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Completed

NCT Number: NCT03619681

Trial of KN026 in Patients With HER2-positive Advanced Malignant Breast Cancer and Gastric Cancer

This is a first-in-human (FIH), open-label, phase 1 dose-escalation study of KN026 in subjects with HER2 positive advanced breast and Gastric Cancer. The standard "3 + 3" design was used for dose escalation. There are 5 proposed dose levels which are 5, 10, 15, 20 and 30 mg/kg, but dosing interval may be adjusted during the study (such as QW, OR Q2W, OR Q3W) based on emerging data from this trial and/or from phase 1 trial of KN026 in other country. Dose escalation will continue until the maximum tolerated dose (MTD) is reached or if MTD is not found, dose escalation will continue until the MAD of 20 mg / kg is reached. Dose expansion will carried out in 20 mg/kg Q2W and 30 mg/kg Q3W.

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Fudan University Shanghai Cancer Hospital

Shanghai, 200000, China

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Male or female subject >= 18 years and =<75 years.
  • Histologically or cytologically confirmed, locally advanced unresectable or metastatic breast cancer or gastric cancer.
  • ECOG score 0 or 1.
  • Life expectancy >3 months.
  • According to the definition of RECIST1.1, the patient has at least one measurable lesion.
  • Adequate organ function prior to start treatment with KN026.
  • Able to understand, voluntarily participate and willing to sign the ICF.
  • Subjects (women of child-bearing potential and males with fertile female partner) must be willing to use viable contraception method.

Exclusion criteria

  • Accepted any other anti-tumor drug therapies within 4 weeks before fist dose.
  • Accepted radiotherapy within 4 weeks before enrollment(Subjects are eligible, which accepted palliative therapies within 2 weeks before the first dose of KN026 for osseous metastatic and all the AEs recovered).
  • An anthracyclines antibiotic treatment, such as doxorubicin (Adriamycin) was received exceeding 300 mg/m² within 90 days before first KN026 dosing, or other equivalent dose antharcyclines.
  • Subjects are eligible with clinically controlled and stable neurologic function >= 4 weeks, which is no evidence of CNS disease progression; Subjects with spinal cord compression and cancerous meningitis are not eligible.
  • Pregnant or nursing females;or intend pregnancy within this study period or within 6 monthes after the end of this study.
  • Has not recovered (ie, >Grade 1) from AEs except alopecia and anemia.
  • History of immunodeficiency, including HIV positive or other acquired, congenital immunodeficiency disease, or a history of organ transplantation.
  • Severe chronic and active infection, need to system antibiosis/antiviral treatment.
  • Cavity effusion (pleural effusion, ascites, pericardial effusion, etc.) are not well controlled, and need locally treatment or repeated drainage. -

Treatment and study plan

KN026

Drug

Patient will be intravenously administrated with one dose of KN026. dosing interval may be adjusted during the study based on emerging data from this trial and/or from other trial.

Primary outcomes

  1. The proportion of patients experiencing dose limiting toxicities.

    Time frame: From screening to up to 28 days

Secondary outcomes

  1. Percentage of participants with adverse events (AEs), serious adverse events (SAEs) and AEs of special interest.

    Time frame: From screening to up to 112 days

  2. Percentage of participants who experience laboratory abnormalities and/or adverse events as defined by CTCAE that are related to treatment

    Time frame: From screening to up to 112 days

  3. Maximum observed serum concentration (Cmax) of KN026.

    Time frame: Throughout the duration of the study; up to 84 days

  4. Time of Maximum observed serum concentration (Tmax) of KN026.

    Time frame: Throughout the duration of the study; up to 84 days

  5. Adjusted geometric means of area under the serum concentration-time curve from time zero to the time of last quantifiable concentration (AUC(0-T)) for KN026.

    Time frame: Throughout the duration of the study; up to 84 days

  6. Serum Half-life (T-HALF) of KN026.

    Time frame: Throughout the duration of the study; up to 84 days.

  7. Serum clearance (CL) of KN026.

    Time frame: Throughout the duration of the study; up to 84 days

  8. Volume of distribution at steady state (VSS) of KN026.

    Time frame: Throughout the duration of the study; up to 84 days

  9. Frequency and titer of anti-KN026 antibody.

    Time frame: Throughout the duration of the study; up to 2 years.

  10. The proportion of patients with an objective response (partial response or complete response) as defined by RECIST 1.1 criteria.

    Time frame: Throughout the duration of the study; up to 2 years.

  11. Progression free survival according to RECIST 1.1 criteria.

    Time frame: Throughout the duration of the study; up to 2 years.

Sponsors and collaborators

Lead sponsor

Jiangsu Alphamab Biopharmaceuticals Co., Ltd

Industry

Registry information

Official study title

A Single Arm, Open Lable, Dose Escalation Phase I Study to Evaluate the Tolerability, Safety, Pharmacokinetics, and Preliminary Efficacy of KN026 Monotherapy in Patients With HER2-positive Advanced Malignant Breast and Gastric Cancer

Important dates

Study start
2018
Primary completion
2022
Study completion
2022
First posted
Aug 8, 2018
Registry last updated
Mar 12, 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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