About this trial
This is a phase Ib/II exploratory study. Phase Ib includes the dose escalation and expansion study of monotherapy, as well as the dose escalation study of combination therapy. After determining the maximum tolerated dose (MTD), a dose expansion study is conducted to observe the safety and efficacy in monotherapy. Phase II study is to further observe the safety and efficacy of TQB2930 combined with albumin-paclitaxel (cohort 3), or chemotherapy selected by investigators (cohort 4).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age: 18-75 years old; Eastern Cooperative Oncology Group Performance Status (ECOG PS) score: 0~1; The expected survival is over 3 months.
Phase Ib
Advanced malignancies confirmed by cytology / histopathology, priority given to subjects with HER2 expression or amplification;
Subjects with malignant tumors who have failed standard treatment or lack effective treatment;
Disqualifiers
Have occured other malignant tumors within 3 years prior to first dose.
Unalleviated toxicity above Common Terminology Criteria for Adverse Events (CTCAE) grade 1 due to any prior treatment;
Received major surgical treatment, open biopsy, or significant traumatic injury within 28 days prior to the first dose;
Long-term unhealed wounds or fractures;
Trial design
Parallel
Treatments tested in this trial
TQB2930 for injection
DrugTQB2930 for injection is a HER2 bispecific antibody.
Paclitaxel for injection (albumin-bound)
DrugIt is an anti-microtubule chemotherapy drug
TQB3616 capsule
DrugTQB3616 capsule is a Cyclin-dependent kinase 4/6 (CDK4/6) inhibitor.
Fulvestrant injection
DrugFulvestrant is a competitive estrogen receptor antagonist with similar affinity to estradiol
Capecitabine tablets
DrugCapecitabine is converted to 5-fluorouracil (5-FU) by in vivo enzyme action.
Vinorelbine tartrate injection
DrugVinorelbine is an anti-tumor drug of vinca alkaloids.
Eribulin mesylate injection
DrugEribulin induces G2/M phase cell cycle arrest, mitotic spindle division, and ultimately apoptosis after prolonged mitotic arrest through its tubulin-based anti-mitotic mechanism.
gemcitabine hydrochloride for injection
DrugGemcitabine is a cell cycle specific anti-metabolic anticancer agent
Treatment groups
Trial outcomes
Primary outcomes
Maximum tolerated dose (MTD)
The highest dose when dose-limiting toxicity (DLT) occurs in less than 33% of subjects.
Phase II recommended dose (P2RD)
Optimal tolerated dose determined after the end of phase 1
Investigators assessed Objective remission rate (ORR) based on Response Evaluation Criteria In Solid Tumors (RECIST) 1.1
The proportion of subjects with complete response (CR) and partial response (PR) whose tumor volume reduced to a predetermined value and maintained the minimum time limit.
Secondary outcomes
Immunogenicity
Incidence of anti-drug antibody (ADA)
Peak concentration (Cmax), QW
The maximum serum concentration after administration
Peak concentration (Cmax), Q2W
The maximum serum concentration after administration
Peak concentration (Cmax), Q3W
The maximum serum concentration after administration
Sponsors and contacts
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