Description:
This open-label, phase Ib/II study of surufatinib in combination with tislelizumab will
evaluate the safety, tolerability, PK and efficacy in patients with advanced solid tumors.
The study consists of 2 parts - dose finding (Part 1) and dose expansion (Part 2).
Title
- Brief Title: Surufatinib in Combination With Tislelizumab in Subjects With Advanced Solid Tumors
- Official Title: An Open-Label Phase Ib/II Study of Surufatinib in Combination With Tislelizumab in Subjects With Advanced Solid Tumors
Clinical Trial IDs
- ORG STUDY ID:
2020-012-GLOB1
- NCT ID:
NCT04579757
Conditions
- Metastatic Solid Tumor
- Colorectal Cancer
- Neuroendocrine Tumors
- Small Cell Lung Cancer
- Gastric Cancer
- Soft Tissue Sarcoma
Interventions
Drug | Synonyms | Arms |
---|
Surufatinib and Tislelizumab _ Part 1 | HMPL-012, sulfatinib, BGB-A317 | Surufatinib and tislelizumab (dose escalation_Part 1) |
Surufatinib and Tislelizumab _ Part 2 | HMPL-012, sulfatinib, BGB-A317 | Surufatinib and tislelizumab (indication specific_Part 2) |
Purpose
This open-label, phase Ib/II study of surufatinib in combination with tislelizumab will
evaluate the safety, tolerability, PK and efficacy in patients with advanced solid tumors.
The study consists of 2 parts - dose finding (Part 1) and dose expansion (Part 2).
Detailed Description
This open-label, phase Ib/II study of surufatinib in combination with tislelizumab will
evaluate the safety, tolerability, PK and efficacy in patients with advanced solid tumors.
The study consists of 2 parts - dose finding (Part 1) and dose expansion (Part 2).
Part 1 will be conducted to determine the recommended phase 2 dose (RP2D) and/or the maximum
tolerated dose (MTD) of surufatinib in combination with tislelizumab in patients with
advanced or metastatic solid tumors who have progressed on, or are intolerant to standard
therapies.
Part 2 will be an open-label, multi-cohort design to evaluate the anti-tumor activity of
surufatinib in combination with tislelizumab in patients with specific types of advanced or
metastatic solid tumors. Patients will receive the RP2D determined in part 1 of this study.
Trial Arms
Name | Type | Description | Interventions |
---|
Surufatinib and tislelizumab (dose escalation_Part 1) | Experimental | In Part 1 (dose escalation), surufatinib and will be administered orally (PO) once daily (QD) and tislelizumab 200 mg intravenous (IV) infusion every 3 weeks (Q3W). | - Surufatinib and Tislelizumab _ Part 1
|
Surufatinib and tislelizumab (indication specific_Part 2) | Experimental | In Part 2, the indication-specific expansion portion of the study, patients will receive surufatinib at the Recommended Phase 2 Dose (RP2D) dose selected in Part 1 with 200 mg tislelizumab IV, Q3W | - Surufatinib and Tislelizumab _ Part 2
|
Eligibility Criteria
Inclusion Criteria:
1. Willing and able to provide informed consent
2. ≥18 years of age
3. Part 1-have evaluable lesions (according to Response Evaluation Criteria in Solid
Tumors version 1.1 [RECIST v1.1])
4. Part 2-have measurable lesions (according to RECIST v1.1)
5. Have a performance status of 0 or 1 on the ECOG scale
6. For female subjects of childbearing potential and male patients with partners of
childbearing potential, agreement to use a highly effective form(s) of contraception
Dose Escalation:
7. Histologically or cytologically documented, locally advanced or metastatic solid
malignancy of any type,.
Dose Expansion:
8. Histologically or cytologically documented, locally advanced or metastatic:
Cohort A: adenocarcinoma of the colon or rectum that is microsatellite stable. Subjects
must have progressed on, or had intolerable toxicity to, at least 3 prior regimens of
standard chemotherapy.
Cohort B: progressive, low or intermediate grade (grade 1 or grade 2) NETs of thoracic or
GEP origins. Subjects must have radiological documentation of progression of disease in the
last 6 months and must have progressed on at least one line of standard therapy for
metastatic disease.
Cohort C: SCLC that has progressed on standard first line chemotherapy treatment.
Cohort D: adenocarcinoma of the stomach or gastroesophageal junction and have progressed on
at least 2 prior lines of therapy. Tumor stain for PD-L1 by Combined Positive Score (CPS)
≥5%.
Cohort E: ASPS or UPS. Subjects must have radiological documentation of disease progression
in the last 3 months and have progressed on at least one line of standard therapy or
refused standard frontline cytotoxic chemotherapy.
Exclusion Criteria:
1. Adverse events (AEs) due to previous anti-tumor therapy has not recovered to Common
Terminology Criteria for Adverse Event (CTCAE) ≤Grade 1;
2. Part 2 subjects with CRC , NETs and STS any previous treatment with anti-PD-1, anti
PD-L1/L2 antibodies, anti-cytotoxic T lymphocyte associated antigen-4 (CTLA-4)
antibody, or any other antibody acting on T cell costimulatory or checkpoint pathway;
3. Previous treatment with surufatinib;
4. Uncontrollable hypertension;
5. History or presence of a serious hemorrhage (>30 ml within 3 months), hemoptysis (>5
ml blood within 4 weeks) or life threatening thromboembolic event within 6 months;
6. Clinically significant cardiovascular disease;
7. Any clinically significant active infection, including, but not limited to, known
human immunodeficiency virus (HIV) infection;
8. Brain metastases and/or leptomeningeal disease and/or spinal cord compression
untreated with surgery and/or radiotherapy, and without clinical imaging evidence of
SD for 14 days or longer; subjects requiring steroids within 4 weeks prior to start of
study treatment will be excluded;
9. Active autoimmune diseases or history of autoimmune diseases that may relapse with the
following exceptions:
1. Controlled Type 1 diabetes
2. Hypothyroidism (provided it is managed with hormone-replacement therapy only)
3. Controlled celiac disease
4. Skin diseases not requiring systemic treatment (eg, vitiligo, psoriasis, or
alopecia)
5. Any other disease that is not expected to recur in the absence of external
triggering factors.
10. Arterial thrombosis or thromboembolic events (including stroke and/or transient
ischemic attack) within 12 months prior to first dosing;
11. History of deep venous thrombosis within 6 months;
12. Female patients who are pregnant or breastfeeding;
13. Any condition by which investigators judge patients not suitable to participate in
this study.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Incidence of dose limiting toxicity |
Time Frame: | up to 60 days |
Safety Issue: | |
Description: | The primary outcome during dose escalation will be the incidence rate of dose limiting toxicities |
Secondary Outcome Measures
Measure: | Progression Free Survival (PFS) |
Time Frame: | up to 6 months |
Safety Issue: | |
Description: | the duration between the enrollment date and the first disease progression (PD) or death (whichever comes first). |
Measure: | Maximum plasma concentrations of surufatinib and tislelizumab with blood sampling |
Time Frame: | up to 18 months |
Safety Issue: | |
Description: | Blood samples will be taken to measure levels of study drug |
Measure: | To evaluate the safety, in subjects, treated with surufatinib and tislelizumab |
Time Frame: | up to 2 years |
Safety Issue: | |
Description: | Adverse events evaluated by the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v5.0 |
Measure: | Disease Control Rate (DCR) |
Time Frame: | Up to 24 months |
Safety Issue: | |
Description: | The incidence of complete response, partial response and stable disease |
Measure: | Duration of Response (DoR) |
Time Frame: | up to 24 months |
Safety Issue: | |
Description: | The duration between the date the criteria for complete response or partial response was first measured (first record shall prevail) and the date of disease recurrence or progression as objectively recorded |
Measure: | Clinical Benefit Rate (CBR) |
Time Frame: | Up to 24 months |
Safety Issue: | |
Description: | The incidence of partial response and stable disease |
Measure: | Time to Response (TTR) |
Time Frame: | up to 24 months |
Safety Issue: | |
Description: | The period from the date of enrollment to the date when the criteria for complete response or partial response was first measured (first record shall prevail). |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Hutchison Medipharma Limited |
Trial Keywords
Last Updated
August 31, 2021