Phase I dose escalation period: solid tumors, including but not limited to biliary tract cancer, pancreatic cancer, ovarian cancer, thymoma, neuroendocrine carcinoma and other advanced solid tumors. Phase II trial period: biliary tract cancer
This is a multicenter, open-label, phase I/ II clinical study, including phase I dose escalation period and phase II trial period. The phase I dose escalation period will adopt a 3+3 dose escalation design. Three dose groups are designed as follows: Level 1: 150 mg/m2 PT-112 (Phosplatin's platinum) + 1000 mg/m2 gemcitabine; Level 2: 200 mg/m2 PT-112 + 1000 mg/m2 gemcitabine; Level 3: 250 mg/m2 PT-112 + 1000 mg/m2 gemcitabine. If any DLT(Dose-Limiting Toxicity ) occurs in Level 1 group during dose escalation, the dose will be down titrated to Level-1 150 mg/m2 PT-112 + 800 mg/m2 gemcitabine. After the lowest dose group (Level-1 or Level 1), the dose of gemcitabine will be fixed while the dose of PT-112 will be up titrated. During the phase I dose escalation period, sufficient data will be obtained to demonstrate that the dose is safe. Investigators and sponsor will discuss and decide the initiation time of the phase II period. In phase II, it is planned to enroll subjects with biliary tract cancer according to Simon's two-stage study design, to assess the safety and anti-tumor efficacy of PT-112 in combination with gemcitabine for treating patients with advanced biliary tract cancer. In the first period, 23 evaluable subjects are intended to be enrolled. If ≤ 12 subjects have disease control (CR(Complete Response) + PR(Partial Response) + SD(Stable Disease)) at the first post-baseline tumor assessment, the study drug will be considered to be ineffective and the trial terminated; if \>12 subjects have disease control (CR + PR + SD), the enrollment for phase II will be initiated. In total, 37 evaluable subjects will be enrolled. The study drug will be considered to be ineffective if a total of ≤23 subjects have disease control (CR + PR + SD).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
68
Drug: PT-112, The MTD(Maximum Tolerated Dose ) and RP2D of PT-112 when used in combination with gemcitabine will be determined during dose escalation. Drug: Gemcitabine, Gemcitabine will be administered at a fixed dose of 1000 mg.
ZhongNan Hospital Of Wuhan University
Wuhan, Hubei, China
RECRUITINGGeneral Hospital Of Eastern Theater Command
Nanjing, Jiangsu, China
NOT_YET_RECRUITINGZhongshan Hospital Fudan Universtity
Shanghai, Shanghai Municipality, China
RECRUITINGDefine the recommended dose level for PT-112(Phase I)
Define the recommended dose level for PT-112, administered on Days 1 and 8 of each 21-day cycle, for pivotal studies based on the risk/benefit ratio of 150 mg/m2 、200 mg/m2 and 250 mg/m2 dose levels.
Time frame: 30 months
To obtain best disease control rate (DCR) data(Phase II)
To obtain best disease control rate (DCR) data of 47 subjects who have used PT-112 Injection in combination with Gemcitabine Injection at RP2D(Recommended Phase II Dose ) dose for treating advanced biliary tract cancer. Endpoints: Disease control rate (DCR)
Time frame: 24 months
Anti-tumor efficacy evaluation (Phase I)
Disease Control Rate by disease manifestation, evaluated using RECIST 1.1 criteria.
Time frame: 30 months
Peak Plasma Concentration (Cmax) (Phase I)
To assess the Peak Plasma Concentration (Cmax) profile of 21 subjects who have used PT-112 in combination with Gemcitabine. PT-112 and Gemcitabine related PK parameters.
Time frame: 30 months
Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability](Phase II)
To obtain the Adverse Events (AEs) of all 47 subjects with advanced biliary tract cancer and have used PT-112 Injection in combination with Gemcitabine Injection for treating . Characterization of the type, incidence, severity, duration, reversibility and relationship to treatment of adverse events (AEs), and effects on vital signs and laboratory parameters.
Time frame: 24 months
Area under the plasma concentration versus time curve (AUC)
To assess the Area under the plasma concentration versus time curve (AUC) profile of 21 subjects who have used PT-112 in combination with Gemcitabine.
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
The First Affiliated Hospital ZheJiang University School Of Medicine
Hangzhou, Zhejiang, China
RECRUITINGTime frame: 30 months