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Clinical Trials in China / NCT04785196
Recruiting Phase 1/2

APG-115 in Combination With PD-1 Inhibitor in Patients With Advanced Liposarcoma or Advanced Solid Tumors

NCT04785196 · tracked via the Priya Life Science China tracker
Sponsor
Ascentage Pharma Group Inc.
Phase
Phase 1/2
Started
2021-05-26
Last updated
2025-02-26

Condition(s) studied

LiposarcomaAdvanced Solid Tumor

Investigational drug(s) / intervention(s)

APG-115Toripalimab

APG-115: Dose escalation of APG-115 in combination with label dose of toripalimab, four dose levels of APG-115 will be tested: 50, 100, 150, and 200mg. APG-115 will be administrated orally every other day (QOD) for consecutive 2 weeks (ie. dosed at Day 1, 3, 5, 7, 9, 11, and 13), with one week dosing off as 3 weeks a cycle.

Toripalimab: Toripalimab is administrated following CDE approved label dose, i.e.: 240 mg intravenous infusion at Day 1 of every 3 weeks as a cycle.

Study summary

Part 1 is a phase Ib standard "3 + 3" design, will be employed to determine the MTD of APG-115 by assessing the DLT of APG-115 in combination with PD-1 inhibitor(toripalimab) in advanced solid tumors.

Part 2 is a Simon two-stage phase II study design. At RP2D of APG-115 in combination with toripalimab in advanced liposarcoma, approximately 34 patients will be treated with the combination until disease progression, unacceptable toxicity, or another discontinuation criterion is met.

Eligibility

Sex
ALL
Min age
18 Years
Max age
Healthy volunteers
No
Inclusion Criteria: 1. Male or non-pregnant, non-lactating female patients age ≥18 years on day of signing the informed consent; 2. ECOG PS 0-1; 3. Phase Ib: Histologically confirmed, advanced liposarcoma or advanced solid tumor patients who failed standard of care therapy; Phase II: Histologically confirmed, advanced liposarcoma with TP53 wide-type and MDM2 Amplification; 4. The expected survival period is more than 12 weeks; 5. Measurable disease on CT or MRI by RECIST 1.1. 6. Adequate bone marrow and organ function as indicated by: the following laboratory values without continuous supportive treatment (such as blood transfusion, coagulation factors and/or platelet infusion, red/white blood cell growth factor administration, or albumin infusion) 1. ANC≥1.5 x 10\^9/ L; 2. PLT≥100 x 10\^9/ L; 3. Hgb≥90 g/L; 4. Alb≥30 g/L; 5. AST and AST ≤3 \* ULN (for hepatic metastases, ALT and AST≤5\*ULN); 6. Serum creatinine (Cr) ≤ 1.5ULN or creatinine clearance (CCr) ≥ 50ml / min. Exclusion Criteria: 1. Patients who have previously been treated with MDM2-p53 inhibitor; 2. Known hypersensitivity reaction to PD-(L)1 inhibitors, or any prior ≥ Grade 3 irAE; 3. Prior treatment consisted of any kinds of immunotherapies, like PD-(L)1 inhibitors, anti-PD-L2 antibodies, CTLA-4, OX-40 et.al( for phase II); 4. Has known active central nervous (CNS) metastases and/or carcinomatous meningitis; 5. Has any active or history of autoimmune disease; 6. Active infection or unexplained fever \> 38.5 ° C two weeks before first dose; 7. Patients with any severe and/or uncontrolled diseases, including: hypertension and uncontrollable levels of normal anti-hypertensive medication; clinically significant cardiovascular and cerebrovascular diseases, including but not limited to severe acute myocardial infarction, unstable or severe angina, or coronary artery bypass surgery, congestive heart failure (New York Heart Association (NYHA) ) \> 2);active or uncontrolled serious infection (≥CTCAE 5.0 Level 2 infection);objective evidence of previous or current history of pulmonary disease; moderate to severe hepatic impairment (Child-Pugh score ≥ 10 points); moderate to severe renal impairment or psychiatric illness/social circumstances that may affect study compliance; 8. Poorly controlled arrhythmia (including QTc interval ≥450 ms for males and ≥470 ms for females).

Primary outcome measure(s)

Trial sites (3)

FacilityCityRegionStatus
Sun Yat-sen University Cancer Center Guangzhou Guangdong Recruiting
Cancer Hospital of The University of Chinese Academy of Sciences Hangzhou Zhejiang Not Yet Recruiting
Shanghai East Hospital (East Hospital affiliated to Tongji University) Shanghai China Recruiting

More Ascentage Pharma Group Inc. trials in China

Other trials for the same condition

Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT04785196 on ClinicalTrials.gov ↗ ← All trials in China