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Completed

NCT Number: NCT03995472

A Study of SHR-1501 Combined With SHR-1316 in Patients With Advanced Tumors

The purpose of this study is to evaluate the safety and tolerability of SHR-1501 in combination with SHR-1316 in patients with advanced malignancies and to provide a recommended dose (RP2D) for subsequent clinical studies.

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Sydney Southwest Private Hospital, Liverpool, New South Wales, Australia

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Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • All Patients All patients must meet all the following criteria to be eligible to participate:
  • Voluntarily participate in this clinical study, understand the research procedure and be able to sign informed consent in writing;
  • Subjects must be willing and able to follow the research protocol;
  • Aged 18-75 years old when the informed consent form is signed;
  • Have a histologically or cytologically confirmed diagnosis of advanced or metastatic tumor malignancy;
  • Patients' malignancies must be relapsed or refractory to standard treatment, or patients cannot tolerate standard treatment, or patients have actively refused standard therapy;
  • FFPE tumor tissue or unstained slides of tumor sample must be obtained from patients enrolled in the dose expansion or indication expansion stage, both preserved samples collected within 6 months before the first dose (or up to 12 months prior to the first dose) and fresh samples (preferred) are acceptable;
  • Eastern Cooperative Oncology Group ECOG PS score of 0-1;
  • Have a life expectancy of ≥ 12 weeks;
  • Adequate organ function defined according to the protocol, These results should be completed within 14 days prior to the first study treatment:
  • Non-surgically sterilized women of childbearing age or male subjects are required to consent to the use of at least one medically approved contraceptive (eg intrauterine devices, contraceptives or condoms) is performed during the study treatment period and within 3 months of the end of the study treatment period.

Exclusion criteria

  • Patients with cancerous meningitis (ie meningeal metastasis);
  • Patients with active central nervous system (CNS) metastasis.
  • Spinal cord compression that cannot be radically treated with surgery and/or radiotherapy cannot be enrolled.
  • Patients with double cancer or more serious cancer;
  • Patients with a history of autoimmune diseases;
  • Significant clinical significance in the history of cardiovascular disease;
  • Arterial/venous thrombosis events such as cerebrovascular accidents deep vein thrombosis and pulmonary embolism within 6 months prior to first administration;
  • Have a history of immunodeficiency including HIV infection;
  • Active hepatitis B or hepatitis C patients;
  • Any disease or symptom that is not appropriate for inclusion in this study determined by the investigator.;
  • Patients have undergone major surgery within 28 days prior to the first dose (except for diagnostics);
  • Those who used a live attenuated vaccine within 4 weeks prior to the first dose or expect a live attenuated vaccine during the study period;
  • Those who received other clinical trials within 4 weeks prior to the first study;
  • Those who received systemic immunosuppressive therapy within 2 weeks prior to the first study dose;
  • Patients who have previously received allogeneic bone marrow transplantation or solid organ transplantation;
  • A history of severe allergic reactions to other monoclonal antibody/fusion protein drugs;
  • Mental illness, alcohol abuse, drug abuse or substance abuse;
  • Any disease or condition that causes reasonable suspicion to prohibit the use of the study drug or affect the interpretation of the study results or the patient is at high risk of treatment complications (any other disease, metabolic disorder, physical examination results or laboratory tests abnormalities);
  • Pregnant or lactating women or women planning to become pregnant during the study.

Treatment and study plan

SHR-1501

Drug

Administered subcutaneously

SHR-1316

Drug

Administered intravenously

Primary outcomes

  1. Dose-limiting toxicity and Maximum tolerated dose

    Time frame: Approximately 42 Days.

    Dose-limiting toxicity and Maximum tolerated dose in patients with advanced tumors treated by SHR-1501 combined with SHR-1316.

  2. Recommended Phase 2 dose (RP2D)

    Time frame: Approximately 2 years

    Recommended Phase 2 dose (RP2D) based on comprehensive evaluation

  3. Adverse event/Serious adverse event

    Time frame: Approximately 2 years

    Incidence/severity of adverse events/serious adverse events (rated based on CTC AE v5.0)

Secondary outcomes

  1. Pharmacokinetic (PK)

    Time frame: Approximately 2 years

    Single dose: maximum concentration (Cmax)

  2. Pharmacokinetic (PK)

    Time frame: Approximately 2 years

    Single dose: time to maximum concentration (Tmax)

  3. Pharmacokinetic (PK)

    Time frame: Approximately 2 years

    Single dose: areas under the concentration-time curve (AUClast and AUCinf)

  4. Pharmacokinetic (PK)

    Time frame: Approximately 2 years

    Single dose: half-life (t1/2)

  5. Pharmacokinetic (PK)

    Time frame: Approximately 2 years

    Single dose: clearance (CL)

  6. Pharmacokinetic (PK)

    Time frame: Approximately 2 years

    Single dose: mean residence time (MRT)

  7. Pharmacokinetic (PK)

    Time frame: Approximately 2 years

    Single dose: volume at steady state (Vss)

  8. Pharmacokinetic (PK)

    Time frame: Approximately 2 years

    Multiple doses (at steady state, if applicable): maximum concentration at steady state (Css_max)

  9. Pharmacokinetic (PK)

    Time frame: Approximately 2 years

    Multiple doses (at steady state, if applicable): time to maximum concentration (Tss_max)

  10. Pharmacokinetic (PK)

    Time frame: Approximately 2 years

    Multiple doses (at steady state, if applicable): area under the concentration-time curve at steady state (AUCss)

  11. Pharmacokinetic (PK)

    Time frame: Approximately 2 years

    Multiple doses (at steady state, if applicable): t1/2

  12. Pharmacokinetic (PK)

    Time frame: Approximately 2 years

    Multiple doses (at steady state, if applicable):steady-state minimum concentration at steady state (Css_min)

  13. Pharmacokinetic (PK)

    Time frame: Approximately 2 years

    Multiple doses (at steady state, if applicable): average concentration at steady state(Css_av)

  14. Pharmacokinetic (PK)

    Time frame: Approximately 2 years

    Multiple doses (at steady state, if applicable): accumulation ratio (Rac)

  15. Immune related features

    Time frame: Approximately 2 years

    indicated by the count of CD8+ T-lymphocytes in peripheral blood at scheduled post-dose time points.

  16. Immune related features

    Time frame: Approximately 2 years

    indicated by the percentage of CD8+ T-lymphocytes in peripheral blood at scheduled post-dose time points.

  17. Immune related features

    Time frame: Approximately 2 years

    indicated by the count of natural killer (NK) cells in peripheral blood at scheduled post-dose time points.

  18. Immune related features

    Time frame: Approximately 2 years

    indicated by the percentage of natural killer (NK) cells in peripheral blood at scheduled post-dose time points.

  19. Objective response rate

    Time frame: Approximately 2 years

    Percentage of participants with CR or PR.

  20. Disease control rate

    Time frame: Approximately 2 years

    Percentage of participants with CR or PR or SD.

  21. Duration of response

    Time frame: Approximately 2 years

    Duration of time of tumor remission.

  22. progression-free survival

    Time frame: Approximately 2 years

    Progression-free survival time.

  23. 12 months overall survival

    Time frame: Approximately 2 years

    12-month survival rate.

  24. Durable clinical benefit rate at 6 month

    Time frame: Approximately 2 years

    Percentage of participants with CR or PR or SD lasts over six months.

  25. Immunogenicity

    Time frame: Approximately 2 years

    The immunogenicity of SHR-1501 single drug and the immunogenicity of SHR-1316 combined with SHR-1501. The indicator includes number of participants with anti-drug antibody positive or neutralizing antibody positive.

Sponsors and collaborators

Lead sponsor

Jiangsu HengRui Medicine Co., Ltd.

Industry

Registry information

Official study title

A Phase I Clinical Study to Evaluate the Tolerability, Safety, Pharmacokinetics and Efficacy of SHR-1501 in Combination With SHR-1316 in Patients With Advanced Malignancies

Important dates

Study start
2020
Primary completion
2023
Study completion
2023
First posted
Jun 24, 2019
Registry last updated
Sep 28, 2023

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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