Safety Study of GC1118 (Recombinant Human Anti-EGFR Antibody) in Patients With Advanced Solid Cancer
A Prospective, Open-label, Dose Escalation (Part A) and Cohort Expansion (Part B) Phase 1 Study to Investigate the Safety, Tolerability, and Immunogenicity and to Determine Maximum Tolerated Dose and Recommended Phase 2 Dose of GC1118 (Recombinant Human Anti-EGFR Antibody) in Patients With Advanced Solid Cancers
1 other identifier
interventional
72
1 country
1
Brief Summary
The purpose of this study is to determine the maximum tolerated dose(MTD)/Recommended Phase 2 Dose(RP2D) and to evaluate the safety and tolerability of GC1118 when given by intravenous (IV) infusion to patients with stage IV solid tumors. The study will also evaluate pharmacokinetics, immunogenicity and antitumor effect of GC1118 and explore prognostic biomarkers and pharmacodynamic biomarkers.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1
Started Jan 2015
Typical duration for phase_1
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
January 1, 2015
CompletedFirst Submitted
Initial submission to the registry
January 21, 2015
CompletedFirst Posted
Study publicly available on registry
February 2, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2017
CompletedJuly 6, 2016
February 1, 2016
1.9 years
January 21, 2015
July 4, 2016
Conditions
Outcome Measures
Primary Outcomes (3)
Occurrence of Dose Limiting Toxicity (DLT)
Approx. 6 months
Frequency of Adverse Events
Approx. 6 months
Changes in safety parameters, laboratory values, vital signs and physical examinations
Vital sign assessment will include systolic and diastolic blood pressure, heart rate, respiration rate and temperature. Laboratory values will include hematology and clinical chemistry.
Approx. 6 months
Secondary Outcomes (5)
Overall Response Rate (ORR) as per Response Evaluation Criteria in Solid Tumors(RECIST) v1.1
Approx. 6 months
Disease Control Rate (DCR) as per Response Evaluation Criteria in Solid Tumors(RECIST) v1.1
Approx. 6 months
Progression-Free Survival (PFS) as per Response Evaluation Criteria in Solid Tumors(RECIST) v1.1 (Part B)
Approx. 6 months
Time versus plasma concentration profiles and basic PK parameters of GC1118
Approx. 6 months
Presence of Human Anti Drug Antibody
Approx. 6 months
Study Arms (1)
Single group assignment
EXPERIMENTALGC1118 recombinant human anti-EGFR antibody
Interventions
For Part A, GC1118 will be administered by IV infusion once per week for 4 weeks (28-day cycles) in the dose escalation cohorts, starting 0.3mg/kg until Maximum Tolerated Dose is defined. For Part B, the defined MTD/RP2D of GC1118 will be administered by IV infusion once per week for 4 weeks (28-day cycles) in patients with stage IV of gastric cancer, colorectal cancer or other cancers. For Part C, GC1118 will be administered by IV infusion once every 2 weeks for 4 weeks (28-day cycles) in patients with all stage IV advanced solid cancers. Part A, Part B and Part C participants who qualify for subsequent cycles will receive continued GC1118 until evidence of progression of disease.
Eligibility Criteria
You may qualify if:
- Willing and able to sign a written informed consent
- Nineteen (19) years of age or older
- For Part A and Part C, all stage IV advanced solid cancers For Part B, stage IV of gastric cancer, colorectal cancer or other cancer
- Cohort1: Metastatic CRC (K-RAS wild), No prior treatment with EGFR antibody therapeutics
- Cohort2: Metastatic CRC (K-RAS wild), Progressed over EGFR antibody therapeutics
- Cohort3: Advanced gastric or gastroesophageal junction cancer(EGFR++ or +++ /HER2-)
- For Part A and Part C, refractory solid tumors to conventional therapy (Progressive disease during or after previous conventional therapy)
- Eastern Cooperative Oncology Group (ECOG) Performance Status of less than or equal to 1
- Life expectancy of greater than or equal to 3 months
- Availability of a new tumor biopsy or able to obtain unstained slides of tumor within 3 years
- For Part B, at least one measurable tumor mass by RECIST v1.1
- Acceptable laboratory parameters
- If all AEs caused by the previous anti-cancer therapies including surgery, chemotherapy and radiation therapy have recovered to CTCAE grade 1 or below (except alopecia)
You may not qualify if:
- Has had any major surgery or any therapy within the last 4 weeks and/or not recovered from prior therapy
- Has had chemotherapy, surgery or radiotherapy within the previous 4 weeks
- Confirmed brain metastases
- Chronic Hepatitis C or known HIV positive patients
- Liver Cirrhosis or active hepatitis B virus (HBV) carrier
- Clinically significant interstitial pulmonary disease
- Has received prior treatment with cetuximab or anti-EGFR antibody therapy is not permitted in Part B(however, allowed in Part A and Part C)
- Clinically significant cardiac disease or impaired cardiac function
- Acute or subacute intestinal obstruction or Inflammatory bowel disease
- Has had immunotherapy, chemotherapy or hormonal therapy prohibited as per study protocol
- Has participated in any study using an investigational drug during the previous 4 weeks
- Known hypersensitivity to the study drug
- History of second primary malignancy within 3 years prior to starting study treatment (excluding early gastric cancer, thyroid cancer, cervical cancer or skin cancer)
- Severe renal impairment
- Severe hepatic impairment
- +5 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Seoul National University Hospital
Seoul, 110-744, South Korea
Related Publications (1)
Oh DY, Lee KW, Han SW, Kim JW, Shin JW, Jo SJ, Won J, Hahn S, Lee H, Kim WH, Bang YJ. A First-in-Human Phase I Study of GC1118, a Novel Anti-Epidermal Growth Factor Receptor Antibody, in Patients with Advanced Solid Tumors. Oncologist. 2019 Aug;24(8):1037-e636. doi: 10.1634/theoncologist.2019-0294. Epub 2019 Jun 4.
PMID: 31164456DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Central Study Contacts
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
January 21, 2015
First Posted
February 2, 2015
Study Start
January 1, 2015
Primary Completion
December 1, 2016
Study Completion
June 1, 2017
Last Updated
July 6, 2016
Record last verified: 2016-02