This is a Phase I, first-in-human, open-label study of CRPA1A2, a bispecific T-cell engager, in participants with HLA-A\*02:01-positive and MAGE-A1-positive advanced solid tumors. The study is designed to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary anti-tumor activity of CRPA1A2, and to identify recommended dose(s) for further evaluation. The study consists of 2 parts: a dose escalation part (Part A) and a dose optimization part (Part B). In Part A, participants will receive escalating doses of CRPA1A2 to determine the recommended dose(s) for optimization, with additional backfill cohorts permitted. In Part B, 2 to 3 selected recommended dose(s) will be further evaluated in participants with selected tumor types to better characterize safety and preliminary anti-tumor activity. CRPA1A2 will be administered by intravenous infusion in 28-day cycles, starting at 0.0003 mg/kg. Weekly dosing is planned, although alternative dosing schedules may be explored based on emerging data. Treatment will continue until disease progression, intolerable toxicity, initiation of new anti-tumor therapy, other discontinuation criteria are met, or study termination.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
192
CRPA1A2 is an investigational bispecific T-cell engager administered by intravenous infusion in 28-day cycles. In Part A, treatment will start at 0.0003 mg/kg and proceed according to protocol-defined escalating dose levels. Weekly dosing is planned, although alternative dosing schedules may be explored during Part A based on emerging PK/PD, safety, tolerability, and efficacy data. A standard dosing approach and/or a step-up dosing strategy may be used. In Part B, participants will receive protocol-defined selected recommended dose(s) for optimization. Treatment will continue until disease progression, intolerable toxicity, initiation of new anti-tumor therapy, fulfillment of other protocol-defined discontinuation criteria, or study termination, whichever occurs first.
Beijing Cancer Hospital
Beijing, Beijing Municipality, China
Incidence of dose-limiting toxicities (DLTs) in Part A
Frequency and type of dose-limiting toxicities (DLTs) during the protocol-defined DLT evaluation period in the dose-escalation phase (Part A).
Time frame: Day 28
Incidence of treatment-emergent adverse events (TEAEs), treatment-related adverse events (TRAEs), and clinically significant changes in safety tests
Frequency and type of treatment-emergent adverse events, treatment-related adverse events, and clinically significant changes in protocol-specified safety tests in Parts A and B.
Time frame: up tp 30 months
Maximum tolerated dose (MTD) and/or recommended dose(s) for optimization (RDO[s]) and dosing schedule in Part A
Identification of the maximum tolerated dose and/or recommended dose(s) for optimization and dosing schedule of CRPA1A2 based on an integrated assessment of safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary anti-tumor activity in the dose-escalation phase (Part A).
Time frame: Day 1, Day 8, Day 15, Day 28
Objective response rate (ORR) per RECIST v1.1 in Part B
Proportion of participants with a best overall response of complete response or partial response according to RECIST v1.1 in the dose-optimization phase (Part B).
Time frame: up to 30 months
Duration of response (DoR) per RECIST v1.1 in Part B
Time from the first documented objective response to the first documented disease progression or death, whichever occurs first, according to RECIST v1.1 in the dose-optimization phase (Part B).
Time frame: up to 30 months
Peak Plasma concentration (Cmax) of CRPA1A2
Peak Plasma concentration (Cmax) of CRPA1A2 in Parts A and B.
Time frame: Day 1, Day 3, Day 5, Day 8,Day15, Day 22
Area under the plasma concentration versus time curve (AUC) of CRPA1A2
Area under the plasma concentration versus time curve (AUC) of CRPA1A2 in Part A and Part B
Time frame: Day 1, Day 3, Day 5, Day 8, Day 15, Day 22
Disease control rate (DCR) and progression-free survival (PFS) per RECIST v1.1 in Part A and Part B.
Preliminary anti-tumor activity of CRPA1A2 assessed by DCR and PFS according to RECIST v1.1.
Time frame: up tp 30 months
Objective response rate (ORR) and duration of response (DoR) per RECIST v1.1 in Part A.
Preliminary anti-tumor activity of CRPA1A2 assessed by ORR and DoR according to RECIST v1.1 in the dose-escalation phase (Part A).
Time frame: up to 30 months
Objective response rate (ORR), duration of response (DoR), disease control rate (DCR), and progression-free survival (PFS) per iRECIST
Preliminary anti-tumor activity of CRPA1A2 assessed by ORR, DoR, DCR, and PFS according to iRECIST.
Time frame: up to 30 months
Overall survival (OS)
Time from first dose to death from any cause in Parts A and B.
Time frame: up to 30 months
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