The aim of this study is designed to evaluate the safety, tolerability, pharmacokinetics, and preliminary antitumor activity of SYH2043 in patients with advanced malignant tumors.
This study is an open-label, single-arm, multi-center Phase I clinical study, which includes four stages: A: Dose-escalation Stage: The dose escalation stage is divided into 5 dose levels, and a Bayesian Optimal Interval Design (BOIN) including accelerated titration will be used for dose escalation. B: PK Expansion Stage: Two or three dose groups will be selected for PK expansion; After PK extension the cohort extension study will be conducted as required, and will include 4 cohorts according to the tumor types. C: Combination dose Escalation: This study will use a 3+3 design with up to 2 dose escalation cohorts at increasing levels. D: According to the results of stage C, 1-2 combination doses will be selected for combination dose expansion, and Simon 2 stage was adopted for the expansion stage.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
367
Patients will receive SYH2043 once everyday on day 1-21 of each 28-day cycle
Cancer Hospital Chinese Academy of Medical Sciences
Beijing, Beijing Municipality, China
AE
Occurrence and frequency of Adverse Event
Time frame: Up to approximately 3 years
SAE
Serious Adverse Event
Time frame: Up to approximately 3 years
DLT
Dose-limiting Toxicity (DLT)
Time frame: At the end of Cycle 1 (each cycle is 28 days)
MTD
The maximum tolerated dose (MTD) (if available)
Time frame: At the end of Cycle 1 (each cycle is 28 days)
RP2D
Recommended phase 2 dose (RP2D) in stage A
Time frame: At the end of Stage A (approximately 1 year)
AUC
Area under the plasma concentration versus time curve (AUC)
Time frame: Up to approximately 3 years
Cmax
Peak Plasma Concentration (Cmax)
Time frame: Up to approximately 3 years
t1/2
Half-life (t1/2)
Time frame: Up to approximately 3 years
Tmax
Time to peak drug concentration (Tmax)
Time frame: Up to approximately 3 years
Vz/F
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Apparent volume of distribution
Time frame: Up to approximately 3 years
CL/F
Apparent clearance
Time frame: Up to approximately 3 years
pRb
Explore the relationship between phosphor-retinoblastoma protein (pRb) and efficacy
Time frame: Up to approximately 3 years
ORR
Objective Response Rate
Time frame: Up to approximately 3 years
PFS
Progression-free Survival
Time frame: Up to approximately 3 years
OS
Overall Survival
Time frame: Up to approximately 3 years
DoR
Duration of Response (DoR)
Time frame: Up to approximately 3 years
DCR
Disease Control Rate (DCR)
Time frame: Up to approximately 3 years