About this trial
An open, non-randomized Phase Ib-II trial of dose-escalation and cohorts expansion to evaluate the safety, pharmacokinetic profile and initial efficacy of APG-115 alone or in combination with APG-2575 in the treatment of recurrent or refractory neuroblastoma or solid tumors.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥5 years for APG-115 monotherapy; age ≥12 years for APG-115 + APG-2575 combination.
Relapsed or refractory neuroblastoma or solid tumors with no available or suitable standard therapy.
Physical state score ≥ 50.
Expected survival ≥ 3 months.
Disqualifiers
Received biological therapy, chemotherapy, or other investigational drugs within 21 days prior to dosing.
Received radiotherapy, minor surgery/minimally-invasive surgery; small-molecule targeted agents, short-half-life chemotherapeutic agents, or traditional Chinese medicines with anti-tumor indications within 14 days prior to study drug administration (or within 5 half-lives, whichever is shorter).
Patients who, according to the investigators' judgment, did not recover sufficiently after surgical treatment. Patients who underwent major surgery within 21 days before receiving the study drug for the first time.
Adverse events due to previous antitumor therapy (except grade 2 peripheral neurotoxicity and alopecia that the investigators judged to be of no safety risk) have not recovered (severity higher than grade 1 according to CTCAE version 5.0).
Trial design
Sequential
Treatments tested in this trial
APG-115
DrugOrally once every other day(QOD) for 2 weeks and suspended for 1 week, 21 days as a cycle.
APG-2575
DrugOrally once a day (QD) for 21 days, 21 days as a cycle.
Treatment groups
Trial outcomes
Primary outcomes
Dose Limiting Toxicity (Phase I)
DLT will be defined based on the rate of drug-related grade 3-5 adverse events experienced within the first 3 weeks of study treatment. These will be assessed via CTCAE version 5.0.
Treatment-Emergent Adverse Events per NCI-CTCAE version 5.0
Number of patients with adverse event; Number of patients with abnormal vital signs, abnorma physical examination, laboratory abnormalities, and abnormal 12-lead ECG in monotherapy of APG-115 and combined with APG-2575.
Sponsors and contacts
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Ascentage Pharma Group Inc.
Lead sponsor
Suzhou Yasheng Pharmaceutical Co., Ltd.
Collaborator