About this trial
This is an open-label, multi-center, Phase I trial of TST001. Subjects with locally advanced or metastatic solid tumors will be enrolled. The study will consist of two parts: Part A is dose escalation and dose expansion phase for mono-therapy, and Part B is dose escalation and dose expansion phase for combination therapy in gastric, gastroesophageal junction(G/GEJ) and biliary tract cancer, etc.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Sign the Informed Consent Form (ICF) voluntarily, understand the study and be willing and able to comply with all study procedures;
Male or female ≥ 18 years at signing the ICF;
Mono-therapy dose escalation study: The subjects who have no option of or are intolerable to SOC.
ECOG performance status of 0-1;
Disqualifiers
The subjects with locally advanced or metastatic G/GEJ adenocarcinoma who are supposed to be enrolled into the combination therapy cohorts with CAPOX and CAPOX+nivolumab (Cohort C and G) have previously received systemic chemotherapy; and the subjects in the Cohort G have previously received PD1/PD-L1/CTLA4 antibody treatment. The subjects will be eligible provided that they have completed neoadjuvant or adjuvant chemotherapy at least 6 months prior to the initial dosing of the study; The subjects with locally advanced or metastatic G/GEJ adenocarcinoma who are supposed to be enrolled into the combination therapy cohort with paclitaxel (Cohort D) have previously received taxane drugs.
The subjects who previously received radiotherapy within 4 weeks prior to the initial dosing of the investigational drug (the subjects who previously received local radiotherapy for bone metastases treatment within 4 weeks with the radiotherapy related AE resolved to ≤ Grade 1 will be eligible);
The subjects who previously received other systematic anti-tumor drug therapies within 4 weeks or 5 half-lives prior to the initial dosing of the investigational drug (whichever is shorter); The medication (such as zoledronic acid) for bone metastases related events will not influence on the enrollment;
The subjects who previously received major surgery (exclusive of aspiration biopsy) within 8 weeks prior to the initial dosing of the investigational drug, or who are expected to undergo major surgery, or who are in the conditions such as severe unhealed wound, trauma, and ulcer;
Trial design
Parallel
Treatments tested in this trial
TST001
DrugTST001 will be administered by specified doses on specified day
Oxaliplatin
DrugOxaliplatin will be administered by specified doses on specified day
Capecitabine
DrugCapecitabine will be administered by specified doses on specified day
Paclitaxel
DrugPaclitaxel will be administered by specified doses on specified day
Gemcitabine
DrugGemcitabine will be administered by specified doses on specified day
Cisplatin
DrugCisplatin will be administered by specified doses on specified days Oxaliplatin will be administered by specified doses on specified day Drug: Capecitabine Capecitabine will be administered by specified doses on specified day
Nivolumab
DrugNivolumab will be administered by specified doses on specified day
Treatment groups
10
Treatment groupsSee each treatment group below.
Trial outcomes
Primary outcomes
Participant Safety as characterized by frequency and severity of adverse events(according to NCI CTCAE 5.0).
An AE is any untoward medical occurrence in a subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
Maximum Tolerated Dose (MTD)
The maximum tolerated dose (MTD) is commonly estimated to be the maximum dose that can be determined through DLT of two among 6 subjects administered with TST001 Q2W in 28 days cycles.
Maximum Tolerated Dose (MTD)
The maximum tolerated dose (MTD) is commonly estimated to be the maximum dose that can be determined through DLT of two among 6 subjects administered with TST001 once every 3 weeks in 21 days cycles.
Recommended Phase 2 Dose (RP2D)
The RP2D will be determined during the dose expansion stage of the study. RP2D will be determined using available safety and efficacy data.
Secondary outcomes
Area under plasma concentration vs time curve (AUC) for TST001
Changes in AUC over time in participants with TST001.
Peak plasma concentration (Cmax) for TST001
Cmax is the maximum plasma concentration.
Time to maximum observed plasma concentration (Tmax)
Tmax is the time in hrs/days it takes to reach Cmax after dosing with TST001
Terminal elimination half life (t1/2)
Time for the plasma level of TST001 to decrease b y 1/2 during the terminal elimination phase.
Sponsors and contacts
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Suzhou Transcenta Therapeutics Co., Ltd.
Lead sponsor
Bristol-Myers Squibb
Collaborator