This is a phase Ib/II, randomized, open-label, multicenter clinical trial to evaluate the antitumor activities, safety, tolerability and pharmacokinetics (PK) of IN10018 in combination with taxane and anti-PD-1/L1 monoclonal antibody in patients with locally advanced or metastatic solid tumors who have failed in or been intolerant to at least one line of standard therapy. This study will be firstly carried out in previously-treated non-small cell lung cancer (NSCLC) population,
This study consists of 2 parts: 1) Phase Ib-Dose Confirmation part: To assess the safety and recommended phase II dose (RP2D) of IN10018 in combination with taxane (nab-paclitaxel is proposed) and anti-PD-1/L1 monoclonal antibody (Tislelizumab is proposed) in previously-treated solid tumors. 2) Phase II-Dose Expansion part: To assess the antitumor efficacy and safety of IN10018+nab-paclitaxel+Tislelizumab as compared to nab-paclitaxel+Tislelizumab in previously-treated solid tumors. This study will be firstly carried out in previously-treated NSCLC population, and after getting enough efficacy and safety data of IN10018+nab-paclitaxel+Tislelizumab in NSCLC population and also taken into consideration of disease background of other specific solid tumors, sponsor will decide if to expand the treatment regimen into other solid tumors.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
72
orally taken once daily
125 mg/m2 D1, 8 Q3W, Intravenously
200mg Q3W, Intravenously
Recommended phase II dose (RP2D) of IN10018 in combination with nab-paclitaxel and Tislelizumab
Evaluate the number of patients with dose-limited toxicities (DLTs); Determine the RP2D of IN10018 in combination with nab-paclitaxel and Tislelizumab.
Time frame: 3 years
Objective response rate (ORR) of IN10018+nab-paclitaxel+Tislelizumab as compared to nab-paclitaxel+Tislelizumab in previously-treated solid tumors per blinded independent central review (BICR) based on RECIST 1.1
Defined as the proportion of subjects with complete response (CR) or partial response (PR)
Time frame: 3 years
Progression-free survival (PFS) of IN10018+nab-paclitaxel+Tislelizumab as compared to nab-paclitaxel+Tislelizumab in previously-treated solid tumors per BICR and investigators based on RECIST 1.1
Defined as the time from randomization to first documentation of disease progression or to death due to any cause, whichever comes first.
Time frame: 3 years
Duration of objective response (DOR) of IN10018+nab-paclitaxel+Tislelizumab as compared to nab-paclitaxel+Tislelizumab in previously-treated solid tumors per BICR and investigators based on RECIST 1.1
Defined as the time from start of the first documentation of CR or PR to the first documentation of disease progression or to death due to any cause, whichever comes first.
Time frame: 3 years
Disease Control Rate (DCR) of IN10018+nab-paclitaxel+Tislelizumab as compared to nab-paclitaxel+Tislelizumab in previously-treated solid tumors per BICR and investigators based on RECIST 1.1.
Defined as the proportion of patients with CR, PR, or stable disease (SD).
Time frame: 3 years
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Objective response rate (ORR) of IN10018+nab-paclitaxel+Tislelizumab as compared to nab-paclitaxel+Tislelizumab in previously-treated solid tumors per investigators based on RECIST 1.1.
Defined as the proportion of subjects with complete response (CR) or partial response (PR).
Time frame: 3 years
Overall survival (OS) in IN10018+nab-paclitaxel+Tislelizumab as compared to nab-paclitaxel+Tislelizumab in previously-treated solid tumors.
Defined as the time from randomization to the date of death due to any cause.
Time frame: 3 years
Number of patients with adverse event
The number of participants who experienced AEs is presented.
Time frame: 3 years
PK: AUC of IN10018 following single dose administration and at steady state
Area under the concentration-time curve (AUC)
Time frame: 3 years
PK: Cmax of IN10018 following single dose administration and at steady state
Maximum concentration (Cmax)
Time frame: 3 years
PK:Ctrough of IN10018 following single dose administration and at steady state
Trough concentration (Ctrough)
Time frame: 3 years
PK:Tmax of IN10018 following single dose administration and at steady state
Time to Cmax (Tmax)
Time frame: 3 years
PK:t1/2 of IN10018 following single dose administration and at steady state
Elimination half-life (t1/2).
Time frame: 3 years
PK:CL/F of IN10018 following single dose administration and at steady state
apparent clearance (CL/F)
Time frame: 3 years
PK:Vd/F of IN10018 following single dose administration and at steady state
Apparent volume of distribution (Vd/F)
Time frame: 3 years