Assessment of TK006 in Patients With Breast Cancer-related Bone Metastases
Phase 1 Trial of a Fully Human Monoclonal Antibody of Receptor Activator for Nuclear Factor-κ B Ligand (RNAKL, TK006) Safety, Pharmacokinetics, and Pharmacodynamics in Patients With Breast Cancer-related Bone Metastases
1 other identifier
interventional
40
1 country
1
Brief Summary
This is a single-center, open-label, dose-escalating study to evaluate the safety, pharmacokinetics, immunogenicity, and preliminary efficacy of single and multiple subcutaneous injection TK006 in patients with breast cancer-related bone metastases.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_1 breast-cancer
Started Jul 2017
Shorter than P25 for phase_1 breast-cancer
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 20, 2017
CompletedFirst Submitted
Initial submission to the registry
July 28, 2017
CompletedFirst Posted
Study publicly available on registry
August 4, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2018
CompletedAugust 23, 2017
August 1, 2017
1 year
July 28, 2017
August 21, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
Frequency of adverse events (AEs) and serious adverse events (SAEs) which are related to TK006 assessed by CTCAE v4.03
Collect the information of AEs and SAEs, vital sign, physical examination, laboratory examination and electrocardiogram during the trial.
single dose cohort:112 days, multiple dose cohort:140 days
Secondary Outcomes (10)
Area under the plasma concentration-time curve from time zero to time 'last' where last is the last time point after administration [AUClast]
single dose cohort:112 days, multiple dose cohort:140 days
Area under the plasma concentration-time curve from time zero to infinity [AUC0-inf]
single dose cohort:112 days, multiple dose cohort:140 days
Maximum observed maximum plasma concentration [Cmax]
single dose cohort:112 days, multiple dose cohort:140 days
Time to reach the maximum observed plasma concentration [Tmax]
single dose cohort:112 days, multiple dose cohort:140 days
Terminal elimination half-life[T1/2]
single dose cohort:112 days, multiple dose cohort:140 days
- +5 more secondary outcomes
Study Arms (4)
60 mg single dose cohort
EXPERIMENTALpatients would receive a 60 mg single dose of TK006.
120 mg single dose cohort
EXPERIMENTALpatients would receive a 120 mg single dose of TK006.
180 mg single dose cohort
EXPERIMENTALpatients would receive a 180 mg single dose of TK006.
120 mg Q4W cohort
EXPERIMENTALpatients would receive 120 mg TK006 every 4 weeks, for a total of 3 doses.
Interventions
Subcutaneous injection
Eligibility Criteria
You may qualify if:
- Patients provide written informed consent voluntarily;
- \~65 years old;
- Patients with pathology confirmed breast cancer radiological evidence with bone metastasis;
- Eastern Cooperative Oncology Group(ECOG) performance status≤2
- Anticipated life span≥6-month;
- Adequate reservation of hematopoiesis, liver and kidney functions:
- Absolute neutrophil count (ANC) ≥1.5×10\^9/L
- Absolute platelet count (PLT) ≥100×10\^9/L
- Hemoglobin (Hb) ≥90 g/L
- Total bilirubin (TBIL) ≤1.0 time the upper limit of normal (ULN)
- Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤2.0 ULN
- Serum creatinine (sCr) ≤2.0 ULN
- Albumin-adjusted calcium≥2.0 mmol/L, ≤2.9 mmol/ L(Calcium supplements are not allowed within 8 hours before examination).
You may not qualify if:
- Hypersensitivity to any investigational medicine or supplements in this study.
- Women in Pregnancy or nursing.
- Anti-human immunodeficiency virus (HIV) antibody positive.
- Patients with hepatitis B virus DNA ≥10\^5 copies/mL or active hepatitis C would not be selected. Stable hepatitis B or hepatitis C defined as AST/ALT≤2 ULN will not be selected as well if patients are not treated with antiviral therapy while receving immunosuppressive therapy or chemotherapy meanwhile.
- Prior malignancies (excluding the targeted breast cancer, basal cell carcinoma, or cervical cancer in situ) within 3 years.
- Uncontrolled systemic diseases, or organic or mental disorders that could affect compliance.
- Central nervous system metastasis that is symptomatic or require treatment.
- Unresolved toxicities ≥2 grades from previous chemo-therapy (excluding alopecia).
- Major surgery of bone or trauma within 4 weeks before the first dosing.
- Fracture of long bone within 90-day before the first dosing.
- Radiation therapy to bone within 2 weeks or treatment with radioisotopes within 8 weeks before the first dosing.
- Treatment with diphosphonate within 30-day or administration of calcitonin, parathyroid hormone-related peptides, mithramycin, gallium nitrate or strontium ranelate within 6-month before the first dosing. Plan to receive systemic treatment with glucocorticosteroids over a long period during the trial.
- Hyperthyroidism or hypothyroidism, unless hypothyroidism patients are receiving regular treatment with thyroid hormone and:
- \) Thyroid stimulating hormone (TSH) is normal, or 2) TSH\>4.78μIU/Ml, ≤10.0μIU/mL and thyroxine (T4) is normal. 14. Disorders of hypoparathyroidism or hyperparathyroidism, osteomalacia, rheumatoid arthritis, acute attack of osteoarthritis, gout, Paget's disease, malabsorption syndrome, ascites, or other diseases that could affect bone metabolism.
- \. Previous or existing osteomyelitis or osteonecrosis of jaw, odontia or jaw diseases which are in active or require invasive operations, unhealing wound of oral surgery, or planned invasive dental operations during this trial.
- +2 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
the first affiliated hospital with Nanjing University
Nanjing, Jiangsu, 210029, China
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Jiang H Y
Jiangsu T-Mab Biopharma Co.,Ltd
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 28, 2017
First Posted
August 4, 2017
Study Start
July 20, 2017
Primary Completion
August 1, 2018
Study Completion
August 1, 2018
Last Updated
August 23, 2017
Record last verified: 2017-08