This is a Phase I, Open-Label, Multicenter, Dose Escalation and Expansion Study to evaluate the safety, tolerability, pharmacokinetics, and preliminary anti-cancer activity of ABM-1310 in patients with BRAF V600-Mutant advanced solid tumors. This study consists of two stages: dose escalation and dose expansion. During the dose escalation stage, a classic "3+3" design will be used to guide dose escalation to determine MTD and RP2D. The dose expansion stage will be initiated at the MTD or the optimal dose determined by the Safety Monitoring Committee (SMC ) as a fixed dose level (MTD or the optimal dose needs to be reviewed by the SMC and subjects are safe and tolerable at that dose level).
This is a Phase I, Open-Label, Multicenter, Dose Escalation and Expansion Study to evaluate the safety, tolerability, pharmacokinetics, and preliminary anti-cancer activity of ABM-1310 in patients with BRAF V600-Mutant advanced solid tumors. The primary objective of this study is to evaluate the safety and tolerability of ABM-1310 monotherapy, and to determine MTD and RP2D. The study will be conducted in two stages: Dose escalation stage: The dose escalation will be guided by a "3+3" design. In this study, the actual dose escalation will be based on a priming dose one level below the highest safe dose or two levels below the MTD that has been tested in US clinical trials when the enrolment of the China study actually initiates, and subsequent escalated doses may be adjusted as appropriate (e.g., the escalated doses following 150 mg BID in the China study may be adjusted to 200 mg BID, 250 mg BID and 300 mg BID. The actual priming dose and subsequent escalated doses for the China study are determined by the SMC). Dose expansion stage: Subjects will begin to receive oral doses of ABM-1310, BID, for 28-day cycles at a fixed dose level (as determined at the dose escalation stage).The dose expansion stage is expected to include the following two cohorts of advanced solid tumors with BRAF V600 mutations: Cohort 1: primary extracranial solid tumors, subjects with BMs preferentially enrolled, up to 15 patients per tumor type; Cohort 2: primary intracranial solid tumors, N = up to 30 patients.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
20
Dose escalation starting dose will be based on a priming dose one level below the highest safe dose or two levels below the MTD that has been tested in US clinical trials. Dose expansion will be initiated at the MTD or the optimal dose determined by the SMC as a fixed dose level.
Beijing Cancer Hospital
Beijing, Beijing Municipality, China
Beijing Tsinghua Changgeng Hospital
Beijing, Beijing Municipality, China
Xuzhou Medical University Affiliated Hospital
Xuzhou, Jiangsu, China
The First Affiliated Hospital of Nanchang University
Nanchang, Jiangxi, China
Jilin Cancer Hospital
Changchun, Jilin, China
Affiliated Cancer Hospital of Shandong First Medical University (Shandong Cancer Institute, Shandong Cancer Hospital)
Jinan, Shandong, China
Shanghai Chest Hospital
Shanghai, Shanghai Municipality, China
Zhongshan Hospital Affiliated to Fudan University
Shanghai, Shanghai Municipality, China
Huashan Hospital Affiliated to Fudan University
Shanghai, Shanghai Municipality, China
Shanghai East Hospital
Shanghai, Shanghai Municipality, China
Maximum Tolerated Dose (MTD)
MTD is defined as the highest dose level at which DLT is observed in ≤ 1/6 subjects at one single dose group
Time frame: From the enrollment of subjects to the end of Cycle 1 (each cycle is 28 days) or up to treatment discontinuation, whichever occurs first, assessed up to 33 days.
Recommended Phase 2 Dose (RP2D)
RP2D will be a dose either below or equal to MTD
Time frame: From the enrollment of subjects to the end of Cycle 1 (each cycle is 28 days) or up to treatment discontinuation, whichever occurs first, assessed up to 33 days.
Dose Limiting Toxicity (DLT)
DLT will be evaluated according to NCI-CTCAE V5.0 criteria
Time frame: Single dose PK observation period (5 days) and Cycle 1 (28 days) (33 days in total)
The incidence of treatment-related adverse events AE(s)
Safety and tolerability of ABM-1310 monotherapy
Time frame: Up to 28 days from treatment discontinuation
Number of participants with abnormal laboratory values
Safety and tolerability of ABM-1310 monotherapy
Time frame: Up to 28 days from treatment discontinuation
Number of participants with abnormal vital signs
Safety and tolerability of ABM-1310 monotherapy
Time frame: Up to 28 days from treatment discontinuation
Number of participants with abnormal physical examinations
Safety and tolerability of ABM-1310 monotherapy
Time frame: Up to 28 days from treatment discontinuation
Number of participants with abnormal ophthalmic evaluation
Safety and tolerability of ABM-1310 monotherapy
Time frame: Up to 28 days from treatment discontinuation
Number of participants with abnormal ECG
Safety and tolerability of ABM-1310 monotherapy
Time frame: Up to 28 days from treatment discontinuation
Number of participants with abnormal ECOG
Safety and tolerability of ABM-1310 monotherapy
Time frame: Up to 28 days from treatment discontinuation
Number of participants with abnormal Karnofsky PS
Safety and tolerability of ABM-1310 monotherapy
Time frame: Up to 28 days from treatment discontinuation
Area under the concentration time curve (AUC)
Pharmacokinetic (PK) profile of ABM-1310 monotherapy
Time frame: only 5 days prior to dose escalation stage
Maximum plasma concentration (Cmax)
Pharmacokinetic (PK) profile of ABM-1310 monotherapy
Time frame: only 5 days prior to dose escalation stage
Time to maximum plasma concentration (Tmax)
Pharmacokinetic (PK) profile of ABM-1310 monotherapy
Time frame: only 5 days prior to dose escalation stage
Half-life (T1/2)
Pharmacokinetic (PK) profile of ABM-1310 monotherapy
Time frame: only 5 days prior to dose escalation stage
Apparent plasma clearance (CL/F)
Pharmacokinetic (PK) profile of ABM-1310 monotherapy
Time frame: only 5 days prior to dose escalation stage
Apparent volume of distribution (Vz/F)
Pharmacokinetic (PK) profile of ABM-1310 monotherapy
Time frame: only 5 days prior to dose escalation stage
Area under the concentration time curve (AUC)
Pharmacokinetic (PK) profile of ABM-1310 monotherapy
Time frame: Up to Day 1, Day 8, Day 15, Day 22 and Day 28 of Cycle 1. Up to Day 1 and Day 2 of Cycle2. After Cycle2, tests every 2 cycles (each cycle is 28 days)
Maximum plasma concentration (Cmax)
Pharmacokinetic (PK) profile of ABM-1310 monotherapy
Time frame: Up to Day 1, Day 8, Day 15, Day 22 and Day 28 of Cycle 1. Up to Day 1 and Day 2 of Cycle2. After Cycle2, tests every 2 cycles (each cycle is 28 days)
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Time to maximum plasma concentration (Tmax)
Pharmacokinetic (PK) profile of ABM-1310 monotherapy
Time frame: Up to Day 1, Day 8, Day 15, Day 22 and Day 28 of Cycle 1. Up to Day 1 and Day 2 of Cycle2. After Cycle2, tests every 2 cycles (each cycle is 28 days)
Half-life (T1/2)
Pharmacokinetic (PK) profile of ABM-1310 monotherapy
Time frame: Up to Day 1, Day 8, Day 15, Day 22 and Day 28 of Cycle 1. Up to Day 1 and Day 2 of Cycle2. After Cycle2, tests every 2 cycles (each cycle is 28 days)
Apparent plasma clearance (CL/F)
Pharmacokinetic (PK) profile of ABM-1310 monotherapy
Time frame: Up to Day 1, Day 8, Day 15, Day 22 and Day 28 of Cycle 1. Up to Day 1 and Day 2 of Cycle2. After Cycle2, tests every 2 cycles (each cycle is 28 days)
Apparent volume of distribution (Vz/F)
Pharmacokinetic (PK) profile of ABM-1310 monotherapy
Time frame: Up to Day 1, Day 8, Day 15, Day 22 and Day 28 of Cycle 1. Up to Day 1 and Day 2 of Cycle2. After Cycle2, tests every 2 cycles (each cycle is 28 days)
Objective Response Rate (ORR)
Preliminary efficacy of ABM-1310 monotherapy
Time frame: From the enrollment of subjects to the time of disease progression in radiological imaging or death from any cause, whichever occurs first, assessed approximately 12 months.
Disease Control Rate (DCR)
Preliminary efficacy of ABM-1310 monotherapy
Time frame: From the enrollment of subjects to the time of disease progression in radiological imaging or death from any cause, whichever occurs first, assessed approximately 12 months.
Duration of Response (DOR)
Preliminary efficacy of ABM-1310 monotherapy
Time frame: From the enrollment of subjects to the time of disease progression in radiological imaging or death from any cause, whichever occurs first, assessed approximately 12 months.
Progression free survival (PFS)
Preliminary efficacy of ABM-1310 monotherapy
Time frame: From the enrollment of subjects to the time of disease progression in radiological imaging or death from any cause, whichever occurs first, assessed approximately 12 months.
Intracranial Objective Response Rate (ORR)
Preliminary intracranial efficacy of ABM-1310 monotherapy
Time frame: From the enrollment of subjects to the time of disease progression in radiological imaging or death from any cause, whichever occurs first, assessed approximately 12 months.
Intracranial Disease Control Rate (DCR)
Preliminary intracranial efficacy of ABM-1310 monotherapy
Time frame: From the enrollment of subjects to the time of disease progression in radiological imaging or death from any cause, whichever occurs first, assessed approximately 12 months.
Intracranial Duration of Response (DOR)
Preliminary intracranial efficacy of ABM-1310 monotherapy
Time frame: From the enrollment of subjects to the time of disease progression in radiological imaging or death from any cause, whichever occurs first, assessed approximately 12 months.
Intracranial Progression free survival (PFS)
Preliminary intracranial efficacy of ABM-1310 monotherapy
Time frame: From the enrollment of subjects to the time of disease progression in radiological imaging or death from any cause, whichever occurs first, assessed approximately 12 months.
Deepness of Response(DPR)
Preliminary efficacy of ABM-1310 monotherapy
Time frame: From the enrollment of subjects to the time of disease progression in radiological imaging or death from any cause, whichever occurs first, assessed approximately 12 months.
Intracranial Deepness of Response(DPR)
Preliminary intracranial efficacy of ABM-1310 monotherapy
Time frame: From the enrollment of subjects to the time of disease progression in radiological imaging or death from any cause, whichever occurs first, assessed approximately 12 months.