APG-115 Alone or in Combination With APG-2575 in Recurrent or Refractory Neuroblastoma or Solid Tumors

Trial statusRecruiting
Trial phasePhase 1, Phase 2
Trial typeInterventional
Biological sexAll
Age5+
SponsorAscentage Pharma Group Inc.

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 volunteers

Qualifiers

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

Design model

Sequential

Treatments tested in this trial

  • APG-115

    Drug

    Orally once every other day(QOD) for 2 weeks and suspended for 1 week, 21 days as a cycle.

  • APG-2575

    Drug

    Orally once a day (QD) for 21 days, 21 days as a cycle.

Treatment groups

100 Participants
are divided into 2 treatment groups
Group A: APG-115 monotherapy in part1Experimental treatment 1 intervention
Group B: APG-115 combined with APG-2575 in part2Experimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

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.

Time frame
Up to 21 days
2

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.

Time frame
Up to 12 months

Secondary outcomes

Other outcomes

Sponsors and contacts

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

Ascentage Pharma Group Inc.

Lead sponsor

Suzhou Yasheng Pharmaceutical Co., Ltd.

Collaborator