Inclusion Criteria:
1. Subjects who are able to understand and voluntarily sign informed consent forms
(ICFs).
2. Male and female subjects at the age of ≥18 at the time of screening.
3. Patients with histologically or cytologically-confirmed, primary malignant brain tumor
with (a) failure of prior standard therapy, (b) no standard therapy available, or (c)
for whom standard therapy is not applicable considered by the patient or treating
physician, or (d) intolerance to standard treatment. Subjects who were previously
treated with BRAF and/or MEK inhibitors are allowed to be enrolled in this study.
4. Documentation of positive BRAF V600 mutation is required for enrollment. It is
recommended to provide sufficient fresh/archived tumor tissue samples (formalin-fixed
paraffin-embedded tumor specimens [preferred]) or 5-10 available unstained sections of
good quality for verification of BRAF V600 mutation status at the central laboratory.
For any subject who is unable to provide suitable and adequate tumor specimens,
re-biopsy (with controllable safety) can be performed in a non-mandatory manner if it
is feasible as assessed by the investigator and the subject gives informed consent; if
re-biopsy is impossible or refused by the subject, his/her eligibility for enrollment
shall be confirmed by both the investigator and the sponsor.
5. Patients with primary malignant brain tumors that are asymptomatic, or that are
symptomatic but on a stable or decreasing dose of steroids for at least 2 weeks are
eligible for enrollment. The specific criteria are as follows:Subjects with inactive
and asymptomatic primary malignant brain tumors;Subjects who have active, mild
neurological signs and symptoms currently requiring no therapy with steroids, and have
no history of epileptic seizure within 2 weeks prior to initiation of
treatment;Subjects who have active, neurological signs and symptoms and were on a
stable or gradually reducing dose up to 5 mg of dexamethasone (or equivalent) per day
within 2 weeks prior to initiation of treatment;
6. Antitumor efficacy was evaluated using the RANO criteria, which required the presence
of at least one measurable lesion (the diameters that are perpendicular to each other
are not less than 10 mm). Lesions previously treated with radiotherapy shall not be
deemed as target lesions unless significant progression as shown on imaging.
7. Karnofsky PS score of ≥ 60.
8. Survival expectancy ≥ 3 months.
9. Adequate organ function (no blood transfusion and no use of granulocyte
colony-stimulating factor, or other hematopoietic stimulator support within 2 weeks
before the first administration of the study drug) confirmed as evidenced by:Absolute
Neutrophil Count (ANC) ≥ 1.5×10^9/L;Hemoglobin (Hgb) ≥ 90 g/dl;Platelets (Plt) ≥
75×10^9/L;AST/ALT ≤ 2.5 x ULN or ≤ 5.0 x ULN if liver metastases are present;Bilirubin
total ≤ 1.5 x ULN, or bilirubin direct < ULN for patients with bilirubin total levels
>1.5 ULN;Serum creatinine < 1.5 x ULN or creatinine clearance > 50 mL/min (as
calculated via Cockcroft-Gault formula based on the actual body weight of the
subject;International normalized ratio (INR) and activated partial thromboplastin time
(APTT) ≤ 1.5 x ULN for subjects not receiving anticoagulant therapy, and INR is
maintained within the standard range of treatment prior to starting study drug for
subjects receiving anticoagulant therapy.
10. Hepatitis B virus surface antigen (HBsAg) is negative, or HBsAg is positive but HBV
DNA titer is below the lower limit of positive detection of the participating site at
screening.HBsAg-positive or HBV-DNA positive subjects shall be managed according to
institutional guidelines (anti-HBV therapy, where appropriate, and close monitoring of
liver function and HBV-DNA replication shall be performed).
11. Negative hepatitis C virus (HCV) antibody test or positive HCV antibody test at the
time of screening followed by a negative HCV-RNA test result.HCV-RNA testing is
performed only for subjects with a positive HCV antibody test result.
12. Negative HIV test result at the time of screening.
13. All pre-menopausal women and women with menolipsis < 12 months should have a negative
pregnancy test result within 7 days before starting study treatment.
14. Must agree to take sufficient contraceptive methods before initiation of study
treatment, during the study, and for at least 3 months after the last dose of the
study drug.
15. Subjects who are able to swallow a capsule in whole (without chewing, crushing, or
opening).
Exclusion Criteria:
1. Women who are pregnant or breast-feeding.
2. Subjects with history of neoplasm malignant (except for primary malignant brain
tumors) within 5 years prior to screening, excluding cured carcinoma in situ of
cervix, non-melanoma skin cancer, localized prostate cancer and other tumors/cancers
that have undergone radical treatment and shown no signs of disease for at least 3
years (This exclusion criterion is only applicable for dose expansion stage). For the
dose escalation stage, any patient with double primary malignant solid tumors who can
indeed benefit from this study as confirmed by the investigator is eligible for the
screening.
3. Subjects with intracranial hypertension or associated risks (e.g., intracranial
infection, intracranial hemorrhage) to be controlled.
4. Subjects with clinically uncontrolled pleural effusion, pericardial effusion, or
ascites who, in the judgement of the investigator, are not eligible for enrollment.
5. Subjects with history of symptomatic stroke within 6 months prior to initiation of
study treatment.
6. Subjects with epileptic seizure within 14 days prior to initiation of study treatment.
7. Impaired cardiac function or clinically significant cardiovascular disorder, including
but not limited to any of the following:Left Ventricular Ejection Fraction (LVEF) <
50% as determined via cardiac ultrasound.Long QT syndrome congenital.QTcF (as
corrected via Fridericia formula) ≥ 450 ms at screening.Second-degree type II AV block
or third-degree AV block.Unstable angina pectoris within 6 months prior to starting
study drug.Acute myocardial infarction within 6 months prior to starting study
drug.New York Heart Association (NYHA) Class II or higher heart failure within 6
months prior to study treatment.Ventricular arrhythmias > Grade 2 within 6 months
prior to study treatment.Poorly controlled hypertension as defined as systolic blood
pressure of >160 mmHg or diastolic blood pressure of > 100 mmHg despite use of
antihypertensive medications.Combined with any pulmonary embolism, or presence of any
serious deep vein thrombosis on lower extremities that require medical interventions
such as vena cava filter insertion at the screening.
8. Poorly controlled diabetes (fasting glucose > 10 mmol/L or Glycosylated Haemoglobin
(HbA1c) > 8%) despite standard drug therapy.
9. Subjects with:CTCAE grade 2 or higher unresolved diarrhea, or Impaired
gastrointestinal (GI) function or GI diseases that may significantly alter the
absorption of ABM-1310 (e.g., ulcerative diseases, uncontrolled nausea, vomiting,
diarrhea, malabsorption syndrome, or small bowel resection)
10. Previous or current, Grade 2 or higher eye disorder, such as retinal vein occlusion
(RVO).
11. Severe chronic or active infections requiring intravenous anti-infective therapy
within 2 weeks prior to study treatment, including but not limited infectious
complications leading to hospitalization, bacteremia, severe pneumonia, or active
tuberculosis.Subjects with local fungal infections of skin or nails are allowed for
enrollment. Subjects receiving prophylactic antibiotics (e.g., to prevent urinary
tract infections or exacerbations of chronic obstructive pulmonary disease) are
eligible for study (except for antibiotics prohibited by the protocol).
12. Subjects with solid organ or hematopoietic stem cell transplant within the past 5
years.
13. Patients receiving chemotherapy, targeted therapy, or immunotherapy within 4 weeks
prior to study treatment, including the followings:Receiving nitrosourea or
mitomycin-C within 6 weeks prior to study treatment.Receiving fluorouracil or small
molecule targeted drug therapy within 5 half-lives or 2 weeks (whichever is longer)
prior to study treatment.Receiving Chinese herbal or patent medicine within 2 weeks
prior to study treatment for anti-tumor indications.
14. Patients receiving radiotherapy to head within 4 weeks prior to study treatment.
15. Adverse reactions resulted from prior antitumor therapy that have not resolved to
baseline or ≤ grade 1 (CTCAE 5.0) , except alopecia or ≤ grade 2 peripheral
neuropathy, hypothyroidism stabilized by hormone replacement therapy, etc.
16. Subjects who have undergone major surgery within 4 weeks prior to study treatment or
who have not recovered from side effects of such therapy or who are expected to
undergo major surgery during study treatment. However, a minimum of 2 weeks recovery
time from major surgery to starting study drug is required if in investigator's
opinion the patient has recovered from such major surgery.
17. Subjects currently receiving therapeutic doses of warfarin sodium or any other
coumarin-derivative anticoagulants.
18. Subjects who are currently receiving treatment with medication that has a known risk
to prolong the QT interval and cannot either be discontinued or switched to a
different medication prior to starting study drug.
19. Known, documented or suspected history of drug abuse, expect opioids prescribed for
pain relief, etc.
20. Past or current evidence of any condition, therapy, or laboratory abnormality that, in
the opinion of the investigator, might affect the results of the study, and interfere
with the subject's participation and study compliance.
21. Other severe and/or uncontrolled concomitant diseases that could cause unacceptable
safety risks or compromise compliance with the study protocol.
22. Other conditions that, in the judgement of the investigator, are inappropriate for
enrollment in the study.