This is a phase I/II study to preliminarily explore of the safety, tolerability, pharmacokinetics, and efficacy of WJB001 combination therapy, consisting of three stages: Dose escalation (Phase Ia), dose extension (Phase Ib), and efficacy extension (Phase II). The preliminary plan includes five combination therapy regimens, namely Arm A: WJB001+taxanes (A1: WJB001+paclitaxel, A2: WJB001+albumin paclitaxel); Arm B: WJB001+platinum (B1: WJB001+carboplatin, B2: WJB001+nedaplatin); Arm C: WJB001+paclitaxel+carboplatin; Arm D: WJB001+PARP inhibitor; Arm E: WJB001+VEGF inhibitor.
The study is a multicenter,phase I/II clinical trial, divided into three parts: In the Dose Escalation phase(Phase Ia): BOIN design were used to search the Maximum tolerated dose (MTD), allowing to increase or decrease the dose of one or separate drugs in the combination for dosage exploration.Recruitment by Arm, estimate 5 cohort, with 3 dose levels planned for each cohort: In the Arm A/B/C combination therapy, chemotherapy (taxanes, platinum) is administered for a maximum of 6 cycles. After chemotherapy, WJB001 monotherapy is used to maintain treatment until the subject's disease progresses or withdrawl; In the Arm D combination therapy, the PARP inhibitor, such as Niraparib, is administered every 21 days in a cycle until the subject's disease progresses or withdrawl. In the Arm E combination therapy, as an example, Bevacizumab can be treated for a maximum of 22 cycles or unacceptable side effects occur (whichever occurs first), and then Bevacizumab treatment is terminated and maintained with WJB001 monotherapy until the subject's disease progression or withdrawal In the Dose Expansion phase(Phase Ib): 1 to 2 dose levels for each group will be selected the sponsor and the SMC based on the previous data, to further evaluate the preliminary efficacy, safety, tolerability and pharmacokinetic characteristics of the combination therapy in the target population, and confirm the RP2D dose of different combination regimens. Efficacy Expansion Stage(Phase II): At the RP2D regimen determined in the Phase IB study, to explore the efficacy, safety, tolerability and pharmacokinetic characteristics of WJB001 combination therapy in the target population. And 2 to 3 cohorts is preliminarily planned for expansion and the "Simon Two-Stage" design is adopted.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
86
WJB001 Capsules:120mg(or 80mg,40mg,or 100mg,60mg),Oral QD Days 1-5, 8-12, 15-19 or other dosing frequencies (e.g., days 1-4, 8-11, 15-18),Every 21 days; Paclitaxel:80 mg/m2(or 60 mg/m2 ,50 mg/m2), Day 1, day 8, day 15, intravenous infusion, 21 days 1 cycle, up to 6 cycles; Paclitaxel-albumin:260mg/m2(220mg/m2,180mg/m2),On day 1, intravenous infusion, 21 days 1 cycle, up to 6 cycles;
WJB001 Capsules: 80mg(or 60mg,40mg,or 100mg,60mg),Oral QD Days 1-5, 8-12, 15-19 or other dosing frequencies (e.g., days 1-4, 8-11, 15-18), Every 21 days; Carboplatin: AUC 5 mg/ml\*min(or 4mg/ml\*min,3mg/ml\*min), Day 1, day 8, day 15, intravenous infusion, 21 days 1 cycle, up to 6 cycles; Nedaplatin: 100mg(80mg/m2 ,60mg/m2), Day 1, intravenous infusion, 21 days 1 cycle, up to 6 cycles;
WJB001 Capsules: 40mg,Oral,QD,Days 1-5, 8-12, 15-19 or other dosing frequencies (e.g., days 1-4, 8-11, 15-18),Every 21 days; Paclitaxel: 60 mg/m2, Day 1, day 8, day 15, intravenous infusion, 21 days 1 cycle, up to 6 cycles; Carboplatin: AUC 2mg/ml\*min, Day 1, day 8, day 15, intravenous infusion, 21 days 1 cycle, up to 6 cycles;
WJB001 Capsules: 120mg(or 80mg,40mg,or 100mg,60mg),Oral QD Days 1-5, 8-12, 15-19 or other dosing frequencies (e.g., days 1-4, 8-11, 15-18),Every 21 days; Niraparib:Niraparib:300mg(or 200mg,100mg),Oral QD Every 21 days;
WJB001 Capsules: 120mg(or 80mg,40mg,or 100mg,60mg),Oral QD Days 1-5, 8-12, 15-19 or other dosing frequencies (e.g., days 1-4, 8-11, 15-18),Every 21 days; Bevacizumab: 15mg/kg(or 7.5mg/kg),intravenous infusion, 21 days 1 cycle, up to 22 cycles or unacceptable side effects;
Cancer Hospital Chinese Academy of Medical Sciences
Beijing, Beijing Municipality, China
RECRUITINGFujian Cancer Hospital
Fuzhou, Fujian, China
RECRUITINGSun Yat-sen University Cancer Center
Guangzhou, Guangdong, China
RECRUITINGTumor Hospital Affiliated to Guangxi Medical University
Nanning, Guangxi, China
RECRUITINGSun Yat-sen Hospital, Sun Yat-sen University
Guangzhou, Gunagdong, China
RECRUITINGUnion Hospital, Tongji Medical College, Huazhong University of Science and Technology
Wuhan, Hubei, China
RECRUITINGHunan Cancer Hospital
Changsha, Hunan, China
RECRUITINGThe First Affiliated Hospital of China Medical University
Shenyang, Liaoning, China
RECRUITINGLiaoning Cancer Hospital
Shenyang, Liaoning, China
ENROLLING_BY_INVITATIONThe Second Affiliated Hospital of Zhejiang University School of Medicine
Hangzhou, Zhejiang, China
RECRUITINGDose limited toxicity (DLT)
Incidence of Dose limited toxicity(DLT)
Time frame: 3 years
Adverse event (AE)
Incidence and severity of adverse event (AE), Abnormal changes in laboratory and other tests of clinical significance
Time frame: 3 years
Serious adverse event (SAE)
Incidence and severity of Serious adverse event (SAE)
Time frame: 3 years
Maximum tolerated dose (MTD)
Maximum tolerated dose (MTD)
Time frame: 2 years
Recommended phase II dose (RP2D)
Recommended phase II dose (RP2D)
Time frame: 2 years
Objective response rate(ORR)
Efficacy endpoints: Objective response rate(ORR) per RECIST v1.1
Time frame: 3 years
Peak time(Tmax)
Pharmacokinetic (PK) parameter : Peak time(Tmax) after a single dose
Time frame: 4 Months
Maximum plasma concentration (Cmax)
Maximum plasma concentration (Cmax) after a single dose
Time frame: 4 Months
(AUC 0-t)
Area under blood concentration - time curve(AUC 0-t) after a single dose
Time frame: 4 Months
(AUC 0-∞)
Area under blood concentration - time curve(AUC 0-∞) after a single dose
Time frame: 4 Months
Apparent volume of distribution (Vd/F)
Apparent volume of distribution (Vd/F) after a single dose
Time frame: 4 Months
Clearance rate (CL/F)
Clearance rate (CL/F) after a single dose
Time frame: 4 Months
Elimination half-life time ( t1/2)
Elimination half-life time ( t1/2)
Time frame: 4 Months
Steady state peak concentration(Cmax,ss)
Steady state peak concentration(Cmax,ss) after repeated administration
Time frame: 4 Months
Steady state valley concentration(Cmin,ss)
Steady state valley concentration(Cmin,ss) after repeated administration
Time frame: 4 Months
Average steady-state plasma concentration(Cav,ss)
Average steady-state plasma concentration(Cav,ss) after repeated administration
Time frame: 4 Months
Steady state peak time(Tmax,ss)
Steady state peak time(Tmax,ss) after repeated administration
Time frame: 4 Months
Steady state Area under blood concentration - time curve(AUC0-t,ss)
Steady state Area under blood concentration - time curve(AUC0-t,ss) after repeated administration
Time frame: 4 Months
Accumulation Index ( RAC)
Accumulation Index ( RAC) after repeated administration;
Time frame: 4 Months
Fluctuation coefficient (FD)
Fluctuation coefficient (FD)
Time frame: 4 Months
Duration of response (DOR)
Efficacy endpoints: Duration of response (DOR) per RECIST v1.1
Time frame: 3 years
Disease control rate (DCR)
Efficacy endpoints: Disease control rate (DCR) per RECIST v1.1
Time frame: 3 years
Progression-free survival (PFS)
Efficacy endpoints: Progression-free survival (PFS) per RECIST v1.1
Time frame: 2 years
Overall survival (OS)
Efficacy endpoints: Overall survival (OS) per RECIST v1.1
Time frame: 3 years
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