This is a multicenter, open-label, phase I clinical study employing a dose-escalation and cohort-expansion design to assess the safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary efficacy of CSCJC3456 in patients with advanced malignant solid tumors.
CSCJC3456 is a multi-target tyrosine kinase inhibitor, and this is its first-in-human trial. This open-label, non-randomized, single-arm study uses a dose-escalation and cohort-expansion design and consists of two parts: Phase Ia and Phase Ib. Phase Ia is a single- and multiple-dose escalation trial with an open-label design, aiming to evaluate the safety, tolerability, PK, and PD of CSCJC3456 tablets, to assess preliminarily antitumor efficacy, and to recommend the dose and regimen for Phase Ib. Phase Ib is a single-arm cohort-expansion study in patients with four selected types of solid tumors, using the recommended dose and dosing cycle from Phase Ia. The final tumor types to be included Phase Ib will be adjusted based on the safety and efficacy data from Phase Ia.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
102
* Phase Ia: Single and Multiple Dose Escalation. Oral administration, 5-540 mg/day, once or twice daily (QD or BID). Treatment may be given continuously or intermittently as 3 weeks on/1 week off (28-day cycle) or 2 weeks on/1 week off (21-day cycle). * Phase Ib: Cohort Expansion. The dosage and dosing regimen will follow the recommended dose and dosing schedule derived from the Phase Ia study.
Cancer Hospital Chinese Academy of Medical Sciences
Beijing, Beijing Municipality, China
RECRUITINGThe First Hospital of China Medical University
Shenyang, Liaoning, China
RECRUITINGPhase Ia: Dose Limiting Toxicity (DLT)
Number and proportion of individuals experiencing DLT. According to the NCI-CTCAE V5.0 toxicity evaluation criteria, DLT is defined as a certain level of toxicity related to the study drug (including definitely related, probably related, and possibly related) occurring during the first treatment cycle (C0D1\~C1D21) of single and multiple administrations.
Time frame: From first dosing at cycle 0 to the end of cycle 1. Cycle 0 has 3 days, and cycle 1 has 21 days.
Phase Ia: Maximum Tolerated Dose (MTD)
MTD is defined as the maximum dose at which the number of cases with DLT is ≤1/6 during the DLT observation period. To determine MTD, 6 evaluable participants are required.
Time frame: From first dosing at cycle 0 to the end of cycle 1. Cycle 0 has 3 days, and cycle 1 has 21 days.
Phase Ia: Assessment of safety and toxicity profile
Number of participants who experienced AEs, SAEs, and changes in physical examination, vital signs, ECOG score, imaging examination, laboratory tests, and 12-lead electrocardiogram, etc.
Time frame: From enrollment until the 28 days after the last study dose.
Phase Ib: Objective Response Rate (ORR)
ORR is defined as the proportion of participants whose tumors have achieved complete response (CR) and partial response (PR) after treatment, with response confirmed at least 4 weeks after the first assessment of CR or PR.
Time frame: From enrollment to the date of first documented progression or death due to any cause, whichever came first (up to approximately 2 years).
Phase Ia and Phase Ib: Terminal Phase Half-life (t1/2 )
Evaluate drug concentration-time data by individual subject for single or repeated dosing of CSCJC3456.
Time frame: From enrollment to the end of cycle 1, phase Ia includes cycles 0 and 1, while phase Ib includes cycle 1. Cycle 0 has 3 days, and cycle 1 has 21 days.
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Phase Ia and Phase Ib: Maximum plasma concentration (Cmax)
Evaluate drug concentration-time data by individual subject for single or repeated dosing of CSCJC3456.
Time frame: From enrollment to the end of cycle 1, phase Ia includes cycles 0 and 1, while phase Ib includes cycle 1. Cycle 0 has 3 days, and cycle 1 has 21 days.
Phase Ia and Phase Ib: Time to reach Cmax (tmax)
Evaluate drug concentration-time data by individual subject for single or repeated dosing of CSCJC3456.
Time frame: From enrollment to the end of cycle 1, phase Ia includes cycles 0 and 1, while phase Ib includes cycle 1. Cycle 0 has 3 days, and cycle 1 has 21 days.
Phase Ia and Phase Ib: Area Under the Curve (AUC)
Evaluate drug concentration-time data by individual subject for single or repeated dosing of CSCJC3456.
Time frame: From enrollment to the end of cycle 1, phase Ia includes cycles 0 and 1, while phase Ib includes cycle 1. Cycle 0 has 3 days, and cycle 1 has 21 days.
Phase Ia and Phase Ib: Apparent Volume of Distribution (Vz/F)
Evaluate drug concentration-time data by individual subject for single or repeated dosing of CSCJC3456.
Time frame: From enrollment to the end of cycle 1, phase Ia includes cycles 0 and 1, while phase Ib includes cycle 1. Cycle 0 has 3 days, and cycle 1 has 21 days.
Phase Ia and Phase Ib: Apparent Clearance Rate (CL/F)
Evaluate drug concentration-time data by individual subject for single or repeated dosing of CSCJC3456.
Time frame: From enrollment to the end of cycle 1, phase Ia includes cycles 0 and 1, while phase Ib includes cycle 1. Cycle 0 has 3 days, and cycle 1 has 21 days.
Phase Ia: Objective response rate (ORR)
ORR is defined as the proportion of participants whose tumors achieve complete response (CR) or partial response (PR) after treatment.
Time frame: From enrollment to the date of first documented progression or death due to any cause, whichever came first (up to approximately 2 years).
Phase Ia and Phase Ib: Disease control rate (DCR)
DCR is defined as the proportion of participants whose tumors achieve complete response (CR), partial response (PR), or stable disease (SD) after treatment.
Time frame: From enrollment to the date of first documented progression or death due to any cause, whichever came first (up to approximately 2 years).
Phase Ia and Phase Ib: Durable objective response (DOR)
DOR is defined as the period from the start of objective response recorded to the first occurrence of tumor progression or death due to any cause.
Time frame: From enrollment to the date of first documented progression or death due to any cause, whichever came first (up to approximately 2 years).
Phase Ia and Phase Ib: Progression-free survival (PFS)
PFS is defined as the time period from the initiation of treatment to the occurrence of tumor progression or death due to any cause.
Time frame: From enrollment to the date of first documented progression or death due to any cause, whichever came first (up to approximately 2 years).
Phase Ib: Overall survival (OS)
OS is defined as the time from the initiation of treatment to death due to any cause.
Time frame: From enrollment to the date of death due to any cause (up to approximately 2 years).
Phase Ib: Assessment of safety and toxicity profile
Number of participants who experienced AEs, SAEs, and changes in physical examination, vital signs, ECOG score, imaging examination, laboratory tests, and 12-lead electrocardiogram, etc.
Time frame: From enrollment until the 28 days after the last study dose.