A Study of CS23546 in Subjects With Advanced Tumors

Trial statusRecruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age18+
SponsorChipscreen Biosciences, Ltd.

About this trial

The primary objectives of this study are to characterize the safety and tolerability of CS23546 and to evaluate the pharmacokinetic (PK) characteristics and recommended phase 2 dose (RP2D) of CS23546 in subjects with advanced tumors.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Male or female and ≥18 years of age on day of signing informed consent.

Histologically or cytologically confirmed unresectable advanced recurrent/refractory solid tumor or lymphoma that is failure or or intolerant of all standard therapy or for which no standard therapy is available.

Individuals are required to provide tumor tissue samples for prospective detection of Programmed cell death 1 ligand 1 (PD-L1) expression and/or Microsatellite instability (MSI) / the DNA mismatch repair (MMR) status. Subjects who cannot be provided during the dose escalation phase will be evaluated by the researchers and sponsors before deciding whether to enroll.

Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1.

Disqualifiers

Received anti-tumor therapy (including but not limited to chemotherapy, targeted therapy, anti angiogenic therapy, immunotherapy, cell therapy, radiotherapy, tumor embolization, etc.) or experimental drugs/devices that have not been approved for marketing within 28 days before the first medication.

History of ≥ Grade 3 immune related Adverse Events (irAEs) or termination of treatment due to irAEs during prior treatment with Programmed death 1 (PD-1) /PD-L1 antibody.

Active autoimmune diseases present during the screening period and systemic treatment was received within 2 years before the first medication. Individuals who only require hormone replacement therapy (such as thyroxine, insulin, or physiological corticosteroids used for adrenal or pituitary insufficiency) can be enrolled.

Presence of central nervous system metastasis and/or meningeal metastasis.

Trial design

Design model

Sequential

Treatments tested in this trial

  • CS23546

    Drug

    Tablets administered orally.

Treatment groups

156 Participants
are divided into 2 treatment groups
Group A: Dose escalationExperimental treatment 1 intervention
Group B: Dose expansionExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Dose Limiting Toxicities (DLTs)

DLT: Number of patients experienced any dose limited toxicity. MTD: One level lower than the dose level at which dose escalation was terminated due to DLT reasons.

Time frame
Day 1 through Day 27
2

Maximum Tolerated Dose (MTD)

MTD: One level lower than the dose level at which dose escalation was terminated due to DLT reasons.

Time frame
Day 1 through Day 27
3

Time to Cmax (Tmax)

Time to reach the Cmax for CS23546.

Time frame
up to Day 1 of cycle 5 (each cycle is 21 days)
4

Maximum plasma concentration (Cmax)

Maximum observed plasma concentration for CS23546.

Time frame
up to Day 1 of cycle 5 (each cycle is 21 days)

Secondary outcomes

1

The inhibitory activity of Programmed cell death 1 ligand 1 (PD-L1)

Time frame
up to Day 1 of cycle 5 (each cycle is 21 days)
2

Interferon gamma (IFN-γ)

Plasma concentration for IFN-γ.

Time frame
up to Day 1 of cycle 5 (each cycle is 21 days)
3

Free PD-L1

Plasma concentration for free PD-L1.

Time frame
up to Day 1 of cycle 5 (each cycle is 21 days)
4

C-X-C motif chemokine 9 (CXCL9)

Plasma concentration for CXCL9.

Time frame
up to Day 1 of cycle 5 (each cycle is 21 days)

Other outcomes

Sponsors and contacts

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