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Assessment of Safety and Preliminary Efficacy With BAT6021 in Solid Tumor Patients

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT05073484
Recruitment Status : Recruiting
First Posted : October 11, 2021
Last Update Posted : March 17, 2023
Sponsor:
Information provided by (Responsible Party):
Bio-Thera Solutions

Brief Summary:
This first-in-human open-label, multi center, dose-escalation and expansion study is designed to evaluate the safety, tolerability, and PK of BAT6021 alone or in combination with BAT1308 (an anti-PD-1 antibody) in participants with locally advanced, recurrent, or metastatic incurable tumors for whom standard therapy does not exist, has proven to be ineffective or intolerable, or is considered inappropriate, or for whom a clinical trial of an investigational agent is a recognized standard of care.

Condition or disease Intervention/treatment Phase
Advanced Solid Tumor Drug: BAT6021 Drug: BAT1308 Phase 1

Detailed Description:

Anti-PD-1 and anti-PD-L1 antibodies targeting the immuno-inhibitory PD-1 pathway (thus activating T cells) have achieved clinical success in many types of cancers. However, studies have shown that anti-TIGIT antibodies not only trigger T cells and Natural Killer(NK) cells, but they can also activate T cells to a greater extent than anti-PD-1 antibodies. Therefore, further clinical investigation of anti-TIGIT antibodies such as BAT6021 is warranted.

PD-1 and TIGIT are commonly co-expressed in T cells of the same tumor; thus, combining anti-TIGIT antibodies with PD-1/PD-L1 inhibitors may be a more effective cancer treatment. Indeed, anti-TIGIT antibodies have demonstrated synergy with anti-PD-1/PD-L1 antibodies in preclinical models. In addition, sponsor have shown that single administration of BAT1308 or BAT6021 could not effectively inhibit CT26 tumor growth in PD-1/TIGIT- humanized syngeneic mice; however, the combination treatment resulted in potent anti-tumor activity. Therefore, combined treatment with BAT6021 and an anti-PD-1/PD-L1 antibody like BAT1308 could improve therapeutic outcomes.

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 29 participants
Allocation: Non-Randomized
Intervention Model: Sequential Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Phase 1, Multi-Center, Open-Label Study to Assess Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of BAT6021 as Mono Therapy or in Combination With BAT1308 in Patients With Advanced Solid Tumors
Actual Study Start Date : October 29, 2021
Estimated Primary Completion Date : October 1, 2023
Estimated Study Completion Date : June 1, 2024

Arm Intervention/treatment
Experimental: 10 mg of BAT6021
BAT6021 100mg/vial,10mg Ⅳ infusions
Drug: BAT6021
Ⅳ infusions
Other Name: Recombinant Humanized Anti-TIGIT Antibody Solution for Injection

Experimental: 30 mg of BAT6021
BAT6021 100mg/vial,30mg Ⅳ infusions
Drug: BAT6021
Ⅳ infusions
Other Name: Recombinant Humanized Anti-TIGIT Antibody Solution for Injection

Experimental: 100 mg of BAT6021
BAT6021 100mg/vial,100mg Ⅳ infusions
Drug: BAT6021
Ⅳ infusions
Other Name: Recombinant Humanized Anti-TIGIT Antibody Solution for Injection

Experimental: 300 mg of BAT6021
BAT6021 100mg/vial,300mg Ⅳ infusions
Drug: BAT6021
Ⅳ infusions
Other Name: Recombinant Humanized Anti-TIGIT Antibody Solution for Injection

Experimental: 600 mg of BAT6021
BAT6021 100mg/vial,600mg Ⅳ infusions
Drug: BAT6021
Ⅳ infusions
Other Name: Recombinant Humanized Anti-TIGIT Antibody Solution for Injection

Experimental: 900 mg of BAT6021
BAT6021 100mg/vial,900mg Ⅳ infusions
Drug: BAT6021
Ⅳ infusions
Other Name: Recombinant Humanized Anti-TIGIT Antibody Solution for Injection

Experimental: 100mg BAT6021+300mg BAT1308
BAT6021 100mg/vial,BAT1308 100mg/vial ; BAT6021 100mg+BAT1308 300mg Ⅳ infusions
Drug: BAT6021
Ⅳ infusions
Other Name: Recombinant Humanized Anti-TIGIT Antibody Solution for Injection

Drug: BAT1308
Ⅳ infusions
Other Name: Recombinant Anti-PD-1 Humanized Monoclonal Antibody Injection

Experimental: 300mg BAT6021+300mg BAT1308
BAT6021 100mg/vial,BAT1308 100mg/vial ; BAT6021 300mg+BAT1308 300mg Ⅳ infusions
Drug: BAT6021
Ⅳ infusions
Other Name: Recombinant Humanized Anti-TIGIT Antibody Solution for Injection

Drug: BAT1308
Ⅳ infusions
Other Name: Recombinant Anti-PD-1 Humanized Monoclonal Antibody Injection

Experimental: 600mg BAT6021+300mg BAT1308
BAT6021 100mg/vial,BAT1308 100mg/vial ; BAT6021 600mg+BAT1308 300mg Ⅳ infusions
Drug: BAT6021
Ⅳ infusions
Other Name: Recombinant Humanized Anti-TIGIT Antibody Solution for Injection

Drug: BAT1308
Ⅳ infusions
Other Name: Recombinant Anti-PD-1 Humanized Monoclonal Antibody Injection




Primary Outcome Measures :
  1. Dose-limiting toxicity(DLT) [ Time Frame: A minimum of 21 days after first dose of BAT6021 ]

    DLT is defined as one of the following as investigator related to study drug:

    Grade 5 toxicity; Hematologic Toxicity ; ≥ Grade 4 anemia; Grade 4 thrombocytopenia that lasts for ≥ 7 days or Grade 3 thrombocytopenia, if associated with clinically significant bleeding (≥ Grade 2 hemorrhage) or requires transfusion of platelets; Grade 4 neutropenia that lasts for ≥ 7 days, or Grade 3 neutropenia that lasts for ≥ 7 days or with documented infection; Grade 3 or Grade 4 febrile neutropenia of any duration.


  2. Serious adverse event(SAE) [ Time Frame: From the time of informed consent to 90 days after the last dose or until the initiation of a new cancer treatment. ]
    Any SAE that is judged by the PI or designee to be related to the study medication must be reported regardless of the amount of time since the last dose received. Follow-up information collected for any initial report of an SAE must also be reported to the Sponsor (or its designee) within 24 hours of receipt by the PI or designee.


Secondary Outcome Measures :
  1. Pharmacokinetics (PK) [ Time Frame: every cycle until cycle 6 (one cycle equals 3 weeks) ]
    Cmax

  2. Immunogenicity [ Time Frame: every cycle until cycle 6 (one cycle equals 3 weeks) ]
    Presence of ADAs / neutralizing antibodies (NAbs).



Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Able to give voluntary informed consent and understand the study and are willing to follow and complete all the test procedures.
  2. Aged ≥ 18 years.
  3. Life expectancy ≥ 3 months.
  4. ECOG performance status ≤ 1.
  5. Histologically/cytologically confirmed, locally advanced unresectable or metastatic solid tumors that are refractory to standard therapy, or for whom no standard therapy exists.
  6. Has measurable disease per RECIST v1.1. that was not in a prior radiation or other locally treated area, unless imaging-based progression has been clearly documented following radiation or other local therapy.

Exclusion Criteria:

  1. Females who are pregnant or nursing.
  2. Receiving concurrent anticancer therapy or investigational therapy (including chemotherapy, radiation therapy, surgery, immunotherapy, hormonal therapy, targeted therapy, biologic therapy).
  3. Has remaining AEs > Grade 1 from prior antitumor treatment as per CTCAE v5.0, with the exception of alopecia.
  4. Participants with primacy central nervous system (CNS) malignancy, symptomatic CNS metastases, meningeal metastases or leptomeningeal disease are not allowed. Note: Participants with asymptomatic CNS metastases are eligible if clinically controlled, which is defined as 1) ≥ 4 weeks of stable neurologic function following CNS-directed therapy prior to Screening, 2) no evidence of CNS disease progression as determined by radiographic imaging ≥ 4 weeks prior to Screening, 3) ≥ 2 weeks from discontinuation of anti-seizure and steroid therapies (receiving prednisone ≤ 10mg or equivalent steroid therapies is allowed) prior to Screening.
  5. Had major surgery within 28-days of the Screening Visit. Note: Participants who have undergone a non-major surgical procedure ≥ 28 days prior to Screening must have recovered adequately from the toxicity and/or complications from the intervention before administration of the first dose of study drugs.
  6. History of tissue or organ transplantation.
  7. History of severe infection deemed clinically significant by the PI or designee within 4 weeks or signs and symptoms of any active infection within 2 weeks prior to the first dose of study drugs.
  8. History of human immunodeficiency virus (HIV) infection or history of autoimmune diseases.
  9. Active hepatitis B or C. Note: Hepatitis B virus (HBV) carriers without active disease (HBV DNA titer < 1000 copies/mL or 200 IU/mL) or cured Hepatitis C (negative HCV RNA test) may be enrolled.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05073484


Contacts
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Contact: Longxun Jin 86-135-8050-6307 lxjin@bio-thera.com
Contact: Zhaohe Wang, Ph.D 86-020-32203220 zhwang@bio-thera.com

Locations
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Australia, New South Wales
Medical Oncologist at cancer Therapy, Liverpool Hospital Recruiting
Liverpool, New South Wales, Australia, 2170
Contact: Abhijit Pal    0470512768    abhijit33@gmail.com   
Principal Investigator: Abhijit Pal, Ph.D, M.D         
Sponsors and Collaborators
Bio-Thera Solutions
Investigators
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Principal Investigator: Abhijit Pal, M.D, Ph.D Medical Oncologist at cancer Therapy, Liverpool Hospital
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Responsible Party: Bio-Thera Solutions
ClinicalTrials.gov Identifier: NCT05073484    
Other Study ID Numbers: BAT-6021-002-CR
First Posted: October 11, 2021    Key Record Dates
Last Update Posted: March 17, 2023
Last Verified: March 2023
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No
Plan Description: no plan to share IPD

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Product Manufactured in and Exported from the U.S.: No
Additional relevant MeSH terms:
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Neoplasms
Antibodies
Immunoglobulins
Immunologic Factors
Physiological Effects of Drugs