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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04353102
Registration number
NCT04353102
Ethics application status
Date submitted
17/04/2020
Date registered
20/04/2020
Date last updated
22/07/2022
Titles & IDs
Public title
A Study to Evaluate the Safety, Tolerability and How YH002 Enters, Moves Through and Exits the Body in Subjects With Advanced Solid Malignancies
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Scientific title
A First-in-Human (FIH), Multicenter, Open-Label, Phase 1 Dose-Escalation Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of YH002 in Subjects With Advanced Solid Malignancies
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Secondary ID [1]
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YH002002
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Advanced Solid Malignancies
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - YH002
Experimental: YH002 - All subject will receive YH002 intravenously as single agent every three weeks (Q3W) for up to 2 years, until intolerable toxicity, confirmed disease progression, withdrawal of consent, or Investigator decision, whichever comes first. Subjects who remain on treatment in the absence of disease progression for more than 2 years may continue to receive study drug through a single patient IND.
Treatment: Drugs: YH002
YH002 will be administered intravenously every three weeks (Q3W) for up to 2 years at doses of Dose A, Dose B, Dose C, Dose D, Dose E, Dose F, Dose G, and Dose H.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Number of participants with adverse events and serious adverse events
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Assessment method [1]
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The safety profile of YH002 will be assessed by monitoring the adverse events (AE) per the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v5.0
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Timepoint [1]
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From screening up to 2 year
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Primary outcome [2]
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Maximum tolerated dose (MTD)
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Assessment method [2]
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MTD is defined as the highest dose level at which no more than 1 out of 6 subjects experiences a DLT during the first cycle
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Timepoint [2]
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Cycle 1 of each cohort. Duration of one cycle is 3 weeks
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Primary outcome [3]
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Dose-limiting toxicities (DLT)
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Assessment method [3]
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DLT is defined as a toxicity (adverse event at least possibly related to YH002) occurring during the DLT observation period (the initial 21 days)
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Timepoint [3]
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Cycle 1 of each cohort. Duration of one cycle is 3 weeks
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Secondary outcome [1]
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Area under the serum concentration versus time curve within one dosing interval (AUCtau)
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Assessment method [1]
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To determine the pharmacokinetics (PK) profile of YH002
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Timepoint [1]
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Up to 2 years
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Secondary outcome [2]
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Volume of distribution (Vd)
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Assessment method [2]
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To determine the pharmacokinetics (PK) profile of YH002
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Timepoint [2]
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Up to 2 years
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Secondary outcome [3]
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Volume of distribution at steady state (Vss)
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Assessment method [3]
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To determine the pharmacokinetics (PK) profile of YH002
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Timepoint [3]
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Up to 2 years
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Secondary outcome [4]
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Maximum serum concentration (Cmax)
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Assessment method [4]
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To determine the PK profile of YH002 as single agent
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Timepoint [4]
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Up to 2 years
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Secondary outcome [5]
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Trough concentration before the next dose is administered (Ctrough)
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Assessment method [5]
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To determine the PK profile of YH002
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Timepoint [5]
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Up to 2 years
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Secondary outcome [6]
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Time to reach maximum serum concentration (Tmax)
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Assessment method [6]
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To determine the PK profile of YH002
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Timepoint [6]
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Up to 2 years
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Secondary outcome [7]
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Clearance (CL)
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Assessment method [7]
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To determine the PK profile of YH002
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Timepoint [7]
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Up to 2 years
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Secondary outcome [8]
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Terminal half-life (T1/2)
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Assessment method [8]
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To determine the PK profile of YH002
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Timepoint [8]
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Up to 2 years
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Secondary outcome [9]
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Dose proportionality
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Assessment method [9]
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To determine the PK profile of YH002
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Timepoint [9]
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Up to 2 years
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Secondary outcome [10]
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Incidence of anti-drug antibodies (ADAs)
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Assessment method [10]
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To assess the immunogenicity of YH002
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Timepoint [10]
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Up to 2 years
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Secondary outcome [11]
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Incidence of neutralizing antibodies (NAbs)
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Assessment method [11]
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To assess the immunogenicity of YH002
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Timepoint [11]
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Up to 2 years
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Secondary outcome [12]
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Objective response rate (ORR)
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Assessment method [12]
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To assess the preliminary antitumor activity of YH002
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Timepoint [12]
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Up to 2 years
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Secondary outcome [13]
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Duration of response (DOR)
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Assessment method [13]
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To assess the preliminary antitumor activity of YH002
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Timepoint [13]
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Up to 2 years
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Secondary outcome [14]
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Progression free survival (PFS)
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Assessment method [14]
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To assess the preliminary antitumor activity of YH002
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Timepoint [14]
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Up to 2 years
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Secondary outcome [15]
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Time to response (TTR)
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Assessment method [15]
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To assess the preliminary antitumor activity of YH002
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Timepoint [15]
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Up to 2 years
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Secondary outcome [16]
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Disease control rate (DCR)
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Assessment method [16]
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To assess the preliminary antitumor activity of YH002
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Timepoint [16]
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Up to 2 years
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Secondary outcome [17]
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Duration of disease control (DOC)
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Assessment method [17]
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To assess the preliminary antitumor activity of YH002
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Timepoint [17]
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Up to 2 years
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Eligibility
Key inclusion criteria
* Male or female, aged = 18 years
* Confirmed as histologically or cytologically, locally advanced or metastatic non-resectable solid tumors, must have received and progressed on, or been ineligible for, or intolerant of available standard therapies known to confer clinical benefit or for whom no standard therapy exits
* Subjects enrolled in Dose D, Dose E, Dose F, Dose G, and Dose H cohorts must have at least one measurable lesion per RECIST v1.1
* Eastern Cooperative Oncology Group (ECOG) performance status score 0 or 1 and life expectancy no less than 3 months
* Recovery, to Grade 0-1, from adverse events related to prior anticancer therapy except alopecia, < Grade 2 sensory neuropathy, lymphopenia, and endocrinopathies controlled with hormone replacement therapy
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Symptomatic central nervous system (CNS) metastases. Subjects with asymptomatic CNS metastases who are radiologically and neurologically stable = 4 weeks following CNS- directed therapy, and do not require corticosteroids or anticonvulsants are eligible for study entry
* Received anticancer therapy or radiation therapy within 5 half-lives or 4 weeks prior to study entry, whichever is shorter
* Received palliative radiotherapy to a single area of metastasis within 2 weeks prior to study entry
* Received agonist antibodies to TNFR such as anti-CD137, OX40, CD27 and CD357 antibodies prior to the study entry
* Allergy or sensitivity to YH002, or known allergies to antibodies produced from Chinese hamster ovary cells which assessed to increase the potential for an adverse hypersensitivity to YH002 by Investigator
* History of a Grade 3-4 allergic reaction to treatment with another monoclonal antibody
* Grade =3 irAEs or irAEs that lead to discontinuation of prior immunotherapy. Hypothyroidism, Type 1 DM, and dermatologic irAEs (except previous Steven Johnson Syndrome, toxic epidermal necrolysis, or other severe forms of dermatitis). Type 1 DM should be controlled with reduction of toxicity to Grade 1 or less
* Concomitant active autoimmune disease or history of autoimmune disease requiring systemic treatment or history of autoimmune disease within 2 years prior to study entry (except vitiligo, resolved childhood asthma/atopy, type I diabetes mellitus or hypothyroidism which can be managed by replacement therapy)
* Received steroids or other immunosuppressive systemic therapy within 4 weeks prior to the first dose of the study drug, or has need to be treated during the study (except using on low systemic absorption location prevent or treat non- autoimmune condition)
* Active hepatitis B or C. Hepatitis B carriers without active disease or cured Hepatitis C may be enrolled
* Severe cardiovascular disease within 6 months of study entry
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
22/04/2020
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
24/11/2021
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Sample size
Target
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Accrual to date
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Final
15
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Recruitment in Australia
Recruitment state(s)
NSW,VIC
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Recruitment hospital [1]
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St George Private Hospital - Kogarah
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Recruitment hospital [2]
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Macquarie University - Macquarie
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Recruitment hospital [3]
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Peninsula & South Eastern Haematology and Oncology Group - Frankston
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Recruitment postcode(s) [1]
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2217 - Kogarah
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Recruitment postcode(s) [2]
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2162 - Macquarie
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Recruitment postcode(s) [3]
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3199 - Frankston
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Eucure (Beijing) Biopharma Co., Ltd
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This is an open-label, dose-escalation study of the study drug YH002. The study is designed to determine the safety, tolerability and maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D) of YH002 in patients with advanced solid Malignancies
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Trial website
https://clinicaltrials.gov/study/NCT04353102
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04353102
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