This open-label, multicenter Phase IIa study is to evaluate the efficacy and safety of injectable ALK-N001 in patients with advanced gastrointestinal tumors, with the primary objective to assess its preliminary efficacy.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
174
Injectable ALK-N001 is administered intravenously every 2 weeks (Q2W; 28-day treatment cycle). Two predefined dose levels are available: 37.5 mg/m² (Dose A) and 50 mg/m² (Dose B). Enrollment or suspension of dose groups may be determined by the Safety Review Committee (SRC) based on safety, PK, PD and preliminary anti-tumor activity data.
Objective Response Rate (ORR), assessed per Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1
ORR is defined as the proportion of participants with confirmed complete response (CR) or partial response (PR) as evaluated by RECIST V1.1.
Time frame: Up to approximately 24 months from the first dose.
Duration of Response (DOR)
Description: DOR is defined as the time from the first documentation of CR/PR until the first documented progressive disease (PD) or death from any cause.
Time frame: Up to approximately 24 months from the first dose.
Disease Control Rate (DCR)
DCR is the proportion of participants achieving CR, PR, or stable disease (SD) per RECIST V1.1. Time Frame: Up to approximately 24 months from the first dose.
Time frame: Up to approximately 24 months from the first dose.
Progression-Free Survival (PFS)
PFS is the time from study enrollment to documented PD or death from any cause. 6-,12-,24-month PFS rates will be calculated.
Time frame: Up to approximately 24 months from the first dose.
Overall Survival (OS)
OS is defined as the time from enrollment to death from any cause. 12-,24-month OS rates will be calculated.
Time frame: Up to approximately 24 months from the first dose.
Safety (Adverse Events and Serious Adverse Events)
Incidence, severity and relatedness of AEs and SAEs; laboratory tests, 12-lead ECG, vital signs, physical examination and ECOG performance status.
Time frame: From informed consent until 28±7 days after last dose.
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Population Pharmacokinetics (PopPK) of total DXD and free DXD
Characterize PopPK profiles of total DXD and free DXD.
Time frame: From first dose up to end of treatment.
Exposure-Response (E-R) relationship of total DXD and free DXD
E-R relationship between total/free DXD exposure and efficacy, safety and biomarkers.
Time frame: From first dose up to approximately 24 months after first dose.