This is an open-label, multicenter, Phase II clinical study to evaluate the safety, tolerability, pharmacokinetics, and anti-tumor activity of ALK201 for Injection combined with Ivonescimab Injection in adult patients with locally advanced or metastatic squamous non-small cell lung cancer (sqNSCLC) who are FGFR2b-positive, EGFR mutation-negative, and ALK-negative. The study consists of two parts: Part A (dose escalation) and Part B (dose optimization). Part A Dose Escalation Stage: This stage includes three dose levels. Eligible patients with locally advanced or metastatic sqNSCLC who have failed standard therapy will be enrolled to complete DLT assessment. Part B Dose Optimization Stage: This stage comprises two cohorts, enrolling eligible patients with locally advanced or metastatic sqNSCLC satisfying the respective cohort criteria: Primary cohort: PD-L1 expression ≥1% Exploratory cohort: PD-L1 expression \<1%
This is an open-label, multicenter, Phase II clinical study to evaluate the safety, tolerability, pharmacokinetics, and anti-tumor activity of ALK201 for Injection combined with Ivonescimab Injection in adult patients with locally advanced or metastatic squamous non-small cell lung cancer (sqNSCLC) who are FGFR2b-positive, EGFR mutation-negative, and ALK-negative. The study consists of two parts: Part A (dose escalation) and Part B (dose optimization). Part A Dose Escalation Stage: This stage includes three dose levels. Eligible patients with locally advanced or metastatic sqNSCLC who have failed standard therapy will be enrolled to complete DLT assessment. Part B Dose Optimization Stage: This stage comprises two cohorts, enrolling eligible patients with locally advanced or metastatic sqNSCLC satisfying the respective cohort criteria: Primary cohort: PD-L1 expression ≥1% Exploratory cohort : PD-L1 expression \<1%
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
156
Subjects will be randomized 1:1 to the two dose levels selected from Part A. The administered dose will be calculated based on the assigned dose arm and the subject's body weight.
The administered dose will be calculated based on a fixed dose of 20 mg/kg and the subject's body weight.
TEAEs
Participants with Treatment-Related Adverse Events as Assessed by CTCAE v6.0
Time frame: Up to 24 months
Peak Plasma Concentration (Cmax)
PK parameters after single andmultiple doses
Time frame: Up to 24 months
ADAs
The generation of anti-drug antibodies
Time frame: Up to 24 months
Area under the plasma concentration versus time curve (AUC)
PK parameters after single andmultiple doses
Time frame: up to 24 months
Objective Response Rate(ORR)
Objective Response Rate(ORR) calculated based onthe Response Evaluation Criteria InSolid Tumors (RECIST) v1.1 criteria
Time frame: Up to 24 months
Disease Control Rate (DCR)
DCR calculated based onthe Response Evaluation Criteria InSolid Tumors (RECIST) v1.1 criteria
Time frame: Up to 24 months
Progression-FreeSurvival (PFS)
PFS calculated based onthe Response Evaluation Criteria InSolid Tumors (RECIST) v1.1 criteria
Time frame: Up to 24 months
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