NCT06092268

Brief Summary

This study is an open-label, multicenter Phase IB/II clinical trial to evaluate the safety, tolerability, pharmacokinetics and efficacy of SHR-A2009 for injection in combination with other antitumor therapies in patients with advanced solid tumors.

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
270

participants targeted

Target at P75+ for phase_1

Timeline
Completed

Started Oct 2023

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

Study Start

First participant enrolled

October 1, 2023

Completed
7 days until next milestone

First Submitted

Initial submission to the registry

October 8, 2023

Completed
15 days until next milestone

First Posted

Study publicly available on registry

October 23, 2023

Completed
2.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2025

Completed
Last Updated

October 23, 2023

Status Verified

October 1, 2023

Enrollment Period

2.2 years

First QC Date

October 8, 2023

Last Update Submit

October 17, 2023

Conditions

Outcome Measures

Primary Outcomes (2)

  • Incidence of dose-limiting toxicity (DLT) (phase IB)

    21 days after the first dose was administered to each subject.

  • Objective Response Rate (ORR) (phase II).

    2 years

Secondary Outcomes (11)

  • PK parameter: toxin-binding antibody of SHR-A2009

    through study completion, an average of 2 years

  • PK parameter: total antibody of SHR-A2009

    through study completion, an average of 2 years

  • PK parameter: free toxin of SHR-A2009

    through study completion, an average of 2 years

  • Plasma concentration of Adebrelimab

    through study completion, an average of 2 years

  • Immunogenicity of SHR-A2009 and Adebrelimab (Anti-SHR-A2009 antibody, anti- Adebrelimab antibody ) (Phase IB)

    through study completion, an average of 2 years

  • +6 more secondary outcomes

Study Arms (2)

Treatment Part A: SHR-A2009 for injection in combination with Almonertinib Mesilate Tablets

EXPERIMENTAL
Drug: SHR-A2009 for injection ; Almonertinib Mesilate Tablets

Treatment Part B: SHR-A2009 for injection in combination with Adebrelimab Injection

EXPERIMENTAL
Drug: SHR-A2009 for injection;Adebrelimab Injection

Interventions

Phase IB: SHR-A2009 will be administered intravenously,Almonertinib Mesilate Tablets will be administered orally. 2 or 3 dose levels are preset in phase IB. Phase II: 2 dose cohorts will be selected and it's randomization.

Treatment Part A: SHR-A2009 for injection in combination with Almonertinib Mesilate Tablets

Phase IB: SHR-A2009 and Adebrelimab will be administered intravenously. 2 dose levels are preset in phase IB. Phase II: RPD2 will be selected to evaluate preliminary efficacy.

Treatment Part B: SHR-A2009 for injection in combination with Adebrelimab Injection

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age 18 to 75 years old (inclusive), Female or male
  • Subjects with unresectable locally advanced or metastatic non-small cell lung cancer confirmed by histology or cytology
  • Previously treated by EGFR-TKI or other standard treatment or have not been treated for metastatic setting;
  • At least one measurable tumor lesion according to RECIST v1.1 (enrollment of subjects with only non-target lesions is permitted in Stage IB phase)
  • ECOG performance score of 0-1;
  • Expected survival time ≥ 12 weeks;
  • Adequate bone marrow and organ function
  • Subjects are required to give informed consent for this study prior to the trial and voluntarily sign a written informed consent form.

You may not qualify if:

  • Subjects with active central nervous system (CNS) metastases.
  • Spinal cord compression not cured by surgery and/or radiotherapy cannot be enrolled.
  • Subjects with uncontrolled tumor-related pain
  • Clinically uncontrollable third space fluid
  • Received antitumor therapy such as chemotherapy within 4 weeks prior to the first dose of study drug;
  • Received \>30 Gy of non-thoracic radical radiation therapy within 4 weeks prior to the first administration of study drug;
  • Major organ surgery or significant trauma within 4 weeks prior to first use of study drug;
  • Concomitant other malignancies ≤ 5 years prior to first dose of study drug;
  • Subjects with a history of interstitial pneumonitis or imaging at screening suggestive of suspected interstitial pneumonitis; or other moderate-to-severe lung disease that severely affects lung function
  • Serious cardiovascular disease
  • Presence of refractory nausea, vomiting, chronic gastrointestinal disease, etc.; subjects with active, known or suspected autoimmune diseases
  • Presence of severe infection within 4 weeks prior to first dose of study drug
  • Subjects with clinically significant bleeding symptoms within 3 months prior to the first dose of study drug
  • Arterial/venous thrombotic events within 3 months prior to the first study dose
  • History of immunodeficiency, including a positive HIV test
  • +4 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

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

October 8, 2023

First Posted

October 23, 2023

Study Start

October 1, 2023

Primary Completion

December 1, 2025

Study Completion

December 1, 2025

Last Updated

October 23, 2023

Record last verified: 2023-10