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Advanced Solid TumorPhase 1GB226NCT03374007

Phase I Clinical Trial in Chinese Patients of Advanced and (or) Recurrent Solid Tumor/Lymphoma

A Phase 1 study testing Geptanolimab Injection 1mg/kg, Geptanolimab Injection 3mg/kg and Geptanolimab Injection 10mg/kg in people with Advanced Solid Tumor and Recurrent Solid Tumor, run by Genor Biopharma Co., Ltd. at 2 sites in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

With open, single/ multiple dosing and dose escalation, phase I clinical trial scheme to evaluate safety, tolerance and pharmacokinetic properties of Genolimzumab injection in Chinese patients of advanced and (or) recurrent solid tumor/lymphoma Read more about this study

Who is it for?
Ages 18 to 65 years
What is being tested?
Geptanolimab Injection 1mg/kg, Geptanolimab Injection 3mg/kg and Geptanolimab Injection 10mg/kg
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
72 participants
Where
2 sitesChina
Study dates
19 Oct 2017to Aug 2022
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 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 1. Age: 18-65. Unisex.
  • 2. Understand trial procedure and content and sign informed consent voluntarily;
  • 3. Patients of advanced (phase Ⅲb, multidisciplinary treatment is not appropriate), metastatic (phase IV) or recurrent solid tumor (including melanoma, NSCLC, renal cell carcinoma, head \& neck cancer, esophagus cancer, liver cancer, bladder cancer, spongioblastoma) or lymphoma (classical hodgkin lymphoma and (or) peripheral T-cell lymphoma, natural killer (NK)-T cell lymphoma and mediastinal B cell lymphoma) conformed by histology or cytology and cannot be cured by surgery. There is no effective standard treatment now.
  • 4. Agree to provide recorded tumor tissue sample or fresh tissue sample.
  • 5. Eastern Cooperative Oncology Group (ECOG): 0-1;
  • 6. Expected life ≥ 3 months;
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  • 7. With at least one measurable and evaluable tumor (solid tumor is subject to criteria for evaluating efficacy of Immune-Related Response Criteria (irRC)/RECIST and lymphoma is subject to criteria/revised criteria of international working group);
  • 8. Chemotherapy of the whole body is completed at least 4 weeks before inclusion.
  • 9. Radiotherapy of the whole body and partial palliative radiotherapy are completed at least 4 weeks before inclusion.
  • 10. Corticosteroids (prednisone>10mg/d or equivalent) has been stopped at least 2 weeks before inclusion.
  • 11. Autotransplantation is completed at least 3 months before inclusion.
  • 12. Major surgeries with the need of general anesthesia are completed at least 4 weeks. Surgeries with the need of local anesthesia/epidural anesthesia are completed at least 2 weeks and the subjects have recovered. Skin biopsies with the need of local anesthesia are completed at least 1 hour before inclusion.
  • 13. Previous tumor biotherapy (tumor vaccine, cell factor or growth factor for the purpose of tumor control) is completed at least 4 weeks before inclusion;
  • 14. Without severe haematological, cardiopulmonary, liver and kidney diseases except protopathic. For patients of solid tumor, hemoglobin≥9g/dl, neutrophile granulocyte≥1.5×109/L, blood platelet≥100×1012/L. For patients of hematologic tumor, hemoglobin≥8g/dl, neutrophile granulocyte≥1.0×109/L, blood platelet≥80×1012/L.
  • 15. Serum creatinine≤1.5xUpper Limit Of Normal (ULN) or creatinine clearance rate≥50mL/min and urine protein<2+ in test paper of urine. For patients with urine protein great than or equal to 2+ in test paper of urine, urine shall be collected in 24 hours and urine protein must less than or be equal to 1g.
  • etc.

Who cannot join

  • 1. Active central nervous system metastasis; If central nervous system (CNS) metastasis of patients can be treated and their symptoms of nervous system can recover to the baseline level (excluding residual signs or symptoms related to CNS treatment) for 2 weeks when they are included, they can participate in the research. Cranial CT or MRI scanning shall be made for the patients 30 days before inclusion.
  • 2. Meningeal metastases or meningeal infiltration of tumors;
  • 3. Patients with other malignant tumors (excluding cured cervical carcinoma in situ and skin basal cell carcinoma) shall not participate in the research, unless he/she has been fully relieved at least 2 years without the need of other treatment or other treatment is not needed during the research.
  • 4. With active, known or suspected autoimmune disease.
  • 5. With previous usage of PD-1 antibody, PD-L1 antibody, PD-L2 antibody or cytotoxic T-lymphocyte-associated antigen-4 immunoglobulin (CTLA-4) antibody for treatment (or other antibody for co-stimulation or check point assess of T cells)
  • 6.With severe internal medicine diseases, including severe heart disease, cerebrovascular disease, uncontrolled diabetes, uncontrolled high blood pressure, active peptic ulcer, active bleeding.
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  • 7. With active infection.
  • 8. With active tuberculosis infection; with active tuberculosis infection in the past.
  • 9. Positive hepatitis B surface antigen (HBsAg), hepatitis C antibody (HCV-Ab), acquired immunodeficiency syndrome antibody (Anti-HIV) and treponema pallidum antibody (TP-Ab). Positive subjects of HBsAg may not be excluded from patients of liver cancer.
  • 10. Complication with the need of immunosuppressive drug or complication with the need of corticosteroids for whole or partial body in the dosage of immunosuppressive action.
  • etc.

Trial locations and contacts

2 sites in 1 country.

Shawn Yu, Master contact

86-010-65260820

shawn.yu@genorbio.com

China2 sites, 2 recruiting
  • Cancer Hospital Chinese Academy of Medical Sciences

    Beijing, Beijing Municipality, 100021

    Yuankai Shi, Doctor

    Yuankai Shi, Doctor

    Not yet recruiting
  • Harbin Medical University Cancer Hospital

    Harbin, Heilongjiang, 150081

    Qingyuan Zhang, Doctor

    Qingyuan Zhang, Doctor

    Recruiting

Other trials in China

About this study

Official title: With Open, Single/Multiple Dosing and Dose Escalation, Phase I Clinical Trial Scheme to Evaluate Safety, Tolerance and Pharmacokinetic Properties of Genolimzumab Injection

With open, single/ multiple dosing and dose escalation, phase I clinical trial scheme to evaluate safety, tolerance and pharmacokinetic properties of Genolimzumab injection in Chinese patients of advanced and (or) recurrent solid tumor/lymphoma

Read the detailed description

Recombinant Programmed death-1(PD-1) humanized monoclonal antibody injection (company code: GB226) is joint developed by Genor Biopharma Co. Ltd and Crown Bioscience,Inc., it is the reorganization of deoxyribonucleic acid (DNA) technology in the Chinese hamster ovary (CHO) cells express system expressed in a immunoglobulin G4 (IgG4) kappa type single resistance to predominate. GB226 had the different new amino acid sequence and molecular structure compared with two marketed PD-1 monoclonal antibody injection and got the approval of China Food and Drug Administration (CFDA) for clinical trial.Pharmaceutical research indicated GB226 cell strain had security source, production process is stable, quality can control, preparation stability, has good compatibility with packaging materials, it has the condition of industrialization, can prepare investigational medicinal product with safety, effective, and controlled quality for clinical research.Pharmacodynamics study show the targets and mechanisms of GB226 is clear, tumor suppression effect is obvious.Toxicology studies show this product in high doses with low toxic, and the toxic is reversible, the most common toxicity is specific to the drug action mechanism.

Being tested
Geptanolimab Injection 1mg/kg, Geptanolimab Injection 3mg/kg, Geptanolimab Injection 10mg/kg, Geptanolimab Injection 1mg/kg, q2w*6, Geptanolimab Injection 3mg/kg, q2w*6
Medical subject headings
Lymphoma, Hodgkin Disease

What participants receive

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

  • Geptanolimab Injection 1mg/kgBiological

    Also called Recombinant PD-1 humanized monoclonal antibody injection, Geptanolimab Injection

    single-dose:1mg/kg

  • Geptanolimab Injection 3mg/kgBiological

    Also called Recombinant PD-1 humanized monoclonal antibody injection, Geptanolimab Injection

    single-dose: 3mg/kg

  • Geptanolimab Injection 10mg/kgBiological

    Also called Recombinant PD-1 humanized monoclonal antibody injection, Geptanolimab Injection

    single-dose:10mg/kg

  • Geptanolimab Injection 1mg/kg, q2w*6Biological

    Also called Recombinant PD-1 humanized monoclonal antibody injection, Geptanolimab Injection

    multiple dosing: 1mg/kg, q2w*6

  • Geptanolimab Injection 3mg/kg, q2w*6Biological

    Also called Recombinant PD-1 humanized monoclonal antibody injection, Geptanolimab Injection

    multiple dosing: 3mg/kg, q2w*6

  • Geptanolimab Injection 10mg/kg, , q2w*6Biological

    Also called Recombinant PD-1 humanized monoclonal antibody injection, Geptanolimab Injection

    multiple dosing: 10mg/kg, , q2w*6

  • Geptanolimab Injection 280mg, q3wBiological

    Also called Recombinant PD-1 humanized monoclonal antibody injection, Geptanolimab Injection

    multiple dosing: 280mg, q3w

  • Geptanolimab Injection 3mg/kg, q2wBiological

    Also called Recombinant PD-1 humanized monoclonal antibody injection, Geptanolimab Injection

    multiple dosing: 3mg/kg, q2w

Study groups in NCT03374007
Study groupRoleWhat they receive
GB226 1mg/kg single-doseExperimentalGeptanolimab, 1mg/kg, i.v., single-dose
Receives: Biological: Geptanolimab Injection 1mg/kg
GB226 3 mg/kg single-doseExperimentalGeptanolimab, 3mg/kg, i.v., single-dose
Receives: Biological: Geptanolimab Injection 3mg/kg
GB226 10mg/kg single-doseExperimentalGeptanolimab 10mg/kg, i.v., single-dose
Receives: Biological: Geptanolimab Injection 10mg/kg
GB226 1mg/kg multiple dosing, every 2 weeksExperimentalGeptanolimab, 1mg/kg, i.v., q2w*6
Receives: Biological: Geptanolimab Injection 1mg/kg, q2w*6
GB226 3mg/kg multiple dosing,every 2 weeksExperimentalGeptanolimab, 3mg/kg, i.v., q2w*6
Receives: Biological: Geptanolimab Injection 3mg/kg, q2w*6
GB226 10mg/kg multiple dosing, every 2 weeksExperimentalGeptanolimab,10mg/kg, i.v., q2w*6
Receives: Biological: Geptanolimab Injection 10mg/kg, , q2w*6
GB226 280mg multiple dosingExperimentalGeptanolimab, 280mg, i.v., q3w
Receives: Biological: Geptanolimab Injection 280mg, q3w
GB226 3mg/kg multiple dosingExperimentalGeptanolimab, 3mg/kg, i.v., q2w
Receives: Biological: Geptanolimab Injection 3mg/kg, q2w

What is being measured

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

  1. adverse event

    adverse event

    Measured: all adverse events will be recorded from the time the consent form is signed through 30 days following cessation of treatment.

  2. Serious Adverse Event

    Serious Adverse Event

    Measured: all serious adverse events will be recorded from the time the consent form is signed through 30 days following cessation of treatment.

  3. Dose limiting Toxicity, DLT

    Dose limiting Toxicity, DLT

    Measured: Day 1 to Day 28 after first dose

  4. Maximum Tolerated Dose, MTD

    Maximum Tolerated Dose, MTD

    Measured: Day 1 to Day 28 after first dose

Secondary outcomes (11)
  1. AUC 0-t

    AUC 0-t

    Measured: up to 12 weeks

  2. C max

    C max

    Measured: up to 12 weeks

  3. AUC 0-∞

    AUC 0-∞

    Measured: up to 12 weeks

  4. T max

    T max

    Measured: up to 12 weeks

  5. Vd

    Vd

    Measured: up to 12 weeks

  6. Ke

    Ke

    Measured: up to 12 weeks

  7. t 1/2

    t 1/2

    Measured: up to 12 weeks

  8. CL

    CL

    Measured: up to 12 weeks

  9. Anti-drug antibody, ADA

    Anti-drug antibody, ADA

    Measured: up to 12 weeks

  10. IFN-γ concentration

    IFN-γ concentration

    Measured: up to 12 weeks

  11. peripheral blood CD8+PD-1 receptor occupying ratio

    peripheral blood CD8+PD-1 receptor occupying ratio

    Measured: up to 12 weeks

Timeline

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

  1. First posted14 Dec 2017
  2. Study start19 Oct 2017
  3. Primary completionJun 2022 (estimated)
  4. Study completionAug 2022 (estimated)

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
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
72 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03374007
Sponsor's protocol ID
Gxplore-001
Acronym
GB226
Status last verified
Mar 2021
First submitted
6 Dec 2017
Last updated
16 Aug 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: There is not a plan to make individual participant data available.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Geptanolimab Injection 1mg/kg, Geptanolimab Injection 3mg/kg and Geptanolimab Injection 10mg/kg in people with Advanced Solid Tumor and Recurrent Solid Tumor, run by Genor Biopharma Co., Ltd. at 2 sites 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 16 inclusion and 11 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: status not confirmed, as of the sponsor's last update on 16 Aug 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites 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?

Results are not available in the source record.

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

Contact Shawn Yu, Master (86-010-65260820, shawn.yu@genorbio.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

adverse event (time frame: all adverse events will be recorded from the time the consent form is signed through 30 days following cessation of treatment.). The study lists 4 primary outcomes in all. 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 16 Aug 2021.

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