JSKN003: JSKN003 should be administered intravenously on the first day of each 3-week cycle.
Study summary
This is an open, multicenter study of phase I/II in Chinese subjects with unresectable locally advanced/metastatic solid tumors. It is divided into the dose escalation period and the cohort expansion period. A total of 8 dose groups (Q3W on the first day of intravenous administration) were designed in the dose escalation period. The initial dose was 1.0mg/kg administered Q3W, with a DLT observation period of 21 days. In the dose expansion phase, 7 cohorts were established.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
1. Subject is at least 18 years old, male or female, and willing to follow the study procedure on the date of signing the informed consent;
2. ECOG score 0 or 1, expected survival ≥12 weeks;
3. Unresectable locally advanced or metastatic solid tumors with pathologic documented confirmation.
4. Measurable lesions at baseline according to RECIST 1.1 criteria; If the subject has only one measurable lesion at baseline, the lesion area must not have received prior radiotherapy or there is evidence of significant progression after the end of radiotherapy.
5. Agrees to provide adequate paraffin sections or fresh tissue specimens of the tumor for testing;
6. Laboratory tests within 7 days or cardiac ultrasound within 28 days prior to the first dose meet the protocol criteria.
7. Adequate washout from prior therapy prior to the first dose.
8. A fertile female subject or a fertile male subject with fertile partner agrees to use highly effective contraception (annual failure rate less than 1%) from the time of initial dosing to 180 days after the end of dosing. Pregnancy test results must be negative for fertile female subjects within 7 days prior to initial administration (fertile women are defined as premenopausal women with no recorded tubal ligation or hysterectomy, or women who have been menopausal for less than 1 year);
Exclusion Criteria:
1. Subjects with untreated active brain metastases or meningeal metastases;
2. History of other primary malignant tumors;
3. Previously received topoisomerase I inhibitor antibody conjugate drug;
4. Has uncontrolled comorbidities as specified by the protocol;
5. Past or current history of interstitial pneumonia/lung disease requiring systemic hormonal therapy, or suspected interstitial pneumonia/lung disease that cannot be ruled out by imaging during screening;
6. Subjects with uncontrolled large serous cavity effusion or moderate to large serous cavity effusion requiring repeated drainage (recurrent within 2 weeks after intervention) such as pleural effusion, pericardial effusion, ascites, etc.;
7. Toxicity from previous antitumor therapy has not resolved to Grade 1 or lower as defined by NCI-CTCAE v5.0.
8. Systemic corticosteroids (≥10 mg/ day of prednisone, or equivalent of other corticosteroids) or immunosuppressant therapy were required within 14 days prior to initial administration in this study;
9. Has a history of life-threatening anaphylaxis or known hypersensitivity to any component or excipient in the JSKN003 drug formulation.
10. History of trastuzumab-induced anaphylaxis (Grade ≥3), angioedema, or severe hypotension.
11. Subjects with gastrointestinal tumors who are known to have lost 10% or more of their body weight within three months prior to signing the informed consent form.
12. Other conditions that the investigator considers unsuitable to participate in this clinical trial, including but not limited to psychiatric disorders, alcoholism or drug abuse.
Primary outcome measure(s)
DLT (dose escalation period) in phase 1. — Up to 12 months Incidence of dose-limiting toxicity (DLT) in the dose escalation period
Maximum Tolerated Dose (MTD) or RP2D in phase 1。 — Up to 12 months MTD (Maximum tolerated Dose) is the dose for which the isotonic estimate of the toxicity rate is closest to the target toxicity rate based on the BOIN Design
Percentage of Participants Experiencing Any Treatment Emergent Adverse Events and Serious Treatment Emergent Adverse Events in phase 1. — Throughout the duration of the study, approximately 2 years TEAE and SAE were graded according to CTCAE 5.0
Objective Response Rate (ORR) in phase 2 — Throughout the duration of the study, approximately 2 years Objective response rate (ORR) was defined as the proportion of participants who achieve either complete response (CR) or partial response (PR) per Response Evaluation Criteria in Solid Tumors (RECIST v1.1)
Trial sites (34)
Facility
City
Region
Status
Beijing Cancer Hospital
Beijing
China
Beijing Friendship Hospital
Beijing
China
Beijing Luhe Hospital
Beijing
China
Hunan Cancer Hospital
Changsha
China
Fujian Cancer Hospital
Fuzhou
China
Sun Yat-sen Memorial Hospital, Sun Yat-sen University
Guangzhou
China
Sun Yat-sen University Cancer Prevention Center
Guangzhou
China
Run Run Shaw Hospital, Zhejiang University School of Medicine
Hangzhou
China
The First Affiliated Hospital of Zhejiang University School of Medicine
Hangzhou
China
The Second Affiliated Hospital of Zhejiang University School of Medicine
Hangzhou
China
Zhejiang Cancer Hospital
Hangzhou
China
Affiliated Cancer Hospital of Harbin Medical University
Ha’erbin
China
Anhui Provincal Hospital
Hefei
China
Shandong Cancer Hospital
Jinan
China
Linyi City Cancer Hospital
Linyi
China
Linyi City People's Hospital
Linyi
China
The First Affiliated Hospital of Henan University of Science and Technology
Luoyang
China
The Second Affiliated Hospital of Nanchang University
Nanchang
China
Gulou Hospital Affiliated to Nanjing University School of Medicine
Nanjing
China
Jiangsu Cancer Hospital
Nanjing
China
Jiangsu Provincial People's Hospital
Nanjing
China
The First Affiliated Hospital of Nanjing Medical University/Jiangsu Provincial People's Hospital
Nanjing
China
Affiliated Cancer Hospital of Guangxi Medical University
Nanning
China
Nantong Cancer Hospital
Nantong
China
Affiliated Hospital of Qingdao University
Qingdao
China
Affiliated Cancer Hospital of Fudan University
Shanghai
China
Changhai Hospital
Shanghai
China
Fudan University Shanghai Cancer Center
Shanghai
China
Shanghai East Hospital
Shanghai
China
The Second Affiliated Hospital of Soochow University
Suzhou
China
Union Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology
Wuhan
China
Zhongnan Hospital of Wuhan University
Wuhan
China
Xuzhou Central Hospital
Xuzhou
China
The First Affiliated Hospital of Zhengzhou University
Zhengzhou
China
More Jiangsu Alphamab Biopharmaceuticals Co., Ltd trials in China
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.
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