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CompletedNCT03316144Updated Sep 30, 2020

Safety, Tolerability, Pharmacokinetics & Pharmacodynamics of Toripalimab for Patients With Recurrent Malignant Lymphoma

A Phase 1 interventional study of Toripalimab in Malignant Lymphoma, sponsored by Shanghai Junshi Bioscience Co., Ltd.. Completed at 1 site in China. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2020-09-30.

Sponsored by Shanghai Junshi Bioscience Co., Ltd. · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
13
Allocation
Non-randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The primary objective is to assess the safety and tolerability of JS-001 in subjects with recurrent malignant lymphoma, and to evaluate its preliminary efficacy.

The secondary objectives are to: 1) characterize the single-dose and multi-dose pharmacokinetic (PK) profile of JS-001, 2) characterize the immunogenicity of JS-001; 3) assess the dose-efficacy relationship of JS-001 single agent, and 4) preliminarily evaluate biomarkers associated with the efficacy of JS-001.

02

Conditions studied

  • Malignant Lymphoma

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Keywords

  • immunotherapy
  • check point inhibitor
  • PD-1 antibody
  • phase 1 trial
  • Malignant Lymphoma
03

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Willing to sign Informed Consent;
  • Re-entry into the study is allowed with a second informed consent;
  • Willing to provide blood sample for biomarker analysis(mandatory). The tissue sample is optional;
  • A diagnosis of an advanced malignant tumor confirmed by histology or cytology (including typical Hodgkin's lymphoma and B cell source non-hodgkin's lymphoma);
  • No standard of care for the patient;
  • At least 1 measurable lesion;
  • Aged 18-65 years;
  • Anticipated life expectancy of at least 6 months;
  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1;
  • At least 4 weeks elapsed since receiving systemic chemotherapy;
  • At least 4 weeks elapsed since receiving definite radiotherapy;
  • At least 2 weeks since the last dose of systemic steroid therapy (>10 mg/day prednisone or equivalent);
  • At least 4 weeks since receiving anti-cancer biotherapy;
  • Recovered from previous treatment related adverse reaction; willing to use an acceptable contraceptive method;
  • A negative pregnancy test for female subjects of childbearing potential;

Exclusion criteria

Exclusion Criteria:

  • Active central nervous system (CNS) metastases and/or carcinomatous meningitis;
  • Known history of another primary solid tumor, unless the participant has undergone potentially curative therapy with no evidence of that disease for 2 years, or underwent successful definitive resection of basal or squamous cell carcinoma of the skin, or in situ cervical cancer;
  • Active, known or suspected autoimmune disease.Autoimmune diseases caused by lymphoma are not included in this list;
  • Patients who have had car-T cell therapy
  • Prior therapy with anti-PD-1, anti-PD-L1, anti-PD-L2,or anti-cytotoxic T-lymphocyte antigen 4 (CTLA-4) blocking antibodies;
  • Significant medical disease;
  • Active infection;
  • Active tuberculosis or history of tuberculosis with one year;
  • Infection of Human immunodeficiency virus (HIV);
  • A complication requiring immune-suppression;
  • Received a live vaccine within 4 weeks prior to first dose of study drug pleural or abdominal effusion with symptoms;
  • Drug or alcohol abuse (for subjects in the pharmacokinetic cohorts) ; evidence of interstitial lung disease;
  • Active hepatitis B or C, or with significant risk of hepatitis reactivation;
  • Known immediate or delayed hypersensitivity reaction or idiosyncrasy to monoclonal antibodies or drugs chemically related to the study drug. History of serious hypersensitivity reaction or serious hepatotoxicity related to any drug.
04

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
13 participants (actual)

Study arms

  • Experimental
    1 mg/kg Toripalimab

    humanized anti-PD-1 monoclonal antibody is to be injected intravenously 1mg/kg Q2w until disease progresses or unacceptable tolerability occurs

    Biological: Toripalimab

  • Experimental
    3 mg/kg Toripalimab

    humanized anti-PD-1 monoclonal antibody is to be injected intravenously 3mg/kg Q2w until disease progresses or unacceptable tolerability occurs

    Biological: Toripalimab

  • Experimental
    10 mg/kg Toripalimab

    humanized anti-PD-1 monoclonal antibody is to be injected intravenously 10mg/kg Q2w until disease progresses or unacceptable tolerability occurs

    Biological: Toripalimab

Interventions

  • BiologicalToripalimab

    Dose escalation study evaluating three dose levels (1, 3 and 10 mg/kg) of JS001. Subjects will be assigned to a dose schedule in the order of study entry.

    Also known as: JS001, TAB001

05

What researchers measure

Primary outcomes

  1. Number of participants with treatment-related adverse events as assessed by CTCAE v4.0

    Time frame: 6 months

Secondary outcomes

  1. correlation analysis of PD-L1 expression of tumor

    Time frame: 6 months

  2. Objective Response Rate (ORR) by irRC and RECIST 1.1

    Time frame: 6 months

06

Study locations

1 site
  • Blood Diseases Hospital, Chinese Academy of Medical Sciences
    Tianjin, Tianjin 300020, China
07

Registry details

Key details

Study ID
NCT03316144
Lead sponsor
Shanghai Junshi Bioscience Co., Ltd.
Responsible party
Sponsor
First posted
Oct 20, 2017
Start date
Jul 12, 2017
Primary completion
Sep 15, 2018
Completion
Dec 30, 2019
Last update
Sep 30, 2020

Study contacts

Junyuan Qi, MD, PhD
principal investigator · Blood Diseases Hospital, Chinese Academy of Medical Sciences

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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