This phase 1, first-in-human study uses a BOIN design to assess the safety and potential efficacy of JS014 at different dose levels as a single agent and in combination with fixed dose of pembrolizumab in subjects with advanced cancer.
This study has two parts: 1a and Ib. Ia is a single agent study, and Ib is a combination study, testing the safety of JS014 with 200 mg of pembrolizumab. After being informed about the study and the potential risks, all subjects giving written informed consent will receive at most 4-week screening procedures to ensure the eligibility of the study entry. Once eligible, the subjects will receive JS014 infusion at the designated dose levels once every week until disease progression. In Ia study, only JS014 is given. In Ib study, JS014 will be given once a week with pembrolizumab at 200 mg once every three weeks until disease progression. The subjects will receive safety evaluation, pharmacokinetic and pharmacodynamic studies, as well as efficacy evaluation at regular interval. The maximum number in each part of the study is 30 subjects. The Ia study will be conducted in Taiwan, and Ib study will be conducted in both Taiwan and the United States.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
60
Weekly infusion at the designated dose level until disease progression, withdrawal or up to two years
200 mg, once every three weeks until disease progression, withdrawal or up to two years
Taipei Medical University -Shuang Ho Hospital
New Taipei City, Taiwan
RECRUITINGWanfang Hospital -Taipei Medical University
Taipei, Taiwan
RECRUITINGThe numbers of participants with treatment-related adverse events assessed by CTCAE 5.0
To determine the percentage of various toxicities assessed by CTCAE at different dose levels alone or in combination with pembrolizumab
Time frame: 24 months
Maximum tolerated dose (MTD) of JS014
To determine the MTD of JS014 alone or in combination with pembrolizumab
Time frame: 24 months
Recommended phase-2 dose (RP2D) of JS014
To determine of the RP2D of JS014 alone or in combination of pembrolizumab
Time frame: 24 months
Area under the curve (AUC) of JS014
To estimate the AUC of JS014 at different dose levels alone or in combination with pembrolizumab
Time frame: 24 months
Maximum concentration (Cmax) of JS014
To measure the Cmax after 1st and repeat dose of JS014 alone or in combination with pembrolizumab
Time frame: 24 months
Clearance of JS014
To estimate the clearance of JS014 after 1st and repeat dose of JS014 alone or in combination with pembrolizumab
Time frame: 24 months
Half life (T1/2) of JS014
To estimate the T1/2 at terminal phase of JS014 after 1st and repeat dose of JS014 alone or in combination with pembrolizumab
Time frame: 24 months
Volume of distribution (Vd) of JS014
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To estimate Vd of JS014 after 1st and repeat dose alone or in combination with pembrolizumab
Time frame: 24 months
Time to reach maximum concentration (Tmax) of JS014
To estimate Tmax of JS014 after 1st and repeat dose of JS014 alone or in combination with pembrolizumab
Time frame: 24 months
Overall response rate (ORR) alone or in combination with pembrolizumab
The assess the ORR of JS014 alone or in combination with pembrolizumab at different dose levels
Time frame: 24 months
Duration of response (DoR) alone or in combination with pembrolizumab
To estimate the DoR at different dose levels alone or in combination with pembrolizumab
Time frame: 24 months
Prevalence of anti-JS014 antibody
To estimate prevalence of anti-JS014 antibody at different dose levels alone or in combination with pembrolizumab
Time frame: 24 months
Titers of anti-JS014 antibody
To measure the titer of anti-JS014 antibody alone or in combination with pembrolizumab at different dose levels during the study
Time frame: 24 months