GH55 Capsule is a novel, highly selective small molecule dual mechanism ERK1/2 inhibitor. GH21 Capsule is a potent, orally active human SHP2 allosteric inhibitor. The combination of an ERK1/2 inhibitor and an SHP2 inhibitor achieves a dual effect: synergistic upstream and downstream blockade of the aberrantly activated RTK MAPK signaling pathway, as well as complementation of resistance mechanisms. This study will evaluate the safety, tolerability and pharmacokinetic (PK) characteristics of GH55 Capsule in combination with GH21 Capsule in patients with advanced solid tumors with aberrantly activated MAPK signaling pathway, and investigate the efficacy of this combination regimen in the same patient population.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
152
Drug: GH55 Drug: GH21 Treatment Group: Subjects will receive oral GH55 and GH21 following a dose-escalation design until confirmed disease progression, unacceptable toxicity, or fulfillment of any study withdrawal criterion.
Drug: GH55 Drug: GH21 Treatment Group: Subjects will receive oral GH55 and GH21 at two dose levels established in the Dose Escalation phase until confirmed disease progression, unacceptable toxicity, or fulfillment of any study withdrawal criterion.
Drug: GH55 Drug: GH21 Treatment Group: Subjects will receive oral GH55 and GH21 at the fixed dose established during the Phase I portion until confirmed disease progression, unacceptable toxicity, or fulfillment of any study withdrawal criterion.
Shanghai Goboard Cancer Hospital
Shanghai, Shanghai Municipality, China
Phase Ia: Incidence and severity of adverse events (AEs) and serious adverse events (SAEs) (according to NCI CTCAE 5.0).
Evaluated at each dose level GH55 and GH21, as graded by National Cancer Institute (NCI) Common Terminology for Adverse Events (CTCAE) version 5.0.
Time frame: From the initiation of study treatment to the completion of safety follow-up after the end of study treatment. Approximately 2 years.
Phase Ia: Dose Limited Toxicity (DLT)
Evaluated at each dose level GH55 and GH21, as graded by National Cancer Institute (NCI) Common Terminology for Adverse Events (CTCAE) version 5.0.
Time frame: 28 Days (first cycle)
Phase Ib and Phase II: Progression-Free Survival (PFS)
Antitumor activity was evaluated by assessing tumor response using RECIST 1.1 criteria.
Time frame: From the initiation of study treatment to the completion of safety follow-up after the end of study treatment. Approximately 2 years.
Phase Ib and Phase II: Objective response rate (ORR)
The number (%) of patients with a best overall response of complete response (CR) or partial response (PR) per RECIST v1.1 as assessed by investigator.
Time frame: From the initiation of study treatment to the completion of safety follow-up after the end of study treatment. Approximately 2 years.
Phase Ia, Phase Ib and Phase II: Evaluation of pharmacokinetics
Area under the concentration-time curve (AUC) from time 0 to time of last concentration measured and from time 0 extrapolated to infinity and from time 0 to time of the dosing interval at steady state
Time frame: From the initiation of study treatment to the completion of safety follow-up after the end of study treatment. Approximately 2 years.
Phase Ib and Phase II: Incidence and severity of adverse events (AEs) and serious adverse events (SAEs) (according to NCI CTCAE 5.0).
Graded by National Cancer Institute (NCI) Common Terminology for Adverse Events (CTCAE) version 5.0.
Time frame: From the initiation of study treatment to the completion of safety follow-up after the end of study treatment. Approximately 2 years.
Phase Ia, Phase Ib and Phase II: Evaluation of pharmacokinetics
Maximum plasma concentration
Time frame: From the initiation of study treatment to the completion of safety follow-up after the end of study treatment. Approximately 2 years.
Phase Ia, Phase Ib and Phase II: Evaluation of pharmacokinetics
Time to maximum observed concentration
Time frame: From the initiation of study treatment to the completion of safety follow-up after the end of study treatment. Approximately 2 years.
Phase Ia, Phase Ib and Phase II: Evaluation of pharmacokinetics
Terminal half-life
Time frame: From the initiation of study treatment to the completion of safety follow-up after the end of study treatment. Approximately 2 years.
Phase Ia, Phase Ib and Phase II: Evaluation of pharmacokinetics
Apparent clearance and apparent volume of distribution
Time frame: From the initiation of study treatment to the completion of safety follow-up after the end of study treatment. Approximately 2 years.
Phase Ia, Phase Ib and Phase II: Evaluation of pharmacokinetics
Mean residence time
Time frame: From the initiation of study treatment to the completion of safety follow-up after the end of study treatment. Approximately 2 years.
Phase Ia, Phase Ib and Phase II: Evaluation of pharmacokinetics
Trough concentration at steady state
Time frame: From the initiation of study treatment to the completion of safety follow-up after the end of study treatment. Approximately 2 years.
Phase Ia, Phase Ib and Phase II: Evaluation of pharmacokinetics
Maximum concentration at steady state
Time frame: From the initiation of study treatment to the completion of safety follow-up after the end of study treatment. Approximately 2 years.
Phase Ia, Phase Ib and Phase II: Evaluation of pharmacokinetics
Accumulation ratio
Time frame: From the initiation of study treatment to the completion of safety follow-up after the end of study treatment. Approximately 2 years.
Phase Ia, Phase Ib and Phase II: Duration of Response (DOR)
Antitumor activity was evaluated by assessing tumor response using RECIST 1.1 criteria.
Time frame: From the initiation of study treatment to the completion of safety follow-up after the end of study treatment. Approximately 2 years.
Phase Ia, Phase Ib and Phase II: Disease Control Rate (DCR)
Antitumor activity was evaluated by assessing tumor response using RECIST 1.1 criteria.
Time frame: From the initiation of study treatment to the completion of safety follow-up after the end of study treatment. Approximately 2 years.
Phase Ia: Progression-Free Survival (PFS)
Antitumor activity was evaluated by assessing tumor response using RECIST 1.1 criteria.
Time frame: From the initiation of study treatment to the completion of safety follow-up after the end of study treatment. Approximately 2 years.
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