 72 hours, 168 hours, 336 hours and 504 hours post-end of infusion of the initial dose
Part 1: Pharmacokinetics Profile - Cmax
The maximum plasma concentration (Cmax)
Time frame: Single dose : Pre-dose, 0 hour, 0.25hour, 0.5hour, 0.75 hour, 1hour, 6hours, 12hours, 24hours, 48hours, 72 hours, 168 hours, 336 hours and 504 hours post-end of infusion of the initial dose
Part 1: Pharmacokinetics Profile - Ctrough
The trough level of observed plasma concentration (Ctrough)
Time frame: Multiple dose: Pre-dose, 0.25hour post-end of infusion of Week 1 Day 1 (W1D1), W2D1, W3D1, W4D1 and W5D1
Part 1: Pharmacokinetics Profile - Cpeak
The peak level of observed plasma concentration (Cpeak)
Time frame: Multiple dose: Pre-dose, 0.25hour post-end of infusion of Week 1 Day 1 (W1D1), W2D1, W3D1, W4D1 and W5D1
Part 1: DCR
Disease Control Rate (DCR) Evaluate by RECIST 1.1
Time frame: From prior to first dose of study medication, within 2 days after Week 6 Day 1, then every 6 weeks until treatment discontinuation, an average of 9 months
Part 2: ORR
Objective Response Rate (ORR) Evaluate by RECIST 1.1 or 2003 IWG AML Response Criteria
Time frame: From prior to first dose of study medication, within 2 days after Week 6 Day 1, then every 6 weeks until treatment discontinuation, an average of 9 months