About this trial
A single-arm, open, multicenter Phase I study to evaluate the safety, tolerability, pharmacokinetic profile, and efficacy of the KM501 double-antibody ADC in subjects with advanced solid tumors that express, amplify, or mutate HER2
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Voluntarily sign informed consent;
At least 18 years old and less than 75 years old on the date of signing the informed consent;
Subjects with histologically or cytologically confirmed advanced solid tumors who have developed disease progression since the last antitumor therapy, have no standard therapy available, do not tolerate or refuse standard therapy;
Stage Ia: Subjects with advanced relapsed or metastatic solid tumors with HER2 expression or amplification or mutation, stage Ia may refer to (but is not limited to) specific types of tumors at stage Ib;
Disqualifiers
Subjects with known clinical or untreated central nervous system metastases, including meningeal metastases. Does not include: After radiation therapy, MRI/CT examination at least 4 weeks prior to initial administration of the trial drug (showing stable lesions, no uncontrollable neurological symptoms or signs (e.g., epilepsy, headache, central nausea/vomiting, progressive neurological dysfunction, papilledema), or any treatment that does not require local (e.g., radiation) and systemic (e.g., Untreated asymptomatic brain metastases of mannitol or corticosteroids;
Subjects with other malignancies within 5 years prior to initial administration of the experimental drug, except those with basal cell carcinoma, local squamous cell carcinoma of the skin, cervical carcinoma in situ, etc., who have not relapsed and metastasized after radical treatment;
Subjects who have received chemotherapy, targeted therapy, or other systematic antitumor therapy within 4 weeks or 5 half-lives (whichever is older) prior to the initial administration of the test drug, and who have been treated with Chinese herbal or proprietary drugs for antitumor purposes within 2 weeks prior to the initial administration;
Subjects who required systematic treatment with a dose of a corticosteroid >10 mg/ day equivalent to prednisone (see Appendix 9 for dose conversion) or other immunosuppressant within 14 days prior to initial administration of the trial drug or during the study period. Inhaled or topical doses ≤10 mg/ day equivalent to prednisone are permitted in the absence of active autoimmune disease. Short-term use of corticosteroids in doses >10 mg/ day equivalent to prednisone is permitted for the prevention (e.g., contrast allergy) or treatment of non-autoimmune diseases (e.g., delayed hypersensitivity caused by exposure to allergens);
Trial design
Single group
Treatments tested in this trial
KM501
Drug1a: The program evaluated six dose levels, i.e., 0.1, 0.3, 0.6, 1.2, 1.8, 2.4 mg/kg, An accelerated titration was performed in the 0.1 and 0.3 mg/kg dose groups, and then a Bayesian optimal interval design was used to determine MTDS for four subsequent dose levels. Ib: The antitumor activity of KM501 monotherapy in subjects with specific types of tumors that are HER2-positive or express, amplify, or mutate will be evaluated at the RP2D dose level
Treatment groups
Trial outcomes
Primary outcomes
Maximum tolerated dose (MTD) (for Part 1a)
Determine MTD of KM501
Recommended phase 2 dose (RP2D) (if has) (Part 1a)
Determine Recommended Phase 2 dose (RP2D) of KM501
Number of participants with treatment-related adverse events (Part 1a)
Incidence of AE as assessed by CTCAE 5.0
Objective response rate (ORR) (Part 1b)
Number of participants who achieved a best response of either complete response (CR) or partial response (PR) during treatment evaluated by investigators according to the Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1
Secondary outcomes
Area under the concentration versus time curve of KM501 in plasma (AUC)(Part 1a and Part1b).
To determine the area under the plasma concentration time curve (AUC) of KM501
Maximum plasma concentration (Cmax) of KM501(Part 1a and Part 1b ).
Cmax is the maximum observed plasma concentration in ng/mL
Serum Half-life (T-HALF) of KM501. (Part1a and Part1b)
To determine the t1/2 of KM501.
Anti-drug antibody(ADA )OF KM501 . (Part1a and Part1b)
To determine the immunogenicity of KM501.
Sponsors and contacts
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