Phase 1 Study of IBR854 in Locally Advanced Or Metastatic Solid Tumors

Last updated: December 28, 2023
Sponsor: Imbioray (Hangzhou) Biomedicine Co., Ltd.
Overall Status: Active - Recruiting

Phase

1

Condition

Solid Tumors

Neoplasms

Treatment

IBR854 Cell Injection

Clinical Study ID

NCT06001684
IBR854-101
  • Ages 18-75
  • All Genders

Study Summary

This study is an open-label, phase I study to evaluate the safety, tolerability, pharmacokinetics (PK), and preliminary efficacy of IBR854 cell injection in patients with unresectable, locally advanced, or metastatic solid tumors.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Subjects volunteer to participate in this clinical study, are fully aware of the studyand have signed the Informed Consent Form (ICF). Subjects are willing to follow andable to complete all trial procedures.
  2. Age: adult at the age of 18-75 (both inclusive), female or male.
  3. Subjects with histologically or cytologically confirmed, unresectable, locallyadvanced or metastatic solid tumors (which can be diagnosed with the use of tumormarkers in combination with imaging for specific advanced tumors, such as livercancer) who have no current standard of care.
  4. Eastern Cooperative Oncology Group (ECOG) score ≤2 and expected survival time >3months.
  5. According to the Response Evaluation Criteria in Solid Tumors (RECIST) V1.1 criteria,the subjects have at least one target lesion (non-lymph node lesion with majordiameter ≥ 1.0cm or lymph node lesion with minor diameter ≥ 1.5 cm). A lesion that iswithin the field of previous radiotherapy could not be considered a target unlessthere is radiographic evidence of progression.
  6. Organ function during screening should meet the following criteria:
  • Absolute neutrophil count (ANC) ≥1.5×10^9/L; Platelet (PLT) ≥75×10^9/L;Hemoglobin (Hb)≥80g/L (no blood transfusion or hematopoietic stimulator treatmentwithin 7 days).
  • Alanine aminotransferase (ALT)≤3×ULN (Patients with liver metastasis: ≤5×ULN);Aspartate aminotransferase (AST)≤3×ULN (Patients with liver metastasis: ≤5×ULN);
  • Creatinine (Cr) ≤2× ULN; Creatinine clearance (Ccr) (to be calculated only whenCr > 2× ULN) > 50ml/min (Cockcroft-Gault formula);
  • Activated partial thrombin time (APTT) ≤1.5×ULN, International normalized ratio (INR) ≤1.5×ULN (Patients with anticoagulants: ≤ 2.5×ULN).
  1. Subjects of reproductive age and their partners should agree to have no familyplanning and to use effective contraceptive methods for 6 months from signing the ICFuntil the last dose of the study drug is administered.

Exclusion

Exclusion Criteria:

  1. Have received systemic antitumor therapy within 4 weeks or five half-lives of the drug (whichever is longer) before the first dose of the study drug: Systemic chemotherapy (2 weeks for oral fluorouracil, 6 weeks for mitomycin C and nitrosoureas), endocrinetherapy, targeted therapy (2 weeks or 5 half-life for small molecule targeted therapy,whichever is longer), immunotherapy, radical radiotherapy, tumor embolization, Chineseherbal medicine for anti-tumor indications, etc. Or received palliative radiotherapywithin 2 weeks before the first dose.
  2. Toxic effects from previous antitumor therapy have not returned to grade 1 or less (other than alopecia or fatigue).
  3. Any prior adoptive cellular immunotherapy.
  4. Active brain metastases (one of the following criteria: clinical symptoms; A newdiagnosis; Progression after previous local treatment).
  5. Have undergone major organ surgery within 4 weeks prior to their first use of thestudy drug, or required elective surgery during the study period.
  6. Long-term (≥ 3 days) treatment with a glucocorticoid (prednisone > 10 mg per day orequivalent) or another immunosuppressive agent is anticipated to be required duringthe study. Inhaled or topical steroid hormones are allowed in subjects without activeautoimmune disease
  7. Have received a live or attenuated vaccine within 4 weeks before the first dose orplan to receive a live or attenuated vaccine during the study period.
  8. Have severe infections that cannot be controlled.
  9. Active hepatitis B, hepatitis C virus infection or HIV infection.
  10. Have undergone an allogeneic bone marrow transplant or other organ transplant.
  11. Have active autoimmune diseases or have had autoimmune diseases that are likely torecur (e.g., systemic lupus erythematosus, rheumatoid arthritis, inflammatory boweldisease, autoimmune thyroid disease, vasculitis, psoriasis, etc.). Except in thefollowing cases: type 1 diabetes that was well controlled with hormone replacementtherapy, hypothyroidism, skin conditions that did not require systemic therapy (e.g.,vitiligo), and other conditions that were well controlled and that the investigatordetermined were less likely to recur (e.g., childhood asthma in remission).
  12. Have a history of serious cardiovascular and cerebrovascular diseases, including butnot limited to:
  • There are serious cardiac rhythm or conduction abnormalities, such as ventriculararrhythmia, and Ⅱ-Ⅲ degree atrioventricular block, which need clinicalintervention;
  • Prolonged QT interval corrected with Fridericia's method (QTcF) (>450 ms in men; >470 ms for women)
  • Acute coronary syndrome, congestive heart failure, aortic dissection, stroke, orother grade 3 or above cardiovascular and cerebrovascular events occurring within 6 months before the first administration;
  • Patients with heart failure or left ventricular ejection fraction (LVEF) < 50% inthe New York Heart Association (NYHA) classification ≥II;
  • Hypertension beyond clinical control.
  1. Clinically significant chronic obstructive pulmonary disease or other moderate tosevere chronic respiratory disease developed within 6 months.
  2. Have other malignant tumors in the past 3 years, excluding skin basal cell carcinoma,ductal carcinoma in situ and cervical carcinoma in situ with a radical surgery.
  3. Pregnant or lactating women.
  4. Have mental disorders or a history of alcohol, drug or drug abuse within one year.
  5. Have participated in other clinical trials and received any unmarketed investigationaldrug or treatment within 4 weeks prior to first use of the study drug.
  6. Allergic to the main components of the study drug.
  7. The investigator considered that the subjects had a history of other serious systemicdiseases or other reasons that made them unsuitable for the study.
  8. Unsuitable for participation in this study considered by the investigators.

Study Design

Total Participants: 18
Treatment Group(s): 1
Primary Treatment: IBR854 Cell Injection
Phase: 1
Study Start date:
September 01, 2023
Estimated Completion Date:
December 30, 2024

Study Description

This study is a dose escalation study which adopts the 3+3 dose escalation design protocol. The dose is respectively 3.0×10^9 cells, 5.0×10^9 cells and 7.0×10^9 cells. The administration is performed on day 1 and day 8 of each cycle (21 days). 3-6 subjects will be enrolled at every dose level. The first and second subjects in the same group shall be enrolled at an interval of at least 7 days, for the purpose of ensuring their safety. Only when the dose-limiting toxicity (DLT) of all subjects in the previous dose group was observed can the enrollment of the next dose group get started.

Connect with a study center

  • Cancer Institute and Hospital, Chinese Academy of Medical Sciences

    Beijing, Beijing 100021
    China

    Active - Recruiting

Map preview placeholder

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.