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Solid Tumor, AdultPhase 1NCT05388487

Tolerability and Safety of HF1K16 Injection in Patients With Refractory Solid Tumors

A Phase 1 study testing HF1K16 /Arm 45 mg/m², HF1K16 /Arm 90 mg/m² and HF1K16 /Arm 120 mg/m² in people with Solid Tumor, Adult, run by HighField Biopharmaceuticals Corporation at 7 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 The sponsor has not verified this record for over two years, so it may be out of date.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

HF1K16 is an investigational pegylated liposome formulation of All-Trans Retinoic Acid (ATRA) for the induction of remission in patients with acute promyelocytic leukemia (APL) and for the treatment of solid tumors through targeting myeloid derived suppressor cells (MDSCs). Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Solid Tumor, Adult
What is being tested?
HF1K16 /Arm 45 mg/m², HF1K16 /Arm 90 mg/m² and HF1K16 /Arm 120 mg/m²
Could I receive a placebo?
No, everyone receives an active treatment
How many people
54 participants
Where
7 sitesChina
Study dates
16 Feb 2022to Nov 2025
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 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Willing and able to provide the test of informed consent in writing.
  • Male or female, age > 18 years and < = 75 years.
  • The subjects had to be diagnosed by histology and/or cytology with locally advanced or metastatic solid tumor. There is no effective standard of care or the patient is intolerant to the standard therapy.
  • Cohort 5: The subjects must be diagnosed with glioma by histology, and the disease has relapsed or progressed after previous treatment, and there is no effective standard treatment or the subject is intolerant to standard treatment.
  • According to the definition of RECIST 1.1, participants must have at least one measurable lesion.
  • Cohort 5: at least one lesion that can be measured in two dimensions is required ( RANO criteria).
Show all 9Show fewer
  • Eastern group (ECOG) tumor physical state to 0 or 1. Cohort 5: According to Karnofsky physical fitness score ≥ 60.
  • Expected lifetime > 12 weeks.
  • Men or women of childbearing age must agree to adopt effective contraception after signing the informed consent form until 180 days after the end of the study. Premenopausal women or those within 2 years after menopause are included.

Who cannot join

  • Patients received systemic antitumor therapy, including chemotherapy, radiotherapy, biologic therapy, endocrine therapy, or immunotherapy within 3 weeks prior to the first dose, except for the following: Nitrosoureas or mitomycin C within 6 weeks; Oral fluorouracils and small molecule drugs within 2 weeks or within 5 half-life periods of the drug (whichever is longer); Antitumour traditional Chinese medicine within 2 weeks.
  • Adverse effects of previous anti-tumor therapy have not recovered to CTCAE 5.0 grade rating of ≤ grade 1 (except for toxicity judged by the investigator be of no safety risk, such as alopecia, grade 2 peripheral neurotoxicity, etc.)
  • Patients received other unlisted clinical trial drugs or treatments within 28 days prior to the first dose.
  • Taken vitamin A or any vitamin A derivatives within 7 days prior to the first dose.
  • Past history of deep vein thrombosis or pulmonary embolism.
  • Evidence that there is poor control of thyroid diseases, or diseases of the retina.
Show all 20Show fewer
  • Patients have symptomatic central nervous system (CNS) metastases, meningeal metastases, or a primary CNS tumor that is associated with progressive neurological symptoms. Except that the brain metastases are shown to be stable judged by imaging examination within 4 weeks.
  • Cohort 5: The above criteria do not apply to the fifth cohort. The fifth cohort allowed inhaled or topical corticosteroids, or hormone therapy at physiological replacement doses due to adrenal insufficiency; short-term (≤7 days) corticosteroids were allowed for prophylaxis (eg, contrast media allergy) or treatment of non-autoimmune conditions ( For example, delayed-type hypersensitivity reactions caused by exposure to allergens); systemic corticosteroids (≥10 mg/day prednisone, or other equivalent corticosteroids) for 7 consecutive days within 14 days of the first dose are not allowed or Immunosuppressant therapy.
  • Evidences of serious or uncontrolled systemic disease (for example: instability or decompensated respiratory disease, liver or kidney disease)
  • Serious liver and kidney function damage;
  • Has clinical significance of cardiovascular disease;
  • Have known immune inhibitory disease or human immunodeficiency virus (HIV) infection.
  • Patients with severe osteoporosis or with bone metastases with serum 25-hydroxyvitamin D assay values less than 50 nmol/L.
  • Active hepatitis (Hepatitis B: HBsAg-positive and HBV-DNA ≥ 500 cps/mL or 200 IU/mLL; HCV RNA-positive).
  • Persons with known hypersensitivity to any of the active ingredients or excipients or a history of atopic allergic reactions.
  • The pregnancy test positive (blood beta human chorionic gonadotropin - HCG [B] test positive) or lactationWomen.
  • Researchers believe that patients with combined disease may affect the compliance.
  • Participants not willing to or fail to follow the procedure.
  • Cohort 5: Brain MRI not available.
  • Cohort 5: uncontrolled epilepsy.

Trial locations and contacts

7 sites in 1 country.

7 sites in 1 country

China7 sites, 7 recruiting
  • Sun Yat-sen University Cancer Center

    Guangzhou, Guangdong

    Yonggao Mu, +86-13808816691, mouyg@sysucc.org.cn

    Recruiting
  • First Affiliated Hospital of Zhejiang University School of Medicine

    Hangzhou, Zhejiang

    Jian LIU, +86-13958054006, lindaliu87@zju.edu.cn

    Xiaochen ZHANG, zhangxiaochen@zju.edu.cn

    Recruiting
  • Zhejiang Xiaoshan Hospital

    Hangzhou, Zhejiang

    Jian CHEN, +86-13588084969, cj21_0503@163.com

    Hongming FANG, +86-571-83865832, 3295988078@qq.com

    Recruiting
  • Huashan Hospital Affiliated to Fudan University

    Shanghai, Shanghai Municipality

    Jinsong WU, +86-13701707118, wujinsong@huashan.org.cn

    Ruofan HUANG, +86-13701859301, huang_ruofan@fudan.edu.cn

    Recruiting
  • The First Affiliated Hospital of Wenzhou Medical University

    Wenzhou, Zhejiang

    Weiming Zheng, +86-13706662668, zhwm61@126.com

    Recruiting
  • Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology

    Wuhan, Hubei

    Kai Shu, +86-18986292515, kshu@tjh.tjmu.edu.cn

    Recruiting
  • The First Affiliated Hospital of Zhengzhou University

    Zhengzhou, Henan

    Xinting Wei, +86-13613860990, weixinting777@126.com

    Not yet recruiting

Other trials in China

About this study

Official title: A Phase 1 Open-Label Dose-Escalation Study to Evaluate the Tolerability, DLT, Pharmacokinetics, and Preliminary Efficacy of HF1K16 in Patients With Refractory Solid Tumors

HF1K16 is an investigational pegylated liposome formulation of All-Trans Retinoic Acid (ATRA) for the induction of remission in patients with acute promyelocytic leukemia (APL) and for the treatment of solid tumors through targeting myeloid derived suppressor cells (MDSCs).

Read the detailed description

Myeloid Derived Suppressor Cells (MDSCs) play important roles in constituting the immune suppressive environment promoting cancer development and progression. While previous studies had shown that all-trans retinoic acid (ATRA) could induce MDSC differentiation and maturation, the very poor solubility and fast metabolism of the drug limited its applications as an immune-modulator for cancer immunotherapy

HF1K16 is an investigational pegylated liposome formulation with great ATRA dose loading capacity and sustained drug release property. In preclinical studies, HF1K16 was shown to be able to remodel the host systemic immune homeostasis as well as modify tumor microenvironment (TME). It promotes MDSCs maturation into DCs and facilitates immune responses against cancer cells.

Being tested
HF1K16 /Arm 45 mg/m², HF1K16 /Arm 90 mg/m², HF1K16 /Arm 120 mg/m², HF1K16 /Arm 160 mg/m², HF1K16 /Arm 120 mg or 180 mg

What participants receive

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

  • HF1K16 /Arm 45 mg/m²Drug

    HF1K16 is a liposome suspension containing encapsulated ATRA. Drug concentration is 2mg/ml, and infusion should be completed between 60 minutes and 90 minutes

  • HF1K16 /Arm 90 mg/m²Drug

    HF1K16 is a liposome suspension containing encapsulated ATRA. Drug concentration is 2mg/ml, and infusion should be completed between 60 minutes and 90 minutes

  • HF1K16 /Arm 120 mg/m²Drug

    HF1K16 is a liposome suspension containing encapsulated ATRA. Drug concentration is 2mg/ml, and infusion should be completed between 60 minutes and 90 minutes

  • HF1K16 /Arm 160 mg/m²Drug

    HF1K16 is a liposome suspension containing encapsulated ATRA. Drug concentration is 2mg/ml, and infusion should be completed between 60 minutes and 90 minutes

  • HF1K16 /Arm 120 mg or 180 mgDrug

    HF1K16 is a liposome suspension containing encapsulated ATRA. Drug concentration is 2mg/ml, and infusion should be completed between 60 minutes and 90 minutes

Study groups in NCT05388487
Study groupRoleWhat they receive
Dose escalation cohort 1: HF1K16 given QOD at 45 mg/m²ExperimentalThe first dosing group (45 mg/m²) will include a sentinel subject receiving one dose followed by a 7-day safety evaluation interval. Three or more subjects will receive 7 doses of HF1K16 QOD at 45 mg/m2 per cycle of 21 days.
Receives: Drug: HF1K16 /Arm 45 mg/m²
Dose escalation cohort 2: Oral ATRA followed by HF1K16 QOD at 90 mg/m²ExperimentalThe second dosing group will receive oral ATRA at 45mg/m², and three days later HF1K16 QOD at 90 mg/m2 for 7 times per cycle of 21 days.
Receives: Drug: HF1K16 /Arm 90 mg/m²
Dose escalation cohort 3: HF1K16 QOD at 120 mg/m²ExperimentalThe cohort 3 will receive 7 doses of HF1K16 QOD at 120 mg/m² per cycle of 21 days.
Receives: Drug: HF1K16 /Arm 120 mg/m²
Dose escalation cohort 4: HF1K16 QOD at 160 mg/m²ExperimentalThe cohort 4 will receive 7 doses of HF1K16 QOD at 160 mg/m² per cycle of 21 days.
Receives: Drug: HF1K16 /Arm 160 mg/m²
Dose escalation cohort 5: HF1K16 QOD at 120mg or180 mgExperimentalThe cohort 5 will receive 7 doses of HF1K16 QOD at 120 mg or 180mg per cycle of 21 days.
Receives: Drug: HF1K16 /Arm 120 mg or 180 mg

What is being measured

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

  1. Incidence of Adverse Events

    Defined by the Common Terminology Criteria for Adverse Events version 5.0 (CTCAE V5.0)

    Measured: 30 days after administration

  2. Incidence of dose-limiting toxicities(DLT)

    Observe the dose limiting toxicity, and Incidence of dose-limiting toxicities(DLT) will be assessed

    Measured: 21 days after administration

  3. Respiration rate of Vital Signs by stethoscope

    Changes from baseline for respiration rate in breaths per minute of Vital Signs

    Measured: 30 days after administration

  4. Red blood cell count in whole blood sample

    Changes from baseline for Red blood cell count in whole blood in10^9 /L

    Measured: 30 days after administration

  5. Ventricular rate of ECG

    Changes from baseline for ventricular rate in beats per minute

    Measured: 30 days after administration

  6. Respiration rate in mg μl/h·g of ECG

    Changes from baseline for respiration rate in mg μl/h·g

    Measured: 30 days after administration

  7. Heart rate in beats per minute in beats per minute of ECG

    Changes from baseline for heart rate in beats per minute

    Measured: 30 days after administration

  8. Blood pressure by sphygmomanometer

    Changes from baseline for blood pressure in mmHg, both systolic and diastolic pressures will be assessed.

    Measured: 30 days after administration

  9. Body temperature by thermometer

    Changes from baseline for body temperature in Celsius degree

    Measured: 30 days after administration

  10. White blood cell count in whole blood sample

    Changes from baseline for white blood cell count in whole blood in 10^9 /L

    Measured: 30 days after administration

  11. Neutrophil count in whole blood sample

    Changes from baseline for neutrophil count in whole blood in 10^9 /L

    Measured: 30 days after administration

  12. Hemoglobin concentration in g/dL in whole blood sample

    Changes from baseline for hemoglobin concentration in g/dL in whole blood

    Measured: 30 days after administration

  13. Prothrombin time in whole blood sample

    Changes from baseline for Prothrombin time in s

    Measured: 30 days after administration

  14. International standardized ratio in whole blood sample

    Changes from baseline for international standardized ratio

    Measured: 30 days after administration

  15. International sensitivity index in whole blood sample

    Changes from baseline for international sensitivity index

    Measured: 30 days after administration

  16. Activated partial thromboplastin time in whole blood sample

    Changes from baseline for activated partial thromboplastin time in s

    Measured: 30 days after administration

  17. Total bilirubin concentration in whole blood sample

    Changes from baseline for total bilirubin concentration in μmol/L

    Measured: 30 days after administration

  18. ALT concentration in whole blood sample

    Changes from baseline for alanine aminotransferase(ALT) concentration in U/L

    Measured: 30 days after administration

  19. AST concentration in whole blood sample

    Changes from baseline for aspartate aminotransferase(AST) concentration in U/L

    Measured: 30 days after administration

  20. Total protein concentration in whole blood sample

    Changes from baseline for total protein concentration in g/L

    Measured: 30 days after administration

  21. Urea concentration in whole blood sample

    Changes from baseline for urea concentration in mmol/L

    Measured: 30 days after administration

  22. Creatinine concentration in whole blood sample

    Changes from baseline for creatinine concentration in μmol/L

    Measured: 30 days after administration

  23. Total cholesterol concentration in whole blood sample

    Changes from baseline for total cholesterol concentration in mmol/L

    Measured: 30 days after administration

  24. Triglycerides concentration in whole blood sample

    Changes from baseline for triglycerides concentration in mmol/L

    Measured: 30 days after administration

  25. HDL-C in whole blood sample

    Changes from baseline for high density lipoprotein cholesterol (HDL-C) in mmol/L

    Measured: 30 days after administration

  26. LDL-C in whole blood sample

    Changes from baseline for low density lipoprotein cholesterol (LDL-C) in mmol/L

    Measured: 30 days after administration

  27. PR interval by ECG

    Changes from baseline for PR interval in ms of ECG

    Measured: 30 days after administration

  28. QRS by ECG

    Changes from baseline for QRS in ms of ECG

    Measured: 30 days after administration

  29. QT by ECG

    Changes from baseline for QT in ms of ECG

    Measured: 30 days after administration

  30. QTc by ECG

    Changes from baseline for QTc in ms of ECG

    Measured: 30 days after administration

  31. Cohort 5: Determination of overall response rate (ORR) according to RANO criteria

    ORR is defined as the proportion of participants with complete response or partial response (CR+PR)

    Measured: From date of first dose until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 36 weeks

  32. Cohort 5: Duration of response (DOR)

    DOR, defined as the time between the start of the subject's first assessment of CR or PR and the first assessment of PD or death from any cause, according to RANO criteria by the investigator

    Measured: From date of first dose until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 36 weeks

  33. Cohort 5: disease control rate (DCR)

    DCR , defined as the proportion of subjects with a best overall response of CR, PR, or SD in the study as assessed by the investigator according to RANO criteria

    Measured: From date of first dose until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 36 weeks

  34. Cohort 5: progression-free survival (PFS).

    PFS, defined as the time between the subject's first dose and the onset of (any aspect of) tumor progression or death from any cause

    Measured: From date of first dose until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 36 weeks

Secondary outcomes (12)
  1. HF1K16 pharmacokinetic parameters with Cmax

    Maximum plasma concentration (Cmax) after administration of HF1K16

    Measured: Up to 48 hours postdose

  2. the overall response rate(ORR) of HF1K16

    ORR is defined as the proportion of participants with complete response or partial response (CR+PR)

    Measured: Once every six weeks in the first year, then once every 12 weeks afterwards through study completion, an average of 1 year

  3. Peripheral blood mononuclear cells by whole blood sample

    Assessing peripheral blood mononuclear cells after dose in cells/mL

    Measured: Before injection on Day1,7,13, 21 in each cycle(each cycle is 21 days)

  4. AUC48h by plasma concentration of whole blood sample

    Area under plasma concentration -time curve from 0 time ot 48 h(AUC0-48) after dose

    Measured: Up to 48 hours postdose

  5. Tmax by plasma concentration of whole blood sample

    Peak time (Tmax) after dose

    Measured: Up to 48hours postdose

  6. T1/2 by plasma concentration of whole blood sample

    Elimination half-life (T1/2) after dose

    Measured: Up to 48hours postdose

  7. CL by plasma concentration of whole blood sample

    Clearance (CL) after dose

    Measured: Up to 48 hours postdose

  8. Vd by plasma concentration of whole blood sample

    Volume of distribution(Vd) after dose

    Measured: Up to 48 hours postdose

  9. AUClast by plasma concentration of whole blood sample

    Ratios of geometric means of AUClast (Area under the plasma concentration-time curve from zero to time of last quantifiable concentration) after dose

    Measured: Up to 48 hours postdose

  10. Cohort 5: To assess the changes in MDSC after HF1K16 treatment, including changes in MDSC number

    Assessing peripheral blood mononuclear cells after dose in cells/mL

    Measured: Before injection on Day1 in each cycle(each cycle is 21 days)

  11. Cohort 5: Incidence of Adverse Events

    Defined by the Common Terminology Criteria for Adverse Events version 5.0 (CTCAE V5.0)

    Measured: after administration

  12. Cohort 5: To assess the changes in MDSC after HF1K16 treatment, including changes in MDSC phenotype

    Assessment of MDSC phenotype in peripheral blood after drug administration

    Measured: Before injection on Day1 in each cycle(each cycle is 21 days)

Timeline

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

  1. First posted24 May 2022
  2. Study start16 Feb 2022
  3. Primary completionApr 2025 (estimated)
  4. Study completionNov 2025 (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
Sequential
Masking
None (open label)
Enrolment
54 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05388487
Sponsor's protocol ID
HF1K16-101(CN)
Status last verified
Jan 2024
First submitted
4 May 2022
Last updated
16 Jan 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing HF1K16 /Arm 45 mg/m², HF1K16 /Arm 90 mg/m² and HF1K16 /Arm 120 mg/m² in people with Solid Tumor, Adult, run by HighField Biopharmaceuticals Corporation at 7 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 9 inclusion and 20 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 Jan 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 7 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?

Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Incidence of Adverse Events (time frame: 30 days after administration). The study lists 34 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 Jan 2024.

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