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Completed

NCT Number: NCT04640545

A Study to Assess LBL-007 in Combination With Toripalimab and Axitinib Tablets Subjects With Advanced Melanoma

A phase I clinical study evaluating LBL-007 in the treatment of subjects with advanced solid tumors

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Key information

Conditions

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Beijing Cancer Hospital, Beijing, Beijing Municipality, China

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About this study

This trial is a multi-center, single-arm, open-label, dose-escalation and expansion phase I study of LBL-007 combined with Toripalimab and Axitinib in the treatment of unresectable or metastatic melanoma.

It is divided into Study Part A and Study Part B. The safety, tolerability, kinetic characteristics, immunogenicity and preliminary efficacy of the subjects were evaluated. Both study part A and study part B are studied in two phases: dose escalation and dose expansion

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Willingness to provide written informed consent and follow the study treatment plan and visit plan;
  • Aged ≥ 18 years at time of signing informed consent, male or female;
  • Eastern Cooperative Oncology Group (ECOG) performance status score 0 or 1;
  • Have life expectancy of at least 12 weeks ;
  • Subject with at least one measurable tumor lesion,according to the evaluation standard of solid tumor efficacy (RECIST 1.1).

Exclusion criteria

  • Subjects are allergic to LBL-007, PD-1 and similar compounds or any component in the prescription;
  • Subjects with active central nervous system metastases (regardless of whether they have received treatment), including symptomatic brain metastases, meningeal metastases, or spinal cord compression, but asymptomatic brain metastases (no progression and/or at least 4 weeks after radiotherapy) No neurological symptoms or signs after surgical resection, and dexamethasone or mannitol treatment is not required);
  • Have received major surgery within 4 weeks before the first administration;
  • Subjects can not tolerate intravenous administration and have difficulty in venous blood collection (if there is a history of fainting needles and bleeding);
  • Women during pregnancy or lactation;

Treatment and study plan

LBL-007

Drug

LBL-007 will be administered intravenously every two weeks (Q2W) .

Toripalimab

Drug

Toripalimab Injection will be administered by intravenously (Q2W) .

Axitinib Tablets

Drug

Axitinib Tablets On-demand administration

Primary outcomes

  1. Number of subjcects with adverse events and serious adverse events

    Time frame: All subjects signed the informed consent form to the completion of the follow-up period of drug withdrawal (28+7 days after drug withdrawal or before the start of new anti-tumor therapy)

    The safety profile of LBL-007 and Toripalimab will be assessed by monitoring the adverse event(AE) per the National Cancer Institute Common Terminology Criteria for Adverse Events(NCI CTCAE)v5.0

  2. Maximum tolerated dose (MTD)

    Time frame: During the first two Cycles(each cycle is 14 days)

    MTD is defined as the hightest dose level at which no more than 1 out of 6 subjects experiences a DLT during the first two cycles.

  3. Dose-limiting toxicities (DLT)

    Time frame: During the first two Cycles(each cycle is 14 days)

    DLT is defined as a toxicities(adverse event at least possibly related to LBL-007 and Toripalimab )occurring during the DLT observation period(the initial 28 days).

Secondary outcomes

  1. Objective Response Rate (ORR)

    Time frame: All subjects signed the informed consent form to the completion of the follow-up period of drug withdrawal (28+7 days after drug withdrawal or before the start of new anti-tumor therapy)

    Defined as the percentage of subjects having a Complete Response or Partial Response(ORR, including after immunotherapy complete response (iCR) and partial response (iPR)),will be determined by investigator assessment of radiographic disease assessments per RECIST v1.1. and iRECIST.

  2. Duration of Response(DOR)

    Time frame: All subjects signed the informed consent form to the completion of the follow-up period of drug withdrawal (28+7 days after drug withdrawal or before the start of new anti-tumor therapy)

    Defined as the time from earliest date of disease response (CR 、PR、iCR、iPR) until earliest date of disease progression, as determined by investigator assessment of radiographic disease per RECIST v1.1 and iRECIST, or death from any cause, if occurring sooner than progression.

  3. Disease Control Rate(DCR)

    Time frame: All subjects signed the informed consent form to the completion of the follow-up period of drug withdrawal (28+7 days after drug withdrawal or before the start of new anti-tumor therapy)

    Defined as percentage of participants having CR, PR, iCR,iPR or SD as best on-study response

  4. Steady state Area under the serum concentration versus time curve(AUCss)

    Time frame: All subjects signed the informed consent form to the completion of the follow-up period of drug withdrawal (28+7 days after drug withdrawal or before the start of new anti-tumor therapy)

    To determine the PK profile of LBL-007 in combination with Toripalimab

  5. Steady state Maximum serum concentration (Cmax,ss)

    Time frame: All subjects signed the informed consent form to the completion of the follow-up period of drug withdrawal (28+7 days after drug withdrawal or before the start of new anti-tumor therapy)

    To determine the PK profile of LBL-007 in combination with Toripalimab

  6. Steady state Time to reach maximum serum concentration (Tmax,ss)

    Time frame: All subjects signed the informed consent form to the completion of the follow-up period of drug withdrawal (28+7 days after drug withdrawal or before the start of new anti-tumor therapy)

    To determine the PK profile of LBL-007 in combination with Toripalimab

  7. Pharmacodynamic (PD) index

    Time frame: All subjects signed the informed consent form to the completion of the follow-up period of drug withdrawal (28+7 days after drug withdrawal or before the start of new anti-tumor therapy)

    The PD evaluation index is the LAG-3 receptor occupancy rate in peripheral blood

  8. Immunogenicity index

    Time frame: All subjects signed the informed consent form to the completion of the follow-up period of drug withdrawal (28+7 days after drug withdrawal or before the start of new anti-tumor therapy)

    The immunogenicity evaluation indicators are the incidence of anti-drug antibodies (ADA) and the incidence of neutralizing antibodies (if applicable) in the subject.

Sponsors and collaborators

Lead sponsor

Nanjing Leads Biolabs Co.,Ltd

Industry

Registry information

Official study title

A Phase I Multi-center Study to Evaluate the Safety ,Tolerability and Efficacy of LBL-007 Combined With Toripalimab or LBL-007 Combined With Toripalimab and Axitinib Tablets in the Treatment of Unresectable or Metastatic Melanoma

Important dates

Study start
2020
Primary completion
2024
Study completion
2024
First posted
Nov 23, 2020
Registry last updated
May 13, 2026

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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