This study is a multicenter, open phase I clinical study of dose escalation,cohort expansion study to evaluate the safety,tolerability,pharmacokinetics,pharmacodynamics, and preliminary efficacy of TPD3310 in patients withadvanced malignant solid tumors.
TPD3310 is a selective c-MET degrader, and this is the first-in-human trial of TPD3310. This study adopts an open-label, non-randomized, single-arm, dose-escalation, and cohort expansion research design, and is divided into two parts, Phase Ia and Phase Ib. Phase Ia is a single and multiple dose escalation trial with an open-label design, aiming to evaluate the safety, tolerability, PK, and PD characteristics of TPD3310 tablets, preliminarily assess the anti-tumor efficacy, and recommend the dose for Phase Ib study. Phase Ib is a single-arm cohort expansion study conducted in participants with six solid tumors, based on the recommended dosage and dosing cycle from the Phase Ia study. The actual tumor types for the Phase Ib study will be adjusted according to the safety and efficacy data from the Phase Ia study.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
112
* Phase Ia: Single and Multiple Dose Escalation. (1) Dosage form: injection. (2) Dosage: 6 dose groups, 50 mg, 100 mg, 200 mg, 350 mg, 500 mg, 650 mg,.-Arms Assigned Interventions (3) Frequency: once weekly. (4) Duration: days 1-21; 28 days per cycle. * Phase Ib: Cohort Expansion. Dosage and dosing regimen: according to the recommended dosage and dosing cycle from the Phase Ia study.
Cancer Hospital Chinese Academy of Medical Sciences
Beijing, Beijing Municipality, China
RECRUITINGPhase Ia: Dose-Limiting Toxicity (DLT)
Continuously monitor safety; record toxic events meeting predefined criteria (NCI-CTCAE V5.0 Grade 3/4 non-hematological toxicity, Grade 4 hematological toxicity \>7 days, etc.). Include subjects with ≥75% planned dose or withdrawal due to DLT; causality confirmed by investigators.
Time frame: From enrollment to the end of cycle 1,cycle 1 has 28 days.
Phase Ia: Maximum Tolerated Dose (MTD)
Adopt accelerated titration + "3+3" design; calculate DLT incidence per dose group. MTD is the maximum dose with ≤1/6 DLT cases, requiring at least 6 evaluable subjects.
Time frame: Through the completion of cycle 1 for all phase Ia subjects,an average of 1 year.
Phase Ia: Assessment of safety and toxicity profile
Number of participants who experienced AEs, SAEs, and changes in physical examination, vital signs, ECOG score,imaging examination, laboratory tests, and 12-lead electrocardiogram, etc.
Time frame: From enrollment until the 28 days after the last study dose.
Phase Ib: Objective Response Rate (ORR)
Evaluate by contrast-enhanced CT/MRI (RECIST v1.1; mRECIST for hepatocellular carcinoma). ORR = proportion of subjects with CR+PR (first response confirmed after 4 weeks).
Time frame: From enrollment to the date of first documented progression or death due to any cause, whichever came first (up to approximately 2 years).
Phase Ia: Objective Response Rate (ORR)
Assessed in subjects with measurable lesions at baseline per Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1. Proportion of subjects achieving CR or PR after treatment.
Time frame: From enrollment to the date of first documented progression or death due to any cause, whichever came first (up to approximately 2 years).
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Phase Ia and Phase Ib: Disease Control Rate (DCR)
Assessed per RECIST v1.1. Proportion of subjects achieving CR, PR, or Stable Disease (SD) after treatment.
Time frame: From enrollment to the date of first documented progression or death due to any cause, whichever came first (up to approximately 2 years).
Phase Ia and Phase Ib: Duration of Response (DOR)
Time from the first documentation of objective response (CR/PR) to the first occurrence of disease progression or death from any cause.
Time frame: From enrollment to the date of first documented progression or death due to any cause, whichever came first (up to approximately 2 years).
Phase Ia and Phase Ib: Progression-Free Survival (PFS)
Time from the start of treatment to the first occurrence of disease progression or death from any cause.
Time frame: From enrollment to the date of first documented progression or death due to any cause, whichever came first (up to approximately 2 years).
Phase Ia and Phase Ib: Overall Survival (OS)
Time from the start of treatment to death from any cause.
Time frame: From enrollment to the date of death due to any cause (up to approximately 2 years).
Phase Ia and Phase Ib: Terminal Phase Half-life (t1/2 )
Evaluate drug concentration-time data by individual subject for single or repeated dosing of TPD3310.
Time frame: From enrollment to the end of cycle 1,cycle 1 has 28 days.
Phase Ia and Phase Ib: Maximum plasma concentration (Cmax)
Evaluate drug concentration-time data by individual subject for single or repeated dosing of TPD3310.
Time frame: From enrollment to the end of cycle 1,cycle 1 has 28 days.
Phase Ia and Phase Ib: Time to reach Cmax (tmax)
Evaluate drug concentration-time data by individual subject for single or repeated dosing of TPD3310.
Time frame: From enrollment to the end of cycle 1,cycle 1 has 28 days.
Phase Ia and Phase Ib: Area Under the Curve (AUC)
Evaluate drug concentration-time data by individual subject for single or repeated dosing of TPD3310.
Time frame: From enrollment to the end of cycle 1,cycle 1 has 28 days.
Phase Ia and Phase Ib: Apparent Volume of Distribution (Vz/F)
Evaluate drug concentration-time data by individual subject for single or repeated dosing of TPD3310.
Time frame: From enrollment to the end of cycle 1,cycle 1 has 28 days.
Phase Ia and Phase Ib: Apparent Clearance Rate (CL/F)
Evaluate drug concentration-time data by individual subject for single or repeated dosing of TPD3310.
Time frame: From enrollment to the end of cycle 1,cycle 1 has 28 days.
Phase Ib: Assessment of safety and toxicity profile
Number of participants who experienced AEs, SAEs, and changes in physical examination, vital signs, ECOG score,imaging examination, laboratory tests, and 12-lead electrocardiogram, etc.
Time frame: From enrollment until the 28 days after the last study dose.