[Translation] A single-arm, open-label, single/multiple-dose escalation and cohort expansion phase Ia/Ib clinical study to evaluate the safety, tolerability, pharmacokinetic and pharmacodynamic characteristics and preliminary efficacy of oral CSCJC3456 tablets in patients with advanced malignant solid tumors
主要目的:
Ia期:评估CSCJC3456片在晚期恶性实体瘤患者中的安全性和耐受性;确定剂量限制毒性(DLT)、最大耐受剂量(MTD);为Ib期临床试验提供推荐剂量和给药方案。
Ib期:初步评估CSCJC3456片在目标晚期恶性实体瘤患者中的抗肿瘤活性。
次要目的:
Ia期:研究单/多次给药后CSCJC3456及其主要代谢产物(如CSCJC3456-去甲基等)的PK特征;初步观察CSCJC3456片治疗晚期恶性实体瘤的有效性。
Ib期:在目标晚期实体瘤患者中进一步评估CSCJC3456片的有效性、PK特征,评估安全性、耐受性,对应肿瘤标志物与临床疗效的关系。
探索性目的:
评估CSCJC3456片在治疗晚期恶性实体瘤患者中的药效学(PD)指标变化;评估CSCJC3456血浆浓度与QT间期之间的关系;Ia期:鉴定CSCJC3456 片单/多次给药后血浆中可能的代谢产物;Ib期:探索肿瘤相关的基于基因型的分子生物标志物与临床结果之间可能的相关性。
[Translation] Main objectives:
Phase Ia: Evaluate the safety and tolerability of CSCJC3456 tablets in patients with advanced malignant solid tumors; determine dose-limiting toxicity (DLT) and maximum tolerated dose (MTD); provide recommended doses and dosing regimens for Phase Ib clinical trials.
Phase Ib: Preliminary evaluation of the anti-tumor activity of CSCJC3456 tablets in target patients with advanced malignant solid tumors.
Secondary objectives:
Phase Ia: Study the PK characteristics of CSCJC3456 and its main metabolites (such as CSCJC3456-desmethyl, etc.) after single/multiple administrations; Preliminary observation of the effectiveness of CSCJC3456 tablets in the treatment of advanced malignant solid tumors.
Phase Ib: Further evaluate the effectiveness and PK characteristics of CSCJC3456 tablets in target patients with advanced solid tumors, evaluate safety, tolerability, and the relationship between corresponding tumor markers and clinical efficacy.
Exploratory purpose:
To evaluate the changes in pharmacodynamic (PD) indicators of CSCJC3456 tablets in the treatment of patients with advanced malignant solid tumors; to evaluate the relationship between CSCJC3456 plasma concentration and QT interval; Phase Ia: to identify possible metabolites in plasma after single/multiple administration of CSCJC3456 tablets; Phase Ib: to explore the possible correlation between tumor-related genotype-based molecular biomarkers and clinical outcomes.