NCT06052423

Brief Summary

This is a phase 2,open-label, multi-center study to evaluate the efficacy, safety, pharmacokinetics (PK) and immunogenicity of HS-20093 as a monotherapy in patients with small cell lung cancer(SCLC).

Trial Health

45
At Risk

Trial Health Score

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

Timeline
14mo left

Started Nov 2024

Status
withdrawn

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress56%
Nov 2024Jun 2027

First Submitted

Initial submission to the registry

September 18, 2023

Completed
7 days until next milestone

First Posted

Study publicly available on registry

September 25, 2023

Completed
1.2 years until next milestone

Study Start

First participant enrolled

November 30, 2024

Completed
7 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 30, 2025

Completed
2 years until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2027

Expected
Last Updated

March 4, 2024

Status Verified

March 1, 2024

Enrollment Period

7 months

First QC Date

September 18, 2023

Last Update Submit

March 1, 2024

Conditions

Keywords

Extensive Stage Small Cell Lung CancerB7-H3antibody-drug conjugate (ADC)HS-20093

Outcome Measures

Primary Outcomes (1)

  • Objective response rate (ORR) determined by investigators according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1

    ORR was defined as the percentage of participants who achieved a best overall response (BOR) of confirmed Complete Response (CR) or Partial Response (PR), assessed by investigators based on RECIST version 1.1\[Confirmed CR/PR assessment require at least one repeat (≥4 weeks)\]

    From the first dose up to disease progression or withdrawal from study, which ever came first, assessed up to 18 months

Secondary Outcomes (10)

  • Incidence and severity of adverse events (AEs)

    From the first dose through 90 days post end of treatment

  • Observed maximum plasma concentration (Cmax) of HS-20093

    From pre-dose to 14 days after the first dose on Cycle 1 (each cycle is 21 days)

  • Time to reach maximum plasma concentration (Tmax) of HS-20093 following the first dose in participants with advanced solid tumor

    From pre-dose to 14 days after the first dose on Cycle 1 (each cycle is 21 days)

  • Terminal half-life (T1/2) of HS-20093 following IV dose in participants with advanced solid tumor

    From pre-dose to 14 days after the first dose on Cycle 1 (each cycle is 21 days)

  • Area under plasma concentration versus time curve from zero to last sampling time (AUC0-t) following the first dose of HS-20093

    From pre-dose to 14 days after the first dose on Cycle 1 (each cycle is 21 days)

  • +5 more secondary outcomes

Study Arms (1)

HS-20093

EXPERIMENTAL

All subjects will receive HS-20093 at 10mg/kg

Drug: HS-20093

Interventions

HS-20093 is a fully humanized IgG1 antibody-drug conjugate (ADC) which specifically binds to B7-H3, a target wildly expressed on solid tumor cells.

HS-20093

Eligibility Criteria

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

You may qualify if:

  • At least age of 18 years at screening.
  • Pathologically diagnosed as ES-SCLC; no prior systemic therapy for ES-SCLC.
  • At least one measurable lesion according to RECIST 1.1.
  • Agree to provide fresh or archival tumor tissue and peripheral blood samples.
  • ECOG PS of 0\~1.
  • Life expectancy \>= 12 weeks.
  • Men or women should be using adequate contraceptive measures throughout the study.
  • Females subjects must not be pregnant at screening or have evidence of non-childbearing potential.
  • Signed and dated Informed Consent Form.

You may not qualify if:

  • Treatment with any of the following:
  • Previous or current treatment with B7-H3 targeted therapy
  • Radiotherapy with a limited field of radiation for palliation within 2 weeks, or patients received more than 30% of the bone marrow irradiation, or large-scale radiotherapy within 4 weeks prior to the first scheduled dose of HS-20093.
  • Pleural or peritoneal effusion or pericardial effusion requiring clinical intervention.
  • Major surgery within 4 weeks prior to the first dose of HS-20093.
  • Treatment with drugs that are predominantly CYP3A4 strong inhibitors or inducers or sensitive substrates of CYP3A4 with a narrow therapeutic range within 7 days of the first dose of study drug; or requiring treatment with these drugs during the study.
  • Currently receiving drugs known to prolong QT interval or may cause torsade de pointe; or requiring treatment with these drugs during the study.
  • \. Spinal cord compression or brain metastases. 3. CNS metastases with symptomatic or active progression. 4. Patients with tumor invasion of surrounding vital organs and blood vessels, at risk of esophagotracheal or esophagopleural fistula.
  • \. Any unresolved toxicities from prior therapy greater than Grade 2 according to CTCAE 5.0.
  • \. History of other primary malignancies. 7. Inadequate bone marrow reserve or organ dysfunction 8. Evidence of cardiovascular risk. 9. Severe, uncontrolled or active cardiovascular diseases. 10. Diabetes ketoacidosis or hyperglycemia hypertonic occurring within 6 months before the first dose of the study drug, or the glycosylated hemoglobin value ≥ 7.5% in the screening period.
  • \. Severe or poorly controlled hypertension. 12. Bleeding symptoms with apparent clinical significance or obvious bleeding tendency within 1 month prior to the first dose of HS-20093 13. Serious arteriovenous thrombosis events occurred within 3 months before the first dose.
  • \. Severe infections occurred within 4 weeks before the first dose. 15. Patients who have received continuous glucocorticoid treatment for more than 30 days within 30 days before the first dose, or need long-term (≥ 30 days) steroid treatment, or who have other acquired and congenital immunodeficiency diseases, or have a history of organ transplantation.
  • \. The presence of active infectious diseases has been known before the first dose such as hepatitis B, hepatitis C, tuberculosis, syphilis, or human immunodeficiency virus HIV infection, etc.
  • \. Hepatic encephalopathy, hepatorenal syndrome, or Child-Pugh Grade B or more severe cirrhosis.
  • \. Other moderate or severe lung diseases. 19. Previous history of serious neurological or mental disorders. 20. Women who are breastfeeding or pregnant or planned to be pregnant during the study period.
  • +2 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

0

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Model Details: Single Arm
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 18, 2023

First Posted

September 25, 2023

Study Start

November 30, 2024

Primary Completion

June 30, 2025

Study Completion (Estimated)

June 30, 2027

Last Updated

March 4, 2024

Record last verified: 2024-03