This study is a single-arm, open-label, exploratory clinical trial. Building on the previous dose-escalation trial, this dose-expansion trial aims to evaluate the safety and tolerability of intravenous monotherapy with CD-GA-102 or its combination with immunotherapy and other systemic treatments in patients with unresectable locally advanced or metastatic colorectal cancer, and to preliminarily explore its efficacy in treating colorectal cancer.
In this study, CD-GA-102 will be administered via peripheral intravenous injection for the treatment of colorectal cancer at a dose of 50 μg per administration. The second dose will be given 2 weeks (±3 days) after the initial administration, and the third dose will be given 4 weeks (±3 days) after the initial administration. Subsequently, maintenance therapy will be administered every 3 weeks (±3 days). The dosing interval may be adjusted based on the participants' tolerability, safety, and therapeutic response. After receiving at least two doses of intravenous monotherapy with CD-GA-102 and completing the safety assessment following the last dose, participants may be offered combination therapy with immune checkpoint inhibitors, targeted therapy, or other systemic treatments, as determined by the investigator after a comprehensive evaluation. Up to approximately 20 participants will be enrolled in this dose-expansion phase. Based on the results of this phase, the safety and tolerability of intravenous monotherapy with CD-GA-102 or its combination with immunotherapy and other systemic treatments will be further assessed. The antitumor activity will be evaluated according to the RECIST v1.1 criteria.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
20
CD-GA-102 will be administered intravenously at 50 μg per dose, with dosing scheduled at 2 weeks (±3 days) and 4 weeks (±3 days) after the initial dose, followed by maintenance therapy every 3 weeks (±3 days). Dosing intervals may be adjusted based on participant tolerability and safety. After receiving at least two doses of CD-GA-102 monotherapy and completing safety assessments, participants may be offered combination therapies, as determined by the investigator.
Shanghai Changzheng Hospital
Shanghai, None Selected, China
RECRUITINGObjective Response Rate,ORR
Evaluate the objective response rate of HNF4α srRNA monotherapy or in combination with immunotherapy and other systemic treatments in patients with metastatic colorectal cancer, according to the RECIST v1.1 criteria
Time frame: From the first study dose date until the date of documented complete response or partial response, assessed up to 24 months
Safty and tolerability
Evaluate the incidence and severity of adverse events (AEs), serious adverse events (SAEs), and AEs leading to treatment discontinuation associated with intravenous monotherapy of CD-GA-102 or its combination with immunotherapy and other systemic treatments
Time frame: Through study completion, an average of 2 years
Duration of Response (DOR)
Duration of Response (DOR) evaluated according to RECIST v1.1 criteria
Time frame: up to 24 months
Progression-Free Survival,PFS
Progression-Free Survival of patients evaluated according to RECIST v1.1 criteria
Time frame: up to 24 months
Time To Progression,TTP
Time To Progression of patients evaluated according to RECIST v1.1 criteria
Time frame: up to 24 months
Time To Response,TTR
Time To Response of patients evaluated according to RECIST v1.1 criteria
Time frame: up to 24 months
Disease Control Rate,DCR
Disease Control Rate evaluated according to RECIST v1.1 criteria
Time frame: up to 24 months
Clinical Benefit Rate,CBR
Clinical Benefit Rate evaluated according to RECIST v1.1 criteria
Time frame: up to 24 months
Overall Survival,OS
Overall Survival of patients
Time frame: Throughout the entire course of treatment until the end of the follow-up period, an average of 2 years
Patient Reported Outcome-1,PRO-1
The European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire Core 30 (QLQ-C30)
Time frame: Through study completion, an average of 2 years
Patient Reported Outcome-2,PRO-2
Functional Assessment of Cancer Therapy Colorectal Cancer (FACT-C)
Time frame: Through study completion, an average of 2 years
Patient Reported Outcome-3,PRO-3
The Generic EuroQol Five Dimension Five Level (EQ-5D-5L) Questionnaire
Time frame: Through study completion, an average of 2 years
Changes in tumor markers
Changes in tumor markers such as Carcinoembryonic Antigen (CEA) and Carbohydrate Antigen 199 (CA199) after treatment.
Time frame: Through study completion, an average of 2 years
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