NCT05154604

Brief Summary

To assess the safety and tolerability of SHR-A1921 in patients with advanced solid tumours, to determine the dose-limiting toxicity (DLT), maximum tolerated dose (MTD), and/or recommended phase II dose (RP2D) of SHR-A1921

Trial Health

35
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
156

participants targeted

Target at P75+ for phase_1

Timeline
Completed

Started Dec 2021

Typical duration for phase_1

Status
unknown

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

November 12, 2021

Completed
1 month until next milestone

First Posted

Study publicly available on registry

December 13, 2021

Completed
18 days until next milestone

Study Start

First participant enrolled

December 31, 2021

Completed
2.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 31, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 31, 2024

Completed
Last Updated

December 13, 2021

Status Verified

November 1, 2021

Enrollment Period

2.7 years

First QC Date

November 12, 2021

Last Update Submit

November 29, 2021

Conditions

Outcome Measures

Primary Outcomes (4)

  • Dose Limited Toxicity (DLT)

    21 Days (first cycle)

  • Maximum Tolerable Dose (MTD)

    21 Days (first cycle)

  • Recommended phase II dose (RP2D)

    Screening up to dose escalation and expansion study completion, appropriately to 1 year

  • Adverse Events

    Incidence and grade of adverse events as assessed by CTCAE v5.0

    Screening up to study completion, an average of 1 year

Secondary Outcomes (17)

  • Time to reach maximum concentration (Tmax) of SHR-A1921、total antibody

    Screening up to end of treatment, an average of 1 year

  • Maximum concentration (Cmax) of SHR-A1921、total antibody

    Screening up to end of treatment, an average of 1 year

  • Area under the concentration-time curve from time zero to the time of the last quantifiable time point t (AUC0-t) of SHR-A1921、total antibody

    Screening up to end of treatment, an average of 1 year

  • Area under the concentration-time curve from time 0 extrapolated to infinity (AUC0-t) of SHR-A1921、total antibody

    Screening up to end of treatment, an average of 1 year

  • Terminal half-life (t1/2) of SHR-A1921、total antibody

    Screening up to end of treatment, an average of 1 year

  • +12 more secondary outcomes

Study Arms (1)

Treatment group: SHR-A1921

EXPERIMENTAL
Drug: SHR-A1921

Interventions

Treatment group: Subjects will receive an intravenous infusion of SHR-A1921 in a dose escalation until confirmed progression, unaccepted toxicity, or any criterion for withdrawal from the study.

Treatment group: SHR-A1921

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Voluntary participation and written informed consent;
  • Aged 18-75 years (inclusive), males and females;
  • Consents to provide tumor tissue samples;
  • Subjects must have histologically or clinically confirmed advanced and/or metastatic malignancies for which failure of standard treatment or lack of effective standard treatment;
  • At least one measurable lesion according to RECIST v1.1;
  • ECOG score of 0-1;
  • Expected survival ≥ 12 weeks;
  • Adequate bone marrow reserve and organ function ;
  • For female patients of childbearing potential or male patients with partners of childbearing potential who are not sterilized by surgical operations, they are required to use a medically approved contraceptive measure during the study treatment period and within 3 months after the end of the study treatment; For female patients of childbearing potential who are not sterilized by surgical operations, they must have a negative serum HCG test result within 72 h prior to study enrollment; and they must not be in the lactation period;

You may not qualify if:

  • Known and untreated central nervous system (CNS) or leptomeningeal metastases;
  • Macrovascular invasion based on imaging;
  • Cancerous ascites, pleural effusion or pericardial effusion with clinical symptoms;
  • Has a history of a second malignancy;
  • History of immunodeficiency disease or organ transplant;
  • Uncontrolled cardiac diseases or symptoms;
  • Has a history of non-infectious ILD/pneumonitis that required steroids, or has current ILD/pneumonitis;
  • Has a history of active chronic enteritis 6 weeks prior to the initiation of the study treatment or intestinal obstruction, gastrointestinal perforation 3 months prior to the initiation of the study treatment;
  • Has a history of Grade≥2 bleeding 4 weeks prior to the initiation of the study treatment or is current receiving anticoagulation therapy;
  • Subjects with active hepatitis B or active hepatitis C;
  • Subjects who have received systemic anti-tumor treatments 4 weeks prior to the initiation of the study treatment.
  • Has unresolved toxicities from previous anticancer therapy.
  • Has a history of severe hypersensitivity reactions to either the drug substances or inactive ingredients of SHR-A1921;
  • Subjects with other potential factors that may affect the study results or result in the premature discontinuation as determined by the investigator, such as alcoholism, drug abuse, other serious diseases (including mental illness) requiring concomitant treatment, serious laboratory abnormalities, or family or social factors that could affect the safety of the patients.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

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

November 12, 2021

First Posted

December 13, 2021

Study Start

December 31, 2021

Primary Completion

August 31, 2024

Study Completion

August 31, 2024

Last Updated

December 13, 2021

Record last verified: 2021-11