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HER2-positive Breast CancerPhase 1NCT04450732

Safety of GQ1001 in Adult Patients With HER2-Positive Advanced Solid Tumors

A Phase 1 study testing GQ1001 in people with HER2-positive Breast Cancer and HER2-positive Biliary Tract Cancer, run by GeneQuantum Healthcare (Suzhou) Co., Ltd. at 24 sites in 3 countries.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Phase I Dose Finding Study for GQ1001 in Patients with HER2-Positive Advanced Solid Tumors Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
GQ1001
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
96 participants
Where
24 sitesin 3 countries
Study dates
7 Jul 2020to 1 May 2024
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Signed informed consent form and able to comply with the protocol;
  • Male and female subjects ≥18 years of age;
  • ECOG PS of 0 or 1, the estimated life expectancy ≥ 3 months;
  • LVEF ≥ 50% as determined by echocardiography (ECHO);
  • Patients must have pathologically documented advanced/unresectable or metastatic solid tumor with HER2-positive (as defined below) that is relapsed or refractory to standard therapy or for which there is no standard therapy and progressed. Patients must have a least one measurable disease lesion. Tumor specimens to identify HER2 status should be obtained within the past 6 months.
  • Definition of HER2-positive
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  • Advanced/unresectable or metastatic breast cancer: immunohistochemistry (IHC) 3+, or IHC 2+ and in situ hybridization positive (ISH+)*;
  • Advanced/unresectable or metastatic gastric or gastroesophageal junction adenocarcinoma: IHC 3+, or IHC 2+ and ISH+*;
  • Other HER2-positive advanced/unresectable or metastatic solid malignant tumor: determined by IHC, ISH, Next Generation Sequencing, or other analysis techniques as appropriate;
  • ISH: fluorescence in situ hybridization (FISH) or dual in situ hybridization (DISH); ISH positivity is defined as a ratio of ≥ 2.0 for the number of HER2 gene copies to the number of signals for CEP17. ISH assay is not required when IHC result is 3+. ISH assay should be performed to confirm HER2 positivity when IHC result is 2+.
  • Adequate organ function confirmed at screening and within 7 days before the first treatment, as evidenced by:
  • Platelet count: ≥ 100,000/mm3 ; Hemoglobin : ≥ 9 g/dL; Absolute neutrophil count (ANC): ≥ 1500/mm3 ; Serum creatinine: ≤ 1.5 × ULN (upper limit of normal), or creatinine clearance ≥ 60 mL/min (using Cockcroft Gault formula) ; Aspartate aminotransferase (AST)/alanine aminotransferase (ALT) : ≤ 2.5 × ULN (≤ 5 × ULN if liver metastases are present); Total bilirubin : ≤ 1.5 × ULN (except for patients with Gilbert's Syndrome); Prothrombin time and activated partial thromboplastin time: ≤ 1.5 × ULN.
  • Adequate washout period before the first treatment as defined by:
  • Major surgery: ≥ 4 weeks. Radiation therapy: ≥ 4 weeks (≥ 2 weeks for palliative stereotactic radiation therapy without abdominal). Autologous transplantation: ≥ 3 months.
  • Hormonal therapy: ≥ 2 weeks or per Investigator's discretion for breast cancer patients.
  • Chemotherapy or targeted therapy (including antibody drug therapy): ≥ 3 weeks (≥ 2 weeks for 5 flourouracil-based agents, folinate agents, and/or weekly paclitaxel; ≥ 2 weeks (or 5 half-lives, whichever is shorter) for tyrosine kinase inhibitors; ≥ 4 weeks for HER2-directed biologic therapies; ≥ 6 weeks for nitrosoureas or mitomycin C). Immunotherapy: ≥ 4 weeks. Strong cytochrome P450 enzyme 3A4 (CYP3A4) inhibitor: ≥ 3 elimination half-lives . Any investigational agents or treatments: ≥ 4 weeks.
  • Patients without a history of acquired immunodeficiency syndrome (AIDS)-defining opportunistic infections or with a history of AIDS-defining opportunistic infections and have not had an opportunistic infection within the past 12 months may be enrolled per the discretion of the Investigator.

Who cannot join

  • Clinically active brain metastases, defined as untreated and symptomatic, or requiring therapy with steroids or anticonvulsants to control associated symptoms. Subjects with treated brain metastases that are no longer symptomatic and who require no treatment with steroids may be included in the study if they have recovered from the acute toxic effect of chemotherapy or radiotherapy;
  • Subjects with multiple primary malignancies within 2 years, except adequately resected non-melanoma skin cancer, curatively treated in situ disease, other solid tumors curatively treated, or contralateral breast cancer);
  • Cardiovascular dysfunction or clinically significant cardiac disease, including but not limited to:
  • Medical history of symptomatic chronic heart failure (New York Heart Association (NYHA) classes II-IV) or serious cardiac arrhythmia requiring treatment;
  • Medical history of myocardial infarction or unstable angina within 6 months of the first treatment;
  • Corrected QT interval by Fridericia (QTcF) prolongation of > 450 milliseconds (ms) in males and > 470 ms in females;
Show all 16Show fewer
  • Medical history of clinically significant lung disease (e.g., interstitial pneumonia, pneumonitis, pulmonary fibrosis, and severe radiation pneumonitis), or patients who are suspected to have these diseases by imaging at screening or requirement for supplemental oxygen;
  • Known hypersensitivity to either the drug substances or inactive ingredients in the drug product;
  • Existing Grade ≥ 2 peripheral neuropathy;
  • Unresolved toxicities from previous anticancer therapy, defined as toxicities (other than alopecia) not yet resolved to NCI CTCAE version 5.0, Grade ≤ 1 or baseline. Subjects with chronic Grade 2 toxicities may be eligible per the discretion of the Investigator;
  • Cumulative anthracycline dose > 360 mg/m2 doxorubicin or equivalent;
  • Uncontrolled infection requiring i.v. of antibiotics, antivirals or antifungals;
  • Active infection with hepatitis C (e.g., detectable antibodies to hepatitis C virus [HCV]) or hepatitis B (e.g., hepatitis B surface antigen [HBsAg] positive) except subjects with occult or prior hepatitis B infection (defined as positive total hepatitis B core antibody and negative HBsAg) may be included if hepatitis B virus (HBV) deoxyribonucleic acid (DNA) is undetectable at the time of screening, and these subjects must be willing to undergo monthly DNA testing and appropriate antiviral therapy as indicated;
  • Patients with a history or current evidence of any concomitant condition, therapy, or laboratory abnormality that, in the opinion of the Investigator, might confound the results of the trial, interfere with the patient's participation and compliance;
  • Women who are lactating or pregnant, as confirmed by pregnancy test within 7 days before first treatment;
  • Male and female subjects who are unwilling to use adequate contraceptive methods (e.g., concomitant use of a spermicidal agent, barrier contraceptive, or/and intrauterine contraceptive) during the study and for at least 7 months after the last dose of GQ1001.

Trial locations and contacts

24 sites in 3 countries.

24 sites in 3 countries

China21 sites, 21 recruiting
  • Beijing Tongren Hospital Affiliated to Capital University of Medical Sciences

    Beijing, Beijing Municipality, 100005

    Shurong Zhang

    Recruiting
  • Chinese PLA general hospital

    Beijing, Beijing Municipality, 100039

    Bo Yang

    Recruiting
  • The first affiliated hospital of Bengbu medical college

    Bengbu, Anhui, 233099

    Huan Zhou

    Dianming Li

    Recruiting
  • Hunan Cancer Hospital

    Changsha, Hunan, 410029

    Shanzhi Gu

    Recruiting
  • West China School of Medicine and West China Hospital, Sichuan University

    Chengdu, Sichuan, 610044

    Lei Liu

    Recruiting
  • Southern Medical University Hospital in the south

    Guangzhou, Guangdong, 516006

    Yabing Guo

    Recruiting
  • Sun Yat-sen Memorial Hospital

    Guangzhou, Guangdong, 528406

    Jieqiong Liu

    Recruiting
  • First Affiliated Hospital of Zhejiang University School of Medicine

    Hangzhou, Zhejiang, 310003

    Lulu Liu

    Recruiting
  • Zhejiang Cancer Hospital

    Hangzhou, Zhejiang, 310005

    Meiyu Fang

    Recruiting
  • Shandong Tumor Hospital

    Jinan, Shandong, 250117

    Zhehai Wang

    Yuping Sun

    Recruiting
  • Shanghai Ninth People's Hospital affiliated with the Shanghai Jiao Tong University School of Medicine

    Shanghai, Shanghai Municipality, 200011

    Wei Guo

    Recruiting
  • Zhongshan Hospital

    Shanghai, Shanghai Municipality, 200032

    Jia Fan

    Huichuan Sun

    Recruiting
  • Ruijin Hospital, Affiliated to Shanghai Jiaotong University

    Shanghai, Shanghai Municipality, 200120

    Jun Zhang

    Recruiting
  • Shanghai East Hospital

    Shanghai, Shanghai Municipality, 200120

    Jin Li

    Ye Guo

    Recruiting
  • Changhai Hospital of Shanghai

    Shanghai, Shanghai Municipality, 200433

    Xianbao Zhan

    Recruiting
  • Shanghai Pulmonary Hospital

    Shanghai, Shanghai Municipality, 200433

    Caicun Zhou

    Recruiting
  • Liaoning Cancer Hospital & Institute

    Shenyang, Liaoning, 110801

    Zhendong Li

    Recruiting
  • Hubei Huazhong University of Science and provincial Cancer Hospital Affiliated Union Hospital of Tongji Medical College

    Wuhan, Hubei, 430022

    Kunyu Yang

    Recruiting
  • Hubei Cancer Hospital

    Wuhan, Hubei, 430079

    Dongde Wu

    Recruiting
  • Henan Cancer Hospital

    Zhengzhou, Henan, 450003

    Yanqiu Zhao

    Recruiting
  • The First Affiliated Hospital of Zhengzhou University

    Zhengzhou, Henan, 450052

    Hong Zong

    Recruiting

Other trials in China

Australia2 sites, 1 recruiting
  • Cabrini Institute in Melbourne, Australia

    Melbourne, Victoria, 3050

    Completed
  • Scientia Clinical Research Limited

    Randwick, New South Wales, 2031

    1800 727 874

    Charlotte Lemech, MD

    Recruiting

Other trials in Australia

United States1 site
  • M.D. Anderson Cancer Center

    Houston, Texas, 77030

    Completed

Other trials in United States

About this study

Official title: A Phase 1, First-In-Human, Multicenter, Open-Label, Study of GQ1001, a HER2 Targeted Antibody-Drug Conjugate, Administered Intravenously, in Adult Patients With HER2-Positive Advanced Solid Tumors

Phase I Dose Finding Study for GQ1001 in Patients with HER2-Positive Advanced Solid Tumors

Being tested
GQ1001
Keywords
HER2-positive, Biliary Tract Cancer, Salivary Gland Carcinomas, Non- Small Cell Lung Cancer, Advanced Solid Tumor
Medical subject headings
Biliary Tract Neoplasms, Carcinoma, Non-Small-Cell Lung

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • GQ1001Drug

    anti-HER2 antibody drug conjugate

Study groups in NCT04450732
Study groupRoleWhat they receive
Dose EscalationExperimentalGQ1001 will be administered intravenously every 21 days. Dose Escalation will be guided by a modified 3+3 design.
Receives: Drug: GQ1001
Dose ExpansionExperimentalGQ1001 at the Dose Recommended for Dose Expansion will be administered intravenously every 21 days. Dose expansion will further evaluate the MTD or DRDE in different types of malignant solid tumor in four cohorts.
Receives: Drug: GQ1001

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Dose Limiting Toxicities (DLTs).

    Adverse events will be assessed using NCI CTCAE version 5.0 and will be evaluated by the investigator and the sponsor for the eligibility of DLT.

    Measured: End of Cycle 1 (21-day cycle)

  2. Maximum Tolerated Dose (MTD) or Dose Recommended for Dose Expansion (DRDE)

    The SRC will also determine the MTD/DRDE based on the totality of data for all tested dose levels.

    Measured: After each cohort completes the DLT observation period (Day 1 to Day 21 after the first dose of study treatment) or has a DLT or becomes not DLT-evaluable

Secondary outcomes (14)
  1. Incidence and Severity of Adverse Events (AEs)

    Safety and Tolerability of GQ1001

    Measured: from baseline to 30 days after last dose

  2. Number of Participants with Abnormal Laboratory Values

    Safety and Tolerability of GQ1001

    Measured: rom baseline through Cycle 8 (each cycle is 21 days) and up to 30 days from treatment discontinuationafter last dose

  3. Area Under the Plasma Concentration Versus Time Curve (AUC) of GQ1001

    Measured: through study completion, an average of 1 year

  4. Peak Plasma Concentration of GQ1001 (Cmax)

    Measured: through study completion, an average of 1 year

  5. Time at which the Cmax is Observed (Tmax)

    Measured: through study completion, an average of 1 year

  6. Half Life of GQ1001 (T1/2)

    Measured: through study completion, an average of 1 year

  7. Mean Residence Time of GQ1001 (MRT)

    Measured: through study completion, an average of 1 year

  8. Volume of Distribution of GQ1001 (Vd)

    Measured: through study completion, an average of 1 year

  9. Preliminary Efficacy of GQ1001 Evaluated using Response Evaluation Criteria in Solid Tumors (RECIST 1.1) and CT of MRI scans

    Measured: through study completion, an average of 1 year

  10. Immunogenicity

    Anti-GQ1001 antibody/anti-therapeutic antibody

    Measured: through study completion, an average of 1 year

  11. Preliminary Efficacy

    objective response rate (ORR)

    Measured: through study completion, an average of 1 year

  12. Preliminary Efficacy

    disease control rate (DCR)

    Measured: through study completion, an average of 1 year

  13. Preliminary Efficacy

    duration of response (DoR)

    Measured: through study completion, an average of 1 year

  14. Preliminary Efficacy

    progression-free survival (PFS)

    Measured: through study completion, an average of 1 year

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Jun 2020
  2. Study start7 Jul 2020
  3. Primary completion1 Mar 2024 (estimated)
  4. Study completion1 May 2024 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Model description
Modified 3+3 Design
Masking
None (open label)
Enrolment
96 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04450732
Sponsor's protocol ID
GQ1001X2101
Status last verified
Nov 2023
First submitted
23 Jun 2020
Last updated
5 Dec 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Zhou C, Wang B, Teng C, Yang H, Piha-Paul SA, Richardson G, Malalasekera A, Sun Y, Wang W, Liu J, Shi Y, Zhan X, Lemech C. A phase Ia study of a novel anti-HER2 antibody-drug conjugate GQ1001 in patients with previously treated HER2 positive advanced solid tumors. J Transl Med. 2025 Jan 9;23(1):37. doi: 10.1186/s12967-024-05985-z.

    PubMed 39789619

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing GQ1001 in people with HER2-positive Breast Cancer and HER2-positive Biliary Tract Cancer, run by GeneQuantum Healthcare (Suzhou) Co., Ltd. at 24 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 17 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 5 Dec 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 24 sites in China, Australia, United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Yan Shi (0512-66526166, shiy@genequantum.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Dose Limiting Toxicities (DLTs). (time frame: End of Cycle 1 (21-day cycle)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04450732, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Dec 2023.

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