This is an open-label, single-arm, non-randomized, single-center, dose-escalation study designed to evaluate the safety and tolerability of HF50 in patients with HER-2 positive and HER-2 low-expression advanced solid tumors. The primary objectives are to assess the safety, tolerability, and determine the maximum tolerated dose (MTD) and/or recommended Phase II dose (RP2D) of HF50. Secondary objectives include evaluating the pharmacokinetic (PK) profile and preliminary antitumor activity of HF50.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
10
HF50 is a liposomal T-cell engager with an unique design based on the lipid bilayer. It was also named a T cell Redirecting Antibody Fragment-anchored Liposomes (TRAFsome). The liposomal surface carries anti-CD3ε and anti-HER2 antibody-conjugated lipid molecules, enabling T-cell redirection and activation at HER2-positive or HER2-low tumor sites. In addition, the liposome internal space contains a TLR7/8 agonist Resiquimod (R848), which has been shown to help modulate the myeloid cells in the tumor micro-environement to complement the immune activation effects.
West China Hospital of Sichuan University
Chengdu, Sichuan, China
RECRUITINGNumber of Participants with Dose Limiting Toxicities (DLT)
The number of participants experiencing dose-limiting toxicities (DLTs) during the DLT evaluation period to determine the maximum tolerated dose (MTD).
Time frame: 28 days after the first dose (C1D1) for each dose cohort.
Incidence of Adverse Events (AEs)
The number and percentage of participants experiencing adverse events (AEs), graded according to NCI-CTCAE v5.0
Time frame: From first dose to 28 days after the last dose.
Incidence of Serious Adverse Events (SAEs)
The number and percentage of participants experiencing adverse events (AEs), graded according to NCI-CTCAE v5.0.
Time frame: From first dose to 28 days after the last dose.
Recommended Phase II Dose (RP2D) of HF50
RP2D will be determined based on safety, tolerability, and pharmacokinetics data collected during the dose escalation phase.
Time frame: At the end of dose escalation (assessed up to 1 year)
Incidence of Vital Sign Abnormalities
Number of participants who experienced a maximum severity of Grade 3 or higher post-baseline vital sign abnormality, including blood pressure, heart rate, respiratory rate, and body temperature. Grades are defined using the National Cancer Institute's Common Terminology Criteria for Adverse Events (CTCAE), version 5.0.
Time frame: From first dose to the end of the study (assessed up to 1 year)
Laboratory Abnormalities
Number of participants who experienced a maximum severity of Grade 3 or higher post-baseline laboratory abnormality, including hematology (complete blood count), blood chemistry, urinalysis, coagulation function, and C-reactive protein (CRP). Grades are defined using the National Cancer Institute's Common Terminology Criteria for Adverse Events (CTCAE), version 5.0.
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Time frame: From first dose to the end of the study (assessed up to 1 year)
Incidence of Electrocardiogram (ECG) Abnormalities
Number of participants who experienced an abnormal ECG finding post-baseline, including clinically significant changes in QT interval, PR interval, QRS duration, or other rhythm abnormalities as assessed by 12-lead ECG. Abnormalities will be graded according to National Cancer Institute's Common Terminology Criteria for Adverse Events (CTCAE), version 5.0.
Time frame: From first dose to the end of the study (assessed up to 1 year)
Incidence of Echocardiography (ECHO) Abnormalities
Number of participants who experienced an abnormal echocardiography finding post-baseline, including changes in left ventricular ejection fraction (LVEF), chamber size abnormalities, or valvular dysfunction. Abnormalities will be graded according to CTCAE v5.0.
Time frame: From first dose to the end of the study (assessed up to 1 year)
Pharmacokinetic Parameter - Cmax
Maximum plasma concentration (Cmax) of HF50 will be assessed following single and multiple dosing.
Time frame: Up to 9 weeks
Pharmacokinetic Parameter - Tmax
Time to maximum plasma concentration (Tmax) of HF50 will be assessed following single and multiple dosing.
Time frame: Up to 9 weeks
Pharmacokinetic Parameter - AUC (Area Under the Curve)
AUC0-t and AUC0-inf will be evaluated to determine systemic exposure to HF50.
Time frame: Up to 9 weeks
Pharmacokinetic Parameter - Half-life (t1/2)
The terminal elimination half-life (t1/2) of HF50 will be calculated.
Time frame: Up to 9 weeks
Objective Response Rate (ORR)
Proportion of participants achieving a complete response (CR) or partial response (PR) based on RECIST v1.1 criteria.
Time frame: Up to 2 years
Duration of Response (DOR)
Time from the first documented response (CR or PR) to disease progression or death.
Time frame: Up to 2 years
Disease Control Rate (DCR)
Proportion of participants achieving CR, PR, or stable disease (SD) based on RECIST v1.1.
Time frame: Up to 2 years
Progression-Free Survival (PFS)
Time from the first dose to disease progression or death.
Time frame: Up to 2 years
Overall Survival (OS)
Time from the first dose to death from any cause.
Time frame: Up to 2 years