This is a multi-center, open-label, Phase I/II clinical study of BPB-101 as monotherapy in patients with advanced solid tumors to evaluate the safety, pharmacokinetic characteristics and antitumor activity of BPB-101.
This trial consist of 3 parts: dose escalation(phase Ia), dose expansion(phase Ib) and clinical expansion(phase II) part. The current trial is composed of dose escalation with accelerated titration and "3 + 3" cohort design (phase Ia), for which 1 to 6 subjects will be enrolled at each dose level depending on the occurrence of dose limiting toxicities (DLT), followed by a consecutive parallel-group expansion in selected dose levels (phase Ib) and selected solid tumor indications (phase II). Participants enrolled in Phase 2 will receive the Recommend Phase 2 Dose (RP2D) of BPB-101 (determined by phase Ia dose escalation and phase Ib dose expansion) until confirmed progression, unacceptable toxicity, or any criterion for stopping the study drug or withdrawal from the trial occurs.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
388
Subjects will receive an intravenous infusion of BPB-101 in a pre-set dose escalation until confirmed progression, unaccepted toxicity, or any criterion for withdrawal from the trial.
Sun Yat-Sen University Cancer Center
Guangzhou, Guangdong, China
RECRUITINGHenan Cancer Hospital
Zhengzhou, Henan, China
NOT_YET_RECRUITINGHunan Cancer Hospital
Changsha, Hunan, China
NOT_YET_RECRUITINGDLT of BPB-101
DLT is defined as a dose-limiting toxicity event occurring during the DLT observation period that, as determined by the Investigator and/or Sponsor to be at least possibly related to BPB-101, is classified using NCI-CTCAE version 5.0 as conforming to adverse events (AEs) or laboratory anomalies specified in the protocol.
Time frame: Up to 21 days after first treatment in Phase Ia
Maximum Tolerated Dose (MTD) of BPB-101
MTD was defined as the maximum dose of \<1/3 DLT events observed in patients with evaluable DLT events (i.e., 1 in 6 patients at most).
Time frame: Up to 21 days after first treatment in Phase Ia
RP2D of BPB-101
RP2D is determined based on safety, tolerability, pharmacokinetics and efficacy data.
Time frame: Throughout Phase Ia and Ib,approximately 2 years
Number of subjects with adverse events (AEs)
An Adverse Event (AE) is defined as any new untoward medical occurrences/worsening of pre-existing medical condition without regard to possibility of causal relationship.
Time frame: Up to 30 days after last treatment
Dose Escalation and Expansion Part: Maximum concentration (Cmax)
Serum BPB-101 concentrations measured throughout the study.
Time frame: Predose ,0, 2, 6, 24, 48, 168 and 336 hours post dose at cycle 1 and 3 (each cycle is 21 days); predose at cycle 2, 4 and every 4 cycles after cycle 8 until progression or end of the treatment whichever occur first, assessed up to 2 years.
Dose Escalation and Expansion Part: Minimum concentration (Cmin)
Serum BPB-101 concentrations measured throughout the study.
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Sichuan Academy of Medical Sciences-Sichuan Provincial People's Hospital
Chengdu, Sichuan, China
RECRUITINGTime frame: Predose ,0, 2, 6, 24, 48, 168 and 336 hours post dose at cycle 1 and 3 (each cycle is 21 days); predose at cycle 2, 4 and every 4 cycles after cycle 8 until progression or end of the treatment whichever occur first, assessed up to 2 years.
Dose Escalation and Expansion Part: Area under the concentration-time curve from zero to last sampling time (AUC0-t)
Serum BPB-101 concentrations measured throughout the study.
Time frame: Predose ,0, 2, 6, 24, 48, 168 and 336 hours post dose at cycle 1 and 3 (each cycle is 21 days); predose at cycle 2, 4 and every 4 cycles after cycle 8 until progression or end of the treatment whichever occur first, assessed up to 2 years.
Dose Escalation and Expansion Part: Half-life (T1/2)
Serum BPB-101 concentrations measured throughout the study.
Time frame: Predose ,0, 2, 6, 24, 48, 168 and 336 hours post dose at cycle 1 and 3 (each cycle is 21 days); predose at cycle 2, 4 and every 4 cycles after cycle 8 until progression or end of the treatment whichever occur first, assessed up to 2 years.
Immunogenicity of BPB-101
Serum concentrations of anti-BPB 101 antibody measured throughout the study.
Time frame: Predose of cycle 1, 2, 3, 4 (each cycle is 21 days), and every 4 cycles after cycle 8 until progression or end of the treatment whichever occur first, assessed up to 2 years.
Objective Response Rate (ORR)
Defined as the percentage of participants in the analysis population who had a Complete Response (CR) or Partial Response (PR) per iRECIST and RECIST 1.1(Phase 2 only).
Time frame: Evaluated throughout the protocol, for the duration of the trial, up to approximately 2 years
Duration of Response (DOR)
Defined as time from first observation of response to first observation of documented disease progression (or death) per iRECIST and RECIST 1.1(Phase 2 only)
Time frame: Evaluated throughout the protocol, for the duration of the trial, up to approximately 2 years
Disease Control Rate (DCR)
Defined as proportion of subjects with complete response (CR), partial response (PR), or stable disease (SD) per iRECIST and RECIST 1.1(Phase 2 only)
Time frame: Evaluated throughout the protocol, for the duration of the trial, up to approximately 2 years
Time to Response (TTR)
Defined as the time from the first dose date to first observation of response per iRECIST and RECIST 1.1(Phase 2 only).
Time frame: Evaluated throughout the protocol, for the duration of the trial, up to approximately 2 years
Progression-free Survival (PFS)
Defined as time from first treatment administration to first observation of documented disease progression (or death), per iRECIST and RECIST 1.1(Phase 2 only).
Time frame: Evaluated throughout the protocol, for the duration of the trial, up to approximately 2 years
Overall survival (OS)
Defined as time from start of treatment to death.
Time frame: Evaluated throughout the protocol, for the duration of the trial, up to approximately 2 years