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Completed

NCT Number: NCT04200404

A Study of CS1001 in Combination With Regorafenib in Patients With Advanced or Refractory Solid Tumors

This is a multicenter, open-label study of CS1001 in combination with regorafenib in participants with advanced or refractory cancers. There will be a dose escalation portion in "allcomers"to find a suitable dose of regorafenib for combination use with CS1001. This study will also enroll participants with specific tumor types in the phase II part of the study to assess the efficacy, pharmacokinetics and safety of the combined regimen (RP2D of regorafenib + CS 1001)

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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

Ashford Cancer Centre Research

Kurralta Park, South Australia, 5037, Australia

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • All participants must have unresectable advanced or metastatic tumors that have histologic or cytologic documentation confirmed.
  • Participant must have at least one measurable lesion by CT or MRI per RECIST 1.1; radiographic tumor assessment should be performed within 28 days prior to initiation of study treatment.
  • ECOG performance status score of 0 or 1.
  • Life expectancy ≥ 12 weeks.
  • Fresh or archival tumor tissue must be provided for PD-L1 expression testing in selected cohorts.
  • Adequate organ function
  • Women of childbearing potential (WOCBP) must have a negative serum pregnancy test result. Either Female or male participants must agree to use adequate contraceptive measures from signing informed consent and for 180 days after last investigational product administration, except for a participant with documented surgical sterilization or a postmenopausal female.
  • Any toxic effects of prior anti-cancer therapy or surgical procedures resolved to baseline severity or NCI-CTCAE version 5 Grade 1 (except alopecia or other toxicities not considered a safety risk for the patient at investigator's discretion).
  • Subjects with hepatitis B virus (HBV) infection must have HBV DNA < 2000 IU/mL at screening, and requires continue anti-HBV treatment in the study

Exclusion criteria

  • Prior malignancy active within the previous 3 years except for locally curable cancers that have been apparently cured.
  • Participants with any condition that impairs their ability to take oral medication, such as lack of physical integrity of the upper gastrointestinal tract or malabsorption syndrome.
  • Has known central nervous system (CNS) metastases and/or carcinomatous meningitis that is either symptomatic or untreated.
  • Any prior (within 1 year) or current clinically significant ascites as measured by physical examination and that requires active paracentesis for control.
  • Significant history of cardiac disease within 6 months prior to Day 1 of Cycle 1, myocardial infarction within the previous year, or current cardiac ventricular arrhythmias requiring medication, or left ventricular ejection fraction (LVEF) is below 50%.
  • History or evidence of poorly controlled arterial hypertension.
  • Any serious or uncontrolled medical disorder or active infection may increase the risk associated with study participation or dose.
  • Administration of drugs known as strong CYP3A4 inducers or strong CYP3A4 inhibitors and the last dose was given in < 5 half-lives from the first investigational product administration.
  • Any hemorrhage or bleeding event ≥ CTCAE Grade 3 within 28 days prior to the start of study treatment.

Other inclusion/exclusion criteria may apply.

Treatment and study plan

CS1001

Drug

One course will last 28 days. CS1001 will be intravenously administered every 4 weeks (Q4W).

regorafenib

Drug

One course will last 28 days. Administration will be orally (p.o.) taken at different dose schemes.

Other names: BAY 73-4506

Primary outcomes

  1. Phase Ib (Safety Evaluation): Number of participants with adverse events

    Time frame: Baseline up to 90 days post last dose, up to 2 years

  2. Phase Ib (Safety Evaluation): Dose Limiting Toxicity (DLT)

    Time frame: Baseline up to 90 days post last dose, up to 2 years

  3. Phase II (Efficacy Expansion): Objective response rate (ORR)

    Time frame: Up to 2 years

Secondary outcomes

  1. Phase Ib (Safety Evaluation): Objective response rate (ORR)

    Time frame: Up to 2 years

  2. Phase Ib (Safety Evaluation) and/or Phase II (Efficacy Expansion): Disease control rate (DCR)

    Time frame: Up to 2 years

  3. Phase Ib (Safety Evaluation) and/or Phase II (Efficacy Expansion): Progression Free Survival (PFS)

    Time frame: Up to 2 years

  4. Phase Ib (Safety Evaluation) and/or Phase II (Efficacy Expansion): Duration of Response (DoR)

    Time frame: Up to 2 years

  5. Phase Ib (Safety Evaluation) and/or Phase II (Efficacy Expansion): Overall Survival (OS)

    Time frame: Up to 2 years

  6. Phase Ib (Safety Evaluation) and/or Phase II (Efficacy Expansion): Occurrence of anti-CS1001 antibody

    Time frame: From first dose to 30 days after last dose, up to 2 years

  7. Phase II (Efficacy Expansion): : Number of participants with adverse events

    Time frame: Baseline up to 90 days post last dose, up to 2 years

  8. Phase Ib (Safety Evaluation) and/or Phase II (Efficacy Expansion): Area under the plasma concentration-time curve (AUC)0-t of CS1001

    Time frame: From first dose to 30 days after last dose, up to 2 years

  9. Phase Ib (Safety Evaluation) and/or Phase II (Efficacy Expansion): Maximum plasma concentration (Cmax) of CS1001

    Time frame: From first dose to 30 days after last dose, up to 2 years

  10. Phase Ib (Safety Evaluation) and/or Phase II (Efficacy Expansion): Time to reach maximum plasma concentration (Tmax) of CS1001

    Time frame: From first dose to 30 days after last dose, up to 2 years

  11. Phase Ib (Safety Evaluation) and/or Phase II (Efficacy Expansion): Terminal elimination half-life (t1/2) of CS1001

    Time frame: From first dose to 30 days after last dose, up to 2 years

  12. Phase Ib (Safety Evaluation) and/or Phase II (Efficacy Expansion): Clearance at Steady State (CLss) of CS1001

    Time frame: From first dose to 30 days after last dose, up to 2 years

  13. Phase Ib (Safety Evaluation): Maximum plasma concentration (Cmax) of regorafenib

    Time frame: From first dose to 30 days after last dose, up to 2 years

  14. Phase Ib (Safety Evaluation): Minimum plasma concentration (Cmin) of regorafenib

    Time frame: From first dose to 30 days after last dose, up to 2 years

Sponsors and collaborators

Lead sponsor

CStone Pharmaceuticals

Industry

Collaborators

  • Bayer

Registry information

Official study title

A Phase Ib/II, Multicenter Open-label Study of CS1001 in Combination With Regorafenib in Patients With Advanced or Refractory Solid Tumors

Important dates

Study start
2019
Primary completion
2021
Study completion
2021
First posted
Dec 16, 2019
Registry last updated
May 6, 2022

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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