Advanced / Metastatic Solid TumorsPhase 1/2NCT05425602
A Study of MAX-40279combined With KN046 in Patients With Advanced / Metastatic Solid Tumors
A Phase 1/2 study testing MAX-40279-01: 50mg/70mg in people with Advanced / Metastatic Solid Tumors, run by Maxinovel Pty., Ltd..
Trial summary
This include two parts, Stage 1 is a dose climbing study and Stage 2 is a dose extending study. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Advanced / Metastatic Solid Tumors
- What is being tested?
- MAX-40279-01: 50mg/70mg
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 108 participants
- Where
- No sites listed yet
- Study dates
- 31 Jul 2022to 30 Dec 2024
- 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
- Signed informed consent form.
- Males and/or females over age 18 and 75.
- Histologically or cytologically documented local advanced / metastatic solid tumors who have failed standard treatment or cannot obtain standard treatment in the dose escalation stage; dose expansion stage group A: relapsed and refractory advanced gastric cancer; dose expansion stage group B: relapsed and refractory extensive stage small cell lung cancer; dose expansion stage group C: other relapsed and refractory solid tumors except group A
- At least one measurable lesion according to the Response Evaluation Criteria in Solid Tumors (RECIST 1.1).
- Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.
- Expected survival of more than 3 months.
Who cannot join
- The adverse reactions of previous anti-tumor treatment have not recovered to CTCAE 5.0 grade evaluation ≤ 1 (except alopecia and other adverse reactions without safety risks judged by the investigator)
- Subject is known to have previous serious allergic reactions to macromolecular protein preparations/monoclonal antibodies, or known to any component of the test drug
- Active systemic infectious diseases requiring intravenous antibiotic treatment 2 months before the first medication
- Subject has poorly controlled cardiovascular and cerebrovascular clinical symptoms or diseases, including but not limited to: such as: (1) NYHA class II or higher heart failure or LVEF < 50%; (2) unstable angina pectoris; (3) myocardial infarction and cerebral infarction within 6 months; (4) clinically significant supraventricular or ventricular arrhythmias are still poorly controlled without clinical intervention or clinical intervention
- brain metastases, spinal cord compression, carcinomatous meningitis with clinical symptoms, or other evidence of uncontrolled brain and spinal cord metastases, Patients who are not suitable by the investigator's judgment
- Patients who have experienced ≥ grade 3 immune-related adverse events in immunotherapy (except grade 3 hypothyroidism that can be controlled by drugs)
- Patients who have other malignant tumors within 5 years before enrollment,Exceptions: a. radical cervical carcinoma in situ or non-melanoma skin cancer; b. radical second primary cancer without recurrence within five years; c. the investigator believes that the double primary cancer can benefit from this study; d. the investigator has clearly excluded which primary tumor source the metastasis
Trial locations and contacts
No sites are listed yet.
About this study
Official title: A I / II Clinical Study to Evaluate the Safety, Tolerance, Pharmacokinetic Characteristics and Efficacy of MAX-40279 (Multi-target Tyrosine Kinase Inhibitor) Combined With KN046 (Anti-PD-L1 / CTLA-4 Bispecific Antibody) in Patients With Advanced / Metastatic Solid Tumors
This include two parts, Stage 1 is a dose climbing study and Stage 2 is a dose extending study.
Read the detailed description
This study is a study of MAX-40279 in patients with advanced / metastatic solid tumors. This study include two Parts, the Part 1 will assess the safety and efficacy of the dose climbing level of MAX-40279, and recommend a dose extending level of MAX-40279 for stage 2.
- Conditions
- Advanced / Metastatic Solid Tumors
- Being tested
- MAX-40279-01: 50mg/70mg
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
MAX-40279-01: 50mg/70mgDrug
Also called KN046: 40mg/300mg
[Stage 1]The starting dose of MAX-40279 was 35 mg BID, and three dose levels were initially set: 35 mg, 50 mg, and 70 mg administered twice daily (BID) continuously, and the dose of KN046 was 5 mg/kg as a fixed dose administered every 3 weeks. [Stage 2]When the RP2D dose is obtained in the dose-finding phase, the trial will enter the dose expansion phase.
| Study group | Role | What they receive |
|---|---|---|
| MAX40279-01+KN046 | Experimental | This is an open-label Phase I/II clinical study.
Drug: Stage1: Dose1:MAX40279-01 (35mg BID)+KN046 ( 5mg/kg Q3Week)
Drug: Stage1: Dose2:MAX40279-01( 50mg BID)+KN046 ( 5mg/kg Q3Week)
Drug: Stage1: Dose3:MAX40279-01( 70mg BID)+KN046 ( 5mg/kg Q3Week)
Drug: Stage2: Dose3:MAX40279-01( RP2D BID)+KN046 ( 5mg/kg Q3Week) Receives: Drug: MAX-40279-01: 50mg/70mg |
What is being measured
The primary outcome is the main question the study is designed to answer.
DLT
Measured: through study Stage1 completion,an average of 6 months
Maximum Tolerated Dose (MTD) or Recommended Phase 2 Dose (RP2D)
Measured: through study Stage1 completion,an average of 6 months
ORR
Measured: through study Stage2 completion,an average of 24 months
PFS
Measured: through study Stage2 completion,an average of 24 months
Adverse events (AEs), serious adverse events (SAEs)
Measured: through study Stage2 completion,an average of 24 months
laboratory tests
Measured: through study Stage2 completion,an average of 24 months
vital signs
Measured: through study Stage2 completion,an average of 24 months
12 ECG
Measured: through study Stage2 completion,an average of 24 months
physical examination abnormalities
Measured: through study Stage2 completion,an average of 24 months
Secondary outcomes (20)
Adverse events (AEs), serious adverse events (SAEs)
Measured: through study Stage1 completion,an average of 6 months
Cmax
Measured: through study Stage1 completion,an average of 6 months
Anti-KN046 antibody (ADA
Measured: through study Stage1 completion,an average of 6 months
Duration of response (DOR) Overall survival (OS); Anti-KN046 antibody (ADA); Plasma concentrations of MAX-40279 and KN046 [Stage 2]
Measured: through study Stage2 completion,an average of 24 months
(AUC0-t and AUC0-t, ss)
Measured: through study Stage1 completion,an average of 6 months
Tmax
Measured: through study Stage1 completion,an average of 6 months
Overall response rate (ORR)
Measured: through study Stage1 completion,an average of 6 months
disease control rate (DCR)
Measured: through study Stage1 completion,an average of 6 months
duration of response (DOR)
Measured: through study Stage1 completion,an average of 6 months
progression-free survival (PFS)
Measured: through study Stage1 completion,an average of 6 months
overall survival (OS)
Measured: through study Stage1 completion,an average of 6 months
DcR
Measured: through study Stage2 completion,an average of 24 months
DoR
Measured: through study Stage2 completion,an average of 24 months
OS
Measured: through study Stage2 completion,an average of 24 months
Anti-KN046 antibody (ADA)
Measured: through study Stage2 completion,an average of 24 months
Rac (AUC0-t, ss/AUC0-t)
Measured: through study Stage1 completion,an average of 6 months
laboratory tests
Measured: through study Stage1 completion,an average of 6 months
vital signs
Measured: through study Stage1 completion,an average of 6 months
12 ECG
Measured: through study Stage1 completion,an average of 6 months
physical examination abnormalities
Measured: through study Stage1 completion,an average of 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Jun 2022
- Study start31 Jul 2022 (estimated)
- Primary completion30 Dec 2023 (estimated)
- Study completion30 Dec 2024 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Advanced / Metastatic 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 1/2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 108 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Maxinovel Pty., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05425602
- Sponsor's protocol ID
- MAX-40279-007
- Status last verified
- Jun 2022
- First submitted
- 18 Apr 2022
- Last updated
- 21 Jun 2022
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 21 Jun 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A I / II Clinical Study to Evaluate the Safety, Tolerance, Pharmacokinetic Characteristics and Efficacy of MAX-40279 (Multi-target Tyrosine Kinase Inhibitor) Combined With KN046 (Anti-PD-L1 / CTLA-4 Bispecific Antibody) in Patients With Advanced / Metastatic Solid Tumors
- ClinicalTrials.gov ID
- NCT05425602
- Acronym / sponsor ID
- MAX-40279-007
- Conditions
- Advanced / Metastatic Solid Tumors
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 108 participants (estimated)
- Lead sponsor
- Maxinovel Pty., Ltd.Industry (pharma, biotech, devices)
- Study start
- 31 Jul 2022 (estimated)
- Primary completion
- 30 Dec 2023 (estimated)
- Study completion
- 30 Dec 2024 (estimated)
- First posted
- 21 Jun 2022 (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 include two parts, Stage 1 is a dose climbing study and Stage 2 is a dose extending study.
Detailed description
This study is a study of MAX-40279 in patients with advanced / metastatic solid tumors. This study include two Parts, the Part 1 will assess the safety and efficacy of the dose climbing level of MAX-40279, and recommend a dose extending level of MAX-40279 for stage 2.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| MAX40279-01+KN046 | Experimental | Drug: MAX-40279-01: 50mg/70mgThis is an open-label Phase I/II clinical study. Drug: Stage1: Dose1:MAX40279-01 (35mg BID)+KN046 ( 5mg/kg Q3Week) Drug: Stage1: Dose2:MAX40279-01( 50mg BID)+KN046 ( 5mg/kg Q3Week) Drug: Stage1: Dose3:MAX40279-01( 70mg BID)+KN046 ( 5mg/kg Q3Week) Drug: Stage2: Dose3:MAX40279-01( RP2D BID)+KN046 ( 5mg/kg Q3Week) |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Signed informed consent form.
- Males and/or females over age 18 and 75.
- Histologically or cytologically documented local advanced / metastatic solid tumors who have failed standard treatment or cannot obtain standard treatment in the dose escalation stage; dose expansion stage group A: relapsed and refractory advanced gastric cancer; dose expansion stage group B: relapsed and refractory extensive stage small cell lung cancer; dose expansion stage group C: other relapsed and refractory solid tumors except group A
- At least one measurable lesion according to the Response Evaluation Criteria in Solid Tumors (RECIST 1.1).
- Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.
Key exclusion criteria (7 listed)
- The adverse reactions of previous anti-tumor treatment have not recovered to CTCAE 5.0 grade evaluation ≤ 1 (except alopecia and other adverse reactions without safety risks judged by the investigator)
- Subject is known to have previous serious allergic reactions to macromolecular protein preparations/monoclonal antibodies, or known to any component of the test drug
- Active systemic infectious diseases requiring intravenous antibiotic treatment 2 months before the first medication
- Subject has poorly controlled cardiovascular and cerebrovascular clinical symptoms or diseases, including but not limited to: such as: (1) NYHA class II or higher heart failure or LVEF < 50%; (2) unstable angina pectoris; (3) myocardial infarction and cerebral infarction within 6 months; (4) clinically significant supraventricular or ventricular arrhythmias are still poorly controlled without clinical intervention or clinical intervention
- brain metastases, spinal cord compression, carcinomatous meningitis with clinical symptoms, or other evidence of uncontrolled brain and spinal cord metastases, Patients who are not suitable by the investigator's judgment
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 |
|---|---|---|
| MAX-40279-01: 50mg/70mgAlso: KN046: 40mg/300mg[Stage 1]The starting dose of MAX-40279 was 35 mg BID, and three dose levels were initially set: 35 mg, 50 mg, and 70 mg administered twice daily (BID) continuously, and the dose of KN046 was 5 mg/kg as a fixed dose administered every 3 weeks. [Stage 2]When the RP2D dose is obtained in the dose-finding phase, the trial will enter the dose expansion phase. | Drug | MAX40279-01+KN046 |
Primary outcome
DLT
Time frame: through study Stage1 completion,an average of 6 months
Maximum Tolerated Dose (MTD) or Recommended Phase 2 Dose (RP2D)
Time frame: through study Stage1 completion,an average of 6 months
ORR
Time frame: through study Stage2 completion,an average of 24 months
PFS
Time frame: through study Stage2 completion,an average of 24 months
Adverse events (AEs), serious adverse events (SAEs)
Time frame: through study Stage2 completion,an average of 24 months
laboratory tests
Time frame: through study Stage2 completion,an average of 24 months
vital signs
Time frame: through study Stage2 completion,an average of 24 months
12 ECG
Time frame: through study Stage2 completion,an average of 24 months
physical examination abnormalities
Time frame: through study Stage2 completion,an average of 24 months
20 secondary outcomes
Adverse events (AEs), serious adverse events (SAEs)
Time frame: through study Stage1 completion,an average of 6 months
Cmax
Time frame: through study Stage1 completion,an average of 6 months
Anti-KN046 antibody (ADA
Time frame: through study Stage1 completion,an average of 6 months
Duration of response (DOR) Overall survival (OS); Anti-KN046 antibody (ADA); Plasma concentrations of MAX-40279 and KN046 [Stage 2]
Time frame: through study Stage2 completion,an average of 24 months
(AUC0-t and AUC0-t, ss)
Time frame: through study Stage1 completion,an average of 6 months
Tmax
Time frame: through study Stage1 completion,an average of 6 months
Overall response rate (ORR)
Time frame: through study Stage1 completion,an average of 6 months
disease control rate (DCR)
Time frame: through study Stage1 completion,an average of 6 months
duration of response (DOR)
Time frame: through study Stage1 completion,an average of 6 months
progression-free survival (PFS)
Time frame: through study Stage1 completion,an average of 6 months
overall survival (OS)
Time frame: through study Stage1 completion,an average of 6 months
DcR
Time frame: through study Stage2 completion,an average of 24 months
DoR
Time frame: through study Stage2 completion,an average of 24 months
OS
Time frame: through study Stage2 completion,an average of 24 months
Anti-KN046 antibody (ADA)
Time frame: through study Stage2 completion,an average of 24 months
Rac (AUC0-t, ss/AUC0-t)
Time frame: through study Stage1 completion,an average of 6 months
laboratory tests
Time frame: through study Stage1 completion,an average of 6 months
vital signs
Time frame: through study Stage1 completion,an average of 6 months
12 ECG
Time frame: through study Stage1 completion,an average of 6 months
physical examination abnormalities
Time frame: through study Stage1 completion,an average of 6 months
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Jun 2022.
- Individual participant dataSharing planned: No
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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.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing MAX-40279-01: 50mg/70mg in people with Advanced / Metastatic Solid Tumors, run by Maxinovel Pty., Ltd..
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 6 inclusion and 7 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 21 Jun 2022. 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 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 Ting Peng, MD,Ph.D (13917659695, tpeng@maxinovel.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
DLT (time frame: through study Stage1 completion,an average of 6 months). 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 21 Jun 2022.