A Dose Escalation Study of AV-380 in Cancer Patients With Cachexia
A Phase 1B Dose Escalation Study of AV-380 in Combination With Standard of Care Chemotherapy in Metastatic Cancer Patients With Cachexia and Elevated GDF-15 Levels
1 other identifier
interventional
30
1 country
12
Brief Summary
This open label ascending dose study is designed to evaluate the safety, pharmacokinetics (PK), pharmacodynamics (PD), and immunogenicity of AV-380 in cancer patients with Cachexia. AV-380 is an immunoglobulin (Ig) G1 monoclonal antibody (mAb) intended to bind circulating human growth differentiation factor 15 (GDF-15), a cytokine involved in cancer-induced cachexia.
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 Jun 2023
Typical duration for phase_1
12 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
May 2, 2023
CompletedFirst Posted
Study publicly available on registry
May 19, 2023
CompletedStudy Start
First participant enrolled
June 13, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 31, 2026
January 8, 2026
January 1, 2026
3.5 years
May 2, 2023
January 7, 2026
Conditions
Outcome Measures
Primary Outcomes (3)
Assessment of adverse events (AEs)
AEs as characterized by incidence, type, frequency, and severity (graded according to National Cancer Institute Common Terminology Criteria for Adverse Events \[NCI CTCAE\])
From enrollment to the last follow-up visit approximately 60-days post dose
Toxicity
Dose-limiting Toxicity (DLT) events observed at increasing doses of AV-380
While receiving study drug (up to 4 months)
Laboratory Abnormalities
Laboratory abnormalities as characterized by type, frequency, severity (graded according to NCI-CTCAE v5.0) and timing.
From enrollment to the last follow-up visit approximately 60-days post dose.
Secondary Outcomes (3)
Cmax
From first dose to the last follow-up visit approximately 60-days post dose.
Tmax
From first dose to the last follow-up visit approximately 60-days post dose
AUC(0-t)
From first dose to the last follow-up visit approximately 60-days post dose.
Other Outcomes (9)
Immunogenicity
From first dose to the last follow-up visit approximately 60-days post dose.
Weight
From enrollment to the last follow-up visit approximately 60-days post dose.
Patient-Reported Outcomes
From enrollment to the end of treatment, approximately 4 months
- +6 more other outcomes
Study Arms (1)
Dose Escalation Cohorts
EXPERIMENTALExperimental: Dose escalation cohorts of AV-380 administered by IV infusion
Interventions
AV-380 is an immunoglobulin (Ig) G1 monoclonal antibody (mAb) intended to bind circulating human growth differentiation factor 15 (GDF-15), a cytokine involved in cancer-induced cachexia.
Eligibility Criteria
You may qualify if:
- Patient must be ≥ 18 years of age at the time of signing the informed consent.
- Patients with histologically confirmed solid tumor cancer who are actively receiving SoC therapy for this cancer.
- Patients with cachexia as defined by Fearon criteria:
- Weight loss \> 5% over past 6 months (in absence of simple starvation), or
- BMI \< 20 kg/m2 and any degree of weight loss \> 2%, or
- Sarcopenia and any degree of weight loss \> 2%
- Patients with life expectancy ≥ 3 months
You may not qualify if:
- History of allergic or anaphylactic reaction to any monoclonal antibody (IgG protein) or molecules made of components of monoclonal antibody
- Known brain metastases or cranial epidural disease unless adequately treated with radiotherapy and/or surgery (including radiosurgery) and stable for at least 2 weeks before first dose of study treatment.
- Myocardial infarction or heart failure of New York Heart Association Grade 3-4 within 3 months prior to start of protocol therapy
- Uncontrolled pericardial effusion, or ascites requiring recurrent drainage procedures (once monthly or more frequently)
- Cachexia is caused by other reasons (e.g., severe chronic obstructive pulmonary disease, heart failure, or HIV/AIDS), or the patient has uncontrolled reversible causes of reduced oral food intake, including, but not limited to, oral mucositis, nausea/vomiting, diarrhea, and/or obstruction, impairing the patient's ability to eat as determined by the Investigator.
- Patients receiving tube feedings or parenteral nutrition at the time of Screening.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (12)
Beverly Hills Cancer Center
Beverly Hills, California, 90211, United States
Cancer and Blood Specialty Clinic
Lakewood, California, 90712, United States
Hoag Memorial Hospital
Newport Beach, California, 92663, United States
Hartford Hospital
Hartford, Connecticut, 06102, United States
Advent Health Orlando Hospital
Orlando, Florida, 32804, United States
Nebraska Cancer Specialists
Omaha, Nebraska, 68130, United States
Astera Cancer Care
East Brunswick, New Jersey, 08816, United States
New York Cancer And Blood Specialists
Shirley, New York, 11967, United States
Oregon Health and Science University
Portland, Oregon, 97239, United States
MUSC Hollings Cancer Center
Charleston, South Carolina, 29425, United States
Vanderbilt University Henry-Joyce Cancer Clinic
Nashville, Tennessee, 37232, United States
Community Clinical Trials
Kingwood, Texas, 77339, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SEQUENTIAL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 2, 2023
First Posted
May 19, 2023
Study Start
June 13, 2023
Primary Completion (Estimated)
December 1, 2026
Study Completion (Estimated)
December 31, 2026
Last Updated
January 8, 2026
Record last verified: 2026-01
Data Sharing
- IPD Sharing
- Will not share