FG-M131 for injection is an antibody-drug conjugate (ADC) targeting the T-cell receptor beta chain constant region 1 (TRBC1). TRBC1 is a subunit of the αβ T-cell receptor (TCR) complex. Targeting TRBC1 can eliminate TRBC1-positive malignant T cells while sparing TRBC2-positive normal T cells, providing a novel strategy for the treatment of T-cell malignancies. This study is a multicenter, open-label Phase I/II clinical trial in patients with TRBC1-positive relapsed/refractory peripheral T-cell lymphoma, designed to evaluate the safety, tolerability, pharmacokinetic profile, and preliminary antitumor activity of FG-M131 for injection in this patient population. The study consists of a Phase I dose-escalation stage and a Phase IIa cohort-expansion stage.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
110
Accelerated titration method, IV infusion Q3W; Adaptive BOIN design, IV infusion Q3W. (21-day cycles)
1\~2 dose levels of FG-M131 will be tested according to the result from dose escalation stage
Beijing Cancer Hospital
Beijing, China
Safety assessed by Adverse Events (AEs)
Incidence and severity of adverse events (AEs) graded by Common Terminology Criteria for Adverse Events (CTCAE) v5.0.
Time frame: Up to 24 months
Maximum Tolerated Dose (MTD)
MTD
Time frame: 21 days
Objective Response Rate (ORR)
ORR is defined as the proportion of participants who have a best overall response of Complete Response (CR) or Partial Response (PR) as assessed by investigator evaluation.
Time frame: Up to 24 months
Complete Response Rate (CRR)
CRR is defined as the proportion of participants who have a best overall response of Complete Response (CR) as assessed by investigator evaluation
Time frame: Up to 24 months
Progression Free Survival (PFS)
PFS is defined as the duration from randomization to the first imaging confirmation of progressive disease by investigator evaluation or death due to any cause (whichever occurs first).
Time frame: Up to 24 months
Duration Of Response (DOR)
DOR is defined as the time from the date of the first response (CR/PR) until the date of progressive disease as assessed by investigator evaluation or death due to any cause (whichever occurs first).
Time frame: Up to 24 months
Overall Survival (OS)
OS is defined as the time from randomization to deathdue to any cause.
Time frame: Up to 24 months
Maximum measured plasma concentration of FG-M131
Cmax
Time frame: Up to 24 months
Time to maximum plasma concentration of FG-M131
Tmax
Time frame: Up to 24 months
Half-life of FG-M131
T1/2
Time frame: Up to 24 months
ADA
Incidence of anti-FG-M131 antibody and/or neutralizing antibody positivity
Time frame: Up to 24 months
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