This study is an open-label first-in-human phase I clinical study to evaluate the safety and tolerability of HLX42.
The first stage: This study is an open-label first-in-human phase I clinical study to evaluate the safety and tolerability of HLX42 with escalated doses in the treatment of patients with advanced/metastatic solid tumors. In this study, a 3 + 3 dose escalation method will be adopted, and the patients will be administered with HLX42 at different doses via intravenous infusion. The DLT observation period lasts for 3 weeks after the first administration of HLX42. The second stage: This is a randimazation, open label, 2 arms, muticentral clinical study, about 30 patients in each arm, the total sample size is about 60. Eligible subjects will be randomized in a 1:1 ratio: Group A: HLX42 2.5 mg/kg; Group B: HLX42 2.0 mg/kg. Stratification: tumor tissue type(adenocarcinoma or squamous carcinoma), EGFR-sensitive mutation status (mutant or wild-type or missing).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
102
HLX42 is an anti-EGFR monoclonal antibody conjugated with a novel high potency DNA topoisomerase I (topo I) inhibitor, with a drug-antibody-ratio (DAR) of 8.
Guangdong Provincial People's Hospital
Guangdong, Guangzhou, China
RECRUITINGThe Dose-Limiting Toxicity (DLT) of HLX42 within 21 days after the first Administration
DLT refers to the AEs that are determined to be related to the investigational product by the investigator, whose severity will affect the escalation of dose level. In this study, the DLT observation period lasts for 21 days after the first administration of HLX42.
Time frame: From first dose to the end of Cycle 1 (each cycle is 3 weeks).
The maximum tolerated dose (MTD) of HLX42
The highest dose level, at which DLT is observed in no more than one of 6 evaluable patients, is defined as MTD of HLX42.
Time frame: From first dose to the end of Cycle 1 (each cycle is 3 weeks)
Objective response rate (ORR)
Percentage of participants with complete response (CR) and partial response (PR) based on investigator assessment.
Time frame: approximately up to 24 months
Duration of response (DOR)
Length of time response continued based on investigator's assessment.
Time frame: approximately up to 24 months.
Progression-free survival (PFS)
The PFS is defined as the time from the date of enrollment to the date of the first objective documentation of disease progression (as per RECIST v1.1) or death due to any cause,whichever occurred first.
Time frame: up to approximately up to 24 months
Overall survival (OS)
Time from the date of enrollment to the date of death for any cause.
Time frame: approximately up to 24 months
Cmax
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Maximum serum concentration (Cmax) of HLX42.
Time frame: Up to 21 days after the first dose
Tmax
Time to maximum serum concentration (Tmax) of HLX42.
Time frame: Up to 21 days after the first dose
T1/2
Half-life (T1/2) of HLX42.
Time frame: Up to 21 days after the first dose
ADA (anti-drug antibody)
Incidence and titer of ADA of HLX42.
Time frame: approximately up to 24 months
Nab (neutralizing antibody)
Incidence and titer of Nab of HLX42.
Time frame: approximately up to 24 months
Number of subjects experiencing adverse events
Frequency and seriousness of treatment emergent adverse events (TEAEs).
Time frame: Day 1 through 90 days after last dose.