Clinical trial NCT06054932: Safety, Tolerability, and Immunogenicity of LK101 Alone in Participants With Incurable Solid Tumors
Official title: A Phase I Study of LK101 Monotherapy in Participants With Advanced Solid Tumors to Evaluate the Safety, Tolerability, and Immunogenicity
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: PHASE1
Conditions: Advanced Solid Tumor
Lead sponsor: Beijing Likang Life Science and Tech Co., Ltd.
Sponsor class: INDUSTRY
First posted: 2023-09-26
Enrollment: 18
Sex: ALL
Minimum age (years): 18
Maximum age (years): 75
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: This is an open-labeled, single-center phase I study in patients with incurable advanced solid tumors, who failed with all previous standard therapy. The aim is to observe and evaluate the safety, tolerability, and immunogenicity of LK101 injection.

Detailed description: This study is designed to evaluate the safety, tolerability, and immunogenicity of the dose escalation of LK101. We used the traditional "3+3" dose escalation design, Subjects who have been pathologically diagnosed with advanced solid tumors and defined as failing all previous standard therapy. LK101 will be administered in a prime-boost schedule of 4 priming vaccination followed by 3 booster vaccinations. The dose escalation will be conducted in a sequential manner, enrolled patients were initially placed in cohort 1, in which the priming phase is administered at 2-week intervals. And then followed the next cohort 2, where the priming phase is administered at 1-week intervals. Decisions with regard to dose escalation to the next dose level will be made jointly by the investigators and the sponsor. AE data was collected until the 21 days following the last prime dose. safety and immunogenicity will also be used to inform the final dose and schedule. A minimum of 6 patients will be treated at the MTD/RP2D.

Eligibility criteria: Inclusion Criteria:

* signed informed consent.
* Age 18-75.
* life expectancy ≥3 months.
* Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1.
* Subjects with histologically or cytologically confirmed advanced or metastatic solid tumors, unresponsive to standard treatment or for whom no standard treatment is available or appropriate.
* The sequencing of the tumor was qualified.
* Subject must have measurable diseases as per RECIST v1.1 criteria.
* According to the investigator's judgment, venous vascular conditions can meet the needs of apheresis.
* Adequate bone marrow, renal, and hepatic at screening and at Baseline.

Exclusion Criteria:

* Patients who have received therapeutic tumor vaccine products (including peptide vaccine, mRNA vaccine, DC vaccine, etc.).
* Diagnosis of malignant diseases other than study disease within 5 years before screening (except for malignant tumors that can be expected to recover after treatment).
* Patients received systemic antitumor treatment within 2 weeks before the apheresis, or receive research drugs or device therapy.
* Received radiotherapy within 4 weeks prior to screening.
* Toxicity caused by previous treatment did not recover to CTCAE (version 5.0) Grade 1 or below (except hair loss and peripheral neuropathy).
* Patients who have active brain metastases or cancerous meningitis.
* History of significant cardiovascular and cerebrovascular disease occurred in the 6 months prior to screening, Any of the following cardiac criteria:

  * Mean resting corrected QT interval (QTc) \> 470 ms;
  * Left ventricular ejection fraction (LVEF) ≤ 50%;
  * American New York heart association (NYHA) heart function ≥ 2 or higher;
  * serious arrhythmia;
  * poorly controlled hypertension;
  * other serious heart diseases;
  * Patients with interstitial pneumonia, except those inactive and do not require hormone therapy disease;
* Any of the following test results are positive: human immunodeficiency virus (HIV) antibody, treponema pallidum antibody, hepatitis C virus (HCV) antibody, hepatitis B virus (HBV) surface antigen (HBsAg), HBV DNA and novel coronavirus nucleic acid.
* Active tuberculosis (TB) during screening.
* Treatment with systemic steroids or other immunosuppressive agents within 14 days prior to screening;
* Vaccination within 4 weeks prior to screening.
* Major injuries and/or surgery =\< 4 weeks prior to screening.
* Persons with a history of psychotropic substance abuse and inability to abstain or with a history of mental disorders.
* Pregnant or lactating women.
* Other conditions are regimented at the investigators' discretion.

Primary outcomes:
measure: DLT
timeFrame: Continuously throughout the study until 90 days after Termination of the treatment
measure: AE
timeFrame: Continuously throughout the study until 90 days after Termination of the treatment
measure: irAE
timeFrame: Continuously throughout the study until 90 days after Termination of the treatment
measure: SAE
timeFrame: Continuously throughout the study until 90 days after Termination of the treatment
measure: RP2D
timeFrame: 21 days after the last prime dose
Secondary outcomes:
measure: immunogenicity
timeFrame: 24 months
measure: ORR
timeFrame: 24 months
measure: DoR
timeFrame: 24 months
measure: DCR
timeFrame: 24 months
measure: TTR
timeFrame: 24 months
measure: TTP
timeFrame: 24 months
measure: PFS
timeFrame: 24 months
measure: OS
timeFrame: 24 months
Other outcomes:
measure: Tumor immune microenvironment before and after treatment
timeFrame: 24 months
Locations:
city: Beijing
country: China
facility: Beijing Cancer Hospital
state: Beijing
city: Beijing
country: China
facility: Cancer hospital Chinese Academy of Medical Sciences
state: Beijing
Study officials:
References: