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Идёт набор NCT06687941

A Study to Evaluate the Tolerability, Safety, and PK of AST-201 in Patients With GPC3-positive Advanced Solid Tumors

Фаза I С лечением Neoplasms Carcinoma, Hepatocellular Carcinoma, Non-Small-Cell Lung Liver Neoplasms

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: AST-201.
Кому может быть актуально
Состояния в реестре: Neoplasms, Carcinoma, Hepatocellular, Carcinoma, Non-Small-Cell Lung, Liver Neoplasms. Базовые параметры: от 19 лет · Все.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
South Korea
Следующий шаг
Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
Официальное название

A Multi-center, Open-label, Dose Escalation and Expansion, Phase 1 Study to Evaluate the Tolerability, Safety and Pharmacokinetics of AST-201 in Patients With GPC3-positive Advanced Solid Tumors

Обзор

This is the first in human trial clinical study of AST-201 in patients with GPC3-positive advanced solid tumors. This study aims to evaluate the safety, tolerability, pharmacokinetic properties, and preliminary efficacy of AST-201 across various tumor types.

Подробное описание

AST-201 is a novel aptamer drug conjugate (ApDC) investigational agent with demonstrated preclinical efficacy in GPC3-positive tumor models. This Phase 1 clinical study aims to investigate the safety, tolerability, and preliminary efficacy of AST-201, targeting GPC3-positive advanced solid tumors. The study consists of two parts: Phase 1a and Phase 1b.

In Phase 1a, AST-201 will be administered in a dose escalating manner across cohorts of patients to determine the maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D). In this dose-escalation phase, patients will receive AST-201 as a single agent, with safety, tolerability, and pharmacokinetic (PK) profiles assessed. In Phase 1b, patients will receive AST-201 at the RP2D across specific GPC3-positive tumor types to further explore safety and efficacy. This expansion phase focuses on assessing anti-tumor efficacy and overall safety in a broader patient population. Data collected from this study will support future clinical development of AST-201 in GPC3-positive advanced solid tumors.

Вмешательства

  • Препарат AST-201
    AST-201 is administered intravenously on Days 1, 8, and 15 of each 28-day cycle, followed by a one-week rest period. Dosing is repeated until DLT or disease progression is occurred.

Первичные конечные точки

  • Dose Limiting Toxicity (DLT) [Срок оценки: 4 weeks]
Вторичные конечные точки (11)
  • Pharmacokinetics (PK): Cmax [Срок оценки: Cycle 1, Days 1-2 (cycle is 28 days)]
  • Pharmacokinetics (PK): Tmax [Срок оценки: Cycle 1, Days 1-2 (cycle is 28 days)]
  • Pharmacokinetics (PK): AUC [Срок оценки: Cycle 1, Days 1-2 (cycle is 28 days)]
  • Pharmacokinetics (PK): Cl [Срок оценки: Cycle 1, Days 1-2 (cycle is 28 days)]
  • Pharmacokinetics (PK): t1/2 [Срок оценки: Cycle 1, Days 1-2 (cycle is 28 days)]
  • Objective Response Rate (ORR) [Срок оценки: Baseline through the end of each 28-day cycle, up to 6 months.]
  • Disease Control Rate (DCR) [Срок оценки: Baseline through the end of each 28-day cycle, up to 6 months.]
  • Duration of Response (DOR) [Срок оценки: Baseline through the end of each 28-day cycle, up to 6 months.]
  • Time to Progression (TTP) [Срок оценки: Baseline through the end of each 28-day cycle, up to 6 months.]
  • Progression-Free Survival (PFS) [Срок оценки: Baseline through the end of each 28-day cycle, up to 6 months.]
  • Overall Survival(OS) [Срок оценки: Baseline through the end of each 28-day cycle, up to 6 months.]

Критерии участия

Критерии включения

  • Male and female aged ≥19 years
  • Histologically and/or cytologically diagnosed as the advanced recurrent solid tumor
  • GPC3-positive confirmed by IHC test
  • At least 1 measurable or non-measurable but evaluable lesion as defined per RECIST v1.1 (modified RECIST for hepatocellular carcinoma)
  • ECOG performance status of 0 or 1
  • Life expectancy at least 12 weeks
  • Adequate hematologic, hepatic, renal, and heart/coagulation function
  • Child-Pugh Class of A for HCC

Критерии исключения

  • Subjects with ischemic heart disease
  • Subjects with anti-tumor treatment within 4 weeks
  • Subjects with comorbidities such as uncontrolled hypertension, heart failure, etc.
  • Pregnant or potentially pregnant and lactating woman

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение
Не применимо
Модель
Последовательный дизайн
Маскирование
Открытое
Основная цель
Лечение

Центры проведения

South Korea · 4 центра
  • National Cancer Center, Korea — Goyang-si
  • CHA Bundang Medical Center — Seongnam
  • Severance Hospital — Seoul
  • Samsung Medical Center — Seoul

Идентификаторы

NCT: NCT06687941 · AST-201-01

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗