RecruitingPhase 1Phase 2NCT06741644

A Phase I/II Study of CS2009 in Participants With Advanced Solid Tumors

A Phase I/II, Dose-Escalation and Dose-Expansion Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Antitumor Activities of CS2009, a Tri-specific Antibody Targeting PD-1/VEGFA/CTLA-4, as Monotherapy and Combination Therapy in Participants With Advanced Solid Tumors


Sponsor

CStone Pharmaceuticals

Enrollment

660 participants

Start Date

Feb 24, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

This is a first-in-human (FIH), open-label, and multi-center Phase I/II study designed to evaluate the safety, tolerability, pharmacokinetics, and preliminary anti-tumor activity of CS2009 as Monotherapy and Combination Therapy in Participants with Advanced Solid Tumors. The study is comprised of a Phase I dose escalation and Phase II dose expansion.


Eligibility

Min Age: 18 Years

Inclusion Criteria13

  • Evidence of a personally signed and dated informed consent document.
  • Willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures.
  • Age ≥ 18 years on the day of signing informed consent.
  • Phase I:
  • Pathologically or cytologically confirmed, unresectable advanced solid tumors, including but not limited to non-small cell lung cancer (NSCLC), small cell lung cancer (SCLC), renal cell carcinoma (RCC), hepatocellular carcinoma (HCC), gastric cancer (GC), ovarian cancer (OC), cervical cancer (CC), etc.
  • Failure of established standard of care for advanced disease, or no available standard of care.
  • Phase II:
  • Pathologically or cytologically confirmed unresectable advanced solid tumors, including non-small cell lung cancer (NSCLC), small cell lung cancer (SCLC), etc.
  • Participants with at least one measurable lesion as defined per RECIST v1.1 solid tumor.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  • Adequate organ function.
  • Fertile male participants and female participants of childbearing potential must be willing to use an effective method of birth control from providing signed consent and for 180 days after the last investigational product administration.
  • Female participants of childbearing potential must have a negative pregnancy test ≤ 7 days prior to the first dose of the investigational product.

Exclusion Criteria21

  • History of a second malignancy active within the previous 3 years except for locally curable cancers that have been apparently cured.
  • Known primary central nervous system (CNS) tumor or solid tumor CNS metastasis that is either symptomatic, untreated, or requires therapy.
  • Presence of uncontrolled pleural effusion, pericardial effusion, or ascites requiring repeated drainage within 4 weeks prior to the first dose of investigational product.
  • Receipt of systemic corticosteroid treatment or any other form of immune suppressing treatment within 7 days prior to the first dose of investigational product.
  • Active or prior history of definite inflammatory bowel disease.
  • History of (non-infectious) interstitial lung disease (ILD)/pneumonitis that required steroids, or presence of active or suspected ILD/pneumonitis.
  • Active infections requiring systemic therapy within 2 weeks prior to the first dose of investigational product.
  • Positive for human immunodeficiency virus (HIV) or presence of acquired immune deficiency syndrome (AIDS).
  • Active Hepatitis B or C infection.
  • Active pulmonary tuberculosis (TB).
  • Major surgery, chemotherapy, definitive radiotherapy, target therapy, immunotherapy, or other anti-cancer therapy within 21 days prior to the first dose of investigational product.
  • Palliative radiotherapy within 14 days prior to the first dose of investigational product, or receipt of radioactive drug within 56 days prior to the first dose of investigational product.
  • Administration of live vaccine within 28 days prior to the first dose of investigational product.
  • History of allogeneic organ transplantation and allogeneic hematopoietic stem cell transplantation.
  • Receipt of antitumor Chinese herbal preparations or Chinese patent medicine within 7 days prior to the first dose of investigational product.
  • Receipt of any other investigational drugs within 21 days prior to the first dose in this trial.
  • History of hypersensitivity or idiosyncrasy to the excipients of the study drug or any monoclonal antibody.
  • Any toxic effects of prior therapy or surgical procedures unresolved to baseline severity or NCI-CTCAE Version 5.0 Grade ≤ 1.
  • Active alcohol or drug abuse.
  • Female participants who are pregnant or breastfeeding.
  • Other acute or chronic medical or psychiatric conditions that may increase the risk associated with study participation or investigational product administration.

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Interventions

DRUGCS2009

CS2009 will be administered via intravenous (IV) infusion on Day 1 of repeated 21-day cycles (Q3W).

DRUGCS2009

CS2009 will be administered via intravenous (IV) infusion on Day 1 of repeated 14/21-day cycles (Q2W/Q3W).

DRUGPemetrexed

IV infusion

DRUGCarboplatin

IV infusion

DRUGPaclitaxel

IV infusion

DRUGEtoposide

IV infusion

DRUGNab-paclitaxel

IV infusion

DRUGOxaliplatin

IV infusion

DRUGCapecitabine

oral tablets

DRUGDocetaxel

IV infusion

DRUGLeucovorin

IV infusion

DRUG5-FU

IV infusion

DRUGIrinotecan

IV infusion

DRUGCisplatin

IV infusion


Locations(30)

Alfred Hospital (Alfred Health)

Melbourne, Australia

Austin Hospital (Austin Health)

Melbourne, Australia

Monash Medical Centre (Monash Health)

Melbourne, Australia

Peter Maccallum Cancer Centre Research

Melbourne, Australia

Icon Cancer Centre South Brisbane

South Brisbane, Australia

Blacktown Hospital

Sydney, Australia

Macquarie University Hospital

Sydney, Australia

Scientia Clinical Research Ltd

Sydney, Australia

Beijing Cancer Hospital

Beijing, China

Jilin Cancer Hospital

Changchun, China

Hunan Cancer Hospital

Changsha, China

Sichuan Cancer Hospital

Chengdu, China

West China Hospital of Sichuan University

Chengdu, China

Fujian Cancer Hospital

Fuzhou, China

Sun Yat-sen Memorial Hospital, Sun Yat-sen University

Guangzhou, China

Sun Yat-Sen University Cancer Center

Guangzhou, China

Zhejiang Cancer Hospital

Hangzhou, China

Harbin Medical University Cancer Hospital

Harbin, China

Anhui Provincial Hospital

Hefei, China

Central Hospital Affiliated to Shandong First Medical University

Jinan, China

Linyi Cancer Hospital

Linyi, China

The First Affiliated Hospital of Nanchang University

Nanchang, China

Nanjing Drum Tower Hospital

Nanjing, China

Fudan University Shanghai Cancer Center

Shanghai, China

Shanghai East Hospital

Shanghai, China

Shanghai Pulmonary Hospital

Shanghai, China

Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

Wuhan, China

Xuzhou Central Hospital

Xuzhou, China

Henan Cancer Hospital

Zhengzhou, China

The First Affiliated Hospital of Zhengzhou University

Zhengzhou, China

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