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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..

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 The sponsor has not verified this record for over two years, so it may be out of date.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

  1. 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.
  2. 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.
  3. 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.
  4. 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
  5. 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
  6. Other possible tumor expansion cohorts will be further revised as more data become available.
  7. Patients must be able to provide fresh tumor tissues or archived tumor tissues.
  8. Patients whose estimated survival time is more than 3 months.
  9. Patients with at least one measurable lesion at baseline according to RECIST (Version 1.1).
  10. Patients with Eastern Cooperative Oncology Group (ECOG) performance status score ≤ 1.
  11. Patients whose organ function must meet the study requirements:
  12. Every woman or man with potential fertility needs to use an effective contraceptive method.
  13. Willing and able to comply with study-specified visits schedule, treatment plan, laboratory examination and other study procedures.

Main exclusion criteria:

  1. 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.
  2. 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.
  3. 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.
  4. Previous and concomitant drugs or treatments to be excluded like CTLA4, PD-1,PD-L1.
  5. Insufficient recovery from previous treatments
  6. Diseases that may affect the efficacy and safety of the investigational product.
  7. A history of other malignant diseases within 5 years before the first dose.
  8. Symptomatic, active, or urgent treatment-requiring central nervous system (CNS) metastasis with imaging evidence (based on CT or MRI assessment).
  9. Subjects with pleural effusion, pericardial effusion, or ascites
  10. Patients with severe liver cirrhosis, liver atrophy or hypertension.
  11. Imaging revealed that the main portal vein tumor thrombus was more than 1/2, and the vein tumor thrombus or heart was involved.
  12. Grade ≥ 2 hepatic encephalopathy within 12 months, or currently requiring medication to prevent or control hepatic encephalopathy.
  13. 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.).
  14. 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 groups in NCT05149027
Study groupRoleWhat they receive
HBM4003+ToripalimapExperimentalHBM4003 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.

  1. 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

  2. Part1:The maximum tolerated dose (MTD) of HBM4003 combined with toripalimab

    Measured: approximate 21 days

  3. Part1:Recommended Phase 2 dose (RP2D) of HBM4003 combined with toripalimab

    Measured: approximate 21 days

  4. 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)
  1. 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]

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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

  9. Cmax

    Peak Plasma Concentration

    Measured: maximum 2 years

  10. Tmax

    Time to reach maximum serum concentration

    Measured: maximum 2 years

  11. AUC0-last

    Area under the plasma concentration versus time curve from time zero to last

    Measured: maximum 2 years

  12. AUC0-tau

    Area under the serum concentration versus time curve from time zero to the dosing interval tau

    Measured: maximum 2 years

  13. 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

  14. 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

  15. 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.

  1. First posted8 Dec 2021
  2. Study start20 Dec 2021 (estimated)
  3. Primary completion30 May 2024 (estimated)
  4. Study completion30 May 2024 (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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
67 participants (estimated)
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

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.

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