[Translation] A Phase I clinical trial to evaluate the safety, tolerability, pharmacokinetic/pharmacodynamic characteristics and preliminary efficacy of NTQ3617 tablets in patients with advanced malignant solid tumors
剂量递增:(1)评价NTQ3617片在晚期恶性实体肿瘤患者中的安全性和耐受性;(2)评价NTQ3617片剂量限制性毒性(DLT),确定最大耐受剂量(MTD)。
剂量扩展:(1)评估NTQ3617片在MTAP缺失的晚期恶性实体肿瘤患者中的RP2D;(2)进一步评估NTQ3617片的安全性和耐受性。
次要目的:
· 评价NTQ3617片在晚期恶性实体肿瘤患者中的药代动力学(PK)特征;
· 评价血浆中S-腺苷甲硫氨酸(SAM)浓度的变化,确定NTQ3617的药效学(PD)特征;
· 评价NTQ3617片治疗晚期恶性实体肿瘤以及MTAP缺失肿瘤人群的初步疗效(ORR、DCR、DOR、PFS等);
· 如数据允许,NTQ3617血药浓度的所有数据将用于群体药代动力学(PopPK)分析,表征NTQ3617在适应症患者中的PK特征,评价NTQ3617人体内暴露量与PD、疗效和不良事件之间的关系。
探索性目的:
· 探索性分析给药前后肿瘤组织中对称二甲基精氨酸(SDMA)的变化;
· 通过对肿瘤样本的生化或遗传分析探索潜在其他生物标志物。
[Translation] Dose escalation: (1) Evaluate the safety and tolerability of NTQ3617 tablets in patients with advanced malignant solid tumors; (2) Evaluate the dose-limiting toxicity (DLT) of NTQ3617 tablets and determine the maximum tolerated dose (MTD).
Dose expansion: (1) Evaluate the RP2D of NTQ3617 tablets in patients with advanced malignant solid tumors with MTAP deletion; (2) Further evaluate the safety and tolerability of NTQ3617 tablets.
Secondary objectives:
· To evaluate the pharmacokinetic (PK) characteristics of NTQ3617 tablets in patients with advanced malignant solid tumors;
· To evaluate the changes in plasma S-adenosylmethionine (SAM) concentrations and determine the pharmacodynamic (PD) characteristics of NTQ3617;
· To evaluate the preliminary efficacy (ORR, DCR, DOR, PFS, etc.) of NTQ3617 tablets in the treatment of advanced malignant solid tumors and MTAP-deficient tumor populations;
· If data permit, all data on NTQ3617 blood drug concentrations will be used for population pharmacokinetic (PopPK) analysis to characterize the PK characteristics of NTQ3617 in patients with indications and to evaluate the relationship between NTQ3617 exposure in humans and PD, efficacy, and adverse events.
Exploratory objectives:
· To conduct an exploratory analysis of changes in symmetric dimethylarginine (SDMA) in tumor tissues before and after administration;
· To explore potential other biomarkers through biochemical or genetic analysis of tumor samples.