NCT05955105

Brief Summary

This is a multicenter, open-label, phase Ib/IIa study. The first part of the study will evaluate the safety, tolerability and preliminary efficacy of ILB2109 and Toripalimab in patients with locally advanced or metastatic solid malignancies. The second part of the study will evaluate the efficacy of ILB2109 and Toripalimab in patients with selected advanced solid malignancies.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
200

participants targeted

Target at P75+ for phase_1 head-and-neck-cancer

Timeline
3mo left

Started Jul 2023

Geographic Reach
1 country

1 active site

Status
recruiting

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 Progress93%
Jul 2023Jul 2026

First Submitted

Initial submission to the registry

July 6, 2023

Completed
15 days until next milestone

First Posted

Study publicly available on registry

July 21, 2023

Completed
4 days until next milestone

Study Start

First participant enrolled

July 25, 2023

Completed
2.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 25, 2026

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

July 24, 2026

Expected
Last Updated

May 21, 2024

Status Verified

May 1, 2024

Enrollment Period

2.5 years

First QC Date

July 6, 2023

Last Update Submit

May 19, 2024

Conditions

Outcome Measures

Primary Outcomes (4)

  • The Incidence of DLTs

    The incidence rate of Dose Limiting Toxicities (DLTs)

    Cycle 1 (21 days)

  • MTD

    Determine the maximum tolerated dose (MTD) of ILB-2109 tablets

    6 months

  • RP2D

    Determine the recommended phase 2 dose (RP2D) when used in combination with Toripalimab for subsequent studies

    6 months

  • The Objective Response Rate (ORR)

    Observe the Objective Response Rate (ORR) of ILB-2109 tablets combined with Toripalimab in prespecified cohorts

    36 months

Secondary Outcomes (13)

  • AE/TEAE/drug-related TEAE/irAE/SAE

    36 months

  • Lab Abnormalities

    36 months

  • Peak Plasma Concentration (Cmax)

    36 months

  • Area under the plasma concentration versus time curve (AUC)

    36 months

  • Half Life (T1/2)

    36 months

  • +8 more secondary outcomes

Other Outcomes (8)

  • pCREB level in PBMC

    36 months

  • Expression level of Adnosine Signature gene panel

    36 months

  • Tumor Mutational Burden

    36 months

  • +5 more other outcomes

Study Arms (1)

Treatment Arm

EXPERIMENTAL

Subjects will receive ILB-2109 tablets and Toripalimab injection

Drug: ILB-2109Drug: Toripalimab

Interventions

ILB-2109 tablets will be administered by mouth every day in 21-day cycles

Treatment Arm

Toripalimab injection will be administered via IV every 21 days.

Treatment Arm

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Adult patients between the ages of 18 and 80 years.
  • Patients with histologically or cytologically confirmed solid tumours that are advanced, metastatic and or progressive, for whom there is no effective standard therapy available.
  • Eastern Collaborative Oncology Group (ECOG) Performance Status of ≤2.
  • Expected life expectancy ≥3 months.
  • Evaluable disease, either measurable on imaging, or with informative tumour marker(s), as assessed by Response Evaluation Criteria In Solid Tumors (RECIST) v1.1 (Eisenhauer, et al. 2009).
  • Laboratory values at Screening:
  • Absolute neutrophil count ≥1.5 x 109/L; Platelets ≥75 x 109/L; Hemoglobin ≥ 90g/L; Total bilirubin \<1.5 times the upper limit of normal; Aspartate aminotransferase (AST) ≤3 times the upper limit of normal, ≤ 5 times the upper limit of normal if subject has hepatic malignancies; Alanine aminotransferase (ALT) ≤2.5 times the upper limit of normal, ≤ 5 times the upper limit of normal if subject has hepatic malignancies; Estimated glomerular filtration rate (GFR) of \>50 mL/min (based on the Cockcroft-Gault formula; International Normalized Ratio (INR) and activated Partial Thromboplastin Time (aPTT) ≤1.5 times the upper limit of normal; Left Ventricular Ejection Fraction (LVEF) ≥ 50%; Corrected QT Interval by Fridericia Method: male\<450ms, female\<470ms; and
  • Negative human chorionic gonadotropin (hCG) test in women of childbearing potential.
  • Sexually active male and female patients of childbearing potential must agree to use an effective method of birth control (e.g. barrier methods with spermicides, oral or parenteral contraceptives and/or intrauterine devices) during the entire duration of the study and for 90 days after final administration of ILB-2109, or the patient must be surgically sterile .
  • Ability to give written, informed consent prior to any study-specific Screening procedures.

You may not qualify if:

  • In the past 3 weeks: received systemic anti-tumor therapy, including chemotherapy, radiation, biologics, androgen, targeted therapy and immunotherapy with the following exceptions: i. received treatment containing nitrosoureas or mitomycin C in the past 6 weeks; ii. received oral fluorouracil or small molecule targeted therapy or Chinese Traditional Medicine (CTM) with anti-neoplasm indication in the past 2 weeks ;
  • In the past 4 weeks: received any other investigational treatment;
  • Gastrointestinal disease (e.g. Crohn's disease, ulcerative colitis, or short gut syndrome) that would impact on drug absorption;
  • Uncontrollable third-spacing of fluids;
  • Known CNS metastasis with clinical symptoms or the need of steroid treatment or CNS lesion ≥ 1.5cm or with the evidence of lesion enlargement in the past 4 weeks;
  • Severe cardiovascular diseases including symptomatic heart failure (NYHA Class II and above), unstable angina, arrythmia, myocardial infarction within the past 6 months, embolism or pulmonary embolism within the past 3 months;
  • Having any risk factors of QT prolongation, including present or family history of long QT syndrome or using any medication with known QT prolongation effect;
  • Poor controlled chronic diseases, including poorly controlled diabetes mellitus (defined as HbA1c ≥ 8.5%), poorly controlled hypertension, has a history of hypertensive emergency or hypertensive encephalopathy, endocrine diseases that require systemic therapy;
  • Current diagnosis of interstitial pneumonia or a history of chronic emphysema, COPD, or TB infection;
  • Autoimmune diseases that required systemic therapy within the past 2 years, with the exception of vitiligo, asthma, atopic diseases and autoimmune thyroid diseases that are stable on thyroid replacement therapy;
  • Active infection with the need if IV antibiotic treatment;
  • Known HIV infection;
  • Active HBV infection (defined as positive HBsAg and HBV-DNA\>500 IU/ml), active HCV infection (positive HCV antibody but HCV-RNA \< lower limit of detection is allowed to participate);
  • Known syphilis infection;
  • Received systemic steroid at a dose greater or equivalent to 10mg of prednisone per day or other immune modulating treatments in the past 14 days;
  • +9 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Shandong Cancer Hospital

Jinan, Shandong, China

RECRUITING

MeSH Terms

Conditions

Head and Neck NeoplasmsUterine Cervical NeoplasmsEndometrial NeoplasmsTriple Negative Breast NeoplasmsOvarian NeoplasmsSarcomaMelanomaNasopharyngeal CarcinomaCarcinoma, Non-Small-Cell Lung

Interventions

toripalimab

Condition Hierarchy (Ancestors)

Neoplasms by SiteNeoplasmsUterine NeoplasmsGenital Neoplasms, FemaleUrogenital NeoplasmsUterine Cervical DiseasesUterine DiseasesGenital Diseases, FemaleFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesGenital DiseasesBreast NeoplasmsBreast DiseasesSkin DiseasesSkin and Connective Tissue DiseasesEndocrine Gland NeoplasmsOvarian DiseasesAdnexal DiseasesEndocrine System DiseasesGonadal DisordersNeoplasms, Connective and Soft TissueNeoplasms by Histologic TypeNeuroendocrine TumorsNeuroectodermal TumorsNeoplasms, Germ Cell and EmbryonalNeoplasms, Nerve TissueNevi and MelanomasSkin NeoplasmsCarcinomaNeoplasms, Glandular and EpithelialNasopharyngeal NeoplasmsPharyngeal NeoplasmsOtorhinolaryngologic NeoplasmsNasopharyngeal DiseasesPharyngeal DiseasesStomatognathic DiseasesOtorhinolaryngologic DiseasesCarcinoma, BronchogenicBronchial NeoplasmsLung NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsLung DiseasesRespiratory Tract Diseases

Study Officials

  • Jin Li, M.D.

    Shanghai East Hospital

    PRINCIPAL INVESTIGATOR

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

July 6, 2023

First Posted

July 21, 2023

Study Start

July 25, 2023

Primary Completion

January 25, 2026

Study Completion (Estimated)

July 24, 2026

Last Updated

May 21, 2024

Record last verified: 2024-05

Locations