A Phase I Clinical Study Evaluating the Safety, Tolerability, Pharmacokinetic Characteristics, and Preliminary Efficacy of SXRN Injection in Patients With Cancer Cachexia

Trial statusRecruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age18-75
SponsorJiangsu Nutai Biologics Co., Ltd

About this trial

This is a clinical study evaluating the safety, tolerability, pharmacokinetics (PK), and preliminary efficacy of SXRN Injection in cancer patients with anorexia-cachexia. Phase Ia employs a single-arm, open-label, dose-escalation design. Phase Ib, an extension of the study, utilizes a design of combination therapy with standard anti-tumor therapy for cancers including but not limited to pancreatic cancer, non-small cell lung cancer (NSCLC), and colon cancer.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

1. Male or female, aged 18 to 75 years (inclusive) at the time of signing the informed consent form (ICF);

2. Patients with histologically or cytologically confirmed advanced solid tumors, with at least one measurable or evaluable lesion according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1;

4. (Phase Ia only) Cancer patients who have failed or are intolerant (experienced drug-related ≥ Grade 4 hematologic toxicity, or ≥ Grade 3 non-hematologic toxicity) to prior standard therapy, or lack effective conventional treatment options;

5. (Phase Ib only) Patients requiring standard anti-tumor drug therapy per CSCO guidelines of advanced pancreatic cancer, non-small cell lung cancer, colorectal cancer, or other eligible solid tumors;

Disqualifiers

1. Reversible causes of reduced food intake as determined by the investigator, which may include but are not limited to mechanical obstruction preventing adequate oral intake;

2. Use of any prescription medication intended to improve appetite or mitigate weight loss within 28 days or 5 half-lives of the drug (whichever is shorter) prior to the first dose of the investigational product, including but not limited to anamorelin, megestrol acetate, cannabinoids, or medical marijuana;

3. Patients currently receiving tube feeding or parenteral nutrition support;

4. Treatment with any other investigational drug within 4 weeks or 5 half-lives (whichever is shorter) prior to the first dose of the study drug;

Trial design

Design model

Single group

Treatments tested in this trial

  • SXRN Injection

    Drug

    Intravenous infusion, qd for 5 consecutive days, followed by a 2-day break; every 3 weeks (21days) makes a treatment cycle. Ⅰa phase:conventional "3+3" design for dose escalation; Ⅰb phase:standard anti-tumor therapy combined with SXRN Injection

Treatment groups

54 Participants
are divided into 1 treatment group
Group A: SXRNExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Phase Ia: MTD

To determine the Maximum Tolerated Dose (MTD) of SXRN Injection for the treatment of caner anorexia-cachexia.

Time frame
Up to 90 days post last dosing
2

Phase Ia&Ib: Incidence of Dose Limiting Toxicities (DLTs)

Time frame
Up to 21 days after the first dosing of SXRN Injection for each patient
3

Phase Ib: RP2D

To determine the Recommended Phase II Dose (RP2D) of SXRN Injection.

Time frame
Up to 90 days post last dosing

Secondary outcomes

1

Maximum serum concentration (Cmax) of SXRN Injection;

Time frame
Up to 90 days after the last dosing of SXRN Injection
2

Time to Cmax (Tmax) of SXRN Injection

Time frame
Up to 90 days after the last dosing of SXRN Injection
3

Area under the curve from time "0" to the time of the last measurable concentration (AUC0-t) of SXRN Injection

Time frame
Up to 90 days after the last dosing of SXRN Injection
4

Phase Ia&Ib: Average change in the severity of anorexia (based on the Functional Assessment of Anorexia/Cachexia Therapy - Anorexia/Cachexia Subscale-12 [FAACT-A/CS-12]) in the first cycle from baseline to each assessment timepoint.

Time frame
Within 24 weeks from baseline

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Jiangsu Nutai Biologics Co., Ltd

Lead sponsor

Jiangsu GQ Pharma Co., Ltd.

Collaborator