A Phase I, First in Human (FIH), Open-label, Dose Escalation and Dose Expansion Study to Evaluate the Safety, Tolerability, Pharmacokinetics (PK), Preliminary Efficacy and Immunogenicity of TJ101 for Injection in Patients With Advanced/Metastatic Solid Tumors
Summary
The goal of this clinical trial is to evaluate whether TJ101, an investigational antibody-drug conjugate (ADC), can safely and effectively treat patients with advanced solid tumors. The main objectives of this study are : * To Determine the maximum tolerated dose (MTD) and recommended dose for expansion (RDE) of TJ101 * to show preliminary antitumor activity in patients with advanced solid tumors Participants will: * Receive intravenous (IV) infusions of TJ101 at escalating dose levels (during dose escalation) or at the selected expansion dose. * Undergo regular tumor imaging to assess response. * Provide blood samples for pharmacokinetics (PK) and biomarker analysis. * Be monitored for side effects and overall tolerability. This study is being conducted in adult patients with advanced or metastatic solid tumors who have exhausted standard treatment options
Detailed description
This is a first-in-human, Phase I, open-label, multicenter study designed to evaluate the safety, tolerability, pharmacokinetics (PK), immunogenicity, and preliminary efficacy of TJ101, a bispecific antibody-drug conjugate (ADC) targeting EGFR and B7-H3, in patients with advanced or metastatic solid tumors. Study Objectives Phase Ia (Dose Escalation) * Primary: Assess safety/tolerability; determine dose-limiting toxicities (DLTs), maximum tolerated dose (MTD), and recommended dose(s) for expansion (RDEs). * Secondary: Characterize PK profile, assess preliminary anti-tumor activity, and evaluate immunogenicity. Phase Ib (Dose Expansion) * Primary: Further assess safety and preliminary anti-tumor activity of TJ101 at the selected RDEs. * Secondary: Further characterize PK profile and immunogenicity. Study Design * Part 1: Dose Escalation (Phase Ia) * Up to 72 patients with advanced/metastatic solid tumors. * Six planned dose cohorts: IV every 3 weeks (Q3W). * Accelerated titration for first cohort; 3+3 design for subsequent cohorts. * Backfill cohorts (6-12 patients each) may be added at promising dose levels to refine safety, PK, and efficacy data. * DLT evaluation window: 21 days after first infusion (Cycle 1). * Safety Monitoring Committee (SMC) reviews all data to guide escalation, backfill, and RDE selection. Part 2: Dose Expansion (Phase Ib) * 40-180 patients, across tumor-specific cohorts * Patients randomized to 2-3 RDEs of TJ101. * 20-30 subjects per tumor type/dose level. * Expansion will refine safety/PK and assess anti-tumor activity in biomarker-selected subgroups. * Dosing: IV infusion on Day 1 of each 21-day cycle; continued until progression, unacceptable toxicity, withdrawal, or investigator decision. Study Procedures \& Monitoring * Screening: within 28 days prior to first dose. * Safety Monitoring: continuous AE collection, labs, vitals, ECOG, ECGs, ophthalmologic exams, skin checks. * Efficacy Assessments: imaging at baseline, then every 6 weeks (first 24 weeks), every 9 weeks thereafter, and every 12 weeks from year 2 until progression or new therapy. * PK/Immunogenicity Sampling: intensive during Cycles 1 and 3; serial sampling in later cycles. * Follow-up: * 30-day safety follow-up after last dose. * Survival follow-up every 3 months until death or study termination. Enrollment \& Duration * Estimated enrollment: up to 252 patients. * Study duration: \~ 2-3 years.
Arms & interventions
- DrugTJ101
TJ101 is a EGFR/B7H3 directed antibody conjugate with a cleavable linker and a noval topoisomerase I inhibitor.
Outcome measures
Primary
Number of participants with Dose-limiting toxicities
Measuring the number of patients with Dose-limiting toxicities (DLTs). A DLT is defined as any of the following events that are not clearly due to the underlying disease or extraneous causes: Hematological toxicities: Grade 4 neutrophil count decreased lasting \>7 days; Grade ≥3 febrile neutropenia; Grade ≥3 platelet count decreased with clinically significant hemorrhage; Grade 4 anaemia; Non-Hematological toxicities: Death; Hy's law cases; Grade ≥3 non-hematological toxicities.
Time frame: 21 Days
Number of participants with Serious Adverse Events (SAEs)
Measuring the number of patients with Serious Adverse Events (SAEs)
Time frame: 2 years
Number of participants with treatment-emergent adverse events (TEAEs)
Measuring the number of patients with AEs that occur after first study dose till 30 days after the last dose
Time frame: 2 years
Number of participants with treatment-related adverse events (TRAEs)
Measuring the number of patients with treatment-related TEAEs
Time frame: 2 years
Secondary
Objective response rate (ORR)
Time frame: 2 years
Disease control rate (DCR)
Time frame: 2 years
Duration of response (DoR)
Time frame: 2 years
Progression-free survival (PFS)
Time frame: 2 years
Overall survival (OS)
Time frame: 2 years
Maximum observed concentration (Cmax)
Time frame: 1 year
Time to Cmax (Tmax)
Time frame: 1 year
Area under the concentration versus time curve (AUC)
Time frame: 1 year
half-life time (t1/2)
Time frame: 1 year
Clearance (CL)
Time frame: 1 year
Volume of distribution
Time frame: 1 year
Elimination rate constant (λz)
Time frame: 1 year
Mean residence time (MRT)
Time frame: 1 year
Proportion of participants with anti-drug antibodies (ADA)
Time frame: 1 year
Proportion of participants with neutralizing antibodies (NAb)
Time frame: 1 year
Titer of anti-drug antibodies (ADA)
Time frame: 1 year
Eligibility criteria
Study locations (3)
Florida Cancer Specialists & Research Institute
Orlando, Florida, 32827
Sarah Cannon Research Institute (SCRI)
Nashville, Tennessee, 37203
Oncology Consultants
Houston, Texas, 77030