The goal of this study is to learn if BC008-1A given 900mg or 1200mg intravenously once every 3 weeks is safe and effective to treat patients with advanced esophageal cancer or advanced non-small cell lung cancer. It will also learn about the safety and pharmacokinetics of BC008-1A.
This is an open-label clinical study aims to evaluate the safety, pharmacokinetic characteristics and preliminary efficacy of BC008-1A injection in subjects with advanced esophageal squamous cell carcinoma and advanced non-small cell lung cancer (squamous cell carcinoma and adenocarcinoma). There are two cohorts. Cohort 1 selects patients with advanced esophageal squamous cell carcinoma, and Cohort 2 selects subjects with advanced non-small cell lung cancer (squamous cell carcinoma and adenocarcinoma) with a PD-L1 TPS (Tumor Proportion Score) of ≥1%. Cohort 1: Two dose groups will be set up. Subjects with advanced esophageal cancer will enter the low-dose group (900mg) or the high-dose group (1200mg) in parallel. Each subject will only receive the experimental drug of one dose group and will not participate in the studies of the other dose group. Cohort 2: Two dose groups will be set up. Subjects with advanced non-small cell lung cancer (squamous cell carcinoma and adenocarcinoma) will enter the low-dose group (900mg) or the high-dose group (1200mg) in parallel. Each subject will only receive the experimental drug of one dose group and will not participate in the studies of the other dose group. For both Cohort 1 and Cohort 2, BC008-1A injection will be administered once every 3 weeks, and 21 days will be regarded as one cycle. Subjects will continue to take the drug until disease progression occurs, or intolerable toxicity develops, or they are lost to follow-up, or withdraw their informed consent, or start a new anti-tumor treatment, or the investigator decides to withdraw them based on the subject's benefit situation.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
80
BC008-1A 900mg will be administered once every 3 weeks until disease progression occurs, or intolerable toxicity develops, or they are lost to follow-up, or withdraw their informed consent, or start a new anti-tumor treatment, or the investigator decides to withdraw them based on the subject's benefit situation.
BC008-1A 1200mg will be administered once every 3 weeks until disease progression occurs, or intolerable toxicity develops, or they are lost to follow-up, or withdraw their informed consent, or start a new anti-tumor treatment, or the investigator decides to withdraw them based on the subject's benefit situation.
Tianjin Medical University Cancer Institute and Hospital
Tianjin, China
RECRUITINGObjective response rate (ORR)
Objective response rate per RECIST1.1
Time frame: Up to 2 years
Disease control rate (DCR)
Defined as the proportion of subjects who achieved a best response of Complete Response (CR), Partial Response (PR), or Stable Disease (SD) per RECIST 1.1.
Time frame: Up to 2 years
Maximum Plasma Concentration (Cmax)
Time frame: about 4 months
Immunogenicity
Percentage of anti-drug antibody (ADA) and positive subjects.
Time frame: Up to 2 years
Adverse events
Incidence and severity of adverse events
Time frame: Up to 2 years
Receptor occupancy
Receptor occupancy of TIGIT and PD-1 on peripheral CD3+, CD4+ and CD8+ T cells.
Time frame: Up to 2 years
Progression-free survival (PFS)
The time interval from the first drug administration to progressive disease per RECIST 1.1 or death from any cause
Time frame: Up to 2 years
Overall survival (OS)
The time interval from the first drug administration to death due to any cause.
Time frame: Up to 2 years
Duration of response (DoR)
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The time interval from the first response (CR or PR) to progressive disease per RECIST 1.1 or death from any cause
Time frame: Up to 2 years
Time to response (TTR)
The time from the first drug administration to the first confirmation of Complete Response (CR) or Partial Response (PR) per RECIST 1.1.
Time frame: Up to 2 years
Area under the curve (AUC)
Time frame: about 4 months