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A Study of ICP-192 in Patients With Advanced Solid Tumors

PHASE1PHASE2RECRUITING

This is a multi-center, open-label, phase I/II clinical study to evaluate ICP-192 in patients with advanced solid tumors and FGFR gene alterations. It consists of two parts: Part I (Phase I), dose escalation and Part II (Phase II), dose expansion.

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Study details:

Part I (Phase I) of the study enrolls patients with advanced solid tumors (9-15 patients); Part II (Phase II) of the study enrolls patients with urothelial carcinoma or cholangiocarcinoma with FGFR genetic alterations (30 patients).

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Eligibility criteria

Researchers look for people who fit a certain description, called eligibility criteria. See if you qualify.

Inclusion criteria

  • Participate voluntarily, sign informed consent, and follow the study treatment plan and scheduled visits
  • Phase I: Patients with histologically or cytologically confirmed unresectable or metastatic advanced malignant solid tumors who have progressed under standard treatment or recurred after or were intolerant to all standard treatment regimens, or have no standard treatment available
  • Phase II: patients with histologically or cytologically confirmed unresectable or metastatic urothelial carcinoma or cholangiocarcinoma, who have progressed or recurred after or were intolerant to first-line chemotherapy, or have progressed/relapsed within 12 months after neoadjuvant /adjuvant chemotherapy
  • Phase II: Existing test reports have confirmed the FGFR gene alteration or the central laboratory has detected the FGFR gene alteration
  • Age ≥18 years old
  • At least one measurable lesion according to the Response Evaluation Criteria of Solid Tumor, version 1.1 (RECIST 1.1)
  • ECOG performance status of 0-1
  • Life expectancy for more than 3 months; Must have adequate organ function
  • Exclusion criteria

  • Have previously been treated with selective pan-FGFR molecular inhibitors or antibody drugs, except for the FGFR4 selective inhibitors
  • Within 2 weeks before the first dose of study drug, the subject's phosphate level continuing to exceed the ULN despite medical treatment
  • Patients with clinically significant gastrointestinal dysfunction
  • Has known central nervous system metastases
  • Has a history of or currently uncontrolled cardiovascular diseases
  • History of organ transplantation or a history of allogeneic hematopoietic stem cell transplantation
  • Current evidence of corneal or retinal abnormalities that may increase eye toxicity
  • Active hepatitis B virus active hepatitis C, or HIV infection
  • Has not recovered from reversible toxicity of prior anti-tumor therapy
  • Pregnant or lactating women, as well as women with childbearing potential who are unwilling or unable to perform contraception from the screening to 6 months after the last study drug administration; and fertile men who are unwilling or unable to perform contraception from screening to 3months after the last study drug administration
  • Other conditions considered by the investigator to be inappropriate for participation in this study
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    Eligibility

    Age eligible for study : 18 and older

    Healthy volunteers accepted : No

    Gender eligible for study: All

    Things to know

    Study dates

    Study start: 2021-02-01

    Primary completion: 2023-11-30

    Study completion finish: 2024-04-15

    study type

    Study type

    TREATMENT

    phase

    Phase

      PHASE1

      PHASE2

    trial

    Trial ID

    NCT04565275

    Intervention or treatment

    DRUG: Drug ICP-192

    Conditions

    • Advanced Solid Tumors
    • Urothelial Carcinoma
    • Cholangiocarcinoma
    Image related to Advanced Solid Tumors
    • Condition: Advanced Solid Tumors, Urothelial Carcinoma and more

    • DRUG: Drug ICP-192

    • Westmead, New South Wales, Australia and more

    • Sponsor: Beijing InnoCare Pharma Tech Co., Ltd.

    Find a site

    Closest Location:

    Westmead Hospital

    Research sites nearby

    Select from list below to view details:

    • Westmead Hospital

      Westmead, New South Wales, Australia

    • Pindara Private Hospital

      Benowa, Queensland, Australia

    • Monash Medical Centre Clayton

      Clayton, Victoria, Australia

    • Macquarie University Hospital

      Macquarie Park, New South Wales, Australia

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    Study Plan

    This section provides details of the study plan, including how the study is designed and what the study is measuring.

    How is the study designed?

    Participant Group/ArmIntervention/Treatment
    EXPERIMENTAL: ICP-192
    • 1. Dose Escalation Phase ICP-192
    • 2. Dose Expansion Phase ICP-192
    DRUG: Drug ICP-192
    • 1. Dose Escalation Phase ICP-192 will be taken by patients with advanced solid tumor and will be treated follow the "3+3" dose escalation scheme
    • 2. Dose Expansion Phase ICP-192 will be taken by patients with urothelial carcinoma or cholangiocarcinoma with FGFR gene alterations and will be treated at a single dose defined from the Dose Escalation Phase.

    What is the study measuring?

    Primary outcome

    Primary Outcome MeasurePrimary Outcome DescriptionPrimary Outcome Time Frame
    Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]Phase I: Dose Escalation \& Phase II: Dose Expansion To evaluate the safety and tolerability of different doses of ICP-192 in patients with advanced solid tumorsUp to 3 years
    MTDPhase I: Dose Escalation To determine Maximum Tolerated Dose(MTD) for ICP-192Up to 3 years
    OBDPhase I: Dose Escalation To determine Optimal Biological Dose (OBD) for ICP-192Up to 3 years
    RP2DPhase I: Dose Escalation To determine Recommended Phase 2 Dose (RP2D) for ICP-192Up to 3 years
    ORRPhase II: Dose Expansion Objective Response RateUp to 3 years

    Secondary outcome

    Secondary Outcome MeasureSecondary Outcome DescriptionSecondary Outcome Time Frame
    Peak concentration (Cmax)Phase I: Dose Escalation Peak concentration (Cmax)Up to 3 years
    AUCPhase I: Dose Escalation AUCUp to 3 years
    DCRPhase II: Dose Expansion disease control rateUp to 3 years
    DORPhase II: Dose Expansion duration of responseUp to 3 years
    PFSPhase II: Dose Expansion progression-free survivalUp to 3 years
    OSPhase II: Dose Expansion overall survivalUp to 3 years

    Frequently Asked Questions

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    References

    Clinical Trials Gov: A Study of ICP-192 in Patients With Advanced Solid Tumors

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