A Phase I Trial of Simmitinib in Advanced Solid Tumors
Phase I Dose-escalation Trial of Simmitinib for Patients With Advanced Solid Tumors in Therapeutic Failure
1 other identifier
interventional
50
1 country
1
Brief Summary
This is an open label, multi-center, phase I study of oral Simmitinib in subjects with advanced solid tumors including gastric cancer.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_1
Started Jun 2020
Typical duration for phase_1
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
First Submitted
Initial submission to the registry
August 6, 2019
CompletedFirst Posted
Study publicly available on registry
August 15, 2019
CompletedStudy Start
First participant enrolled
June 8, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 31, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
March 31, 2023
CompletedJune 6, 2022
June 1, 2022
2.6 years
August 6, 2019
June 2, 2022
Conditions
Outcome Measures
Primary Outcomes (3)
Dose-limited toxicity (DLT)
To identify the dose-limited toxicity (DLT).
1 year
Maximum tolerated dose (MTD)
To identify the maximum tolerated dose (MTD).
1 year
Recommended Phase II Dose (RP2D)
To identify the Recommended Phase II Dose (RP2D).
1 year
Secondary Outcomes (8)
Area under the plasma concentration versus time curve (AUC)
2 year
Peak Plasma Concentration (Cmax)
2 year
Time of peak plasma concentration (Tmax)
2 year
Overall response rate (ORR)
2 year
Duration of Response (DoR)
2 year
- +3 more secondary outcomes
Study Arms (1)
Simmitinib tablet
EXPERIMENTALThe core trial period includes 4-weeks Screening stage (28d), 7-days single administration stage, 4-weeks multiple administration stage (28d), 3-days blood collection stage of PK after multiple administration. The starting dose was set at 1mg/d on toxicology data. Dosing will continue uninterrupted for 28 days in multiple administration stage. The dose-limiting toxicity (DLT) period assessment will be from the first administration of Simmitinib tablet to the end of the first cycle (35 days).
Interventions
The core trial period includes 4-weeks Screening stage (28d), 7-days single administration stage, 4-weeks multiple administration stage (28d), 3-days blood collection stage of PK after multiple administration. The starting dose was set at 1mg/d on toxicology data. Dosing will continue uninterrupted for 28 days in multiple administration stage. The dose-limiting toxicity (DLT) period assessment will be from the first administration of Simmitinib tablet to the end of the first cycle (35 days).
Eligibility Criteria
You may qualify if:
- Voluntary written informed consent of the patient obtained before any study-specific procedure;
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1;
- Patients with histologically/cytologically confirmed diagnosis of advanced solid tumors refractory to standard therapy or for whom no standard therapy exist;
- Adequate washing period from last anti-tumor therapy;
- Measurable disease according to Response Evaluation Criteria in Solid Tumors (RECIST), version 1.1;
- The expected survival time for more than 12 weeks;
- Adequate bone marrow, hepatic, renal, pancreas, and coagulation function, Blood phosphorus and calcium in the normal range.
You may not qualify if:
- Prior treatment with selective FGFR inhibitors or multi-target kinase Inhibitors with FGFR as the main target;
- Unrecovered from any drug-related adverse event to grade ≤ 1 according to the National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE) v.3.0 derived from any previous anti-tumor treatment, excluding alopecia, Pigmentation, or other toxicity with little safety risk for subjects;
- Active Central Nervous System (CNS) metastases (brain or leptomeningeal metastases, etc.);
- Any other history of malignancy within 3 years;
- Congenital coagulation abnormalities. Active bleeding or previous history of massive bleeding (\>30ml within 3 months), history of hemoptysis (more than 5ml fresh bleeding within 4 weeks);
- Corneal diseases of clinical significance. There is a history of retinal pigment epithelial detachment or evidence of the presence of retinal pigment epithelial detachment. History of age-related macular degeneration or evidence of age-related macular degeneration exists;
- Subjects with impaired cardiac function or heart disease of clinical significance;
- Pregnant or lactating women.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
CSPC ZhongQi Pharmaceutical Technology Co., Ltd.
Beijing, China
Study Officials
- PRINCIPAL INVESTIGATOR
Yuankai Shi
Cancer Institute and Hospital, Chinese Academy of Medical Sciences
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 6, 2019
First Posted
August 15, 2019
Study Start
June 8, 2020
Primary Completion
January 31, 2023
Study Completion
March 31, 2023
Last Updated
June 6, 2022
Record last verified: 2022-06