Phase I Trial of Tanibirumab in Advanced or Metastatic Cancer
A Phase I Study of the Safety and Pharmacokinetics of a Fully Human Monoclonal Antibody to the Vascular Endothelial Growth Factor Receptor2 (Tanibirumab) in Patients With Advanced Cancers or Metastatic Cancer
1 other identifier
interventional
26
1 country
1
Brief Summary
The primary objective of this study is to assess the safety, tolerability, and maximum tolerated dose (MTD) of Tanibirumab in patients with advanced or metastatic cancer who are refractory or for whom there are no standard therapeutic option.
- To evaluate the pharmacokinetics of Tanibirumab in such patients
- To determine a recommended phase II dose (RP2D) of Tanibirumab based on above assessments
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_1
Started Nov 2011
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 2011
CompletedFirst Submitted
Initial submission to the registry
August 6, 2012
CompletedFirst Posted
Study publicly available on registry
August 8, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2013
CompletedJanuary 29, 2014
January 1, 2014
1.8 years
August 6, 2012
January 27, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Safety and tolerability
The safety and tolerability of Tanibirumab will be assessed using the following measures: frequency and nature of dose-limiting toxicities (DLTs); nature, severity, and relatedness of adverse events, graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events, v4.0; changes in vital signs; and changes in clinical laboratory parameters.
28days
Secondary Outcomes (2)
Pharmacokinetics
Cycle 1 : predose, 0.5, 2, 4, 24 and 72 hours after 1st dose, predose and 0.5 hours after 2nd dose, predose, 0.5, 2, 4, 24, 72, 168 and 336 hours after 3rd dose. After cycle 2: predose of 1st dose and 0.5 hour after 3rd dose.
Efficacy
completion of 2 and more cycle
Study Arms (1)
Tanibirumab
EXPERIMENTALThe total dose of Tanibirumab for each patient will depend on dose level assignment and the patient's weight. Dose levels to be potentially tested in Phase I include: 1 mg/kg, 2 mg/kg, 4 mg/kg, 8 mg/kg, 12 mg/kg, 16 mg/kg, and 20 mg/kg.
Interventions
Eligibility Criteria
You may qualify if:
- Age \> 20 years
- Signed informed consent
- Histologically documented, incurable, locally advanced or metastatic cancers that have failed to respond to at least one prior regimen or for which there is no standard therapy.
- Disease that is measurable or evaluable by RECIST 1.1 criteria (for Solid Tumors)
- ECOG performance status 0-2
- Documented negative pregnancy test for women of childbearing potential and use of an effective means of contraception for both men and women while enrolled in the study
- Granulocyte count ≥ 1,500/㎣, platelet count ≥ 100,000/㎣, and hemoglobin ≥ 9 g/dL
- Serum bilirubin ≤ 1.5 x upper limit of normal (ULN)(≤ 3 x ULN if liver metastatic cancer)
- Alkline phosphatase, AST and ALT ≤ 2.5 x ULN (≤ 5 x ULN if liver metastatic cancer)
- Serum creatinine ≤ 1.5 mg/dL
- INR (international normalized ratio) ≤ 1.3, and aPTT (activated partial thromboplastin time) ≤ 1.5 x ULN
- Subject had to have a projected life expectancy of at least 3 months
- Bazetts correction QTc \< 450 msec in ECG at Screening
You may not qualify if:
- Less than 4 weeks since last chemotherapy (including biologic unless previous Avastin treatment, experimental, and hormonal therapy), radiation therapy, or major surgical procedure
- All incisions from any procedure must be fully healed and sutures removed prior to infusion on Day 1
- Pleural effusions, ascites, or leptomeningeal disease as the only manifestation of the current malignancy
- Subjects that have hypertension that is remained uncontrolled, despite drug regimen.
- Subjects with grade III or IV hemorrhage/bleeding and who have experienced pulmonary hemorrhage/hemoptysis (exceed size of 2.5 mL of erythrocyte) or who have experienced grade III/IV hemorrhage/bleeding.
- The presence of gastrointestinal perforation
- The presence of tracheoesophageal fistula or grade Ⅳ fistula
- Subjects with grade Ⅳ proteinuria (nephritic syndrome)
- The presence of arterial thromboembolic events
- Subjects who have history of life threatening (grade Ⅳ) pulmonary embolism
- Subjects with a known hypersensitivity to CHO cell product or other recombined human or humanized antibody
- Subjects with mental illness
- Subjects with a known hypersensitivity to any of the ingredients/substrates in investigational product of this study
- Subjects who given any investigational drug within longer period between 30 days and 5 times of half life before participation in this study
- Active infection requiring IV antibiotics
- +6 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- PharmAbcinelead
Study Sites (1)
Samsung Medical Center
Seoul, 135-230, South Korea
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Young Seok Park, MD, PhD
Samsung Medical Center
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 6, 2012
First Posted
August 8, 2012
Study Start
November 1, 2011
Primary Completion
September 1, 2013
Study Completion
September 1, 2013
Last Updated
January 29, 2014
Record last verified: 2014-01