About this trial
This is a Phase Ia/Ib, dose escalation and dose expansion study to evaluate the safety, tolerability, PK, pharmacodynamics (PD) and preliminary efficacy of GH2616 Tablet in subjects with advanced solid tumors. It includes two parts: the dose escalation study (Phase Ia) and the dose expansion study (Phase Ib).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Men or women ≥18 years old.
The following two points are evaluated by the Investigator and are deemed suitable to participate in the study: a. The subject fully understands the requirements of the study and voluntarily signs the written informed consent; b. Be able to comply with the medication requirements of the study and all study related procedures and evaluations.
Survival expectations are ≥ 12 weeks.
Eastern Cooperative Oncology Group (ECOG) performance status 0 to 1 (Appendix 1).
Disqualifiers
Has received chemotherapy within 21 days prior to the first administration of GH2616 Tablet or has received radiation therapy, biologic therapy, endocrine therapy, targeted therapy, immunotherapy, or other anti-tumor drug treatments within 28 days prior to the first administration of GH2616 Tablet, or other anti-tumor drugs or treatments within the following interval before the first administration of GH2616 Tablet: Nitrosoureas or mitomycin C within 6 weeks prior to the first administration of the investigational drug. Oral fluoropyrimidines, small molecule targeted therapies, and Chinese herbal medicines with indications for anti-tumor within 14 days prior to the first administration of the investigational drug. Local palliative radiation therapy within 14 days prior to the first administration of the investigational drug.
Has received other investigational drugs or treatments not yet approved for marketing within 28 days prior to the first administration.
Acute toxic effects of prior anti-tumor therapy have not recovered to clinically significant NCI-CTCAE V5.0 grade ≤ 1 toxicity or baseline specified in the inclusion criteria within 28 days prior to the first administration of GH2616 Tablet (excluding toxicities such as alopecia and fatigue that the Investigator deems to have no safety risk).
At rest, the average Corrected QT interval (QTc, Fridericia's correction formula used) obtained by 12-lead Electrocardiograph (ECG) examination is > 450 ms for males or 470 ms for females (confirmed by repeated examinations). A variety of clinically significant arrhythmia, conduction, and resting ECG abnormalities, such as complete left bundle branch block, degree III, degree II, PR interval >250 ms. Various factors that may increase the risk of prolonged QTc or arrhythmia events, such as heart failure, hypokalemia, congenital long QT syndrome, a family history of long QT syndrome in a direct family member or sudden unexplained death before age 40, and use of any medications known to prolong QT intervals.
Trial design
Single group
Treatments tested in this trial
GH2616 Tablets
DrugGH2616 tablets will be given orally
Treatment groups
Trial outcomes
Primary outcomes
Number of Participants Reporting Adverse Events (AEs) or Serious Adverse Events (SAEs)
Adverse events (AE), serious adverse events (SAE), and severity of AE using the NCI-CTCAE version 5.0.
Dose-limiting Toxicities Incidence Count Among Study Participant
DLT refers to Dose-Limiting Toxicity. It is defined as a side effect or adverse reaction of a drug or treatment that is severe enough to prevent an increase in dosage. Identifying DLT is crucial in clinical trials for determining the maximum tolerated dose (MTD) of a new drug.
Secondary outcomes
Objective Response Rate (ORR) based on RECIST 1.1 criteria
ORR is defined as the proportion of participants with complete response or partial response (CR+PR). (phase I)
Progression-Free Survival (PFS) based on RECIST 1.1 criteria
PFS is defined as the interval of time between the date of first treatment to the earliest date of disease progression or death which occurs first. (phase I)
Duration of Response (DOR) based on RECIST 1.1 criteria
DCR is defined as proportion of participants with complete response, partial response, stable disease(CR+PR+SD). (phase I)
Plasma Concentration (Cmax)
Highest observed plasma concentration of GH2616. (phase I)
Sponsors and contacts
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Suzhou Genhouse Bio Co., Ltd.
Lead sponsor
Zhejiang Cancer Hospital
Collaborator
Henan Cancer Hospital
Collaborator
Hubei Cancer Hospital
Collaborator
The First Affiliated Hospital of Zhengzhou University
Collaborator