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NCT Number: NCT05615974

A Phase I/II Study of LM-101 Injection in Patients With Advanced Malignant Tumors

This study is to assess the safety and tolerability, obtain Maximum Tolerated Dose (MTD) and/or the recommended phase 2 dose (RP2D) of LM-101 as a single agent or in combination in patients with advanced malignant tumors

Recruiting

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

Sun Yat-sen University Cancer Center, Guangzhou, Guangdong, China

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Subjects who are willing to participate in the study and sign the informed consent form (ICF) prior to any procedure.
  • Aged ≥18 years old, male or female.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.
  • Life expectancy ≥ 3 months.
  • Subjects must have histological or cytological confirmation of recurrent or refractory advanced solid tumors, and have progressed on standard therapy.
  • At least one evaluable lesion.
  • Subjects in the combination therapy group must have Archived Samples or fresh tumor tissue specimens are required for testing.
  • Subjects must show appropriate organ and marrow function in laboratory examinations within 7 days prior to the first dose:
  • Women of childbearing potential (WOCBP) must agree to use highly effective methods of contraception prior to study entry, during the study and for 6 months after the last dose of study drug.
  • Subjects who can communicate well with investigators and understand and adhere to the requirements of this study.

Exclusion criteria

  • Subject has received prior investigational therapy directed at the same target therapy.
  • Subjects has participated in any other interventional clinical trial within 21 days prior to the first dosing of LM-101.
  • Subjects with anti-tumor treatment within 21 days prior to the first dosing of LM-101, including radiotherapy, chemotherapy, endocrine therapy, and immunotherapy, etc.
  • Any adverse event from prior anti-tumor therapy has not yet recovered to ≤ grade 1 of CTCAE v5.0.
  • Poorly controlled tumor-related pain.
  • Subjects with symptomatic/active central nervous system (CNS) metastases.
  • Subjects who have uncontrolled pleural effusion, pericardial effusion, or ascites requiring recurrent drainage procedures.
  • Subjects with known hypersensitivity to antibody therapy.
  • Subjects who take systemic corticosteroids (> 10 mg daily prednisone equivalents) or other systemic immunosuppressive medicationswithin 2 weeks prior to the first dosing of LM-101.
  • Subjects with the known history of autoimmune disease with the exception of subjects with a history of autoimmune-related hypothyroidism on a stable dose of thyroid-replacement hormone.
  • Subject who has interstitial lung disease or a history of pneumonitis that required oral or intravenous glucocorticoids to assist with management.
  • Use of any live attenuated vaccines within 28 days prior to the first dosing of LM-101.
  • Subjects who are using therapeutic doses of anticoagulants such as heparin or vitamin K antagonists.
  • Subjects who received major surgery or interventional treatment within 28 days prior to the first dosing of LM-101 (excluding tumor biopsy, puncture, etc.).
  • Subjects who have history of severe cardiovascular disease.
  • Subjects who have uncontrolled or severe illness.
  • Subjects who have a history of immunodeficiency disease.
  • HIV infection, active tuberculosis or active HBV and HCV infection.
  • Subjects who have Known history of active tuberculosis.
  • Subjects who have other active invasive cancers, other than the one treated in this trial, within 5 years prior to screening.
  • Child-bearing potential female who have positive results in pregnancy test or are lactating.
  • Subject who have a known psychiatric diseases or disorders that may affect compliance with the trial.
  • Subject who is judged as not eligible to participate in this study by the investigator.

Treatment and study plan

LM101

Drug

Administered intravenously

Toripalimab

Drug

Administered intravenously

Rituximab

Drug

Administered intravenously

Primary outcomes

  1. Incidence of adverse events (AEs)

    Time frame: 48 weeks

    Phase 1

  2. Incidence of dose-limitingtoxicity (DLT)

    Time frame: 48 weeks

    Phase 1

  3. Incidence of serious adverse event (SAE)

    Time frame: 48 weeks

    Phase 1

  4. Temperature in ℃

    Time frame: 48 weeks

    Phase 1

  5. Pulse in BPM(Beat per Minute)

    Time frame: 48 weeks

    Phase 1

  6. Blood Pressure in mmHg

    Time frame: 48 weeks

    Phase 1

  7. Weight in Kg

    Time frame: 48 weeks

    Phase 1

  8. Height in centimeter

    Time frame: 48 weeks

    Phase 1

  9. Laboratory tests-Blood Routine examination

    Time frame: 48 weeks

    Phase 1

  10. Laboratory tests-Urine Routine test

    Time frame: 48 weeks

    Phase 1

  11. Laboratory tests-Blood biochemistry

    Time frame: 48 weeks

    Phase 1

  12. Laboratory tests- Coangulation function

    Time frame: 48 weeks

    Phase 1

  13. Echocardiography- LVEF(Left Ventricular Ejection Fraction) in percentage

    Time frame: 48 weeks

    Phase 1

  14. 12-lead electrocardiogram (ECG) in QTcF.

    Time frame: 48 weeks

    Phase 1

  15. 12-lead electrocardiogram (ECG) in QT.

    Time frame: 48 weeks

    Phase 1

  16. 12-lead electrocardiogram (ECG) in QRS.

    Time frame: 48 weeks

    Phase 1

  17. 12-lead electrocardiogram (ECG) in HR.

    Time frame: 48 weeks

    Phase 1

  18. 12-lead electrocardiogram (ECG) in RR.

    Time frame: 48 weeks

    Phase 1

  19. 12-lead electrocardiogram (ECG) in PR.

    Time frame: 48 weeks

    Phase 1

  20. ECOG(Eastern Cooperative Oncology Group) score

    Time frame: 48 weeks

    Phase 1

  21. Overall Response Rate (ORR)

    Time frame: 64 weeks

    Phase 2

Secondary outcomes

  1. Pharmacokinetic (PK) Parameter: Maximum Observed Concentration (Cmax)

    Time frame: 112 weeks

    Phase 1 and 2

  2. PK Parameter:Time of Maximum Observed Concentration (Tmax)

    Time frame: 112 weeks

    Phase 1 and 2

  3. PK Parameter: Area Under the Concentration-time Curve(AUC)

    Time frame: 112 weeks

    Phase 1 and 2

  4. PK Parameter: Steady State Maximum Concentration(Cmax,ss)

    Time frame: 112 weeks

    Phase 1 and 2

  5. PK Parameter: Steady State Minimum Concentration(Cmin,ss)

    Time frame: 112 weeks

    Phase 1 and 2

  6. PK Parameter: Systemic Clearance at Steady State (CLss)

    Time frame: 112 weeks

    Phase 1 and 2

  7. PK Parameter: Accumulation Ratio (Rac)

    Time frame: 48 weeks

    Phase 1 and 2

  8. PK Parameter: Elimination Half-life (t1/2)

    Time frame: 112 weeks

    Phase 1

  9. PK Parameter: Volume of Distribution at Steady-State (Vss)

    Time frame: 112 weeks

    Phase 1 and 2

  10. PK Parameter: Degree of Fluctuation (DF)

    Time frame: 112 weeks

    Phase 1 and 2

  11. Immunogenicity of LM-101

    Time frame: 112 weeks

    Phase 1 and 2; Anti-Drug antibody and Nab (if neccessary) will be tested.

  12. Receptor Occupancy of LM-101

    Time frame: 48 weeks

    Phase 1

  13. Biomarker correlation (CD8/CD47/CD68/CD163/PD-L1)

    Time frame: 112 weeks

    Phase 1 and 2

  14. Duration of Response (DOR) in Month

    Time frame: 64 weeks

    Phase 2

  15. Disease control rate (DCR) in percentage

    Time frame: 64 weeks

    Phase 2

  16. progression-free survival (PFS) in Month

    Time frame: 64 weeks

    Phase 2

  17. Overall survival (OS) in Month

    Time frame: 64 weeks

    Phase 2

  18. Changes of target lesions from baseline in Millimeter.

    Time frame: 64 weeks

    Phase 2

  19. Safety: AE/SAE (Number of participants with treatment-related adverse events as assessed by CTCAE v5.0)

    Time frame: 64 weeks

    Phase 2

  20. Temperature in ℃

    Time frame: 64 weeks

    Phase 2

  21. Pulse in BPM(Beat per Minute)

    Time frame: 64 weeks

    Phase 2

  22. Blood Pressure in mmHg

    Time frame: 64 weeks

    Phase 2

  23. Weight in Kg

    Time frame: 64 weeks

    Phase 2

  24. Height in centimeter

    Time frame: 64 weeks

    Phase 2

  25. Laboratory tests-Blood Routine examination

    Time frame: 64 weeks

    Phase 2

  26. Laboratory tests-Urine Routine test

    Time frame: 64 weeks

    Phase 2

  27. Laboratory tests-Blood biochemistry

    Time frame: 64 weeks

    Phase 2

  28. Laboratory tests- Coangulation function

    Time frame: 64 weeks

    Phase 2

  29. 12-lead electrocardiogram (ECG) in RR, PR, QRS, QT, QTcF etc.

    Time frame: 64 weeks

    Phase 2

  30. ECOG(Eastern Cooperative Oncology Group) score

    Time frame: 64 weeks

    Phase 2

Study contacts

Contact information is provided by the study sponsor or research team.

Sponsors and collaborators

Lead sponsor

LaNova Medicines Limited

Industry

Registry information

Official study title

A Phase I/II, Open-label, Dose Escalation, and Dose Expansion Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Immunogenicity, and Preliminary Efficacy of LM-101 Injection as a Single Agent or Combination Therapy in Patients With Advanced Malignant Tumors

Important dates

Study start
2023
Primary completion
2027
Study completion
2028
First posted
Nov 14, 2022
Registry last updated
Dec 19, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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