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A Phase Ia/II, Multicenter Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Efficacy of JMT203 in Patients With Cancer Cachexia

Status: Recruiting
Location: See location...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 1/Phase 2
SUMMARY

A Phase Ia/II, Multicenter Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Efficacy of JMT203 in Patients with Cancer Cachexia

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Age ≥ 18 years old;

• Voluntarily participate in the study and sign the informed consent form;

• Age ≥ 18 years old;

• Voluntarily participate in the study and sign the informed consent form;

• Malignant solid tumors confirmed histologically or cytologically, with ongoing or completed anti-tumor treatment, and no significant tumor progression within 28 days prior to the first drug administration,and the investigator estimates that the participant will not require a switch to another anticancer therapy due to disease progression during the first treatment cycle (21 days). For the Phase II portion:

‣ Cohort A (participants with colorectal cancer cachexia): Must meet the following treatment status: currently receiving or about to initiate investigator-selected second-line standard anticancer therapy, with no more than 5 cycles of second-line therapy, and not suitable for immune checkpoint inhibitors.;

⁃ Cohort B (participants with pancreatic cancer cachexia): Must meet the following treatment status: currently receiving or about to initiate investigator-selected first-line standard anticancer therapy, with no more than 3 cycles of first-line therapy, and not suitable for targeted therapy.;

⁃ Cohort C (participants with cachexia from other solid tumors): Currently receiving or have completed investigator-selected standard anticancer therapy, with no more than three prior lines of therapy.

• Diagnosed with cancer cachexia according to the criteria of the 2011 International Consensus on Cancer Cachexia: Definition and Classification, combined with characteristics of the Chinese population, i.e., presenting with one of the following within 6 months (previous weight data must be supported by written documentation approved by the sponsor): involuntary weight loss \>5%, or weight loss \>2% when Body Mass Index (BMI) \<18.5 kg/m²;

• Adequate organ function, meeting relevant laboratory test standards (without transfusion or hematopoietic growth factor support within 14 days prior to testing):

• Eastern Cooperative Oncology Group Performance Status (ECOG PS) score: ≤1;

• Estimated survival ≥4 months;

• Fertile eligible patients must use adequate contraceptive measures from the time of signing the informed consent form until 6 months after the last drug administration; female patients of childbearing age must have a negative serum pregnancy test within 7 days before the first drug administration.

Locations
Other Locations
China
Sir run run shaw Hospital
RECRUITING
Zhejiang
Contact Information
Primary
Clinical Trials Information Group Officer
ctr-contact@cspc.cn
86-0311-69085587
Time Frame
Start Date: 2024-05-15
Estimated Completion Date: 2029-05-15
Participants
Target number of participants: 307
Treatments
Experimental: Experimental: Dose Escalation, Dose Expansion Phase
Dose escalation (Phase Ia) - Five dose levels of JMT203 will be tested in patients with cancer cachexia according to an accelerated titration design combined with a 3+3 dose escalation scheme. If the highest predefined dose group demonstrates good safety and tolerability during dose escalation, further discussion will be held on whether to proceed to a higher dose group or to explore doses between two existing groups.~Dose expansion (Phase Ia) - Based on pharmacokinetics (PK), preliminary efficacy, and safety data, 1 to 3 dose levels that are potentially effective will be selected.~Cohort expansion- One to three potentially effective dose groups will be selected for expansion based on PK, preliminary efficacy, and safety data, with a maximum of 24 participants per group in principle (including participants from the same dose group in the dose-escalation phase).
Experimental: Experimental: JMT203 50 mg
Double blind phase (Phase II):JMT203 50 mg administered subcutaneously every 3 weeks over a 12-week treatment period.
Experimental: Experimental: JMT203 150 mg
Double blind phase (Phase II):JMT203 150 mg administered subcutaneously every 3 weeks over a 12-week treatment period; Open-Label Treatment Phase (Phase II): JMT203 administered subcutaneously at 150 mg or at the RP3D (once established in this study) for up to 51 weeks.
Placebo_comparator: Experimental: Placebo
Double blind phase (Phase II):Placebo administered subcutaneously every 3 weeks over a 12-week treatment period;
Sponsors
Leads: Shanghai JMT-Bio Inc.

This content was sourced from clinicaltrials.gov

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