This is a first in human, open-label, dose escalation and expansion Phase I study of SIM1811-03 in adult patients with advanced tumors. 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 participants with advanced tumors. The trial is composed of two parts, Part I and Part II. Part I is a dose escalation part to determine the MTD and/or RD of SIM1811-03 or SIM1811-03 in combination with Sintilimab Injection . Part II is a dose expansion part at RD level SIM1811-03 determined in Part I to assess the anti-tumor activity of SIM1811-03 or SIM1811-03 in combination with Sintilimab Injection in participants with advanced solid tumors or CTCL. The tumor types in Part II will be adjusted based on the response observed in Part I.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
255
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 tumor. Sintilimab is an IgG4 humanized monoclonal antibody against programmed cell death protein 1 (PD-1)
Sun Yat-Sen University Cancer Center
Guanzhou, Guangdong, China
RECRUITINGPart I The maximum tolerated dose (MTD) or recommended dose (RD)
Part I (dose escalation): To estimate the maximum tolerated dose (MTD) or recommended dose (RD) of SIM1811-03 Monotherapy or in combination with sintilimab
Time frame: Within 28 days after the first dose in Q2W; Within 21 days after the first dose in Q3W
Part II ORR for Solid Tumor
Solid tumors: objective response rate (ORR) assessed by Investigator per RECIST 1.1 from baseline to disease progression
Time frame: Q2W: Participants will be evaluated every 8 weeks from baseline to Treatment Cycle 12 (an average of 1 year); Q3W:Participants will be evaluated every 6 weeks from baseline to Treatment Cycle 12 (an average of 1 year)
Part II ORR for CTCL
CTCL: ORR assessed by Investigator per global response score
Time frame: Q2W:Participants will be evaluated every 8 weeks from baseline to Treatment Cycle 12 (an average of 1 year); Q3W:Participants will be evaluated every 6 weeks from baseline to Treatment Cycle 12 (an average of 1 year)
safety and tolerability (incidence of AE and SAE)
Incidence and severity of adverse events (AEs) and serious adverse events (SAEs)
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
Pharmacokinetics profile of SIM1811-03 and in combination with Sintilimab
Serum concentrations of study drugs
Time frame: from Cycle 1 to Last dose (an average of 1 year)
Pharmacokinetics profile of SIM1811-03 and in combination with Sintilimab
Area under the concentration-time curve (AUC)
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Time frame: from Cycle 1 to Last dose (an average of 1 year)
Pharmacokinetics profile of SIM1811-03 and in combination with Sintilimab
Maximum concentration (Cmax)
Time frame: from Cycle 1 to Last dose (an average of 1 year)
Pharmacokinetics profile of SIM1811-03 and in combination with Sintilimab
Pre-dose (trough) concentration (Ctrough)
Time frame: from Cycle 1 to Last dose (an average of 1 year)
Pharmacokinetics profile of SIM1811-03 and in combination with Sintilimab
Time to maximum concentration (Tmax)
Time frame: from Cycle 1 to Last dose (an average of 1 year)
Pharmacokinetics profile of SIM1811-03 and in combination with Sintilimab
Half-life (T1/2)
Time frame: Collection point would Predose, 0 hour, 24 hours, 168hours, 336 hours post-dose from Cycle 1 to Last dose (an average of 1 year)
Antidrug antibodies of SIM1811-03 and Sintilimab
Incidence of serum antidrug antibodies.
Time frame: before staring the treatment for the first 7 treatment cycles (each cycle would be 28 days/21 days)
Neutralizing antibodies of SIM1811-03 and Sintilimab
Incidence of neutralizing antibodies to study drugs.
Time frame: before staring the treatment for the first 7 treatment cycles (each cycle would be 28 days/21 days)