[Translation] An open, multicenter Phase Ia/Ib clinical study to evaluate the safety, tolerability, pharmacokinetics/pharmacodynamics and preliminary efficacy of DN015089 monotherapy for injection in subjects with advanced solid tumors whose disease has progressed after standard treatment or who are intolerant to standard treatment or have no standard treatment
主要目的:
? 评价注射用DN015089(以下简称“DN089”)单药瘤内注射治疗晚期实体瘤受试者的安全性和耐受性,确定DN089单药治疗的剂量限制毒性(DLT)、最大耐受剂量(MTD)和/或推荐的 Ⅱ 期临床试验剂量(RP2D)。
次要目的:
? 评价DN089单药瘤内注射治疗对晚期实体瘤的初步疗效。
? 评价DN089单药瘤内注射治疗晚期实体瘤的药效学特征,如细胞因子、趋化因子等给药前后的变化等。
? 评价DN089单药瘤内注射的药代动力学(PK)特征。
其他目的:
? 评价注射端和非注射端肿瘤(如有)组织中的CD8+T细胞给药前后的变化;
? 分析受试者血液和/或肿瘤组织中的生物标记物,如病毒感染(如,HPV感染等)、STING表达水平及其他生物标记物表达水平与临床疗效的关系。
? 分析剂量-暴露-响应之间的关系。
[Translation] Primary objectives:
? To evaluate the safety and tolerability of DN015089 (hereinafter referred to as "DN089") for injection as a single agent in the treatment of subjects with advanced solid tumors, and to determine the dose-limiting toxicity (DLT), maximum tolerated dose (MTD) and/or recommended Phase II clinical trial dose (RP2D) of DN089 monotherapy.
Secondary objectives:
? To evaluate the preliminary efficacy of DN089 monotherapy for advanced solid tumors.
? To evaluate the pharmacodynamic characteristics of DN089 monotherapy for advanced solid tumors, such as changes in cytokines, chemokines, etc. before and after administration.
? To evaluate the pharmacokinetic (PK) characteristics of DN089 monotherapy for intratumoral injection.
Other objectives:
? To evaluate the changes in CD8+T cells in injection-side and non-injection-side tumor (if any) tissues before and after administration;
? To analyze the relationship between biomarkers in the blood and/or tumor tissues of subjects, such as viral infection (such as HPV infection, etc.), STING expression level and other biomarker expression levels and clinical efficacy.
? To analyze the relationship between dose-exposure-response.