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Locally Advanced Unresectable CarcinomaPhase 1/2NCT05105464

A Study to Investigate the Safety of SYHA1815 in Subjects With Unresectable Locally Advanced or Metastatic Solid Tumors

A Phase 1/2 study testing SYHA1815 in people with Locally Advanced Unresectable Carcinoma, run by Shanghai Runshi Pharmaceutical Technology Co., Ltd at 1 site 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 The sponsor has not verified this record for over two years, so it may be out of date.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

This is a multi-center, open-label, dose escalation and expansion, phase I study to investigate the safety, tolerability, pharmacokinetics (PK) and pharmacodynamics (PD) characteristics, preliminary efficacy of SYHA1815 in subjects with unresectable locally advanced or metastatic solid tumors. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Locally Advanced Unresectable Carcinoma
What is being tested?
SYHA1815
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
97 participants
Where
1 siteChina
Study dates
25 Jun 2021to Sep 2023
Phase
Phase 1/2
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

  • Male or female subjects aged 18 to 75 years (inclusive);
  • Histologically or cytologically confirmed diagnosis of unresectable locally advanced or metastatic solid tumors (thyroid cancer, non-small cell lung cancer, gastric cancer [including gastroesophageal junction cancer], colorectal cancer, pancreatic cancer, soft tissue sarcoma, etc.), failure of standard treatment (disease progression or intolerance), or no alternative standard treatment or refusal of standard treatment;
  • The subjects included in the dose expansion study should provide written biomarker test reports or tumor tissue samples to the central laboratory;
  • The time interval between the last dose of anti-tumor drug and the first administration of SHYA1815 must meet the following conditions: ≥ 4 weeks for cytotoxic drugs, PD-1 / PD-L1, cellular immunotherapy; ≥2 weeks for oral molecular targeted drug therapy; ≥4 weeks for radiotherapy (≥ 2 weeks for palliative local radiotherapy for pain relief), and had recovered from the toxicities of radiotherapy; ≥2 weeks for anticancer Traditional Chinese medicine or Chinese patent medicine;
  • Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1;
  • Life expectancy ≥ 12 weeks;
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  • At least one measurable lesion according to RECIST 1.1 at the screening phase;
  • The organ function level and related laboratory values of the subjects must meet the following requirements within 7 days before the first dose of study drug (not receiving blood transfusion within 14 days before the first administration):
  • Absolute neutrophil count (ANC) ≥ 1.5 × 10^9/L; Platelet count ≥ 75 × 10^9/L /L; Hemoglobin ≥ 90 g / L; the values of blood phosphorus and calcium are in normal range;
  • Blood biochemistry: serum total bilirubin ≤ 1.5× upper limit of normal value (ULN); AST / ALT ≤ 3 ×ULN (≤ 5 ×ULN for liver metastasis); Serum creatinine ≤ 1.5 × ULN;
  • Coagulation: Internationally standardized ratio (INR) or prothrombin time (PT) ≤ 1.5×ULN, activated partial thrombin time (APTT) ≤ 1.5×ULN;
  • For women of childbearing potential: the serum pregnancy test within 7 days before the first administration must be negative, and female subjects are willing to take adequate contraceptive measures during the treatment period and for at least 3 months after the last dose of the study drug. Male subjects must agree to take contraceptive measures (non-drug or instrumental contraception) from the beginning of the study to at least 3 months after the last dose of study drug;
  • Voluntarily participate in the study and sign the informed consent form.

Who cannot join

  • The previous anti-tumor or surgical treatment history with any of the following conditions:
  • Received the treatment of other intervention clinical studies with 4 weeks before the first dose of study drug;
  • Had undergone major surgery within 4 weeks before the first dose of study drug or had not fully recovered from any previous invasive operation;
  • Prior treatment of RET/FGFR inhibitors or small molecular kinase inhibitors with RET/FGFR as the main targets;
  • Any unresolved toxicities from prior anti-tumor therapy greater than Common Terminology Criteria for Adverse Events (CTCAE) Grade 1, except for alopecia, pigmentation, previous chemotherapy-related neurotoxicity (≤ grade 2) and other adverse reactions judged no safety risk by the investigators;
  • Subjects with symptomatic brain metastasis or meningeal metastasis, spinal cord compression or mental disorder, and asymptomatic brain metastasis can be enrolled (there is no disease progress within at least 4 weeks after radiotherapy and/or no neurological symptoms after surgical resection, and glucocorticoids, anticonvulsant drugs and mannitol are not required);
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  • Impaired cardiac function or clinically significant cardiovascular and cerebrovascular diseases, including any of the following:
  • History of myocardial infarction, congestive heart failure (NYHA grade ≥ grade III), and unstable angina pectoris within 6 months prior to screening;
  • Cerebrovascular disease occurred within 6 months before screening (except for transient ischemic attack (TIA), lacunar infarction with no clinical significance);
  • Severe uncontrollable arrhythmia requiring medical treatment;
  • Electrocardiogram (ECG) examination, female QTc interval>470 milliseconds (ms), male QTc interval>450 milliseconds (ms) according to Fridericia formula;
  • The left ventricular ejection fraction is less than 50% according to cardiac ultrasound examination;
  • History of active bleeding within 6 months before screening;
  • Any serious or uncontrollable disease, and not suitable for this study as determined by the investigator;
  • Any uncontrollable active infection that will prevent the subjects from receiving the study drug within 2 weeks prior to the first dose of study drug;
  • HIV positive, HCV positive with HCV RNA quantity higher than the upper limit of normal value in the research center;
  • Active hepatitis B infection, with the HBV DNA quantity higher than the upper limit of normal value of the research center;
  • A history of any other malignant tumors within 5 years (except for effectively controlled non-melanoma skin basal cell carcinoma, cervical carcinoma in situ, and other malignant tumors that have been effectively controlled without treatment in the past 5 years;
  • Subjects who have taken potent inhibitors and inducers of CYP3A4 liver metabolic enzymes within 2 weeks before the first administration and still need to continue to use such drugs;
  • Women who are breastfeeding;
  • Concomitant disease or condition that may interfere with the conduct of the trial, or that would pose an unacceptable risk to the subject in this trial in the opinion of the investigator.

Trial locations and contacts

1 site in 1 country.

China1 site, 1 recruiting
  • Jilin Cancer Hospital

    Changchun, Jilin, 130012

    Cheng Ying, doctor, 0431-85873390, jl.cheng@163.com

    Recruiting

Other trials in China

About this study

Official title: A Multi-center, Open-label, Dose Escalation and Expansion, Phase I Study to Investigate the Safety, Tolerability, Pharmacokinetics (PK) Characteristic of SYHA1815 in Subjects With Unresectable Locally Advanced or Metastatic Solid Tumors

This is a multi-center, open-label, dose escalation and expansion, phase I study to investigate the safety, tolerability, pharmacokinetics (PK) and pharmacodynamics (PD) characteristics, preliminary efficacy of SYHA1815 in subjects with unresectable locally advanced or metastatic solid tumors. Once the expected effective dose is identified, the dose expansion study will be started to further evaluate the safety, clinical activity and PK profile of SYHA1815 in subjects with unresectable locally advanced or metastatic solid tumors.

Read the detailed description

This is a multi-center, open-label, dose escalation and expansion, phase I study to investigate the safety, tolerability, pharmacokinetics (PK) and pharmacodynamics (PD) characteristics, preliminary efficacy of SYHA1815 in subjects with unresectable locally advanced or metastatic solid tumors. The dose escalation study will include six dose cohorts starting at 2 mg/day. Once the expected effective dose is identified, the dose expansion study will be started to further evaluate the safety, clinical activity and PK profile of SYHA1815 in subjects with unresectable locally advanced or metastatic solid tumors.

Being tested
SYHA1815
Keywords
Locally advanced unresectable or metastatic solid tumors

What participants receive

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

  • SYHA1815Drug

    Also called SYHA1815 tablet

    Subjects will receive SYHA1815 orally.

Study groups in NCT05105464
Study groupRoleWhat they receive
Dose Escalation CohortExperimentalSix dose levels will be tested. The dose-limiting toxicity (DLT) will be assessed from the first administration of SYHA1815 to the end of the first cycle (28 days).
Receives: Drug: SYHA1815
cohort Expansion CohortExperimentalOnce the expected effective dose is determined, four expansion cohorts will be started to further evaluate the safety, clinical activity and PK profile of SYHA1815.
Receives: Drug: SYHA1815

What is being measured

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

  1. Number of participants with Dose-limiting Toxicities

    Number of participants with Dose-limiting Toxicities

    Measured: Baseline through 28 days after the first dose of study drug

  2. Incidence of adverse events and SAEs

    Incidence of adverse events and SAEs defined by the Common Terminology Criteria for Adverse Events version 5.0 (CTCAE V5.0).

    Measured: Up to 3 years

  3. Clinically significant changes from baseline in routine blood test

    Clinically significant changes from baseline in routine blood test

    Measured: Up to 3 years

  4. Clinically significant changes from baseline in blood biochemistry test

    Clinically significant changes from baseline in blood biochemistry test

    Measured: Up to 3 years

  5. Clinically significant changes from baseline in routine urine test

    Clinically significant changes from baseline in routine urine test

    Measured: Up to 3 years

  6. Clinically significant changes from baseline in coagulation function test

    Clinically significant changes from baseline in coagulation function test

    Measured: Up to 3 years

  7. Clinically significant changes from baseline in 12-lead electrocardiogram (ECG)

    Clinically significant changes from baseline in 12-lead electrocardiogram (ECG)

    Measured: Up to 3 years

  8. Clinically significant changes from baseline in vital signs examination

    Clinically significant changes from baseline in vital signs examination

    Measured: Up to 3 years

  9. Clinically significant changes from baseline in physical examination

    Clinically significant changes from baseline in physical examination

    Measured: Up to 3 years

Secondary outcomes (19)
  1. Objective Response Rate (ORR)

    Assessed by Blinded Independent Review Committee (IRC) per RECIST Version 1.1

    Measured: Up to 3 years

  2. Disease control rate (DCR)

    Disease control rate (DCR)

    Measured: Up to 3 years

  3. Duration of response (DOR)

    Duration of response (DOR)

    Measured: Up to 3 years

  4. Progression free survival (PFS)

    Progression free survival (PFS)

    Measured: Up to 3 years

  5. Time to maximum plasma concentration (Tmax)

    Time to maximum plasma concentration (Tmax)

    Measured: Up to 3 years

  6. Maximum Plasma Concentration (Cmax)

    Maximum Plasma Concentration (Cmax)

    Measured: Up to 3 years

  7. Plasma half-life (T1/2)

    Plasma half-life (T1/2)

    Measured: Up to 3 years

  8. Area under the plasma concentration-time curve from time 0 to time t (AUC0-t)

    Area under the plasma concentration-time curve from time 0 to time t (AUC0-t)

    Measured: Up to 3 years

  9. Area under the plasma concentration-time curve from time 0 to infinity (AUCinf)

    Area under the plasma concentration-time curve from time 0 to infinity (AUCinf)

    Measured: Up to 3 years

  10. Terminal disposition rate constant (λz)

    Terminal disposition rate constant (λz)

    Measured: Up to 3 years

  11. Apparent total clearance of the drug from plasma after oral administration (CL/F)

    Apparent total clearance of the drug from plasma after oral administration (CL/F)

    Measured: Up to 3 years

  12. Apparent volume of distribution during terminal phase after non-intravenous administration (Vz/F)

    Apparent volume of distribution during terminal phase after non-intravenous administration (Vz/F)

    Measured: Up to 3 years

  13. Change from baseline in serum phosphate

    Change from baseline in serum phosphate

    Measured: Up to 3 years

  14. Serum carcinoembryonic antigen (CEA)

    Serum carcinoembryonic antigen (CEA)

    Measured: Up to 3 years

  15. Calcitonin (thyroid cancer detection only)

    Calcitonin (thyroid cancer detection only)

    Measured: Up to 3 years

  16. Fibroblast growth factor 23 (FGF23)

    Fibroblast growth factor 23 (FGF23)

    Measured: Up to 3 years

  17. Vascular endothelial growth factor receptor 2 (sVEGFR2)

    Vascular endothelial growth factor receptor 2 (sVEGFR2)

    Measured: Up to 3 years

  18. Potential population who benefit from the study drug

    To evaluate the efficacy of the study drug in patients with different indications according to the results of anti-tumor response rate in the corresponding indications.

    Measured: Up to 3 years

  19. Correlation between the changes of RET/FGFR gene and efficacy

    The percentage of patients with RET/FGFR gene in patients who benefit from the study drug will be assessed.

    Measured: Up to 3 years

Timeline

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

  1. First posted3 Nov 2021
  2. Study start25 Jun 2021
  3. Primary completionSep 2023 (estimated)
  4. Study completionSep 2023 (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 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
97 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05105464
Sponsor's protocol ID
SYHA1815-202001/PRO
Status last verified
Oct 2021
First submitted
13 Sep 2021
Last updated
3 Nov 2021
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing SYHA1815 in people with Locally Advanced Unresectable Carcinoma, run by Shanghai Runshi Pharmaceutical Technology 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 13 inclusion and 21 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 3 Nov 2021. 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 combined 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.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 Yang Li, AM (13321898532, lcliyang@mail.ecspc.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of participants with Dose-limiting Toxicities (time frame: Baseline through 28 days after the first dose of study drug). The study lists 9 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 3 Nov 2021.

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