A Study of Simmitinib Plus SG001 in Advanced Solid Tumors

• Sponsor: Shanghai Runshi Pharmaceutical Technology Co., Ltd (Industry)
• Overall Status: Not yet recruiting
• CT.gov ID: NCT06132217
• Collaborator: (none)
• Enrollment: 168
• Location: 1
• Arms: 6
• Anticipated Duration (Months): 36
• Patients Per Site Per Month: 4.7

Study Details

Study Description

Brief Summary

This is an open-label Phase I/II trial of simmitinib plus SG001 in patients with advanced solid tumors. Phase I will determine and confirm the maximum tolerated dose (MTD) and recommended phase II dose (RP2D) for simmitinib in combination with SG001 in patients with advanced solid tumors. Phase 2 (Expansion) will evaluate the safety and efficacy of the combination in 3 cohorts at the RP2D from Phase I.

Condition or Disease	Intervention/Treatment	Phase
Advanced Solid Tumor	Drug: Simmitinib; Drug: SG001	Phase 1/Phase 2

Study Design

• Study Type: Interventional
• Anticipated Enrollment: 168 participants
• Allocation: Non-Randomized
• Intervention Model: Single Group Assignment
• Masking: None (Open Label)
• Primary Purpose: Treatment
• Official Title: A Phase I/II Study To Evaluate The Safety, Tolerability, Pharmacokinetic Profile And Preliminary Efficacy Of Simmitinib Plus SG001 in Patients With Advanced Solid Tumors
• Anticipated Study Start Date: Jan 30, 2024
• Anticipated Primary Completion Date: Jan 30, 2027
• Anticipated Study Completion Date: Jan 30, 2027

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Dose Escalation Phase Cohort 1	Drug: Simmitinib; Patients will oral administration according to study protocol until disease progression, death, unacceptable toxicity, loss of follow-up, withdrawal of consent or other conditions meet the end of treatment criteria.; Drug: SG001; Patients will receive intravenous infusion of SG001 according to study protocol until disease progression, unacceptable toxicity, meeting the suspension or termination criteria, or up to 24 months in patients without disease progression.
Experimental: Dose Escalation Phase Cohort 2	Drug: Simmitinib; Patients will oral administration according to study protocol until disease progression, death, unacceptable toxicity, loss of follow-up, withdrawal of consent or other conditions meet the end of treatment criteria.; Drug: SG001; Patients will receive intravenous infusion of SG001 according to study protocol until disease progression, unacceptable toxicity, meeting the suspension or termination criteria, or up to 24 months in patients without disease progression.
Experimental: Dose Escalation Phase Cohort 3	Drug: Simmitinib; Patients will oral administration according to study protocol until disease progression, death, unacceptable toxicity, loss of follow-up, withdrawal of consent or other conditions meet the end of treatment criteria.; Drug: SG001; Patients will receive intravenous infusion of SG001 according to study protocol until disease progression, unacceptable toxicity, meeting the suspension or termination criteria, or up to 24 months in patients without disease progression.
Experimental: Dose Expansion Phase Cohort A	Drug: Simmitinib; Patients will oral administration according to study protocol until disease progression, death, unacceptable toxicity, loss of follow-up, withdrawal of consent or other conditions meet the end of treatment criteria.; Drug: SG001; Patients will receive intravenous infusion of SG001 according to study protocol until disease progression, unacceptable toxicity, meeting the suspension or termination criteria, or up to 24 months in patients without disease progression.
Experimental: Dose Expansion Phase Cohort B	Drug: Simmitinib; Patients will oral administration according to study protocol until disease progression, death, unacceptable toxicity, loss of follow-up, withdrawal of consent or other conditions meet the end of treatment criteria.; Drug: SG001; Patients will receive intravenous infusion of SG001 according to study protocol until disease progression, unacceptable toxicity, meeting the suspension or termination criteria, or up to 24 months in patients without disease progression.
Experimental: Dose Expansion Phase Cohort C	Drug: Simmitinib; Patients will oral administration according to study protocol until disease progression, death, unacceptable toxicity, loss of follow-up, withdrawal of consent or other conditions meet the end of treatment criteria.; Drug: SG001; Patients will receive intravenous infusion of SG001 according to study protocol until disease progression, unacceptable toxicity, meeting the suspension or termination criteria, or up to 24 months in patients without disease progression.

Outcome Measures

Primary Outcome Measures

1. Dose Escalation Phase: Dose Limited Toxicity (DLT) [From Cycle 1 Day 1 to Cycle 1 Day 28(each cycle is 28 days)]

2. Dose Escalation Phase: Maximum Tolerated Dose (MTD) [From Cycle 1 Day 1 to Cycle 1 Day 28(each cycle is 28 days)]

3. Dose Escalation Phase: Recommended Phase 2 Dose (RP2D) [From Cycle 1 Day 1 to Cycle 1 Day 28(each cycle is 28 days)]

4. Dose Escalation Phase-Incidence rate of Adverse Event (AE). [From first dose to 30 days post the last dose, with approximately 3 years]

5. Dose Expansion Phase - Objective Response Rate (ORR) evaluated by Independent Review Committee (IRC) or investigators in advanced solid tumor based on RECIST 1.1. [Up to approximately 3 years.]

Secondary Outcome Measures

1. Plasma Concentration of simmitinib . [Up to approximately 3 years.]

2. Plasma Concentration of SG001 [Up to approximately 3 years.]

3. Immunogenicity Assessments for Anti-drug Antibody [Up to approximately 3 years.]

4. Dose Escalation Phase: ORR [Up to approximately 3 years.]

5. Disease Control Rate (DCR) [Up to approximately 3 years.]

6. Progression-free Survival (PFS) [Up to approximately 3 years.]

7. Overall Survival (OS) [Up to approximately 3 years.]

8. Duration of Objective Response (DOR) [Up to Approximately 3 years.]

Eligibility Criteria

Criteria

• Ages Eligible for Study: 18 Years to 75 Years
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: No

Inclusion Criteria:

1. Have fully understood and voluntarily sign the ICF for this study;

2. Age of 18-75 years (inclusive);

3. Dose escalation phase: patients with histologically or cytologically confirmed inoperable or metastatic advanced solid tumors;

4. Dose expansion phase: patients who have failed standard treatment (PD or intolerable toxicity after treatment), have no available standard treatment.According to the previous data, the specific tumor cohort was expanded.

5. In the expansion phase, patients should agree to provide tissue specimens for detection of PD-L1 expression levels and/or MSI or dMMR status;

6. At least one measurable lesion according to RECIST 1.1;

7. Eastern Cooperative Oncology Group (ECOG) performance status (PS) score 0-1;

8. Adequate organ function, defined as:

Neutrophil count (ANC) ≥ 1.5 × 10^{9/L; Platelet count (PLT) ≥ 100× 10}9/L; Hemoglobin (Hb) ≥ 90 g/L; Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤ 2.5 × upper limit of normal (ULN) (≤ 5.0 × ULN for patients with liver metastases); Serum total bilirubin (TBIL) ≤ 1.5 × ULN; Serum creatinine ≤ 1.5 × ULN; Prothrombin time (PT), activated partial thromboplastin time (APTT), international normalized ratio(INR)≤1.5 × ULN; Thyroid Stimulating Hormone (TSH)≤ULN; Left ventricular ejection fraction (LVEF)≥50%; Male and female patients of childbearing age must agree to take effective contraceptive measures during treatment and within 6 months after the last dose of treatment.

Exclusion Criteria:

1. Patients who have previously received any anti-tumor therapy within 4 weeks prior to the first dose;

2. Urine protein ≥ ++ and 24 h urine protein > 1.0g at screening period;

3. Symptomatic central nervous system (CNS) metastases or meningeal metastases;

4. Patients who have previously received any live attenuated vaccine within 4 weeks before the first use of the study treatment or are expected to received any live attenuated vaccine during the study;

5. History of allergic reactions attributed to any monoclonal antibody, and uncontrolled history of allergic asthma;

6. Patients with other types of malignant tumors within 5 years prior to the screening, except for radically resected, non-recurrent skin basal cell carcinoma, skin squamous cell carcinoma, superficial bladder cancer, cervical cancer in situ, or other carcinoma in situ;

7. Patients with any active autoimmune disease requiring systemic therapy within 2 years prior to the first dose;

8. Patients with bleeding tendency; active bleeding or a history of heavy bleeding within the past 6 months;

9. Presence of any severe and/or uncontrolled disease before starting treatment;

10. Any active infection requiring antibiotics or hormones systemic treatment by intravenous infusion within 14 days prior to the first dose;

11. Dose expansion phase: Prior systemic therapy with immunosuppressants or immunoagonists targeting PD-1, PD-L1, CTLA-4, etc;

12. Dose expansion phase: Prior systemic therapy with Antiangiogenic drugs including Anlotinib, Afatinib , Lenvatinib, Sorafenib and Fruquintinib, etc;

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College	Beijing	Beijing	China	100000

Sponsors and Collaborators

• Shanghai Runshi Pharmaceutical Technology Co., Ltd

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

• Responsible Party: Shanghai Runshi Pharmaceutical Technology Co., Ltd
• ClinicalTrials.gov Identifier: NCT06132217
• Other Study ID Numbers: HA1818-003
• First Posted: Nov 15, 2023
• Last Update Posted: Nov 15, 2023
• Last Verified: Nov 1, 2023

• Studies a U.S. FDA-regulated Drug Product: No
• Studies a U.S. FDA-regulated Device Product: No
• Additional relevant MeSH terms: Neoplasms

Study Results

No Results Posted as of Nov 15, 2023