This is an open-label, phase I/II study to evaluate the safety, tolerability, pharmacokinetics and immunogenicity of GQ1010 and preliminary anti-tumor efficacy in advanced malignant solid tumor subjects
This is a Phase 1/2, first in human (FIH), open-label, multicenter study of GQ1010, a Trop-2 directed antibody-drug conjugate (ADC), in participants with previously treated, advanced solid tumors. The study comprises 3 parts: a Phase 1a Dose Escalation, a Phase 1b Dose Expansion, and Phase 2 study. The Phase 1a will investigate the safety and tolerability of GQ1010 and identify one or more recommended doses for expansion (RDEs) and the maximum-tolerated dose (MTD) (if exists). Once the RDEs has been established, Phase 1b will open to identify the recommended phase 2 dose (RP2D) of GQ1010. Then the phase 2 study will open to investigate the preliminary efficacy of GQ1010 in 5 cohorts with different tumor types.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
260
Drug: GQ1010
Drug: GQ1010 dose 1
Drug: GQ1010 dose 2
Department of Gastrointestinal Oncology, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Peking University Cancer Hospital & Institute
Beijing, China
RECRUITINGDepartment of Medical Oncology, Harbin Medical University Cancer Hospital
Harbin, China
RECRUITINGTianjin medical university cancer institute & hospital
Tianjin, China
Phase I/II: Incidence and Severity of Adverse Events (AEs)
Incidence and severity of Treatment-emergent adverse events, treatment-related adverse events and serious adverse events, according to NCI-CTCAE Version 5.0 (The number of participants who had treatment-related side effects in population who had received one therapy at least). Incidence and severity of TEAEs, TRAE and SAE
Time frame: Screening up to study completion, an average of 1 year
Phase Ia: Dose Limiting Toxicities (DLTs)
Adverse events will be assessed using NCI CTCAE version 5.0 and will be evaluated by the investigator and the sponsor for the eligibility of DLT.
Time frame: 21 days or 28 days
Phase Ia: Maximal Tolerance Dose (MTD) or recommended doses for dose expansion (RDEs)
The SRC will determine the MTD/RDEs based on the totality of data for all tested dose levels.
Time frame: After each cohort completes the DLT observation period or has a DLT or becomes not DLT-evaluable
Phase Ib: Recommended phase II dose (RP2D)
The SRC will also determine the RP2D based on the totality and efficacy of data for all tested dose levels.
Time frame: After each cohort completes the safety and efficacy evaluation, an average of 6 months
Phase II: Objective response rate (ORR) determined by investigators according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1
Objective tumor response for target lesions will be assessed by imaging/measurement compared with the overall tumor burden at baseline (Day -28 to -1). ORR is evaluated by the number of participants with best overall response of CR and PR.
Time frame: Screening up to study completion, an average of 1 year
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Drug: GQ1010 dose 3
Drug: GQ1010 RP2D
Hubei Cancer Hospital
Wuhan, China
RECRUITINGThe First Affiliated Hospital of Zhengzhou University
Zhengzhou, China
RECRUITINGMaximum concentration (Cmax) of GQ1010
The pharmacokinetics(PK) profile of GQ1010
Time frame: Screening up to study completion, an average of 1 year
Time of peak plasma concentration (Tmax)
The pharmacokinetics(PK) profile of GQ1010
Time frame: Screening up to study completion, an average of 1 year
Area under the plasma concentration time curve (AUC) of GQ1010
The pharmacokinetics(PK) profile of GQ1010
Time frame: Screening up to study completion, an average of 1 year
Terminal half-life (T1/2) of GQ1010
The pharmacokinetics(PK) profile of GQ1010
Time frame: creening up to study completion, an average of 1 year
Objective response rate (ORR) determined by investigators according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1
Objective tumor response for target lesions will be assessed by imaging/measurement compared with the overall tumor burden at baseline (Day -28 to -1). ORR is evaluated by the number of participants with best overall response of CR and PR (Confirmed CR/PR assessment require at least 1 repeat).
Time frame: Screening up to study completion, an average of 1 year
Duration of response (DOR) determined by investigators according to RECIST 1.1
DoR was defined as the period from the first occurrence of CR or PR to PD or death from any cause. If no PD or death after CR/PR, the cut-off date of progression-free survival (PFS) would be used \[Confirmed CR/PR assessment require at least one repeat (≥4 weeks)\].
Time frame: Screening up to study completion, an average of 1 year
Disease control rate (DCR) determined by investigators according to RECIST 1.1
Objective tumor response for target lesions will be assessed by imaging/measurement compared with the overall tumor burden at baseline (Day -28 to -1). DCR was evaluated by the number of participants with best overall response of CR, PR and stable disease (SD).
Time frame: Screening up to study completion, an average of 1 year
Progression-free survival (PFS) determined by investigators according to RECIST 1.1
Objective tumor response for target lesions will be assessed by imaging/measurement compared with the overall tumor burden at baseline (Day -28 to -1). PFS was defined as the time from first dose to PD or death from any cause.
Time frame: Screening up to study completion, an average of 1 year
Overall survival (OS) (only in dose expansion stage)
OS was defined as the time from first dose to death from any cause.
Time frame: Screening up to study completion, an average of 1 year
Immunogenicity (anti-drug antibody ADA)
Percentage of subjects producing detectable anti-drug antibodies (ADA)
Time frame: Screening up to study completion, an average of 1 year