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NCT Number: NCT05772455

A Study of XZB-0004 in Patients With Solid Tumors

XZB-0004 is a novel and potent small molecule inhibitor of receptor tyrosine kinase AXL.

This is an open-label, multicentre phase I study of XZB-0004 in patients with solid tumors. Part 1 is a dose-escalation study to evaluate the safety, pharmacokinetic (PK), and pharmacodynamic profile of XZB-0004, and then to identify a safe and pharmacologically active dose for evaluation in subsequent cohorts or clinical studies. Part 2 is a study to evaluate the efficacy and safety of XZB-0004 combined with Penpulimab in patients with NSCLC or advanced solid tumors.

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Shanghai Pulmonary Hospital

Shanghai, Shanghai Municipality, 200433, China

Location status: Recruiting

Location contact

Caicun Zhou

CONTACT

[email protected]

+86-13301825532

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Patient has signed informed consent before any trial related activities.
  • Be 18 years of age or older and less than 75 years at the time of signing the informed consent.
  • Part 1: Have a histologically or cytologically confirmed diagnosis of a solid tumour malignancy; Part 2:Have a histologically or cytologically confirmed diagnosis of a NSCLC or solid tumour malignancy.
  • Have evaluable (for Part 1) or measurable (for Part 2) disease as the Response Evaluation Criteria in Solid Tumours (RECIST) 1.1.
  • Have a performance status score of 0 or 1 according to the Eastern Cooperative Oncology Group (ECOG) scale.
  • Have adequate organ function.
  • Have recovered to ≤ grade 1 or Meet the requirements of the study from the effects of any prior cancer therapy, except for alopecia; irreversible neuropathy should have recovered to ≤ grade 2.
  • Have a life expectancy greater than 3 months.
  • Eligible patients (male and female) who are fertile must agree to at least use a reliable contraceptive method with partner.
  • Willingness to comply with scheduled visits, treatment plans, laboratory tests, and other study procedures.

Exclusion criteria

  • Previous use of AXL inhibitors and immunotherapy was consistent with protocol requirements.
  • Received anti-tumor therapy such as chemotherapy, radiotherapy, biotherapy, endocrine therapy, immunotherapy or other therapy within 4 weeks prior to the first dose of the investigational drug.
  • Received other unmarketed investigational drugs or treatments within 4 weeks or 5 times the elimination half-life prior to the first dose of the investigational drug.
  • Treatment with systemic glucocorticoids (prednisone > 10mg per day or equivalent) or other immunosuppressive agents within 14 days before the first dose of a trial drug.
  • Inability to swallow, intestinal obstruction or other factors that affect the taking and absorption of the drug.
  • Patient with heart function impaired or clinically significant heart disease.
  • Any condition or illness that, in the opinion of the Investigator, would interfere with the evaluation of the safety of the study drug.
  • History of immune deficiencies, including positive HIV antibody tests.
  • Patient is in the active stage of HBV or HCV.
  • History of solid organ transplant or bone marrow transplant.
  • Any other malignant tumor has been diagnosed within 5 years.
  • Has known Primary tumor of the central nervous system or central nervous system metastase.
  • Uncontrolled pleural effusion, pericardial effusion, or ascites requiring repeated drainage were present within 4 weeks before the first dose of the trial drug.
  • Subjects with psychiatric disorders that may affect trial compliance.
  • history of Alcoholism or drug abuse.
  • Pregnant or breastfeeding.
  • The researchers considered that there were some cases that were not suitable for inclusion.

Treatment and study plan

XZB-0004

Drug

Part 1a: 100mg BID, 150mg BID, and 200mg BID of XZB-0004 are planned to be evaluated, and the possibility of exploring higher or lower doses is not ruled out. Continuous administration of XZB-0004 for 21 days is a treatment cycle. Part 1b: XZB-0004 in combination with Penpulimab in subjects with advanced NSCLC or solid tumors, starting at a dose level down from the RP2D of XZB-0004 monotherapy- cohort 1: Advanced or metastatic NSCLC with advanced disease progression after treatment with PD-1 or PD-L1 inhibitors; cohort 2: Advanced or metastatic NSCLC with advanced disease progression after platinum-containing chemotherapy without prior use of any immunocheckpoint inhibitors; cohort3: Advanced or metastatic solid tumors that cannot be radically cured by surgery or local therapy, including but not limited to urothelial carcinoma, melanoma, etc. Subjects had disease progression since last antitumor therapy, no availability or intolerance or refusal of standard therapy.

Primary outcomes

  1. Maximum tolerated dose (MTD) (for Part 1a)

    Time frame: Up to 3 weeks

    Determine MTD of XZB-0004

  2. Recommended phase 2 dose (RP2D)(for Part 1a)

    Time frame: Up to 3 weeks

    Determine RP2D of XZB-0004

  3. Overall Response Rate (ORR) (for Part 1b)

    Time frame: Up to 2-3 years

    Number of participants who achieved a best response of either complete response (CR) or partial response (PR) during treatment evaluated by investigators according to the Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1

Secondary outcomes

  1. Pharmakinetic parameter - AUC0-t (for Part 1a and Part 1b)

    Time frame: Up to 63 days

    To determine AUC0-t of XZB-0004

  2. Pharmakinetic parameter - AUC0-∞ (for Part 1a and Part 1b)

    Time frame: Up to 63 days

    To determine AUC0-∞ of XZB-0004

  3. Pharmakinetic parameter - Cmax (for Part 1a and Part 1b)

    Time frame: Up to 63 days

    To determine Cmax of XZB-0004

  4. Pharmakinetic parameter - Tmax (for Part 1a and Part 1b)

    Time frame: Up to 63 days

    To determine Tmax of XZB-0004

  5. Pharmakinetic parameter - t½ (for Part 1a and Part 1b)

    Time frame: Up to 63 days

    To determine t½ of XZB-0004

  6. Pharmakinetic parameter - CL/F (for Part 1a and Part 1b)

    Time frame: Up to 63 days

    To determine CL/F of XZB-0004

  7. Pharmakinetic parameter - Vz/F (for Part 1a and Part 1b)

    Time frame: Up to 63 days

    To determine Vz/F of XZB-0004

  8. Overall Response Rate (ORR) (for Part 1a)

    Time frame: Up to 2-3 years

    Number of participants who achieved a best response of either complete response (CR) or partial response (PR) during treatment evaluated by investigators according to the Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1

  9. Progression free survival (PFS) (for Part 1a and Part 1b)

    Time frame: Up to 2-3 years

    PFS is defined as the time from the date of first dose of XZB-0004 till the first documentation of disease progression (per RECIST v1.1 criteria) assessed by the investigator or death due to any cause (whichever occurs first).

  10. Duration of response (DOR) (for Part 1a and Part 1b)

    Time frame: Up to 2-3 years

    DoR is defined as the duration from the first documentation of objective response to the first documented disease progression or death due to any cause, whichever occurs first.

  11. Disease control rate (DCR) (for Part 1a and Part 1b)

    Time frame: Up to 2-3 years

    DCR is defined as the proportion of subjects with CR, PR, or SD, based on RECIST v1.1.

  12. Overall survival (OS) (for Part 1a and Part 1b)

    Time frame: Up to 2-3 years

    OS is the time from the date of first dose of XZB-0004 to death due to any cause.

  13. Incidence and severity of adverse events (AEs)(for Part 1b)

    Time frame: Up to 2-3 years

    An adverse event (AE) is any untoward medical occurrence or the deterioration of existing medical event in a clinical study subject administered an investigational drug, which does not necessarily have an unequivocal causal relationship with the investigational product.

Study contacts

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

Xiujie Zhang

CONTACT

[email protected]

+86-13671737230

Sponsors and collaborators

Lead sponsor

Xuanzhu Biopharmaceutical Co., Ltd.

Industry

Registry information

Official study title

A Phase I, Open-label, Dose-escalation Study of the Safety, Pharmacokinetics and Efficacy of the XZB-0004 in Patients With Solid Tumours

Important dates

Study start
2023
Primary completion
2025
Study completion
2027
First posted
Mar 16, 2023
Registry last updated
Oct 28, 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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