The purpose of this study is to determinate the safety profile, tolerability, pharmacokinetics, and preliminary antineoplastic activity of S095033 in combination with paclitaxel in participants with advanced or metastatic esophageal squamous cell carcinoma (ESCC)
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Phase 1- dose escalation S095033 ; paclitaxel started at 80 mg/m²,(IV) Phase 2 - S095033 at RP2D; paclitaxel started at 80 mg/m²,(IV)
Dose-limiting toxicities (DLTs) associated with S095033 administration during the first cycle of treatment (Phase 1)
DLTs observed during a 28-day period
Time frame: At the end of Cycle 1 (each cycle is 28 days)
Adverse events (AEs) (Phase 1)
Including adverse events (AEs) and serious adverse events (SAEs) according to NCI-CTCAE, version 5.0
Time frame: up to 28 days after the last IMP administration (for all AEs) or up to 4 years (for all SAE related to the research)
Changes in laboratory assessments (hematology and blood biochemistry) (Phase 1)
Time frame: Screening, Day1(D1) D8 D15 and D22 from Cycle 1 to Cycle 4 (each cycle is 28 days),D1 and D15 from Cycle 5 (each cycle is 28 days) up to 28 days after the last IMP administration
Changes in physical examination and in performance status (ECOG) (Phase 1)
Time frame: Screening, D1 and D15 of Cycle 1, D1 for all the remaining cycles up to 28 days after the last IMP administration
Abnormalities in 12-lead ECG parameters (Phase 1)
Time frame: Screening, D1 and D2 of Cycle 1, D1 for all the following cycles until withdrawal visit (within 5 days after the last IMP administration)
Changes in vital signs: SBP, DBP, respiratory rate and temperature (Phase 1)
Time frame: Screening, D1 D8 D15 and D22 of Cycle 1, D1 for all the following cycles up to 28 days after the last IMP administration
Objective response per central review of antitumor activity (using Response Evaluation Criteria in Solid Tumors [RECIST] version 1.1) (Phase 2)
Time frame: Screening,and after the completion of every 2 cycles until disease progression
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The PK (pharmacokinetic) profile of S095033 and paclitaxel plasma concentration : Area under the plasma concentration-time curve (AUC) (Phase 1 and phase 2)
Time frame: D1 D2 D8 D15 D28 of Cycle 1, D1 for the following cycles until the last IMP administration
The PK profile of S095033 and paclitaxel plasma concentration : Time to maximum concentration (Tmax) (Phase 1 and phase 2)
Time frame: D1 D2 D8 D15 D28 of Cycle 1, D1 for the following cycles until the last IMP administration
The PK profile of S095033 and paclitaxel plasma concentration : Maximum plasma concentration (Cmax) (Phase 1 and phase 2)
Time frame: D1 D2 D8 D15 D28 of Cycle 1, D1 for the following cycles until the last IMP administration
The PK profile of S095033 and paclitaxel plasma concentration : Trough concentation (Ctrough) (Phase 1 and phase 2)
Time frame: : D1 D2 D8 D15 D28 of Cycle 1, D1 for the following cycles until the last IMP administration
The PK profile of S095033 and paclitaxel plasma concentration : Half time (t1/2) (Phase 1 and phase 2)
Time frame: D1 D2 D8 D15 D28 of Cycle 1, D1 for the following cycles until the last IMP administration
The PK profile of S095033 and paclitaxel plasma concentration :apparent volume of distribution (Vd/F) (Phase 1 and phase 2)
Time frame: D1 D2 D8 D15 D28 of Cycle 1, D1 for the following cycles until the last IMP administration
The PK profile of S095033 and paclitaxel plasma concentration :apparent clearance (CL/F) (Phase 1 and phase 2)
Time frame: D1 D2 D8 D15 D28 of Cycle 1, D1 for the following cycles until the last IMP administration
Changes in plasma concentration of S-adenosylmethionine (SAM) and methionine (Phase 1 and phase 2)
Time frame: D1 D2 D8 D15 D28 of Cycle 1, D1 for the following cycles until withdrawal visit (within 5 days after the last IMP administration)
Objective response per Investigator assessment of antitumor activity (using Response Evaluation Criteria in Solid Tumors [RECIST] version 1.1) (Phase 1 and phase 2)
Time frame: Screening, and after the completion of every 2 cycles until disease progression
Clinical Benefit (CB) (Phase 1 and phase 2)
Time frame: Screening, and after the completion of every 2 cycles until disease progression
Duration of response (DOR) (Phase 1 and phase 2)
Time frame: Screening, and after the completion of every 2 cycles until disease progression
Progression-free survival (PFS) (Phase 1 and phase 2)
Time frame: Screening, and after the completion of every 2 cycles until disease progression
Overall survival (OS) (Phase 1 and phase 2)
Time frame: Screening, and after the completion of every 2 cycles up to 6 months after the last IMP administration
Time To Response (TTR) (Phase 1 and phase 2)
Time frame: Screening, and after the completion of every 2 cycles until the first occurrence of a complete response (CR) or partial response (PR), whichever occurs first
Adverse events (AEs) (Phase 2)
Including adverse events (AEs) and serious adverse events (SAEs) according to NCI-CTCAE, version 5.0
Time frame: up to 28 days after the last IMP administration (for all AEs) or up to 4 years (for all SAE related to the research)
DLT associated with S095033 administration during the first cycle of treatment (Phase 2)
DLTs observed during a 28-day period
Time frame: At the end of Cycle1 (each cycle is 28 days)
Changes in laboratory assessments (hematology and blood biochemistry ) (Phase 2)
Time frame: Screening, D1, D8 D15 and D22 from Cycle 1 to Cycle 4 (each cycle is 28 days), D1 and D15 from Cycle 5 (each cycle is 28 days) up to 28 days after the last IMP administration
Changes in physical examination and in performance status (ECOG) (Phase 2)
Time frame: Screening, D1 and D15 of Cycle 1, D1 for all the remaining cycles up to 28 days after the last IMP administration
Abnormalities in 12-lead ECG parameters (Phase 2)
Time frame: Screening, D1 and D2 of Cycle 1, D1 for all the following cycles until withdrawal visit (within 5 days after the last IMP administration)
Changes in vital signs : SBP, DBP, respiratory rate and temperature (Phase 2)
Time frame: Screening, D1 D8 D15 and D22 of Cycle 1, D1 for all the following cycles up to 28 days after the last IMP administration