About this trial
This is a multicenter, open-label Phase Ib/II clinical study evaluating the safety, tolerability, pharmacokinetics (PK), and efficacy of the HS-20110 combination therapies in Patients with Advanced Colorectal Cancer. "Rolling 6" design would be used to conduct dose escalation part of this study. This study consists of phase Ib and phase II. After RP2D was determined in phase Ib, then a phase II study will be conducted to further evaluate the efficacy, safety, tolerability, and PK of the HS-20110 combination therapies in Patients with mCRC.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Males or females, aged ≥ 18 years.
Participants with pathologically confirmed advanced Colorectal Cancer.
Participants have at least 1 target lesion other than CNS lesions according to RECIST 1.1.
MSI was tested to be non-MSI-H, and without BRAF V600E mutation.
Disqualifiers
Anti-tumor drugs within 14 days prior to the first dose of study treatment; any other IMPs or macromolecular anti-tumor drugs within 28 days prior to the first dose of study treatment.
Local radiotherapy within 2 weeks prior to the first dose of study treatment; irradiation of more than 30% of bone marrow or extensive radiotherapy within 4 weeks prior to the first dose of study treatment.
Major surgery within 4 weeks prior to the first dose of study treatment.
Participants previously treated with drugs that are moderate to strong inhibitors or moderate to strong inducers of cytochrome P450 (CYP) 3A4, strong inhibitors or strong inducers of CYP2D6, P-glycoprotein (P-gp), breast cancer resistance protein (BCRP) or drugs with a narrow therapeutic range that are sensitive substrates of P-gp or BCRP within 7 days prior to the first dose of the IMP. Participants who need to receive these drugs during the study period should also be excluded.
Trial design
Sequential
Treatments tested in this trial
Cohort 1: HS-20110+ Bevacizumab+5-FU/leucovorin
DrugHS-20110 for IV infusion of various dosage in combination with Bevacizumab+5-FU/leucovorin administered in Q2W doseing cycles
Cohort 2: HS-20110+Bevacizumab+Oxaliplatin+5-FU/leucovorin
DrugHS-20110 for IV infusion of various dosage in combination with Bevacizumab+Oxaliplatin+5-FU/leucovorin administered in Q2W doseing cycles
Cohort 3: HS-20110+Bevacizumab+Oxaliplatin+Capecitabine
DrugHS-20110 for IV infusion of various dosage in combination with Bevacizumab+Oxaliplatin+Capecitabine administered in Q3W doseing cycles
Treatment groups
Trial outcomes
Primary outcomes
Maximum tolerated dose (MTD) or maximum applicable dose (MAD)
Recommended phase 2 dose (RP2D)
Objective response rate (ORR) as per RECIST v1.1
Secondary outcomes
Incidence of adverse events (AEs), serious adverse events (SAEs), AEs leading to dose modification or permanent discontinuation, and specific laboratory abnormalities
Objective response rate (ORR)
Incidence of anti-HS-20110 antibody (ADA)
Drug concentrations of the three components of HS-20110 (including antibody-drug conjugates, total antibody, and payload)
Sponsors and contacts
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