A Study of BL-B01D1 in Patients With Locally Advanced or Metastatic Gastrointestinal Tumor and Other Solid Tumor

Trial statusRecruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age18-75
SponsorSichuan Baili Pharmaceutical Co., Ltd.

About this trial

In phase Ia study, the safety and tolerability of BL-B01D1 in patients with locally advanced or metastatic gastrointestinal tumor and other solid tumor will be investigated to determine the dose-limiting toxicity (DLT), maximum tolerated dose (MTD) of BL-B01D1.

In phase Ib study, the safety and tolerability of BL-B01D1 at the phase Ia recommended dose will be further investigated, and recommended phase II dose (RP2D) for phase II clinical studies will be determined.

In addition, the preliminary efficacy, pharmacokinetic characteristics, and immunogenicity of BL-B01D1 in patients with locally advanced or metastatic gastrointestinal tumor and other solid tumor will be evaluated.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Participants must sign the informed consent form voluntarily and follow the plan requirements.

No gender limit.

Age: ≥18 years old and ≤75 years old (phase Ia); ≥18 years old (phase Ib).

Expected survival time ≥ 3 months.

Disqualifiers

Chemotherapy, biological therapy, immunotherapy, radical radiotherapy, major surgery, targeted therapy (including small molecule inhibitor of tyrosine kinase), and other anti-tumor therapy within 4 weeks or 5 half-lives (whichever is shorter) prior to the first administration; mitomycin and nitrosoureas treatment within 6 weeks prior to the first administration; oral fluorouracil-like drugs such as S-1, capecitabine, or palliative radiotherapy within 2weeks prior to the first administration.

Prior treatment with ADC drugs targeting TROP2 or ADC drugs using camptothecin derivatives (topoisomerase I inhibitors) as toxins.

Participants with history of severe heart disease, such as: symptomatic congestive heart failure (CHF) ≥ grade 2 (CTCAE 5.0), New York Heart Association (NYHA) ≥ grade 2 heart failure, history of transmural myocardial infarction, unstable angina pectoris etc.

Participants with prolonged QT interval (male QTc> 450 msec or female QTc> 470 msec), complete left bundle branch block, III grade atrioventricular block.

Trial design

Design model

Sequential

Treatments tested in this trial

  • BL-B01D1

    Drug

    Administration by intravenous infusion

Treatment groups

96 Participants
are divided into 1 treatment group
Group A: Study treatmentExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Phase Ia: Dose limiting toxicity (DLT)

DLTs are assessed according to NCI-CTCAE v5.0 during the first cycle and defined as occurrence of any of the toxicities in DLT definition if judged by the investigator to be possibly, probably or definitely related to study drug administration.

Time frame
Up to 21 days after the first dose
2

Phase Ia: Maximum tolerated dose (MTD)

MTD is defined as the highest dose level at which no more than 1 in 6 participants experienced a DLT during the first cycle .

Time frame
Up to 21 days after the first dose
3

Phase Ib: Recommended Phase II Dose (RP2D)

The RP2D is defined as the dose level chosen by the sponsor (in consultation with the investigators) for phase II study, based on safety, tolerability, efficacy, PK, and PD data collected during the dose escalation study of BL-B01D1

Time frame
Up to 21 days after the first dose

Secondary outcomes

1

Treatment-Emergent Adverse Event (TEAE)

TEAE is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally emerging, or any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a pre-existing condition during the treatment of BL-B01D1 . The type, frequency and severity of TEAE will be evaluated during the treatment of BL-B01D1 .

Time frame
Up to approximately 24 months
2

Cmax

Maximum serum concentration (Cmax) of BL-B01D1 will be investigated.

Time frame
Up to 21 days after the first dose
3

Tmax

Time to maximum serum concentration (Tmax) of BL-B01D1 will be investigated

Time frame
Up to 21 days after the first dose
4

T1/2

Half-life (T1/2) of BL-B01D1 will be investigated

Time frame
Up to 21 days after the first dose

Other outcomes

Sponsors and contacts

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

Sichuan Baili Pharmaceutical Co., Ltd.

Lead sponsor

SystImmune Inc.

Collaborator

Baili-Bio (Chengdu) Pharmaceutical Co., Ltd.

Collaborator