This is a first in human, open-label, dose escalation and expansion Phase 1 study of SIM1811-03 in adult patients with advanced solid tumors and cutaneous T-cell lymphoma. SIM1811-03 is a first-in-class IgG1-based humanized anti-tumor necrosis factor type 2 receptor (TNFR2) monoclonal antibody for the treatment of malignant tumors.
This is a phase I trial to evaluate the safety, efficacy, and pharmacokinetic/ pharmacodynamic characteristics of SIM1811-03 in subjects with advanced solid tumors and subjects with CTCL. The trial is composed of two parts, phase Ia and phase Ib. Phase Ia is a dose escalation part to determine the MTD and/or RD of SIM1811-03. Phase Ib is a dose expansion part at RD level SIM1811-03 determined in phase Ia to primarily assess the anti-tumor activity of SIM1811-03 in subjects with solid tumors or CTCL. The tumor types in PhIb will be adjusted based on the response observed in PhIa. Approximately 50 subjects will be enrolled in this phase. Cohort 1: Patients with CTCL (approximately 20 patients). Cohort 2: Patients with advanced/metastatic solid tumors, including ovarian cancer (approximately 10 patients), NSCLC (approximately 10 patients), and hepatocellular carcinoma etc. Each subject will undergo Screening, Treatment, Safety Follow-up, and survival Follow-up periods. Any subject who has discontinued from study treatment other than disease progression will also enter PFS follow up period and to continue to have tumor assessments until disease progression, initiation of subsequent anticancer therapies, or death, whichever occurs first. Upon completion of the safety follow up and PFS follow-up, as applicable, all patients, except those who died, withdrew consent or were lost to follow-up, will be followed for survival. Eligible subjects will receive intravenous infusion of SIM1811-03 on Days 1 and 15 of each 28-day cycle.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
100
SIM1811-03 is a first-in-class igG-1 based humanized anti-tumor necrosis factor type 2 receptor (TNFR2) monoclonal antibody for the treatment of malignant tumors
Henry Ford Health
Detroit, Michigan, United States
NOT_YET_RECRUITINGNYU Lagone Health
New York, New York, United States
NOT_YET_RECRUITINGIcahn School of Medicine at Mount Sinai
New York, New York, United States
Phase 1a: Incidence Rate of Dose-Limiting Toxicity (DLT)
To estimate the maximum tolerated dose (MTD) or recommended dose (RD) of SIM1811-03
Time frame: Within 28 days after the first dose
Phase 1b: ORR Solid tumors: objective response rate (ORR) assessed by Investigator per RECIST 1.1 CTCL: ORR assessed by Investigator per global response (Olsen 2011)
Phase 1b (dose expansion): To evaluate the anti-tumor activity of SIM1811-03 at the proposed RD
Time frame: Assessed up to an average of 1 year
Incidence and severity of adverse events (AEs)
Number of participants with treatment-related adverse events as assessed by CTCAE v5.0".
Time frame: All AEs/SAEs will be collected in this study from the time the subject signs the informed consent form until 90 days after the last dose
Incidence of dose interruptions, delays and discontinuations
To assess the tolerability of SIM1811-03
Time frame: All AEs/SAEs will be collected in this study from the time the subject signs the informed consent form until 90 days after the last dose
AUC
To evaluate the area under the curve (AUC) plasma-concentration of SIM1811-03
Time frame: Days 1, 2, 4, 8, and 15 of Cycle 1 (each cycle is 28 days), then assessed in subsequent cycles, up to an average of 1 year
Cmax
To evaluate the maximum observed concentration (Cmax) of SIM1811-03 in the blood after a dose is given
Time frame: Days 1, 2, 4, 8, and 15 of Cycle 1 (each cycle is 28 days), then assessed in subsequent cycles, up to an average of 1 year
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Carolina Biooncology Institute
Huntersville, North Carolina, United States
RECRUITINGMary Crowley Cancer Research
Dallas, Texas, United States
NOT_YET_RECRUITINGThe University of Texas MD Anderson Cancer Center
Houston, Texas, United States
NOT_YET_RECRUITINGCtrough
To evaluate the lowest concentration of a drug just before the next dose of SIM1811-03
Time frame: Days 1, 2, 4, 8, and 15 of Cycle 1 (each cycle is 28 days), then assessed in subsequent cycles, up to an average of 1 year
Tmax
To evaluate the time take to reach Cmax of SIM1811-03
Time frame: Days 1, 2, 4, 8, and 15 of Cycle 1 (each cycle is 28 days), then assessed in subsequent cycles, up to an average of 1 year
Half-life (T1/2)
To evaluate the time it takes for the concentration of SIM1811-03 in the plasma or the total amount in the body to be reduced by 50%
Time frame: Days 1, 2, 4, 8, and 15 of Cycle 1 (each cycle is 28 days), then assessed in subsequent cycles, up to an average of 1 year
Incidence of anti-drug antibodies (ADAs) to SIM1811-03
To assess the occurrence of anti-drug antibodies (ADAs) to SIM1811-03
Time frame: Days 1, 2, 4, 8, and 15 of Cycle 1 (each cycle is 28 days), then assessed in subsequent cycles, up to an average of 1 year
Titer of anti-drug antibodies (ADAs) to SIM1811-03
To evaluate the quasi-quantitative expression of the level of ADA
Time frame: Days 1, 2, 4, 8, and 15 of Cycle 1 (each cycle is 28 days), then assessed in subsequent cycles, up to an average of 1 year
Overall Response Rate (ORR)
ORR is defined as the proportion of participants who have a partial response (PR) or better per RECIST 1.1
Time frame: Assessed up to an average of 1 year
Duration of Response (DOR)
DOR is defined as time from date of initial documentation of a response (PR or better) to date of first documented evidence of PD per RECIST 1.1
Time frame: Assessed up to an average of 1 year
Disease Control Rate (DCR)
Disease Control Rate (DCR) is defined as the percentage of patients with advanced or metastatic cancer who have achieved complete response, partial response and stable disease to a therapeutic intervention in clinical trials of anticancer agents
Time frame: Assessed up to an average of 1 year
Progression-Free Survival (PFS)
PFS is defined as time from date of first dose of study drug to date of first documented PD, per RACIST 1.1, or death due to any cause, whichever occurs first.
Time frame: From date of enrollment until the date of first documented progression or date of death from any cause, whichever came first, assessed up to an average of 1 year
Overall survival (OS)
Overall survival is defined as the duration from the date of enrollment to the date of the participant's death
Time frame: Up to an average of 2 year