This study is the first-in-human Phase I study of SYS6040 for injection, comprising two phases: Dose escalation with backfill (Phase Ia) and cohort expansion (Phase Ib).The planned study population consists of subjects with advanced solid tumors.The objective is to evaluate the safety, tolerability, pharmacokinetics and preliminary efficacy of SYS6040 for injection as monotherapy in participants with advanced solid tumors.
The dose escalation phase utilizes a BOIN design for dose escalation. Subjects in five predefined dose groups will administer investigational product via intravenous infusion. Subjects will be enrolled in groups of 3 for treatment.The first treatment cycle (21 days) will serve as the DLT observation window, with dose escalation/de-escalation decisions based on DLT occurrences. Each cohort is planned to enroll 20-40 subjects, receiving RP2D doses every 3 weeks (Day 1). Subjects will receive RP2D doses in 21-day treatment cycles until PD, intolerable toxicity, consent withdrawal, loss to follow-up, investigator-determined unsuitability for continued treatment, death, or study termination, whichever occurs first.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
180
Intravenous infusion; including dose escalation and backfilling (5 preset dose groups) and cohort expansion. Treatment Period: All subjects receive trial treatment until disease progression, death, intolerance of toxicity, loss to follow-up, withdrawal of consent, or end of the trial (whichever occurs first)
Jilin Cancer Hospital
Changchuan, Jilin, China
RECRUITINGDLT(Phase 1a)
Incidence rate and category of dose limiting toxicities (DLTs) during the first 21-day cycle of SYS6040 treatment
Time frame: Up to approximately 21days
Frequency and severity of TEAE and SAE(Phase 1a)
Assess safety and tolerability of SYS6040
Time frame: Up to approximately 2years
RP2D (Phase 1a)
RP2D was determined based on the safety, tolerability, PK, immunogenicity data and efficacy information obtained
Time frame: Up to approximately 2 years
ORR(Phase 1b)
Objective response rate (ORR) as evaluated by Investigator (RECIST1.1).
Time frame: Up to approximately 2 years
Peak time(Tmax)(phase 1a)
Peak time(Tmax) after a single administration of SYS6040
Time frame: Up to approximately 2 years
Maximum plasma concentration (Cmax) (phase 1a)
Cmax after a single administration of SYS6040
Time frame: Up to approximately 2 years
AUC 0-t(phase 1a)
Area under blood concentration - time curve(AUC 0-∞) after a single administration
Time frame: Up to approximately 2 years
AUC 0-∞(phase 1a)
Area under blood concentration - time curve(AUC 0-∞) after a single administration
Time frame: Up to approximately 2 years
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Steady state peak concentration(Cmax,ss) (phase 1a)
Steady state peak concentration(Cmax,ss) after repeated administration
Time frame: Up to approximately 2 years
Steady state valley concentration(Cmin,ss) (phase 1a)
Steady state valley concentration(Cmin,ss) after repeated administration
Time frame: Up to approximately 2 years
DoR
Duration of response
Time frame: Up to approximately 2 years
DCR
Disease control rate
Time frame: Up to approximately 2 years
ORR(Phase 1a)
Objective response rate (ORR) as evaluated by Investigator (RECIST1.1).
Time frame: Up to approximately 2years
OS
Overall survival
Time frame: Up to approximately 2 years
PFS
Progression-free survival (PFS) as evaluated by Investigator (RECIST1.1).
Time frame: Up to approximately 2 years
Anti-SYS6040 antibodies
Anti-drug antibody (ADA) incidence and titer.
Time frame: Up to approximately 2 years
Adverse events (AEs)(Phase 1b)
Incidence and severity of AEs
Time frame: Up to approximately 2 years
Plasma concentrations of toxin-bound antibodies
Tests are conducted after administration of SYS6040.
Time frame: Up to approximately 2 years
Plasma concentrations of total antibodies
Tests are conducted after administration of SYS6040.
Time frame: Up to approximately 2 years
Plasma concentrations of free toxin
Tests are conducted after administration of SYS6040.
Time frame: Up to approximately 2 years