This is a first-in-human, multicenter, open-label Phase Ia/Ib study evaluating the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), immunogenicity, and preliminary antitumor activity of SM2275 in patients with advanced or metastatic solid tumors who have progressed after standard therapy or for whom no standard treatment is available. Phase Ia includes dose escalation to evaluate safety, identify dose-limiting toxicities (DLTs), and determine the maximum tolerated dose (MTD) and/or recommended Phase II dose (RP2D). Phase Ib will further evaluate safety, PK, PD, and preliminary antitumor activity in expansion cohorts.
SM2275 is an investigational tetravalent VHH-based multispecific antibody targeting EGFR, PD-L1, CD28, and HSA. SM2275 is designed to selectively promote CD28-mediated T-cell costimulation through simultaneous engagement of EGFR and PD-L1 expressed in the tumor microenvironment while blocking the PD-L1 immune checkpoint pathway. The HSA-binding domain is incorporated to prolong systemic exposure. This first-in-human Phase Ia/Ib study will evaluate intravenous SM2275 in patients with advanced solid tumors. Phase Ia will evaluate escalating dose levels using an adaptive dose-escalation strategy to characterize safety, identify DLTs, determine the MTD and/or RP2D, and characterize PK and PD. Following dose escalation, Phase Ib will further evaluate safety and preliminary efficacy in selected expansion cohorts.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
72
Concentrated solution for injection, 100 mg/4 mL/vial. Administered intravenously according to preset dose levels and cycle intervals defined in protocol v1.0.
Cancer Hospital, Chinese Academy of Medical Sciences
Beijing, China
Incidence of Treatment-Emergent Adverse Events (TEAEs)
Number of participants experiencing treatment-emergent adverse events (TEAEs), including severity and relationship to study treatment, graded according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) Version 5.0.
Time frame: From first dose through 28 days after the last dose (up to approximately 12 months)
Incidence of Dose-Limiting Toxicities (DLTs)
Number of participants experiencing dose-limiting toxicities (DLTs) during the DLT evaluation period according to protocol-defined criteria.
Time frame: Cycle 1 (21 days)
Maximum Tolerated Dose (MTD)
Maximum tolerated dose (MTD), if reached, based on the occurrence of protocol-defined dose-limiting toxicities.
Time frame: During dose escalation (up to approximately 12 months)
Recommended Phase II Dose (RP2D)
Recommended Phase II dose (RP2D) determined based on the overall assessment of safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary antitumor activity.
Time frame: End of dose escalation (up to approximately 12 months)
Maximum Observed Plasma Concentration (Cmax)
Maximum observed plasma concentration (Cmax) of SM2275 following intravenous administration.
Time frame: From first dose through end of treatment (up to approximately 12 months)
Time to Maximum Plasma Concentration (Tmax)
Time to reach maximum observed plasma concentration (Tmax) of SM2275.
Time frame: From first dose through end of treatment (up to approximately 12 months)
Area Under the Plasma Concentration-Time Curve (AUC)
Area under the plasma concentration-time curve (AUC) of SM2275.
Time frame: From first dose through end of treatment (up to approximately 12 months)
Terminal Elimination Half-life (t½)
Terminal elimination half-life (t½) of SM2275.
Time frame: From first dose through end of treatment (up to approximately 12 months)
Apparent Clearance (CL)
Apparent systemic clearance (CL) of SM2275.
Time frame: From first dose through end of treatment (up to approximately 12 months)
Apparent Volume of Distribution (Vz)
Apparent volume of distribution during the terminal phase (Vz) of SM2275.
Time frame: From first dose through end of treatment (up to approximately 12 months)
Incidence of Anti-drug Antibodies (ADA)
Incidence of anti-drug antibodies (ADA) against SM2275.
Time frame: Baseline through end of study (up to approximately 12 months)
Objective Response Rate (ORR)
Objective response rate (ORR), defined as the proportion of participants achieving a confirmed complete response (CR) or partial response (PR) according to RECIST Version 1.1.
Time frame: From first documented response until disease progression or study completion (up to approximately 24 months)
Disease Control Rate (DCR)
Disease control rate (DCR), defined as the proportion of participants achieving complete response (CR), partial response (PR), or stable disease (SD) according to RECIST Version 1.1.
Time frame: Up to approximately 24 months
Duration of Response (DoR)
Duration of response (DoR), defined as the time from the first documented objective response (CR or PR) until disease progression or death.
Time frame: Up to approximately 24 months
Progression-Free Survival (PFS)
Progression-free survival (PFS), defined as the time from the first dose of SM2275 to documented disease progression according to RECIST Version 1.1 or death from any cause, whichever occurs first
Time frame: Up to approximately 24 months
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