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Solid TumorsPhase 1NCT02857166

Study of JS001 in Participants With Advanced Solid Tumors

A Phase 1 study testing humanized anti-PD-1 monoclonal antibody toripalimab in people with Solid Tumors, run by Shanghai Junshi Bioscience Co., Ltd. at 1 site in China.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to evaluate the safety, tolerance and Dose-Limiting Toxicity (DLT) of Recombinant humanized anti-PD-1 monoclonal antibody (JS001) in patients with advanced solid tumors. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Solid Tumors
What is being tested?
humanized anti-PD-1 monoclonal antibody toripalimab
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
24 participants
Where
1 siteChina
Study dates
Mar 2016to Dec 2018
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Histological or cytological diagnosis of advanced or recurrent adenocarcinoma of solid tumor, including adenocarcinoma of the stomach or gastro-esophageal junction, esophageal squamous cell carcinoma, nasopharyngeal carcinoma, cholangiocarcinoma, Pancreatic ductal cell carcinoma, etc.
  • at least one prior chemotherapy regimen
  • age between 18 and 75 years, both gender
  • has at least one measurable disease by Response Evaluation Criteria in Solid Tumors (RECIST V1.1)
  • life expectancy ≥ 3 months
  • ECOG performance status of 0 or 1
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  • Has had last dose of chemotherapy more than 4 weeks prior to the first dose of study therapy JS001, and has recovered to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 4.0 Grade 1 or better from the AEs due to the chemotherapy.
  • Has had last administration of radioactive therapy more than 4 weeks prior to the first dose of study therapy JS001.
  • Has had last administration of immunosuppressive systemic steroid therapy (more than 10 mg/d prednisone or equal dose) more than 2 weeks prior to the first dose of study therapy JS001.
  • Has undergone major surgery that needs general anesthesia more than 4 weeks prior to the first dose of study therapy JS001. Has undergone surgery that needs local anesthesia or epidural anesthesia more than 72 hours prior to the first dose of study therapy JS001 and has already recovered from the surgery. Has undergone biopsy more than 1 hour prior to the first dose of study therapy JS001.
  • The lab examination results of the screening must fulfill all of the following:
  • absolute neutrophil count more than or equal to 1.5×109/ L
  • platelet count more than or equal to 90×109/ L
  • hemoglobin more than or equal to 90 g/L
  • creatinine less than or equal to132.6µmol/L or creatinine clearance >40 mL/min
  • aspartate transferase(AST) and alanine transferase(ALT) less than or equal to 3.0 ×ULN
  • total bilirubin less than or equal to 1.5×ULN( except for the patients with Gilbert syndrome, whose total bilirubin ,must less than or equal to 51.3µmol/L)
  • Patient has been informed about the nature of the study, and has agreed to participate in the study, and signed the Informed Consent Form prior to participation in any study related activities.
  • Able to adhere to the study visit schedule and other protocol requirements.

Who cannot join

  • Has had antineoplastic herbal therapy within 2 weeks prior to the first dose of study therapy JS001.
  • Is currently participating and receiving study therapy or has participated in a study of an investigational agent and receive study therapy or used an investigational device within 4 weeks of the first dose of study drug.
  • Has a medical condition that requires chronic systemic steroid therapy or on any other form of immunosuppressive medication.
  • Has a known history of a hematologic malignancy, primary brain tumor or sarcoma, or of another primary solid tumor, unless the participant has undergone potentially curative therapy with no evidence of that disease for 5 years.
  • Has known active central nervous system (CNS) metastases and/or carcinomatous meningitis.
  • Has interstitial lung disease OR has had a history of pneumonitis that has required oral or IV steroids.
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  • Has active or suspected autoimmune disease except leukoderma,type I Diabetes, Residual hypothyroidism that induced by autoimmune thyroiditis and only requires the use of hormone replacement therapy, Or disease that rarely relapse without external stimulating factors.
  • Had prior treatment targeting PD-1: anti-PD-1,anti-PD-L1, anti-PD-L2, cytotoxic T-lymphocyte-associated protein (CTLA), or other antibodies that targeting T cell costimulatory pathway or checkpoint.
  • Has an active infection requiring systematic therapy.
  • Is positive for Human Immunodeficiency Virus (HIV).
  • Has active Tuberculosis.
  • Has known active Hepatitis B or C.
  • Has known psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the study.
  • Has received or will receive a live vaccine within 30 days prior to the first administration of study drug.
  • Is pregnant or breastfeeding.
  • Cannot tolerate vein puncture and / or venous access.
  • Any other conclusive medical reasons, mental illness, and / or social reasons that determined by the investigators.

Trial locations and contacts

1 site in 1 country.

China1 site
  • Sun Yat-sen UniversityCancer center

    Guangzhou, Guangdong, 510060

Other trials in China

About this study

Official title: Phase IA Study of the Safety, Tolerability, Pharmacokinetics and Efficacy of Recombinant Humanized Anti-PD-1 Monoclonal Antibody (JS001) in Patients With Advanced Solid Tumors

The purpose of this study is to evaluate the safety, tolerance and Dose-Limiting Toxicity (DLT) of Recombinant humanized anti-PD-1 monoclonal antibody (JS001) in patients with advanced solid tumors.

Read the detailed description

OVERVIEW

This is a Phase 1, open-label, dose-escalation study of JS-001, a humanized monoclonal IgG4 antibody targeting the Programmed Death -1 (PD-1). It is estimated that 12-24 subjects with advanced or recurrent solid tumors or will be enrolled in the study.

A 3+3 design will be utilized for this Phase 1 study. Four dose levels are planned and include: 0.3, 1, 3, 10 mg/kg/dose. Each of the 4 dose levels will use 2 dose schedules: single dose, repeated doses every 2 weeks. Subjects will be assigned to a dose schedule in the order of study entry.

The study will be the traditional 3 + 3 design with 3 or 6 subjects treated at this dose level and at all subsequent dose levels depending upon the incidence of DLTs. If no DLTs occur in a cohort of 3 subjects, a new cohort of 3 subjects will be treated at the next higher dose level. If 1 of 3 subjects in a cohort experiences a DLT, that cohort will be expanded to 6 subjects. If only 1 of the 6 subjects has a DLT, then the next cohort of 3 subjects will be treated at the next higher dose level. If 2 or more DLTs occur within a cohort, then that dose level will be above the MTD (the highest dose where no more than 1 of 6 subjects has experienced a DLT), and the previous lower (tolerated) dose level will be considered the MTD.

A DLT is defined as a Grade 3 drug-related adverse event occurring within the first cycle (28 days) of dosing (excluding tumor flare defined as local pain, irritation, or rash localized at sites of known or suspected tumor or a transient Grade 3 infusion adverse event) using National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 4.0 in a single dose cohort.

Tumor response will be evaluated using immune-related response criteria (irRC), WHO criteria , Response Evaluation Criteria in Solid Tumors (RECIST), immune-related RECIST, and International Workshop to Standardize Response Criteria for non-Hodgkin's Lymphomas (for lymphomas only).

In the absence of confirmed disease progression and intolerable toxicities, subjects in the single dose cohorts and multiple dose cohorts will be allowed to continue JS-001 administration with the consent of the subject.

DOSAGE AND ADMINISTRATION

JS-001 will be administered as a 60-minute i.v. infusion. Cohorts will include escalating dose levels of 0.3, 1, 3, 10mg/kg/dose.

SAFETY EVALUATIONS

Assessment of safety will be determined by vital sign measurements, clinical laboratory tests, Eastern Cooperative Oncology Group (ECOG) performance status evaluations, diagnostic imaging, physical examinations, electrocardiograms, and the incidence and severity of adverse events.

Safety will also include evaluations of immune safety and immunogenicity. Particular attention will be given to adverse events that may follow enhanced T-cell activation such as dermatitis and colitis, uveitis, or other immune-related adverse events (irAEs).

An irAE is a clinically significant adverse event of any organ that is associated with drug exposure, of unknown etiology, and is consistent with an immune-mediated mechanism.

EFFICACY EVALUATIONS

The primary efficacy endpoint is the best response rate (RR). Duration of response, progression-free survival, time to progression, and overall survival will also be analyzed.

PHARMACOKINETIC EVALUATIONS

Pharmacokinetic parameters include AUC, Cmax, tmax, and t½, etc. STATISTICAL METHODS The sample size for this study is not determined from power analysis. It is based on the 3+3 design for dose escalation and safety evaluation requirements.

Descriptive statistics will include: mean, standard deviation, median, and minimum and maximum values for continuous variables; frequencies and percentages for categorical variables.

The efficacy parameters will be summarized using descriptive statistics. All safety and pharmacokinetic parameters will be summarized using descriptive statistics.

Conditions
Solid Tumors
Being tested
humanized anti-PD-1 monoclonal antibody toripalimab
Keywords
JS001, solid tumors

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • humanized anti-PD-1 monoclonal antibody toripalimabBiological

    Also called JS001, TAB001

    humanized anti-PD-1 monoclonal antibody (JS001) is a programmed death-1 (PD-1) immune checkpoint inhibitor antibody, which selectively interferes with the combination of PD-1 with its ligands, PD-L1 and PD-L2, resulting in the activation of lymphocytes and elimination of malignancy theoretically.

Study groups in NCT02857166
Study groupRoleWhat they receive
humanized anti-PD-1 monoclonal antibody toripalimabExperimentalhumanized anti-PD-1 monoclonal antibody is to be injected intravenously 0.3mg/kg or 1mg/kg or 3mg/kg or 10mg/kg until disease progresses or unacceptable tolerability occurs.
Receives: Biological: humanized anti-PD-1 monoclonal antibody toripalimab

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Abnormal Laboratory Values and/or Adverse Events That Are Related to Treatment

    Measured: Up to 2 approximately years

Secondary outcomes (17)
  1. Anti-Drug Antibody of JS001 in Chinese patients

    Measured: Cycle 1,2,3,5 Day 1 before JS001 infusion and 336 hours after last JS001 infusion, each cycle is 28 days.

  2. Objective Response Rate (ORR)

    Measured: Up to 2 approximately years

  3. Duration of Response (DOR)

    Measured: Up to 2 approximately years

  4. Progression-Free survival (PFS)

    Measured: Up to 2 approximately years

  5. Overall Survival (OS)

    Measured: Up to 2 approximately years

  6. DLT in patients with solid tumor treated with JS001.

    Measured: Cycle 1(each cycle is 28 days)

  7. PD-1 receptor occupancy of blood

    Measured: 1 year

  8. Maximum Plasma Concentration (Cmax) after single dose injection of Anti-PD-1 Monoclonal Antibody (mAb)

    Measured: 1 year

  9. Peak Time (Tmax) after single dose injection of Anti-PD-1 mAb

    Measured: 1 year

  10. Area Under the Curve (AUC) after single dose injection of Anti-PD-1 mAb Area Under the Curve [AUC]). Area Under the Curve (AUC) after single dose injection of Recombinant Humanized Anti-PD-1 Monoclonal Antibody

    Measured: 1 year

  11. t1/2 after single dose injection of Recombinant Humanized Anti-PD-1 mAb

    Measured: 1 year

  12. Plasma clearance (CL) after single dose injection of Anti-PD-1 mAb

    Measured: 1 year

  13. Apparent volume of distribution (V) after single dose injection of Anti-PD-1 mAb

    Measured: 1 year

  14. Minimum Plasma Concentration (Cmin) of steady state after multiple dose injection of Anti-PD-1 mAb

    Measured: 1 year

  15. Average Plasma Concentration (Cav) of steady state after multiple dose injection of Anti-PD-1 mAb

    Measured: 1 year

  16. Degree of fluctuation (DF) of steady state after multiple dose injection of Anti-PD-1 mAb

    Measured: 1 year

  17. Apparent volume of distribution of steady state (Vss) after multiple dose injection of Anti-PD-1 mAb

    Measured: 1 year

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Aug 2016 (estimated)
  2. Study startMar 2016
  3. Primary completionSep 2017
  4. Study completionDec 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
24 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02857166
Sponsor's protocol ID
Junshi-JS001-ZSZL-I
Status last verified
Oct 2019
First submitted
27 Jul 2016
Last updated
23 Oct 2019
Results posted
No
Data monitoring committee
Yes
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing humanized anti-PD-1 monoclonal antibody toripalimab in people with Solid Tumors, run by Shanghai Junshi Bioscience Co., Ltd. at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 19 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 23 Oct 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With Abnormal Laboratory Values and/or Adverse Events That Are Related to Treatment (time frame: Up to 2 approximately years). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Oct 2019.

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