The purpose of this study is to asess the safety and tolerability and efficacy of LVGN6051 combined with anlotinib in patient with soft tissue sarcoma.
This is a phase 1b/II, open-label, multicenter study of LVGN6051 combined with anlotinib in patients with locally advanced, metastatic or recurrent refractory soft tissue sarcoma. The study is comprised of a dose escalation phase (Ib) to determine the RP2D and an expansion phase (II) to further explore the safety and efficacy of combination treatment.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
39
LVGN6051: Route of administration is IV infusion, and the frequency of administration is once every 3 weeks(Q3W). One cycle is 3 weeks, and treatment can be up to 35 cycles if patients receive benefits. Anlotinib: Rout of administration is oral. The initial dose of anlotinib was 12 mg for subjects with body surface area ≥ 1.5m2 and 10 mg for subjects with body surface area \< 1.5m2. If the subjects in the combined treatment group were not tolerated, the dose of anlotinib was reduced to 10 mg for subjects with body surface area ≥ 1.5m2 and 8 mg for subjects with body surface area \< 1.5m2. One cycle is 3 weeks, including oral for 2 weeks and withdrawal for 1 week.
Henan cancer hospital
Zhenzhou, Henan, China
Hunan Cancer Hospital
Changsha, Hunan, China
Fudan University Shanghai Cancer Center
Shanghai, Shanghai Municipality, China
Shanghai Sixth People's Hospital
Shanghai, Shanghai Municipality, China
To characterize the safety and tolerability of LVGN6051 combined with Anlotinib and to recommend the Phase II dose
To evaluate the safety and tolerability of LVGN6051 combined with Anlotinib through evaluation of the frequency and severity of AEs, serious adverse events(SAEs)
Time frame: Up to 24 months
To characterize the safety and tolerability of LVGN6051 combined with Anlotinib and to recommend the Phase II dose
To evaluate the safety and tolerability of LVGN6051 combined with Anlotinib through evaluation of the type of dose-limiting toxicities (DLTs)
Time frame: At the end of Cycle 1 (each cycle is 21 days)
to determine objective response rate (ORR) of phase II
To assess the preliminary efficacy of LVGN6051 combined with Anlotinib in terms of objective response rate (ORR).
Time frame: Up to 24 months
To characterize the safety and tolerability of LVGN6051 combined with Anlotinib
To evaluate the safety and tolerability of LVGN6051 combined with Anlotinib through evaluation of the frequency and severity of AEs, Treatment-emergent Adverse Events (TEAEs), immune-related AEs (irAEs), treatment-related adverse events TRAEs), and laboratory results, Vital Signs, Physical examinations.
Time frame: Up to 24 months
To assess preliminary efficacy on overall survival (OS)(for Phase II only) using LVGN6051 combined with Anlotinib
To assess the preliminary efficacy of LVGN6051 combined with Anlotinib in terms of overall survival (OS)(for Phase II only)
Time frame: Up to 24 months
To assess preliminary efficacy on progression-free survival (PFS) using LVGN6051 combined with Anlotinib
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The Second Affiliated Hospital Zhejiang University School of Medicine
Hangzhou, Zhejiang, China
To assess the preliminary efficacy of LVGN6051 combined with Anlotinib in terms of progression-free survival (PFS)
Time frame: Up to 24 months
To assess preliminary efficacy on duration of response (DoR) using LVGN6051 combined with Anlotinib
To assess the preliminary efficacy of LVGN6051 combined with Anlotinib in terms of duration of response (DoR)
Time frame: Up to 24 months
To assess preliminary efficacy on disease control rate (DCR) using LVGN6051 combined with Anlotinib
To assess the preliminary efficacy of LVGN6051 combined with Anlotinib in terms of disease control rate (DCR)
Time frame: Up to 24 months
To assess whether the anti-drug antibody (ADA) of LVGN6051 exist or not
To evaluate the ADA of LVGN6051 by the number of ADA cases and incidence of ADA.
Time frame: Up to 24 months
To characterize the PK (Pharmacokinetic) profile of LVGN6051
PK exposure parameters derived from plasma concentrations of LVGN6051
Time frame: Up to 24 months
To explore the biomarkers based on the tumor tissue sample
To explore the correlation between biomarkers and antitumor efficacy, including PD-L1 (programmed cell death-Ligand 1), MSI/dMMR (Microsatellite Instability/Deficient Mismatch Repair), TMB (Tumor Mutation Burden).
Time frame: Up to 24 months
To explore the biomarker IL-6 (interleukin- 6) based on the serum samples.
To explore the changes of biomarker IL-6 (interleukin- 6) after LVGN6051 and anlotinib treatment
Time frame: Up to 15 days
To explore the biomarker IL-12 (interleukin- 12) based on the serum samples.
To explore the changes of biomarker IL-12 (interleukin- 12) after LVGN6051 and anlotinib treatment
Time frame: Up to 15 days
To explore the biomarker TNF-α (Tumor Necrosis Factor-α) based on the serum samples.
To explore the changes of biomarker TNF-α (Tumor Necrosis Factor-α) after LVGN6051 and anlotinib treatment
Time frame: Up to 15 days
To explore the biomarker IFN-γ (Interferon Gamma) based on the serum samples.
To explore the changes of biomarker IFN-γ (Interferon Gamma) after LVGN6051 and anlotinib treatment
Time frame: Up to 15 days
To explore the biomarker CD137 (also known as 4-1BB) based on the serum samples.
To explore the changes of biomarker CD137 (also known as 4-1BB) after LVGN6051 and anlotinib treatment
Time frame: Up to 15 days