Phase 1/2 Study for IPG7236 Combined With Toripalimab in Participants With Advanced Solid Tumors
This is a phase 1/2, multicenter, non-randomized, open-label, dose-escalation and dose-expansion study. Part A (dose escalation) will adopt a standard "3+3" design with two cohorts (IPG7236 500 mg BID + Toripalimab 240 mg Q3W; IPG7236 800 mg BID + Toripalimab 240 mg Q3W) to determine the MTD and/or RP2D. Part B (dose expansion) will enroll approximately 40 CCR8-positive advanced solid tumor patients to further evaluate safety,tolerability and preliminary antitumor activity. The transition from Part A to Part B will be triggered after confirmation of RP2D based on safety, tolerability, PK and preliminary efficacy data.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
52
IPG7236: Part A: 500 mg BID or 800 mg BID, the dose in Part B is the RP2D confirmed in Part A, Oral (fasting: 1 hour before meal or 2 hours after meal, every 12±2 hours), Continuous daily administration, 21-day treatment cycle,Until disease progression, unacceptable toxicity, withdrawal of consent, or other reasons for withdrawal
Toripalimab Injection: 240 mg , Q3W, 21-day treatment cycle, the first infusion lasts at least 60 minutes; if well tolerated, subsequent infusions can be shortened to 30 minutes.
Shanghai Gaobo Tumor Hospital
Shanghai, PuDongXinQu, China
RECRUITINGIncidence of Dose-Limiting Toxicity (DLT)
Dose-Limiting Toxicity (DLT) is treatment-related adverse events (excluding disease progression/external causes) per NCI CTCAE v6.0, occurring within Cycle 1 Day 1-21,1) Unexplained death; 2) Hematological: Grade 4 neutropenia \>7d; Grade ≥3 febrile neutropenia; Grade 4 thrombocytopenia or Grade 3 with clinical bleeding; Grade 4 anemia; 3) Non-hematological: Grade ≥3 (exceptions: Grade 3 nausea/vomiting/diarrhea \<3d with antiemetics; Grade 3 fatigue \<1w; pancreatitis-unrelated Grade ≥3 amylase/lipase; Grade ≥3 electrolyte disturbance resolving within 72h without complications; asymptomatic isolated lab abnormalities); Hepatotoxicity: Hy's Law (ALT/AST \>3×ULN + total bilirubin \>2×ULN + ALP \<2×ULN); AST/ALT \>8×ULN (or \>8×baseline for liver metastasis); AST/ALT \>5×ULN (or \>5×baseline for liver metastasis) ≥14d; Other Grade 4 non-hematological toxicity; 4) Toxicity requiring permanent study drug discontinuation or \<75% planned administration. Infusion-related reactions are not DLT;
Time frame: Up to 21 days after first dose (Cycle 1): To determine the DLT according to NCI CTCAE v6.0, and define the Maximum Tolerated Dose (MTD) and RP2D of IPG7236 in combination with toripalimab
Percentage of patients with adverse events
Time frame: From first dose to 90 days after last dose or initiation of new anti-cancer therapy, whichever comes first
Objective Response Rate (ORR) per iRECIST v1.1
Objective Response Rate (ORR) is defined as the percentage of participants with a best overall response of complete response (CR) or partial response (PR) per iRECIST v1.1 criteria.
Time frame: From first dose to disease progression or death (up to 24 months)
Disease Control Rate (DCR) per iRECIST v1.1
Disease Control Rate (DCR) is defined as the percentage of participants with a best overall response of complete response (CR), partial response (PR), or stable disease (SD) per iRECIST v1.1 criteria.
Time frame: From first dose to disease progression or death (up to 24 months)
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Duration of Response (DoR) per iRECIST v1.1
Duration of Response (DoR) is defined as the time from first documentation of objective response (CR or PR) to first documentation of progressive disease (PD) or death due to any cause, per iRECIST v1.1 criteria.
Time frame: From first documentation of objective response (CR or PR) to first documentation of progressive disease (PD) or death (up to 24 months)
Progression-Free Survival (PFS) per iRECIST v1.1
Progression-Free Survival (PFS) is defined as the time from first dose to first documentation of progressive disease (PD) per iRECIST v1.1 criteria or death due to any cause, whichever occurs first.
Time frame: From first dose to disease progression or death (up to 24 months)
Overall Survival (OS) per iRECIST v1.1
Overall Survival (OS) is defined as the time from first dose to death due to any cause.
Time frame: From first dose to death due to any cause (up to 24 months)
Peak Plasma Concentration (Cmax) of IPG7236
Peak plasma concentration of IPG7236, determined from plasma concentration-time profiles obtained at preset time points.
Time frame: From first dose to end of treatment, assessed up to 24 months
Trough Plasma Concentration (Cmin) of IPG7236
Trough plasma concentration of IPG7236, determined from plasma concentration-time profiles obtained at preset time points.
Time frame: From first dose to end of treatment, assessed up to 24 months
Area Under the Plasma Concentration-Time Curve (AUC) of IPG7236
Area under the plasma concentration-time curve of IPG7236, calculated using non-compartmental analysis from plasma samples collected at preset time points.
Time frame: From first dose to end of treatment, assessed up to 24 months
Time to Peak Plasma Concentration (Tmax) of IPG7236
Time to reach peak plasma concentration of IPG7236, determined from plasma concentration-time profiles obtained at preset time points.
Time frame: From first dose to end of treatment, assessed up to 24 months
Elimination Half-Life (T1/2) of IPG7236
Elimination half-life of IPG7236, calculated from the terminal phase of the plasma concentration-time curve obtained at preset time points.
Time frame: From first dose to end of treatment, assessed up to 24 months