A Phase 1 Open-Label Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Efficacy of BL-M07D1 in Subjects With HER2 Expressing Advanced Malignant Solid Tumors
The objective of this study is to evaluate the safety, tolerability, and efficacy of BL-M07D1 in patients with HER2 expressing advanced tumors.
• Age: ≥18 years
• Has a life expectancy of ≥3 months
• Has documented locally advanced or metastatic HER2expressing (IHC 1+ to 3+ and/or HER2 gene amplification or activating mutation in tumor specimen by ISH or NGS) solid tumor(s) not amenable to curative surgery or radiation and has received at least 2 lines of standard therapy, including adjuvant/neoadjuvant treatment, or whose cancer is considered refractory to the standard of care or for which no standard treatment is available, including:
∙ Cohort 1: Subjects with HER2 expression in endometrial cancers (EC)
‣ Cohort 2: Subjects with HER2 expression in cervical cancers (CC)
‣ Cohort 3: Subjects with HER2 expression in ovarian cancers (OC) including fallopian tube cancer and primary peritoneal cancer
‣ Cohort 4: Subjects with HER2 expression in urothelial cancers (UC)
‣ Cohort 5: Subjects with HER2 expression in biliary tract cancers (BTC)
‣ Cohort 6: Subjects with HER2 expression in breast cancer (BC)
‣ Cohort 7: Subjects with HER2 expression in lung cancer (LC)
‣ Cohort 8: Subjects with HER2 expression in gastric, esophageal, or gastroesophageal junction (GEJ) cancers
• Agree to provide most recent existing tumor samples (FFPE tissue block or slides) from primary or metastatic sites for tissue-based IHC staining to centrally determine HER2 expression:
∙ In dose escalation and dose finding: archival tissue or fresh biopsy. If no archival tissue is available, or it is not possible to obtain a fresh tissue biopsy, medical monitor approval is required to screen subject;
‣ In dose expansion: an FFPE block or slides from fresh biopsy or the most recent archival tissue is required.
• Has at least one measurable lesion based on RECIST (Response Evaluation Criteria in Solid Tumors) V1.1
• Has an Eastern Cooperative Oncology Group performance status (ECOG PS) of 0 to 1
• Toxicity of previous antitumor therapy has returned to Grade ≤1
• Has no serious cardiac dysfunction, left ventricular ejection fraction ≥50%
• Has adequate organ function before enrollment, defined as:
⁃ Coagulation function: international normalized ratio (INR) ≤1.5×ULN, and activated partial thromboplastin time (APTT) ≤1.5 ULN, unless receiving anticoagulation therapy with prothrombin time and aPTT levels within the intended therapeutic range
⁃ Urinary protein ≤2+ or ≤1000 mg/24 hours
⁃ For premenopausal women with childbearing potential, a pregnancy test must be taken within 7 days prior to the start of treatment. Serum or urine pregnancy test must be negative and subject must be nonlactating.
⁃ Must agree to use adequate contraceptive measures during the treatment and for 6 months after the end of treatment for all subjects (regardless of gender)