About this trial
This is a multi-center, open-label, dose escalation phase I and dose expansion phase II study aimed to evaluate the safety, tolerability, PK and PD profiles as well as to observe the efficacy of GH55 in patients with MAPK mutant advanced solid tumors.
This study is divided into two parts, namely the dose escalation phase I study and the dose expansion phase II study.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Male or female subjects aged 18-80 years (inclusive).
Patients with histologically or cytologically confirmed MAPK mutant (presence of RAS/RAF/MEK/ERK mutations) locally advanced or metastatic solid tumors.
Patients who have failed standard treatment or have no standard treatment regimen or are not suitable for standard treatment currently.
Dose escalation: At least one assessable tumor lesion according to RECIST version 1.1; Dose expansion: At least one measurable tumor lesion according to RECIST version 1.1 (tumor lesion located in the region of previous radiotherapy or other locoregional treatment sites is usually not considered a measurable lesion, unless this lesion shows clear progression or persists for 3 months after radiotherapy).
Disqualifiers
Use of nitrosoureas or mitomycin C within 6 weeks prior to the first dose of the investigational drug;
Use of oral fluorouracil(s), small molecule targeted drugs, and antitumor traditional Chinese medicine within 2 weeks prior to the first dose of the investigational drug;
Local palliative radiotherapy within 2 weeks prior to the first dose of the investigational drug.
Received other unmarketed clinical investigational drug or therapy within 4 weeks prior to the first dose.
Trial design
Single group
Treatments tested in this trial
GH55
DrugGH55 capsule is a novel small molecule, highly selective dual-mechanism ERK1/2 inhibitor developed by Suzhou Genhouse Bio. Co., Ltd. This product can be used to treat cancers caused by abnormal activation of the MAPK pathway (mutational activation of RAS/RAF/MEK) by targeted inhibition of ERK1/2.
Treatment groups
Trial outcomes
Primary outcomes
Dose-limiting Toxicities Incidence Count Among Study Participants
Incidence of dose limiting toxicities (DLTs) in the dose escalation phase. A DLT is defined as an adverse event or abnormal laboratory value assessed as unrelated to disease, disease progression, inter-current illness, or concomitant medications that occurs within the first treatment cycle. (phase I)
Number of Participants Reporting Adverse Events (AEs) or Serious Adverse Events (SAEs)Objective
All patients participating in this study will be assessed for incidence and severity of adverse events (AEs) and serious AEs, including changes in laboratory values, vital signs, electrocardiograms, cardiac imaging and ophthalmological assessments (phase I)
Response Rate (ORR) Based on RECIST 1.1 Criteria
ORR is defined as the proportion of participants with complete response or partial response (CR+PR). (phase II)
Secondary outcomes
Progression-free survival (PFS) Based on RECIST 1.1 Criteria
PFS is defined as the interval of time between the date of first treatment to the earliest date of disease progression or death which occurs first. (phase I/II)
Duration of response (DOR) Based on RECIST 1.1 Criteria
DCR is defined as proportion of participants with complete response, partial response, stable disease(CR+PR+SD). (phase I/II)
Number of participants with adverse events
All patients participating in this study will be assessed for incidence and severity of adverse events (AEs) and serious AEs, including changes in laboratory values, vital signs, electrocardiograms, cardiac imaging and ophthalmological assessments (phase II)
Plasma concentration (Cmax)
Highest observed plasma concentration of GH55. (phase I/II)
Sponsors and contacts
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Suzhou Genhouse Bio Co., Ltd.
Lead sponsor
Shanghai East Hospital
Collaborator
Shandong Tumor Hospital
Collaborator