Malignant Pleural EffusionPhase 1NCT05923515
A Phase I Study of JMKX000197 Injection in the Treatment of Malignant Pleural Effusion
A Phase 1 study testing JMKX000197 in people with Malignant Pleural Effusion, run by Jemincare at 1 site in China.
Trial summary
A Phase I, Open, Multicenter Clinical Study to Evaluate the Safety, Tolerance, Pharmacokinetics, Pharmacodynamics, and Preliminary Efficacy of JMKX000197 Injection in the Treatment of Malignant Pleural Effusion Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Malignant Pleural Effusion
- What is being tested?
- JMKX000197
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 78 participants
- Where
- 1 siteChina
- Study dates
- 22 May 2023to 1 May 2025
- 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 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- The patient voluntarily joined the study, signed an informed consent form, and had good compliance.
- Age ≥ 18 years and ≤ 75 years old, regardless of gender.
- Malignant pleural effusion confirmed by histopathology or cytopathology as moderate or above and requiring drainage (definition of moderate pleural effusion: pleural effusion ≥ 3cm in lying position by B-ultrasound, pleural effusion ≥ 4cm in sitting position by B-ultrasound, accompanied by clinical symptoms such as chest tightness, shortness of breath, and discomfort).
- Karnofsky score ≥ 60, or physical fitness score (ECOG PS) ≤ 2.
- Expected survival time ≥ 3 months.
- Within 7 days before treatment, the main organ function meets the following criteria: blood routine examination criteria (without blood transfusion within 14 days): neutrophil count ≥ 1.5 × 10 ^ 9 /L, Hemoglobin ≥ 9g/dL, Platelets ≥ 100 × 10 ^ 9 /L, White blood cells ≥ 3.0 × 10 ^ 9 /L; Biochemical examination indicators should meet: total bilirubin ≤ 1.5 × ULN, ALT≤2.5 × ULT, AST≤2.5 × ULT, if accompanied by liver metastasis, ALT and AST ≤ 5 × ULN, Serum creatinine (Cr) ≤ 1.5 × ULN or creatinine clearance rate (CCr) ≥ 60ml/min; International normalized ratio (INR) or prothrombin time (PT) ≤ 1.5 × ULN.
- No intrathoracic drug injection was performed within 1 month before signing the informed consent form, but diagnostic puncture is not excluded.
- Women of reproductive age should agree to use contraception (such as intrauterine devices, birth control pills, or condoms) during the study period and within 6 months after the end of the study; The serum pregnancy test was negative within 7 days before enrollment and must be a non lactating patient; Men should agree to use effective contraception during the study period and within 6 months after the end of the study period.
Who cannot join
- Known allergies to the study drug or its excipient components.
- The location of pleural effusion is not suitable for drainage or the patient will not benefit from intrathoracic medication (e.g., severe separation).
- Have used interferon gene stimulating factor (STING) agonists, TNF drugs (such as Tianenfu) for thoracic injection.
- Have participated in other clinial trials within 4 weeks before signing the informed consent form.
- Have a history of immunodeficiency, including a positive test for human immunodeficiency virus (HIV) antibodies, or have other acquired or congenital immunodeficiency diseases, or have a history of organ transplantation.
- Uncontrollable systemic infections (viruses, bacteria, fungi), including but not limited to hepatitis B surface antigen positive and hepatitis B virus DNA > 1000 IU/ml, hepatitis C virus (HCV) antibody positive or RNA positive.
- According to the judgment of the researcher, the patient is not suitable for participating in this clinical study for any reason.
Trial locations and contacts
1 site in 1 country.
China1 site, 1 recruiting
- Recruiting
Zhongnan Hospital of Wuhan University
Wuhan, Hubei, 430062
Jianying Huang, +86 18971116998, znyylcsy@126.com
About this study
Official title: A Phase I, Open, Multicenter Clinical Study to Evaluate the Safety, Tolerance, Pharmacokinetics, Pharmacodynamics, and Preliminary Efficacy of JMKX000197 Injection in the Treatment of Malignant Pleural Effusion
A Phase I, Open, Multicenter Clinical Study to Evaluate the Safety, Tolerance, Pharmacokinetics, Pharmacodynamics, and Preliminary Efficacy of JMKX000197 Injection in the Treatment of Malignant Pleural Effusion
Read the detailed description
Primary objectives: To evaluate the safety and tolerability of JMKX000197 injection in the treatment of patients with malignant pleural effusion, explore DLT of JMKX000197 treatment, and determine MTD and RP2D.
Secondary objectives: To evaluate the pharmacokinetic (PK)/pharmacokinetic (PD) characteristics of JMKX000197 injection in the treatment of patients with malignant pleural effusion; To evaluate preliminarily efficacy of JMKX000197 injection in patients with malignant pleural effusion; To evaluate the drug metabolic transformation of JMKX000197 injection.
- Conditions
- Malignant Pleural Effusion
- Being tested
- JMKX000197
- Medical subject headings
- Pleural Effusion, Malignant
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
JMKX000197Drug
for injection
| Study group | Role | What they receive |
|---|---|---|
| JMKX000197 Dose 1 | Experimental | eight dose levels of JMKX000197 are evaluated in the dose escalation part.In the expansion cohort part, the biologically active dose(s) confirmed in the dose escalation part with one or more dosing regimens will be selected. Receives: Drug: JMKX000197 |
| JMKX000197 Dose 2 | Experimental | eight dose levels of JMKX000197 are evaluated in the dose escalation part.In the expansion cohort part, the biologically active dose(s) confirmed in the dose escalation part with one or more dosing regimens will be selected. Receives: Drug: JMKX000197 |
| JMKX000197 Dose 3 | Experimental | eight dose levels of JMKX000197 are evaluated in the dose escalation part.In the expansion cohort part, the biologically active dose(s) confirmed in the dose escalation part with one or more dosing regimens will be selected. Receives: Drug: JMKX000197 |
| JMKX000197 Dose 4 | Experimental | eight dose levels of JMKX000197 are evaluated in the dose escalation part.In the expansion cohort part, the biologically active dose(s) confirmed in the dose escalation part with one or more dosing regimens will be selected. Receives: Drug: JMKX000197 |
| JMKX000197 Dose 5 | Experimental | eight dose levels of JMKX000197 are evaluated in the dose escalation part.In the expansion cohort part, the biologically active dose(s) confirmed in the dose escalation part with one or more dosing regimens will be selected. Receives: Drug: JMKX000197 |
| JMKX000197 Dose 6 | Experimental | eight dose levels of JMKX000197 are evaluated in the dose escalation part.In the expansion cohort part, the biologically active dose(s) confirmed in the dose escalation part with one or more dosing regimens will be selected. Receives: Drug: JMKX000197 |
| JMKX000197 Dose 7 | Experimental | eight dose levels of JMKX000197 are evaluated in the dose escalation part.In the expansion cohort part, the biologically active dose(s) confirmed in the dose escalation part with one or more dosing regimens will be selected. Receives: Drug: JMKX000197 |
| JMKX000197 Dose 8 | Experimental | eight dose levels of JMKX000197 are evaluated in the dose escalation part.In the expansion cohort part, the biologically active dose(s) confirmed in the dose escalation part with one or more dosing regimens will be selected. Receives: Drug: JMKX000197 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Incidence of dose limiting toxicity
Measured: Up to approximately 7 days at each dose level
Maximum tolerated dose
Measured: Up to approximately 24 months
Recommended Phase II dose
Measured: Up to approximately 24 months
Secondary outcomes (9)
Objective Response Rate(ORR)
Measured: Up to approximately 36 days
Disease control rate, DCR
Measured: Up to approximately 36 days
Maximum observed concentration (Cmax) of JMKX000197
Measured: Up to approximately 7 days
Time to maximum concentration (Tmax) of JMKX000197
Measured: Up to approximately 7 days
Half-life (t1/2) of JMKX000197
Measured: Up to approximately 7 days
Areas under the concentration-time curve from time zero extrapolated to infinity (AUC0-inf) of JMKX000197
Measured: Up to approximately 7 days
Areas under the concentration-time curve from time zero to the time of last quantifiable concentration (AUC0-t) of JMKX000197
Measured: Up to approximately 7 days
Amount of Drug Excreted Via Urine and excrement During the Collection Interval 0-48 Hours Post Administration
Measured: Up to approximately 48 hours
Concentrations of IL-6 in plasma
Measured: Up to approximately 36 days
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Jun 2023
- Study start22 May 2023
- Primary completion30 Apr 2025 (estimated)
- Study completion1 May 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Malignant Pleural EffusionStudies of the same condition, open and under way.
- More trials run by JemincareThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Masking
- None (open label)
- Enrolment
- 78 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Jemincare
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Zhejiang Hangyu Pharmaceutical Co., Ltd.
- Responsible party
- Sponsor
- Investigators
- Jianying Huang, Principal investigator, Zhongnan Hospital of Wuhan University,No. 169, Donghu Road, Wuchang District, Wuhan, Hubei
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05923515
- Sponsor's protocol ID
- JY-JM-0197-101
- Status last verified
- Jun 2023
- First submitted
- 23 May 2023
- Last updated
- 28 Jun 2023
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 28 Jun 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase I, Open, Multicenter Clinical Study to Evaluate the Safety, Tolerance, Pharmacokinetics, Pharmacodynamics, and Preliminary Efficacy of JMKX000197 Injection in the Treatment of Malignant Pleural Effusion
- ClinicalTrials.gov ID
- NCT05923515
- Acronym / sponsor ID
- JY-JM-0197-101
- Conditions
- Malignant Pleural Effusion
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 78 participants (estimated)
- Lead sponsor
- JemincareIndustry (pharma, biotech, devices)
- Collaborators
- Zhejiang Hangyu Pharmaceutical Co., Ltd.
- Study start
- 22 May 2023 (actual)
- Primary completion
- 30 Apr 2025 (estimated)
- Study completion
- 1 May 2025 (estimated)
- First posted
- 28 Jun 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
A Phase I, Open, Multicenter Clinical Study to Evaluate the Safety, Tolerance, Pharmacokinetics, Pharmacodynamics, and Preliminary Efficacy of JMKX000197 Injection in the Treatment of Malignant Pleural Effusion
Detailed description
Primary objectives: To evaluate the safety and tolerability of JMKX000197 injection in the treatment of patients with malignant pleural effusion, explore DLT of JMKX000197 treatment, and determine MTD and RP2D.
Secondary objectives: To evaluate the pharmacokinetic (PK)/pharmacokinetic (PD) characteristics of JMKX000197 injection in the treatment of patients with malignant pleural effusion; To evaluate preliminarily efficacy of JMKX000197 injection in patients with malignant pleural effusion; To evaluate the drug metabolic transformation of JMKX000197 injection.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 8
| Arm | Type | Receives |
|---|---|---|
| JMKX000197 Dose 1 | Experimental | Drug: JMKX000197eight dose levels of JMKX000197 are evaluated in the dose escalation part.In the expansion cohort part, the biologically active dose(s) confirmed in the dose escalation part with one or more dosing regimens will be selected. |
| JMKX000197 Dose 2 | Experimental | Drug: JMKX000197eight dose levels of JMKX000197 are evaluated in the dose escalation part.In the expansion cohort part, the biologically active dose(s) confirmed in the dose escalation part with one or more dosing regimens will be selected. |
| JMKX000197 Dose 3 | Experimental | Drug: JMKX000197eight dose levels of JMKX000197 are evaluated in the dose escalation part.In the expansion cohort part, the biologically active dose(s) confirmed in the dose escalation part with one or more dosing regimens will be selected. |
| JMKX000197 Dose 4 | Experimental | Drug: JMKX000197eight dose levels of JMKX000197 are evaluated in the dose escalation part.In the expansion cohort part, the biologically active dose(s) confirmed in the dose escalation part with one or more dosing regimens will be selected. |
| JMKX000197 Dose 5 | Experimental | Drug: JMKX000197eight dose levels of JMKX000197 are evaluated in the dose escalation part.In the expansion cohort part, the biologically active dose(s) confirmed in the dose escalation part with one or more dosing regimens will be selected. |
| JMKX000197 Dose 6 | Experimental | Drug: JMKX000197eight dose levels of JMKX000197 are evaluated in the dose escalation part.In the expansion cohort part, the biologically active dose(s) confirmed in the dose escalation part with one or more dosing regimens will be selected. |
| JMKX000197 Dose 7 | Experimental | Drug: JMKX000197eight dose levels of JMKX000197 are evaluated in the dose escalation part.In the expansion cohort part, the biologically active dose(s) confirmed in the dose escalation part with one or more dosing regimens will be selected. |
| JMKX000197 Dose 8 | Experimental | Drug: JMKX000197eight dose levels of JMKX000197 are evaluated in the dose escalation part.In the expansion cohort part, the biologically active dose(s) confirmed in the dose escalation part with one or more dosing regimens will be selected. |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- The patient voluntarily joined the study, signed an informed consent form, and had good compliance.
- Age ≥ 18 years and ≤ 75 years old, regardless of gender.
- Malignant pleural effusion confirmed by histopathology or cytopathology as moderate or above and requiring drainage (definition of moderate pleural effusion: pleural effusion ≥ 3cm in lying position by B-ultrasound, pleural effusion ≥ 4cm in sitting position by B-ultrasound, accompanied by clinical symptoms such as chest tightness, shortness of breath, and discomfort).
- Karnofsky score ≥ 60, or physical fitness score (ECOG PS) ≤ 2.
- Expected survival time ≥ 3 months.
Key exclusion criteria (7 listed)
- Known allergies to the study drug or its excipient components.
- The location of pleural effusion is not suitable for drainage or the patient will not benefit from intrathoracic medication (e.g., severe separation).
- Have used interferon gene stimulating factor (STING) agonists, TNF drugs (such as Tianenfu) for thoracic injection.
- Have participated in other clinial trials within 4 weeks before signing the informed consent form.
- Have a history of immunodeficiency, including a positive test for human immunodeficiency virus (HIV) antibodies, or have other acquired or congenital immunodeficiency diseases, or have a history of organ transplantation.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| JMKX000197for injection | Drug | JMKX000197 Dose 1, JMKX000197 Dose 2, JMKX000197 Dose 3, JMKX000197 Dose 4, JMKX000197 Dose 5, JMKX000197 Dose 6, JMKX000197 Dose 7, JMKX000197 Dose 8 |
Primary outcome
Incidence of dose limiting toxicity
Time frame: Up to approximately 7 days at each dose level
Maximum tolerated dose
Time frame: Up to approximately 24 months
Recommended Phase II dose
Time frame: Up to approximately 24 months
9 secondary outcomes
Objective Response Rate(ORR)
Time frame: Up to approximately 36 days
Disease control rate, DCR
Time frame: Up to approximately 36 days
Maximum observed concentration (Cmax) of JMKX000197
Time frame: Up to approximately 7 days
Time to maximum concentration (Tmax) of JMKX000197
Time frame: Up to approximately 7 days
Half-life (t1/2) of JMKX000197
Time frame: Up to approximately 7 days
Areas under the concentration-time curve from time zero extrapolated to infinity (AUC0-inf) of JMKX000197
Time frame: Up to approximately 7 days
Areas under the concentration-time curve from time zero to the time of last quantifiable concentration (AUC0-t) of JMKX000197
Time frame: Up to approximately 7 days
Amount of Drug Excreted Via Urine and excrement During the Collection Interval 0-48 Hours Post Administration
Time frame: Up to approximately 48 hours
Concentrations of IL-6 in plasma
Time frame: Up to approximately 36 days
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Jun 2023.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Jianying Huang principal investigator
Zhongnan Hospital of Wuhan University,No. 169, Donghu Road, Wuchang District, Wuhan, Hubei
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing JMKX000197 in people with Malignant Pleural Effusion, run by Jemincare at 1 site in China.
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 8 inclusion and 7 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 28 Jun 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. 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 jianping Su (+86 15162481262, sujianping@jemincare.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Incidence of dose limiting toxicity (time frame: Up to approximately 7 days at each dose level). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 28 Jun 2023.