Solid TumorsPhase 1NCT05149027
A Study to Evaluate Safety, Tolerability, PK/PD and Preliminary Efficacy of HBM4003 Combine With Toripalimab in Patients With Advanced HCC and Other Solid Tumors
A Phase 1 study testing HBM4003 and Triprilimab in people with Solid Tumors, run by Harbour BioMed (Guangzhou) Co. Ltd..
Trial summary
This is an open-label, multi-center phase 1 study. The trial, consisting of Part 1 dose confirmation and Part 2 dose expansion, is designed to evaluate the safety, tolerability, PK/PD and preliminary efficacy of HBM4003 in combination with Toripalimab in patients with advanced HCC and other solid tumors. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Solid Tumors
- What is being tested?
- HBM4003 and Triprilimab
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 67 participants
- Where
- No sites listed yet
- Study dates
- 20 Dec 2021to 30 May 2024
- 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
Main inclusion criteria :
- Males or females aged ≥ 18 years at the time of signing the informed consent form. For Part 1 of this study, the subjects should be ≤ 75 years of age.
- Patients for Part 1: patients histopathologically diagnosed with advanced or recurrent solid tumors or more line SOC failure or progression within 6m after adjuvant or neoadjuvant therapy.
- For Part 2 of the study, patients with histopathologically confirmed advanced hepatocellular carcinoma; Barcelona Clinic Liver Cancer (BCLC) stage C or B; where stage B patients must be unsuitable for surgical and/or local therapy, or have progressive disease after surgical and/or local therapy, or refuse surgical and local therapy.
- Cohort 1: Patients with advanced HCC who have not received previous treatment with anti-PD-1 pathway drugs (including anti-PD-1, anti-PD-L1 or anti-PD-L2 drugs), including patients who have received or have not received systemic treatment (e.g. anti-VEGF/VEGFR monoclonal antibodies, anti-VEGFR-TKIs, chemotherapy); patients who have received adjuvant/neoadjuvant therapy with anti-PD-1 pathway drugs and have disease progression more than 12 months after the end of treatment can be enrolled into this cohort
- Cohort 2: advanced HCC patients who have progressed during or after anti-PD-1 pathway drug therapy (with clearly documented radiographic evidence of progression), including patients who have or have not received systemic therapy (e.g., anti-VEGF/VEGFR monoclonal antibodies, anti-VEGFR-TKIs, chemotherapy); patients who have progressed within 6 months after the end of adjuvant/neoadjuvant therapy with anti-PD-1 pathway drugs may be enrolled into this cohort
- Other possible tumor expansion cohorts will be further revised as more data become available.
- Patients must be able to provide fresh tumor tissues or archived tumor tissues.
- Patients whose estimated survival time is more than 3 months.
- Patients with at least one measurable lesion at baseline according to RECIST (Version 1.1).
- Patients with Eastern Cooperative Oncology Group (ECOG) performance status score ≤ 1.
- Patients whose organ function must meet the study requirements:
- Every woman or man with potential fertility needs to use an effective contraceptive method.
- Willing and able to comply with study-specified visits schedule, treatment plan, laboratory examination and other study procedures.
Main exclusion criteria:
- Patients who are simultaneously participating in another clinical study, unless the study is an observational (non-interventional) clinical study or the patient is already in the survival follow-up period of the interventional study.
- Patients with a history of severe allergic diseases, a history of severe drug allergies, and known or suspected allergy to macromolecular protein preparations or HBM4003 excipients or toripalimab excipients.
- For the liver cancer cohort in Part 2 of the study, patients with pathological findings suggestive of fibrolamellar hepatocellular carcinoma, sarcomatoid hepatocellular carcinoma, cholangiocarcinoma, or mixed hepatocellular carcinoma-cholangiocarcinoma were excluded.
- Previous and concomitant drugs or treatments to be excluded like CTLA4, PD-1,PD-L1.
- Insufficient recovery from previous treatments
- Diseases that may affect the efficacy and safety of the investigational product.
- A history of other malignant diseases within 5 years before the first dose.
- Symptomatic, active, or urgent treatment-requiring central nervous system (CNS) metastasis with imaging evidence (based on CT or MRI assessment).
- Subjects with pleural effusion, pericardial effusion, or ascites
- Patients with severe liver cirrhosis, liver atrophy or hypertension.
- Imaging revealed that the main portal vein tumor thrombus was more than 1/2, and the vein tumor thrombus or heart was involved.
- Grade ≥ 2 hepatic encephalopathy within 12 months, or currently requiring medication to prevent or control hepatic encephalopathy.
- Patients who the investigator believes may have other factors that will affect the efficacy or safety evaluation of this study (e.g., mental disorders, alcoholism, drug use, etc.).
- Women who are pregnant or breastfeeding, or who plan to become pregnant during the study period and within 3 months after the last administration of the investigational product.
Trial locations and contacts
No sites are listed yet.
About this study
Official title: An Open-Label, Phase 1 Clinical Study to Evaluate the Safety, Tolerability, PK/PD and Preliminary Efficacy of HBM4003 in Combination With Toripalimab in Patients With Advanced HCC and Other Solid Tumors
This is an open-label, multi-center phase 1 study. The trial, consisting of Part
1 dose confirmation and Part 2 dose expansion, is designed to evaluate the safety, tolerability, PK/PD and preliminary efficacy of HBM4003 in combination with Toripalimab in patients with advanced HCC and other solid tumors.
Read the detailed description
subjects will be treated with HBM4003 in combination with Toripalimab for up to 2 years or until confirmed disease progression, unacceptable tolerability or treatment discontinuation through withdrawal of consent occurs, whichever happens first.
This trial consists of :
- A screening period: 28 days
- A treatment period:
- Part 1 dose confirmation study
- Part 2 dose expansion study
- A post-treatment follow-up period, including
- A safety follow-up period: 28 days after the last dose of study drug;
- Post-treatment follow-up visit: day 84 after the last dose of study drug;
- Survival follow-up.
- Conditions
- Solid Tumors
- Being tested
- HBM4003 and Triprilimab
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
HBM4003 and TriprilimabDrug
Subjects will be treated with HBM4003 and Toripalimap on Day 1 during each 21-day cycles.
| Study group | Role | What they receive |
|---|---|---|
| HBM4003+Toripalimap | Experimental | HBM4003 combined with toripalimab in patients with advanced HCC and other solid tumors Receives: Drug: HBM4003 and Triprilimab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Part1:Number of subjects with DLT in each dose group within 1 cycles (21 days) after the first drug administration
Number of subjects who experience DLT events
Measured: approximate 21 days
Part1:The maximum tolerated dose (MTD) of HBM4003 combined with toripalimab
Measured: approximate 21 days
Part1:Recommended Phase 2 dose (RP2D) of HBM4003 combined with toripalimab
Measured: approximate 21 days
Part2:ORR, as determined by the Investigator using RECIST 1.1
Proportion of subjects with complete response (CR) and partial response (PR)
Measured: maximum 2 years
Secondary outcomes (15)
Part 1:ORR, as determined by the Investigator using RECIST 1.1 for solid tumors, using RECIST 1.1 and mRECIST for HCC
Proportion of patients with complete response (CR) and partial response (PR)
Measured: maximum 2 years]
Part 1: Disease Control Rate, DCR, as determined by the Investigator using RECIST 1.1 for solid tumors, using RECIST 1.1 and mRECIST for HCC
including proportion of subjects with complete response (CR) and partial response (PR) and stable disease (SD)
Measured: maximum 2 years
Part 1: Duration of Response, DOR, as determined by the Investigator using RECIST 1.1 for solid tumors, using RECIST 1.1 and mRECIST for HCC
Calculate the duration from the first confirmed CR or PR to the date of disease progression or death (for any reason)
Measured: maximum 2 years
Part 1: Duration of Disease Control, DDC, as determined by the Investigator using RECIST 1.1 for solid tumors, using RECIST 1.1 and mRECIST for HCC
For subjects with Cr, PR or SD, the duration from the time of initial administration to the date of disease progression or death (for any reason) was calculated
Measured: maximum 2 years
Part2: ORR, as determined by the Investigator using mRECIST for HCC
Proportion of patients with complete response (CR) and partial response (PR)
Measured: maximum 2 years
Part 2: Disease Control Rate, DCR, as determined by the Investigator using RECIST 1.1 and mRECIST for HCC
including proportion of subjects with complete response (CR) and partial response (PR) and stable disease (SD)
Measured: maximum 2 years
Part2: Duration of Response, DOR, as determined by the Investigator using RECIST 1.1 and mRECIST for HCC
Calculate the duration from the first confirmed CR or PR to the date of disease progression or death (for any reason)
Measured: maximum 2 years
Part2:Duration of Disease Control, DDC, as determined by the Investigator using RECIST 1.1 and mRECIST for HCC
For subjects with Cr, PR or SD, the duration from the time of initial administration to the date of disease progression or death (for any reason) was calculated
Measured: maximum 2 years
Cmax
Peak Plasma Concentration
Measured: maximum 2 years
Tmax
Time to reach maximum serum concentration
Measured: maximum 2 years
AUC0-last
Area under the plasma concentration versus time curve from time zero to last
Measured: maximum 2 years
AUC0-tau
Area under the serum concentration versus time curve from time zero to the dosing interval tau
Measured: maximum 2 years
The immunogenicity of HBM4003 and Triprilimab
Including the incidence of ADA positive. For ADA positive patients, the incidence of neutralizing antibody (NAB) was analyzed.
Measured: maximum 2 years
Part 2: Overall survival (OS)
the length of time from the start of treatment to the death of the subject (for any reason)
Measured: maximum 2 years
Part 2: Progression-free survival (PFS)
the length of time from the beginning of treatment to the beginning of disease progression or death (for any reason)
Measured: maximum 2 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Dec 2021
- Study start20 Dec 2021 (estimated)
- Primary completion30 May 2024 (estimated)
- Study completion30 May 2024 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Solid TumorsStudies 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
- 67 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Harbour BioMed (Guangzhou) Co. Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Jihui Hao, Doctor, Principal investigator, Tianjin Medical University Cancer Institute and Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05149027
- Sponsor's protocol ID
- 4003.5
- Status last verified
- Dec 2021
- First submitted
- 23 Nov 2021
- Last updated
- 8 Dec 2021
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 8 Dec 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open-Label, Phase 1 Clinical Study to Evaluate the Safety, Tolerability, PK/PD and Preliminary Efficacy of HBM4003 in Combination With Toripalimab in Patients With Advanced HCC and Other Solid Tumors
- ClinicalTrials.gov ID
- NCT05149027
- Acronym / sponsor ID
- 4003.5
- Conditions
- Solid Tumors
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 67 participants (estimated)
- Lead sponsor
- Harbour BioMed (Guangzhou) Co. Ltd.Industry (pharma, biotech, devices)
- Study start
- 20 Dec 2021 (estimated)
- Primary completion
- 30 May 2024 (estimated)
- Study completion
- 30 May 2024 (estimated)
- First posted
- 8 Dec 2021 (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, multi-center phase 1 study. The trial, consisting of Part
1 dose confirmation and Part 2 dose expansion, is designed to evaluate the safety, tolerability, PK/PD and preliminary efficacy of HBM4003 in combination with Toripalimab in patients with advanced HCC and other solid tumors.
Detailed description
subjects will be treated with HBM4003 in combination with Toripalimab for up to 2 years or until confirmed disease progression, unacceptable tolerability or treatment discontinuation through withdrawal of consent occurs, whichever happens first.
This trial consists of :
- A screening period: 28 days
- A treatment period:
- Part 1 dose confirmation study
- Part 2 dose expansion study
- A post-treatment follow-up period, including
- A safety follow-up period: 28 days after the last dose of study drug;
- Post-treatment follow-up visit: day 84 after the last dose of study drug;
- Survival follow-up.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| HBM4003+Toripalimap | Experimental | Drug: HBM4003 and TriprilimabHBM4003 combined with toripalimab in patients with advanced HCC and other solid tumors |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
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 |
|---|---|---|
| HBM4003 and TriprilimabSubjects will be treated with HBM4003 and Toripalimap on Day 1 during each 21-day cycles. | Drug | HBM4003+Toripalimap |
Primary outcome
Part1:Number of subjects with DLT in each dose group within 1 cycles (21 days) after the first drug administration
Time frame: approximate 21 days
Number of subjects who experience DLT events
Part1:The maximum tolerated dose (MTD) of HBM4003 combined with toripalimab
Time frame: approximate 21 days
Part1:Recommended Phase 2 dose (RP2D) of HBM4003 combined with toripalimab
Time frame: approximate 21 days
Part2:ORR, as determined by the Investigator using RECIST 1.1
Time frame: maximum 2 years
Proportion of subjects with complete response (CR) and partial response (PR)
15 secondary outcomes
Part 1:ORR, as determined by the Investigator using RECIST 1.1 for solid tumors, using RECIST 1.1 and mRECIST for HCC
Time frame: maximum 2 years]
Part 1: Disease Control Rate, DCR, as determined by the Investigator using RECIST 1.1 for solid tumors, using RECIST 1.1 and mRECIST for HCC
Time frame: maximum 2 years
Part 1: Duration of Response, DOR, as determined by the Investigator using RECIST 1.1 for solid tumors, using RECIST 1.1 and mRECIST for HCC
Time frame: maximum 2 years
Part 1: Duration of Disease Control, DDC, as determined by the Investigator using RECIST 1.1 for solid tumors, using RECIST 1.1 and mRECIST for HCC
Time frame: maximum 2 years
Part2: ORR, as determined by the Investigator using mRECIST for HCC
Time frame: maximum 2 years
Part 2: Disease Control Rate, DCR, as determined by the Investigator using RECIST 1.1 and mRECIST for HCC
Time frame: maximum 2 years
Part2: Duration of Response, DOR, as determined by the Investigator using RECIST 1.1 and mRECIST for HCC
Time frame: maximum 2 years
Part2:Duration of Disease Control, DDC, as determined by the Investigator using RECIST 1.1 and mRECIST for HCC
Time frame: maximum 2 years
Cmax
Time frame: maximum 2 years
Tmax
Time frame: maximum 2 years
AUC0-last
Time frame: maximum 2 years
AUC0-tau
Time frame: maximum 2 years
The immunogenicity of HBM4003 and Triprilimab
Time frame: maximum 2 years
Part 2: Overall survival (OS)
Time frame: maximum 2 years
Part 2: Progression-free survival (PFS)
Time frame: maximum 2 years
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Dec 2021.
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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.
Jihui Hao, Doctor principal investigator
Tianjin Medical University Cancer Institute and Hospital
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing HBM4003 and Triprilimab in people with Solid Tumors, run by Harbour BioMed (Guangzhou) Co. Ltd..
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
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 8 Dec 2021. Status can change between updates, so confirm with the study contact before making plans.
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 Xiaoying Wang (+18201936643, hbm4003public@harbourbiomed.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Part1:Number of subjects with DLT in each dose group within 1 cycles (21 days) after the first drug administration (time frame: approximate 21 days). 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 8 Dec 2021.