Clinical trial NCT05276609: ARTEMIS-001: Phase 1 Study of the HS-20093 in Patients With Advanced Solid Tumors
Official title: ARTEMIS-001: A Phase 1, Open-label, Multi-center Study to Evaluate Safety, Tolerability, Pharmacokinetics, and Efficacy of Multiple Doses of Intravenous Administration of HS-20093 in Patients With Locally Advanced or Metastatic Solid Tumors Who Have Progressed Following Prior Therapy
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: PHASE1
Conditions: Advanced Solid Tumor
Keywords: Advanced solid tumor
B7-H3
antibody-drug conjugate (ADC)
HS-20093
Lead sponsor: Hansoh BioMedical R&D Company
Sponsor class: INDUSTRY
First posted: 2022-03-11
Enrollment: 177
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: SEQUENTIAL
Primary purpose: TREATMENT

Brief 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 safety, tolerability, pharmacokinetics and anti-tumor activity of HS-20093 in Chinese advanced solid tumor patients.

This is a phase 1, open-label, multi-center, dose-escalation and expansion study evaluating the safety, tolerability, pharmacokinetic (PK), and the therapeutic potential of HS-20093 as a monotherapy in subjects with advanced solid tumors.

Detailed description: This is an open-label, multi-center, dose-escalation and expansion, first-in-human phase 1 study in Chinese adult participants with locally advanced or metastatic solid tumors. This study will consist of two parts: A Part Ia dose escalation stage and a Part Ib dose expansion stage.

The objectives of this study are to evaluate the safety, tolerability, PK and preliminary anti-tumor activity, describe the dose-limiting toxicities (DLTs), and determine the maximum tolerated dose (MTD) or maximum administered dose (MAD) of HS-20093.

Part Ia: Participants with advanced cancer are eligible for dose escalation study if they have progressed on or intolerant to available standard therapies, or no standard or available curative therapy exists. The dose escalation will include an initial accelerated titration design followed by i3+3 design.

Part Ib: Enrollment into dose expansion will begin after identification of the MTD or MAD in Phase Ia. The dose expansion study will be conducted in populations with the following indications: locally advanced or metastatic non- small cell lung cancer (NSCLC)，extensive stage small cell lung cancer (ES-SCLC) and other types of advanced solid tumor.

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

Eligibility criteria: Inclusion Criteria:

1. At least age of 18 years at screening;
2. Histologically or cytologically confirmed, locally advanced or metastatic solid tumors for which standard treatment either does not exist or has proven ineffective or unavailable or intolerable
3. At least one extra-cranial measurable lesion according to RECIST 1
4. Agree to provide fresh or archival tumor tissue
5. Eastern Cooperative Oncology Group (ECOG) Performance Status of 0\~1
6. Life expectancy \>= 12 weeks
7. Agree to use medically accepted methods of contraception
8. Men or women should be using adequate contraceptive measures throughout the study;
9. Females subjects must not be pregnant at screening or have evidence of non-childbearing potential
10. Signed and dated Informed Consent Form

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 cytotoxic chemotherapy, investigational agents and anticancer drugs within 14 days prior to the first scheduled dose of HS-20093
   * Prior treatment with a monoclonal antibody 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, or large-scale radiotherapy within 4 weeks prior to the first scheduled dose of HS-20093
   * Major surgery within 4 weeks prior to the first scheduled dose of HS-20093
2. Subjects with previous or concurrent malignancies
3. Inadequate bone marrow reserve or organ dysfunction
4. Evidence of cardiovascular risk
5. Evidence of current severe or uncontrolled systemic diseases
6. Evidence of mucosal or internal bleeding within 1 month prior to the first scheduled dose of HS-20093
7. Known active infection requiring antibodies treatment within 2 weeks, or severe infection within 4 weeks prior to the first scheduled dose of HS-20093
8. Subjects with current infectious diseases
9. History of neuropathy or mental disorders
10. Pregnant or lactating female
11. History of severe hypersensitivity reaction, severe infusion reaction or idiosyncrasy to drugs chemically related to HS-20093 or any of the components of HS-20093
12. Known vaccination or hypersensitivity of any level within 4 weeks prior to the first scheduled dose of HS-20093
13. Unlikely to comply with study procedures, restrictions, and requirements in the opinion of the investigator
14. Any disease or condition that, in the opinion of the investigator, would compromise subject safety or interfere with study assessments

Primary outcomes:
measure: Ⅰa (Dose-Escalation Stage): Maximum tolerated dose (MTD) for HS-20093
timeFrame: Up to day 21 from the first dose
measure: Ⅰb (Dose-Expansion Stage): Objective response rate (ORR) determined by investigators according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1
timeFrame: From the first dose up to PD or withdrawal from study, whichever came first, assessed up to 24 months
Secondary outcomes:
measure: Incidence and severity of adverse events (AEs)
timeFrame: From the first dose through 90 days post end of treatment
measure: Observed maximum plasma concentration (Cmax) of HS-20093 in participants with advanced solid tumor
timeFrame: From pre-dose to 14 days after the first dose on Cycle 1
measure: Time to reach maximum plasma concentration (Tmax) of HS-20093 following the first dose in participants with advanced solid tumor
timeFrame: From pre-dose to 14 days after the first dose on Cycle 1
measure: Terminal half-life (T1/2) of HS-20093 following IV dose in participants with advanced solid tumor
timeFrame: From pre-dose to 14 days after the first dose on Cycle 1
measure: Area under plasma concentration versus time curve from zero to last sampling time (AUC0-t) following the first dose of HS-20093
timeFrame: From pre-dose to 14 days after the first dose on Cycle 1
measure: Percentage of participants with antibodies to HS-20093 in serum
timeFrame: From pre-dose to 90 days post end of treatment
measure: ORR determined by investigators according to RECIST 1.1 (dose-escalation stage)
timeFrame: From the first dose up to PD or withdrawal from study, whichever came first, assessed up to 24 months
measure: Duration of response (DOR) determined by investigators according to RECIST 1.1
timeFrame: From the first dose up to PD or death, whichever came first, assessed up to 24 months
measure: Disease control rate (DCR) determined by investigators according to RECIST 1.1
timeFrame: From the first dose up to PD or withdrawal from study, whichever came first, assessed up to 24 months
measure: Progression-free survival (PFS) determined by investigators according to RECIST 1.1
timeFrame: From the randomization/first dose up to PD or death, whichever came first, assessed up to 24 months
measure: Overall survival (OS) (only in dose expansion stage)
timeFrame: From the randomization/first dose up to death, whichever came first, assessed up to 24 months
Other outcomes:
Locations:
city: Beijing
country: China
facility: Cancer Hospital Chinese Academy of Medical Sciences
state: Beijing
Study officials:
References: