The study is being conducted to evaluate safety, tolerability, pharmacokinetics and preliminary efficacy of PM1009 for patients with advanced tumors, also to explore the recommended Phase Ⅱ Dose(RP2D) of PM1009. PM1009 is a new novel fully human anti-TIGIT x PVRIG bispecific antibody, containing a wildtype IgG1 Fc and has high monovalent affinity to each target, it can binds to both TIGIT and PVRIG overexpressing target cells and binds to TIGIT and PVRIG simultaneously.
This is a single-arm, open-label, Phase I study contains dose escalation stage and dose expansion stage. The dose escalation stage will be following the accelerated titration design and the classic 3+3 design, with a planned enrollment of 10 to 24 patients with advanced tumors. The dose expansion stage will be used safe and tolerable doses, with a planned enrollment of 30 patients with advanced tumors.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
54
Participants receive PM1009 intravenously, every 2 weeks
Shanghai Orient Hospital
Shanghai, China
RECRUITINGDose Limited Toxicity(DLT)
Occurrence of DLT after receiving PM1009 injection
Time frame: up to 21 days
Recommended Phase II Dose (RP2D)
To determine the RP2D of PM1009 injection
Time frame: Up to 30 days after last treatment
Maximum observed concentration (Cmax)
To evaluate the Cmax of PM1009 monotherapy
Time frame: Up to 30 days after last treatment
Time to Cmax (Tmax)
To evaluate the Tmax of PM1009 monotherapy
Time frame: Up to 30 days after last treatment
Minimum observed concentration (Cmin)
To evaluate the Cmin of PM1009 monotherapy
Time frame: Up to 30 days after last treatment
Trough concentrations (Ctrough)
To evaluate the Ctrough of PM1009 monotherapy
Time frame: Up to 30 days after last treatment
Area under the concentration-time curve (AUC0-last)
To evaluate the AUC0-last of PM1009 monotherapy
Time frame: Up to 30 days after last treatment
AUC to the end of the dosing period(AUC0-tau)
To evaluate the AUC0-tau of PM1009 monotherapy
Time frame: Up to 30 days after last treatment
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Apparent terminal elimination half-life (t1/2)
To evaluate the t1/2 of PM1009 monotherapy
Time frame: Up to 30 days after last treatment
Accumulation ratio calculated based on Cmax (Rac_Cmax)
To evaluate the Rac\_Cmax of PM1009 monotherapy
Time frame: Up to 30 days after last treatment
Accumulation ratio calculated based on AUC (Rac_AUC)
To evaluate the Rac\_AUC of PM1009 monotherapy
Time frame: Up to 30 days after last treatment
Objective response rate (ORR)
Defined as the number of patients with best overall response of confirmed CR or PR per RECIST 1.1 divided by the patients with at least one tumour imaging evaluation
Time frame: Up to 24 months
Disease control rate (DCR)
Defined as the percentage of patients who have achieved CR, PR, Non-CR/Non-PD, or SD in the study.
Time frame: Up to 24 months
Progression-free survival (PFS)
Defined as the time from the date of first dose of study drug to the first observation of documented disease progression per RECIST 1.1 as determined by the Investigators or death due to any cause, whichever occurs first.
Time frame: Up to 24 months
Overall survival (OS)
Defined as the time from the date of first dose of study drug to the date of documented death due to any cause.
Time frame: Up to 24 months
Anti-drug antibody (ADA)
To evaluate the incidence of ADA to PM1009 injection
Time frame: Up to 30 days after last treatment
Adverse Events(AE)and Serious Adverse Events(SAE)
The incidence and severity of treatment-emergent adverse events (TEAEs) and treatment related adverse events (TRAEs) graded according to NCI-CTCAE v5.0
Time frame: Up to 30 days after last treatment