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NCT Number: NCT06528249

Safety, Tolerability and Preliminary Efficacy of Erythrocyte-αPD-1 Conjugate in Patients With Advanced Malignancies

This is an investigator-initiated, multi-center, open-label clinical study to evaluate the safety, pharmacokinetics, pharmacodynamics, and efficacy of Erythrocyte-αPD-1 conjugates in patients with advanced malignancies

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

About this study

This is an investigator-initiated, multi-center, open-label clinical study to evaluate the safety, pharmacokinetics, pharmacodynamics, and efficacy of Erythrocyte-αPD-1 conjugates in patients with unresectable or metastatic advanced malignancies who have failed previous systemic therapy.

The study was divided into 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

  • The subject signs an informed consent form, understands this study, is willing to follow and has the ability to complete all experimental procedures;
  • Regardless of gender, aged 18 to 75 years old (including threshold);
  • Patients with advanced malignant tumors who have been confirmed by histopathology;
  • Patients with histopathologically confirmed unresectable or metastatic solid tumors who have failed systemic treatment or have no effective standard treatment, or who are unwilling to accept standard treatment or are not suitable for standard treatment;
  • ECOG≤1;
  • Expected life ≥ 3 months;
  • Male participants, their spouses, and female participants of childbearing age should agree to use a medically recognized effective contraceptive method from the signing of the informed consent form until 3 months after the last administration; Pregnancy testing results for women of childbearing age within ≤ 7 days before the first trial drug administration must be negative. Women of childbearing age include premenopausal women and women within 2 years after menopause.

Exclusion criteria

  • People with other serious medical diseases, including but not limited to: uncontrolled diabetes, active peptic ulcer, active bleeding, etc., and people with uncontrollable or serious cardiovascular diseases,
  • Patients with clinical symptoms and the need for repeated drainage of pleural and ascitic fluids;
  • Previous or recent history of pulmonary fibrosis, severe lung function damage caused by pneumoconiosis, radiation pneumonia, and drug-related pneumonia;
  • There have been adverse events related to the use of IO drugs that require permanent cessation of IO treatment;
  • Known to have other malignant tumors, currently progressing or completing treatment at least once in the past 3 years.
  • Subjects with symptomatic central nervous system (CNS) metastasis confirmed by imaging or pathological examination and clinically unstable for at least 14 days prior to enrollment who require steroid treatment;
  • Having hereditary bleeding tendencies or coagulation disorders, or a history of thrombosis, hemolysis, or hemorrhagic diseases; Received significant surgical treatment or obvious traumatic injury within 28 days prior to the start of research treatment

Treatment and study plan

Engineered erythrocytes (or red blood cells) covalently conjugated with commercially available anti-PD-1 antibodies on their membranes

Drug

Engineered erythrocytes (or red blood cells) covalently conjugated with commercially available anti-PD-1 antibodies on their membranes

Primary outcomes

  1. Incidence of adverse events

    Time frame: through study completion, an average of 1 year

    The incidence of adverse events (AE), treatment related adverse events (TRAE), and severe adverse events (SAE) during the treatment of engineered erythrocytes

Secondary outcomes

  1. Pharmacodynamics characteristics Peak Plasma Concentration(Cmax)

    Time frame: through study completion, an average of 1 year

    The occupancy rate of PD-1 receptor on the surface of peripheral blood T cells in subjects after infusion,including Peak Plasma Concentration(Cmax)

  2. Pharmacodynamics characteristics Area under the plasma concentration versus time curve(AUC)

    Time frame: through study completion, an average of 1 year

    The occupancy rate of PD-1 receptor on the surface of peripheral blood T cells in subjects after infusion,including Area under the plasma concentration versus time curve (AUC).

  3. Efficacy of Erythrocyte-αPD-1 Conjugate

    Time frame: per 6 weeks

    According to RECIST 1.1, the effectiveness of Erythrocyte-αPD-1 Conjugate injection in the treatment of patients with unresectable or metastatic advanced solid tumors was evaluated. The evaluation indicators included objective response rate (ORR),etc.

Other outcomes

  1. Anti-drug antibody (ADA)

    Time frame: through study completion, an average of 1 year

    Describe the number of anti-drug antibodies (ADA) produced by subjects at each time point after treatment.

  2. Peripheral immune response assessment

    Time frame: through study completion, an average of 1 year

    Immune cell alterations(number of T-cell,etc) in the peripheral are analyzed by flow cytometry.

Study contacts

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

Liu Yang, PhD

CONTACT

[email protected]

0571-85893889

Sponsors and collaborators

Lead sponsor

Zhejiang Provincial People's Hospital

Other

Collaborators

  • Westlake Therapeutics

Registry information

Official study title

Safety, Tolerability and Preliminary Efficacy of Erythrocyte-αPD-1 Conjugate Injection in Patients With Advanced Malignancies

Important dates

Study start
2024
Primary completion
2026
Study completion
2026
First posted
Jul 30, 2024
Registry last updated
Jul 30, 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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