[Translation] A phase I/IIa clinical study to evaluate the safety, tolerability and pharmacokinetic characteristics of the WNT inhibitor XNW7201 tablets in Chinese patients with advanced solid tumors
I期主要目的:1)评价XNW7201片口服给药在中国晚期实体瘤患者中的安全性和耐受性;2)探索后续临床研究的给药剂量。次要目的:1)评价XNW7201片在中国晚期实体瘤患者中的药代动力学特征;2)初步评估XNW7201片在中国晚期实体瘤患者中的抗肿瘤活性;3)评价XNW7201片在中国晚期实体瘤患者中的药效动力学特征。IIa期主要目的:1)评价XNW7201片在选定晚期恶性肿瘤受试者(包括特定基因型的结直肠癌和食管癌患者)中的抗肿瘤疗效。次要研究目的:1)进一步评价XNW7201片在晚期恶性肿瘤患者中的安全性;2)评价XNW7201片在晚期恶性肿瘤患者中的药代动力学特征;3)评价XNW7201片在晚期恶性肿瘤患者中的药效动力学特征。探索性目的:1)探索与XNW7201片治疗相关的潜在生物标志物(包括但不限于以下基因异常:RNF43突变、ZNRF3突变、R-spondin(RSPO)基因高表达、RAS突变或基因拷贝数扩增或高表达、 Notch突变以及其他WNT通路相关基因异常);2)探索口服XNW7201片后血浆中代谢产物种类及主要代谢产物(M4和M7以外,其他代谢物)浓度。
[Translation] The main objectives of Phase I are: 1) to evaluate the safety and tolerability of oral administration of XNW7201 tablets in Chinese patients with advanced solid tumors; 2) to explore the dosage for subsequent clinical studies. Secondary objectives: 1) to evaluate the pharmacokinetic characteristics of XNW7201 tablets in Chinese patients with advanced solid tumors; 2) to preliminarily evaluate the anti-tumor activity of XNW7201 tablets in Chinese patients with advanced solid tumors; 3) to evaluate the pharmacodynamic characteristics of XNW7201 tablets in Chinese patients with advanced solid tumors. The main objectives of Phase IIa are: 1) to evaluate the anti-tumor efficacy of XNW7201 tablets in selected subjects with advanced malignant tumors (including patients with colorectal cancer and esophageal cancer of specific genotypes). Secondary study objectives: 1) to further evaluate the safety of XNW7201 tablets in patients with advanced malignant tumors; 2) to evaluate the pharmacokinetic characteristics of XNW7201 tablets in patients with advanced malignant tumors; 3) to evaluate the pharmacodynamic characteristics of XNW7201 tablets in patients with advanced malignant tumors. Exploratory objectives: 1) To explore potential biomarkers associated with XNW7201 tablets treatment (including but not limited to the following gene abnormalities: RNF43 mutation, ZNRF3 mutation, R-spondin (RSPO) gene overexpression, RAS mutation or gene copy number amplification or overexpression, Notch mutation, and other WNT pathway-related gene abnormalities); 2) To explore the types of metabolites and the concentrations of major metabolites (other metabolites besides M4 and M7) in plasma after oral administration of XNW7201 tablets.