A Multicenter, Open-Label, Adaptive Phase Ⅱ Clinical Study of HF1K16 Combined With Bevacizumab in Recurrent or Progressive Glioma
The primary purpose of this Phase II study is to evaluate the preliminary anti-tumor efficacy of HF1K16 in combination with Bevacizumab in patients with recurrent or progressive glioma. The study also evaluates the safety and tolerability of the combination therapy.
• The patient and/or guardian must voluntarily sign and date a written informed consent form.
• Age ≥ 18 years and ≤ 75 years at the time of informed consent signing, male or female.
• Confirmed diagnosis of glioma by histopathology and molecular pathology, with recurrent or progressive disease following prior therapy, and no available standard treatment or intolerance to standard treatment.
• Expected survival time of at least 3 months.
• Karnofsky Performance Status (KPS) score ≥ 60.
• Adequate organ and bone marrow function as defined by the following criteria:
‣ Bone marrow reserve: absolute neutrophil count ≥ 1.5×10⁹/L, platelet count ≥ 90×10⁹/L, and hemoglobin ≥ 9.0 g/dL (without transfusion or hematopoietic growth factor support within 14 days);
⁃ Coagulation function: activated partial thromboplastin time (APTT) ≤ 1.5×ULN, and international normalized ratio (INR) ≤ 1.5×ULN;
⁃ Hepatic function: total bilirubin (TBIL) ≤ 1.5×ULN, and alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤ 2.5×ULN; in the presence of liver metastases, ALT and AST ≤ 5×ULN and TBIL ≤ 3×ULN;
⁃ Renal function: creatinine clearance ≥ 60 mL/min (calculated using the Cockcroft-Gault formula);
⁃ Left ventricular ejection fraction (LVEF) ≥ 50%;
⁃ QTcF interval on electrocardiogram \< 450 ms (males) or \< 470 ms (females).
• Subjects of reproductive potential (including male subjects) must agree to avoid pregnancy and use effective contraceptive measures with their partners during the study period and for 6 months after the last dose. A negative serum pregnancy test must be confirmed between screening and prior to the first dose.