This trial is the first-in-human study of SYS6041, a multicenter, open-label, dose-escalation, dose-reassignment and cohort-expansion Phase I/IIa clinical study, which aims to evaluate the safety, tolerability, pharmacokinetic (PK) profile and preliminary antitumor efficacy of SYS6041 in participants with advanced solid tumors.
The trial consists of four stages: Phase I dose-escalation stage, as well as Phase IIa dose-reassignment stage, dose-expansion stage and cohort-expansion stage. The dose-escalation stage includes a screening period (28 days), a treatment period (DLT observation period and subsequent treatment period), and a follow-up period (safety follow-up and survival follow-up). The first cycle (21 days) in which participants receive SYS6041 administration is defined as the DLT observation period. Based on data obtained from the dose-escalation and dose-reassignment stages, two dose levels will be selected for randomized enrollment in the dose-expansion stage to further assess the efficacy, safety and pharmacokinetic (PK) profile of candidate doses and confirm the recommended Phase 2 dose (RP2D). The cohort-expansion stage comprises a screening period (28 days), a treatment period and a follow-up period (safety follow-up and survival follow-up). Eligible screened participants will receive intravenous infusion of SYS6041 on Day 1 of each cycle, with each treatment cycle lasting 3 weeks. Treatment will be discontinued upon the first occurrence of progressive disease (PD), intolerable toxicity, withdrawal of informed consent, loss to follow-up, death, or any other conditions meeting the treatment discontinuation criteria.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
260
Farletuzumab-exatecan antibody-drug conjugate targeting human FRα
Xiaohua
Shanghai, Shanghai Municipality, China
RECRUITINGDose limiting toxicity (DLT)
Incidence of DLT (Applicable only to the Phase I dose-escalation stage)
Time frame: 21 days
ORR
ORR assessed by investigators per RECIST 1.1
Time frame: Through study completion,up to 2 years.
Number of participants with Adverse events (AEs)
Safety assessments
Time frame: Up to 2 years
DCR
During follow-up
Time frame: Up to 2 years
Progression-free survival(PFS)
During follow-up
Time frame: Up to 2 years
Overall survival (OS)
During follow-up
Time frame: Up to 2 years
PK parameters
Time to maximum observed concentration(T-max)
Time frame: Up to 2 years
Immunogenicity
Incidence of anti-drug antibodies (ADA)
Time frame: Up to 2 years
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