Advanced Solid MalignanciesPhase 1NCT04353102
A Study to Evaluate the Safety, Tolerability and How YH002 Enters, Moves Through and Exits the Body in Subjects With Advanced Solid Malignancies
A Phase 1 study testing YH002 in people with Advanced Solid Malignancies, run by Eucure (Beijing) Biopharma Co., Ltd at 3 sites in Australia.
Trial summary
This is an open-label, dose-escalation study of the study drug YH002. The study is designed to determine the safety, tolerability and maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D) of YH002 in patients with advanced solid Malignancies Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Advanced Solid Malignancies
- What is being tested?
- YH002
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 15 participants
- Where
- 3 sitesAustralia
- Study dates
- 22 Apr 2020to 24 Nov 2021
- 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male or female, aged ≥ 18 years
- Confirmed as histologically or cytologically, locally advanced or metastatic non-resectable solid tumors, must have received and progressed on, or been ineligible for, or intolerant of available standard therapies known to confer clinical benefit or for whom no standard therapy exits
- Subjects enrolled in Dose D, Dose E, Dose F, Dose G, and Dose H cohorts must have at least one measurable lesion per RECIST v1.1
- Eastern Cooperative Oncology Group (ECOG) performance status score 0 or 1 and life expectancy no less than 3 months
- Recovery, to Grade 0-1, from adverse events related to prior anticancer therapy except alopecia, < Grade 2 sensory neuropathy, lymphopenia, and endocrinopathies controlled with hormone replacement therapy
Who cannot join
- Symptomatic central nervous system (CNS) metastases. Subjects with asymptomatic CNS metastases who are radiologically and neurologically stable ≥ 4 weeks following CNS- directed therapy, and do not require corticosteroids or anticonvulsants are eligible for study entry
- Received anticancer therapy or radiation therapy within 5 half-lives or 4 weeks prior to study entry, whichever is shorter
- Received palliative radiotherapy to a single area of metastasis within 2 weeks prior to study entry
- Received agonist antibodies to TNFR such as anti-CD137, OX40, CD27 and CD357 antibodies prior to the study entry
- Allergy or sensitivity to YH002, or known allergies to antibodies produced from Chinese hamster ovary cells which assessed to increase the potential for an adverse hypersensitivity to YH002 by Investigator
- History of a Grade 3-4 allergic reaction to treatment with another monoclonal antibody
Show all 11Show fewer
- Grade ≥3 irAEs or irAEs that lead to discontinuation of prior immunotherapy. Hypothyroidism, Type 1 DM, and dermatologic irAEs (except previous Steven Johnson Syndrome, toxic epidermal necrolysis, or other severe forms of dermatitis). Type 1 DM should be controlled with reduction of toxicity to Grade 1 or less
- Concomitant active autoimmune disease or history of autoimmune disease requiring systemic treatment or history of autoimmune disease within 2 years prior to study entry (except vitiligo, resolved childhood asthma/atopy, type I diabetes mellitus or hypothyroidism which can be managed by replacement therapy)
- Received steroids or other immunosuppressive systemic therapy within 4 weeks prior to the first dose of the study drug, or has need to be treated during the study (except using on low systemic absorption location prevent or treat non- autoimmune condition)
- Active hepatitis B or C. Hepatitis B carriers without active disease or cured Hepatitis C may be enrolled
- Severe cardiovascular disease within 6 months of study entry
Trial locations and contacts
3 sites in 1 country.
Australia3 sites
Peninsula & South Eastern Haematology and Oncology Group
Frankston, Victoria, 3199
St George Private Hospital
Kogarah, New South Wales, 2217
Macquarie University
Macquarie, New South Wales, 2162
About this study
Official title: A First-in-Human (FIH), Multicenter, Open-Label, Phase 1 Dose-Escalation Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of YH002 in Subjects With Advanced Solid Malignancies
This is an open-label, dose-escalation study of the study drug YH002. The study is designed to determine the safety, tolerability and maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D) of YH002 in patients with advanced solid Malignancies
Read the detailed description
This is a single arm clinical trial in subjects with advanced solid tumor receiving multiple doses of YH002 intravenously (IV). YH002 will be administered (IV) in 6-48 patients with advanced solid tumors. An accelerated titration method followed by a traditional 3+3 dose escalation algorithm will be utilized to determine MTD/MAD. Patients will be dosed at Dose A, Dose B, Dose C, Dose D, Dose E, Dose F, Dose G, and Dose H every 3 weeks (Q3W).
- Conditions
- Advanced Solid Malignancies
- Being tested
- YH002
- Keywords
- dose escalation, safety, tolerability, advanced solid malignancie, pharmacokinetics
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
YH002Drug
YH002 will be administered intravenously every three weeks (Q3W) for up to 2 years at doses of Dose A, Dose B, Dose C, Dose D, Dose E, Dose F, Dose G, and Dose H.
| Study group | Role | What they receive |
|---|---|---|
| YH002 | Experimental | All subject will receive YH002 intravenously as single agent every three weeks (Q3W) for up to 2 years, until intolerable toxicity, confirmed disease progression, withdrawal of consent, or Investigator decision, whichever comes first. Subjects who remain on treatment in the absence of disease progression for more than 2 years may continue to receive study drug through a single patient IND. Receives: Drug: YH002 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of participants with adverse events and serious adverse events
The safety profile of YH002 will be assessed by monitoring the adverse events (AE) per the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v5.0
Measured: From screening up to 2 year
Maximum tolerated dose (MTD)
MTD is defined as the highest dose level at which no more than 1 out of 6 subjects experiences a DLT during the first cycle
Measured: Cycle 1 of each cohort. Duration of one cycle is 3 weeks
Dose-limiting toxicities (DLT)
DLT is defined as a toxicity (adverse event at least possibly related to YH002) occurring during the DLT observation period (the initial 21 days)
Measured: Cycle 1 of each cohort. Duration of one cycle is 3 weeks
Secondary outcomes (17)
Area under the serum concentration versus time curve within one dosing interval (AUCtau)
To determine the pharmacokinetics (PK) profile of YH002
Measured: Up to 2 years
Volume of distribution (Vd)
To determine the pharmacokinetics (PK) profile of YH002
Measured: Up to 2 years
Volume of distribution at steady state (Vss)
To determine the pharmacokinetics (PK) profile of YH002
Measured: Up to 2 years
Maximum serum concentration (Cmax)
To determine the PK profile of YH002 as single agent
Measured: Up to 2 years
Trough concentration before the next dose is administered (Ctrough)
To determine the PK profile of YH002
Measured: Up to 2 years
Time to reach maximum serum concentration (Tmax)
To determine the PK profile of YH002
Measured: Up to 2 years
Clearance (CL)
To determine the PK profile of YH002
Measured: Up to 2 years
Terminal half-life (T1/2)
To determine the PK profile of YH002
Measured: Up to 2 years
Dose proportionality
To determine the PK profile of YH002
Measured: Up to 2 years
Incidence of anti-drug antibodies (ADAs)
To assess the immunogenicity of YH002
Measured: Up to 2 years
Incidence of neutralizing antibodies (NAbs)
To assess the immunogenicity of YH002
Measured: Up to 2 years
Objective response rate (ORR)
To assess the preliminary antitumor activity of YH002
Measured: Up to 2 years
Duration of response (DOR)
To assess the preliminary antitumor activity of YH002
Measured: Up to 2 years
Progression free survival (PFS)
To assess the preliminary antitumor activity of YH002
Measured: Up to 2 years
Time to response (TTR)
To assess the preliminary antitumor activity of YH002
Measured: Up to 2 years
Disease control rate (DCR)
To assess the preliminary antitumor activity of YH002
Measured: Up to 2 years
Duration of disease control (DOC)
To assess the preliminary antitumor activity of YH002
Measured: Up to 2 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Apr 2020
- Study start22 Apr 2020
- Primary completion14 Sep 2021
- Study completion24 Nov 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Advanced Solid MalignanciesStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- 15 participants (actual)
Sponsor and investigators
- Lead sponsor
- Eucure (Beijing) Biopharma Co., Ltd
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04353102
- Sponsor's protocol ID
- YH002002
- Status last verified
- Jul 2022
- First submitted
- 17 Apr 2020
- Last updated
- 22 Jul 2022
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 22 Jul 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A First-in-Human (FIH), Multicenter, Open-Label, Phase 1 Dose-Escalation Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of YH002 in Subjects With Advanced Solid Malignancies
- ClinicalTrials.gov ID
- NCT04353102
- Acronym / sponsor ID
- YH002002
- Conditions
- Advanced Solid Malignancies
- Keywords
- dose escalation, safety, tolerability, advanced solid malignancie, pharmacokinetics
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 15 participants (actual)
- Lead sponsor
- Eucure (Beijing) Biopharma Co., LtdIndustry (pharma, biotech, devices)
- Study start
- 22 Apr 2020 (actual)
- Primary completion
- 14 Sep 2021 (actual)
- Study completion
- 24 Nov 2021 (actual)
- First posted
- 20 Apr 2020 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is an open-label, dose-escalation study of the study drug YH002. The study is designed to determine the safety, tolerability and maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D) of YH002 in patients with advanced solid Malignancies
Detailed description
This is a single arm clinical trial in subjects with advanced solid tumor receiving multiple doses of YH002 intravenously (IV). YH002 will be administered (IV) in 6-48 patients with advanced solid tumors. An accelerated titration method followed by a traditional 3+3 dose escalation algorithm will be utilized to determine MTD/MAD. Patients will be dosed at Dose A, Dose B, Dose C, Dose D, Dose E, Dose F, Dose G, and Dose H every 3 weeks (Q3W).
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| YH002 | Experimental | Drug: YH002All subject will receive YH002 intravenously as single agent every three weeks (Q3W) for up to 2 years, until intolerable toxicity, confirmed disease progression, withdrawal of consent, or Investigator decision, whichever comes first. Subjects who remain on treatment in the absence of disease progression for more than 2 years may continue to receive study drug through a single patient IND. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Male or female, aged ≥ 18 years
- Confirmed as histologically or cytologically, locally advanced or metastatic non-resectable solid tumors, must have received and progressed on, or been ineligible for, or intolerant of available standard therapies known to confer clinical benefit or for whom no standard therapy exits
- Subjects enrolled in Dose D, Dose E, Dose F, Dose G, and Dose H cohorts must have at least one measurable lesion per RECIST v1.1
- Eastern Cooperative Oncology Group (ECOG) performance status score 0 or 1 and life expectancy no less than 3 months
- Recovery, to Grade 0-1, from adverse events related to prior anticancer therapy except alopecia, < Grade 2 sensory neuropathy, lymphopenia, and endocrinopathies controlled with hormone replacement therapy
Key exclusion criteria (11 listed)
- Symptomatic central nervous system (CNS) metastases. Subjects with asymptomatic CNS metastases who are radiologically and neurologically stable ≥ 4 weeks following CNS- directed therapy, and do not require corticosteroids or anticonvulsants are eligible for study entry
- Received anticancer therapy or radiation therapy within 5 half-lives or 4 weeks prior to study entry, whichever is shorter
- Received palliative radiotherapy to a single area of metastasis within 2 weeks prior to study entry
- Received agonist antibodies to TNFR such as anti-CD137, OX40, CD27 and CD357 antibodies prior to the study entry
- Allergy or sensitivity to YH002, or known allergies to antibodies produced from Chinese hamster ovary cells which assessed to increase the potential for an adverse hypersensitivity to YH002 by Investigator
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| YH002YH002 will be administered intravenously every three weeks (Q3W) for up to 2 years at doses of Dose A, Dose B, Dose C, Dose D, Dose E, Dose F, Dose G, and Dose H. | Drug | YH002 |
Primary outcome
Number of participants with adverse events and serious adverse events
Time frame: From screening up to 2 year
The safety profile of YH002 will be assessed by monitoring the adverse events (AE) per the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v5.0
Maximum tolerated dose (MTD)
Time frame: Cycle 1 of each cohort. Duration of one cycle is 3 weeks
MTD is defined as the highest dose level at which no more than 1 out of 6 subjects experiences a DLT during the first cycle
Dose-limiting toxicities (DLT)
Time frame: Cycle 1 of each cohort. Duration of one cycle is 3 weeks
DLT is defined as a toxicity (adverse event at least possibly related to YH002) occurring during the DLT observation period (the initial 21 days)
17 secondary outcomes
Area under the serum concentration versus time curve within one dosing interval (AUCtau)
Time frame: Up to 2 years
Volume of distribution (Vd)
Time frame: Up to 2 years
Volume of distribution at steady state (Vss)
Time frame: Up to 2 years
Maximum serum concentration (Cmax)
Time frame: Up to 2 years
Trough concentration before the next dose is administered (Ctrough)
Time frame: Up to 2 years
Time to reach maximum serum concentration (Tmax)
Time frame: Up to 2 years
Clearance (CL)
Time frame: Up to 2 years
Terminal half-life (T1/2)
Time frame: Up to 2 years
Dose proportionality
Time frame: Up to 2 years
Incidence of anti-drug antibodies (ADAs)
Time frame: Up to 2 years
Incidence of neutralizing antibodies (NAbs)
Time frame: Up to 2 years
Objective response rate (ORR)
Time frame: Up to 2 years
Duration of response (DOR)
Time frame: Up to 2 years
Progression free survival (PFS)
Time frame: Up to 2 years
Time to response (TTR)
Time frame: Up to 2 years
Disease control rate (DCR)
Time frame: Up to 2 years
Duration of disease control (DOC)
Time frame: Up to 2 years
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 22 Jul 2022.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
3 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing YH002 in people with Advanced Solid Malignancies, run by Eucure (Beijing) Biopharma Co., Ltd at 3 sites in Australia.
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 5 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: finished, as of the sponsor's last update on 22 Jul 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 3 sites in Australia. 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 adverse events and serious adverse events (time frame: From screening up to 2 year). The study lists 3 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 22 Jul 2022.