ARTEMIS-003: HS-20093 in Patients With Metastatic Castrate-resistant Prostate Cancer (mCRPC) and Advanced Solid Tumors

Last updated: August 19, 2024
Sponsor: Hansoh BioMedical R&D Company
Overall Status: Active - Recruiting

Phase

2

Condition

Prostate Disorders

Neoplasm Metastasis

Prostate Cancer

Treatment

HS-20093

Clinical Study ID

NCT06001255
HS-20093-202
  • Ages > 18
  • All Genders

Study Summary

HS-20093 is a fully humanized IgG1 antibody-drug conjugate (ADC) which specifically binds to B7-H3, a target wildly expressed on solid tumor cells. The objectives of this study are to investigate the anti-tumor activity, safety and pharmacokinetics of HS-20093 in Chinese patients with metastasis Castration Resistant Prostate Cancer.

This is a phase 2, open-label, multi-center study to evaluate the efficacy, safety, tolerability and pharmacokinetic (PK) of HS-20093 as a monotherapy in subjects with metastasis castration resistant prostate cancers (mCRPC) and other solid tumors.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Subjects eligible for inclusion in this study must meet all of the followingcriteria:
  1. Men or women greater than or equal to 18 years.

  2. Locally advanced or metastatic solid tumors confirmed by histology or cytology,for which standard treatment is invalid, unavailable or intolerable.

  3. At least one measurable lesion in accordance with RECIST 1.1.

  4. Agree to provide fresh archival tumor tissue.

  5. Eastern Cooperative Oncology Group (ECOG) Performance Status of 0~1.

  6. Estimated life expectancy ≥ 12 weeks.

  7. Men or women should be using adequate contraceptive measures throughout thestudy.

  8. Female subjects must not be pregnant at screening or have evidence ofnon-childbearing potential.

  9. Signed and dated Informed Consent Form.

Exclusion

Exclusion Criteria:

  • Any of the following would exclude the subject from participation in the study:
  1. Treatment with any of the following:Previous or current treatment with B7-H3 targeted therapy. Any cytotoxicchemotherapy, investigational agents and anticancer drugs within 14 days priorto the first scheduled dose of HS-20093. Prior treatment with a monoclonalantibody within 28 days prior to the first scheduled dose of HS-20093.Radiotherapy with a limited field of radiation for palliation within 2 weeks,or patients received more than 30% of the bone marrow irradiation, orlarge-scale radiotherapy within 4 weeks prior to the first scheduled dose ofHS-20093.Pleural or peritoneal effusion requiring clinical intervention. Pericardialeffusion.Major surgery within 4 weeks prior to the first scheduled dose of HS-20093.Spinal cord compression or brain metastases. Treatment with drugs that arepredominantly strong inhibitors or inducers or sensitive substrates of CYP3A4,CYP2D6, P-gp or BCRP with a narrow therapeutic range within 7 days of the firstdose of study drug; or requiring treatment with these drugs during the study.Currently receiving drugs known to prolong QT interval or may cause torsade depointe; or requiring treatment with these drugs during the study

  2. Patients with BRCA and ATM mutation.

  3. Any unresolved toxicities from prior therapy greater than Grade 2 according toCommon Terminology Criteria for Adverse Events (CTCAE) 5.0 with the exceptionof alopecia or neurotoxicity

  4. History of other primary malignancies.

  5. Inadequate bone marrow reserve or organ dysfunction.

  6. Evidence of cardiovascular risk.

  7. Severe, uncontrolled or active cardiovascular diseases.

  8. Severe or uncontrolled diabetes, including diabetes ketoacidosis orhyperglycemia hypertonic occurring within 6 months before the first dose of thestudy drug, or the glycosylated hemoglobin value ≥ 7.5% in the screeningperiod.

  9. Severe or poorly controlled hypertension.

  10. Bleeding symptoms with apparent clinical significance or obvious bleedingtendency within 1 months prior to the first dose of HS-20093

  11. Serious arteriovenous thrombosis events occurred within 3 months before thefirst dose

  12. Severe infections occurred within 4 weeks before the first dose

  13. Patients who have received continuous steroid treatment for more than 30 dayswithin 30 days before the first dose, or need long-term (≥ 30 days) steroidtreatment, or who have other acquired and congenital immunodeficiency diseases,or have a history of organ transplantation

  14. The presence of active infectious diseases before the first dose such ashepatitis B, hepatitis C, tuberculosis, syphilis, or human immunodeficiencyvirus HIV infection, etc.

  15. Hepatic encephalopathy, hepatorenal syndrome, or Child-Pugh Grade B or moresevere cirrhosis

  16. Other moderate or severe urinary diseases that may interfere with the detectionor treatment of drug-related urinary toxicity or may seriously affect urinaryfunction.

  17. History of serious neuropathy or mental disorders.

  18. Women who are breastfeeding or pregnant or planned to be pregnant during thestudy period.

  19. Vaccination or hypersensitivity of any level within 4 weeks prior to the firstdose of HS-20093

  20. History of severe hypersensitivity reaction, severe infusion reaction orallergy to recombinant human or mouse derived proteins

  21. Hypersensitivity to any ingredient of HS-20093

  22. Unlikely to comply with study procedures, restrictions, and requirements in theopinion of the investigator.

  23. Any disease or condition that, in the opinion of the investigator, wouldcompromise subject safety or interfere with study assessments.

Study Design

Total Participants: 120
Treatment Group(s): 1
Primary Treatment: HS-20093
Phase: 2
Study Start date:
January 18, 2024
Estimated Completion Date:
December 31, 2025

Study Description

This is a phase 2, open-label, multi-center study consisting of two parts: Phase 2a and 2b.

Phase 2a: The study will be conducted in the following two cohorts: Cohort 1: Patients with metastasis castration resistant prostate cancers who have progressed on or intolerant to standard therapies. Cohort 2: Other patients with advanced solid tumor if they have progressed on or intolerant to available standard therapies, or no standard or available curative therapy exists. All subjects will receive 8 mg/kg of HS-20093.

Phase 2b: The study will be conducted in patients with metastasis castration resistant prostate cancers who have progressed on or intolerant to standard therapies. Subjects will receive 8 mg/kg of HS-20093.

All patients will be carefully followed for adverse events during the study treatment and for 90 days after the last dose of HS-20093. Subjects will be permitted to continue therapy with assessments for progression if the product is well tolerated and sustained clinical benefit exists.

Connect with a study center

  • Peking University Cancer Hospital

    Beijing,
    China

    Active - Recruiting

  • Hunan Cancer Hospital

    Changsha,
    China

    Active - Recruiting

  • Xiangya Hospital Central South University

    Changsha,
    China

    Active - Recruiting

  • West China hospital, sichuan university

    Chengdu,
    China

    Active - Recruiting

  • The First Affiliate Hospital of GUANGZHOU Medical University

    Guangzhou,
    China

    Active - Recruiting

  • Yunnan Cancer Hospital

    Kunming,
    China

    Active - Recruiting

  • Affiliated Drum Tower Hospital, Medical School of Nanjing University

    Nanjing,
    China

    Active - Recruiting

  • Guangxi Medical University Cancer Hospital

    Nanning,
    China

    Active - Recruiting

  • Fudan University Cancer Hospital

    Shanghai, 200032
    China

    Active - Recruiting

  • Liaoning Tumor Hospital

    Shengyang,
    China

    Active - Recruiting

  • Shengjing Hospital of China Medical University

    Shengyang,
    China

    Active - Recruiting

  • The First Hospital of China Medical University

    Shengyang,
    China

    Active - Recruiting

  • Hubei Cancer Hospital

    Wuhan,
    China

    Active - Recruiting

  • Tongji Hospital

    Wuhan,
    China

    Active - Recruiting

  • The First Affiliated Hospital of Zhengzhou University

    Zhengzhou,
    China

    Active - Recruiting

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.