This study was an open, multicenter Phase I/II clinical study of WJ05129 in patients with locally advanced or metastatic malignant solid tumors in China, which was divided into three stages: Single-dose escalation,Combined dose extension and efficacy extension. The study included screening, treatment and follow-up periods. The starting dose of this dose-escalation study was set at 2.5 mg/day. Five dose levels were preset.A more flexible "BOIN" dose escalation method was adopted. The maximum tolerated dose observation period was the first treatment cycle of single administration and multiple consecutive administrations (a total of 2 days) + 21 days = 23 days; In this stage, the two dosage levels of the injectable WJ05129 (RP2D dosage and the lower dose before RP2D) will be selected as the escalating doses for the combined use of WJ05129. The "BOIN" design will be adopted for dose escalation. Paclitaxel 80mg/m2 will be intravenously infused on days 1, 8, and 15. A 28-day cycle will be used, with the first cycle being the DLT observation period.Efficacy expansion phase: It is preliminarily planned to expand three cohorts of Rb negative TNBC and SCLC andOther solid tumors(Such as gastric and esophageal adenomas, gynecological tumors, etc.), and recruit about 20-40 people in each cohort.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
26
Twice daily (except for single dose), 12 hours apart, fixed time is recommended
80mg/m2 (The maximum dose is 80mg/m2 , and the dose can be adjusted according to the actual situation), The medication is administered on days 1, 8, and 15, and a 28-day period constitutes one cycle.
Cancer Institute & Hospital Chinese Academy of Medical Sciences
Beijing, Beijing Municipality, China
DLT
It is suitable for dose escalation .DLT is defined as any of AE that SMC considers to have occurred during the DLT observation period and may be causally related to WJ05129 and meet DLTcriteria.
Time frame: 2 years
The incidence of adverse events (AE) and serious adverse events (SAE) were assessed
It is suitable for dose escalation and dose extension.Incidence and severity of adverse events (AE) and serious adverse events (SAE) as assessed according to NCI-CTCAE 5.0, as well as abnormalities in physical examination, ECOG score, vital signs, electrocardiogram, ophthalmic tests and laboratory tests.
Time frame: 2 years
MTD
Defined as the dose level at which the estimated toxicity probability is closest to the target toxicity probability during the DLT observation period
Time frame: 2 years
RP2D
RP2D will be determined based on a combination of safety, tolerability, PK and/or pharmacodynamic studies .
Time frame: 2 years
Incidence of Treatment-Emergent Adverse Events
Incidence and severity of adverse events (AE) and serious adverse events (SAE) as assessed according to NCI-CTCAE 5.0, as well as abnormalities in physical examination, ECOG score, vital signs, electrocardiogram, ophthalmic tests and laboratory tests.
Time frame: 2 years
ORR
It is suitable for the curative effect development stage.Objective Response Rate by RECIST 1.1.
Time frame: 2 years
Cmax
Maximum Plasma Concentration
Time frame: 2 years
Tmax
It is suitable for dose escalation and dose extension.Time to Cmax
Time frame: 2 years
AUC0-t
It is suitable for dose escalation and dose extension.Area under the concentration versus time curve from time 0 to the last measurable concentration
Time frame: 2 years
AUC0-inf
It is suitable for dose escalation and dose extension.AUC from time 0 to infinity
Time frame: 2 years
t1/2
It is suitable for dose escalation and dose extension.Elimination half life time
Time frame: 2 years
CL/F
It is suitable for dose escalation and dose extension.Clearance
Time frame: 2 years
Vd/F
It is suitable for dose escalation and dose extension.Apparent volume of distribution
Time frame: 2 years
λz
It is suitable for dose escalation and dose extension.elimination rate constant
Time frame: 2 years
DOR
Duration of response
Time frame: 2 years
DCR
Disease Control Rate
Time frame: 2 years
PFS
Progression-free survival
Time frame: 2 years
OS
Overall survival
Time frame: 2 years
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.