[Translation] An open-label, international, multicenter, phase Ib study evaluating the safety, tolerability, and efficacy of IDX-1197 in combination with XeIox (capecitabine and oxaliplatin) or irinotecan in patients with advanced gastric cancer
研究的主要目的是评价IDX-1197的安全性和耐受性,并确定联合卡培他滨和奥沙利铂(Xelox),或伊立替康用于治疗晚期胃癌患者的最大耐受剂量(MTD)和推荐II期剂量(RP2D)。 研究的次要目的为:评估IDX-1197与Xelox或伊立替康联合给药时的疗效,疗效是通过按实体瘤疗效评价标准(RECIST)v1.1评价的客观缓解率(ORR)、无进展生存期(PFS)、疾病控制率(DCR)、缓解持续时间(DOR)、缓解时间(TTR)、最佳总缓解(BOR),疾病进展时间(TTP),最低可重复有效剂量(MRAD)以及总生存期(OS)进行定义。评价IDX-1197单次递增剂量(SAD)联合Xelox或伊立替康用于治疗晚期胃癌患者时的药代动力学(PK)(仅剂量探索部分)。评价IDX-1197联合Xelox或伊立替康用于治疗晚期胃癌患者时IDX-1197和伊立替康的群体PK模型。通过评估校正的QT间期,评价IDX-1197联合伊立替康对心脏复极化的影响。通过ECG记录和时间匹配的PK测量来评估QT间期延长的风险。
[Translation] The primary objectives of the study are to evaluate the safety and tolerability of IDX-1197 and to determine the maximum tolerated dose (MTD) and recommended phase II dose (RP2D) of IDX-1197 in combination with capecitabine and oxaliplatin (Xelox) or irinotecan for the treatment of patients with advanced gastric cancer. Secondary objectives of the study are to evaluate the efficacy of IDX-1197 in combination with Xelox or irinotecan, as defined by objective response rate (ORR), progression-free survival (PFS), disease control rate (DCR), duration of response (DOR), time to response (TTR), best overall response (BOR), time to disease progression (TTP), lowest repeatable effective dose (MRAD), and overall survival (OS) as assessed by response evaluation criteria in solid tumors (RECIST) v1.1. To evaluate the pharmacokinetics (PK) of IDX-1197 in combination with Xelox or irinotecan as a single ascending dose (SAD) in patients with advanced gastric cancer (dose-finding portion only). Population PK models of IDX-1197 and irinotecan were evaluated in combination with Xelox or irinotecan in patients with advanced gastric cancer. The effects of IDX-1197 plus irinotecan on cardiac repolarization were evaluated by assessing the corrected QT interval. The risk of QT prolongation was assessed by ECG recordings and time-matched PK measurements.