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RAV12 in Treating Patients With Metastatic or Recurrent Adenocarcinoma

Primary Purpose

Cancer

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
monoclonal antibody RAV12
Sponsored by
MacroGenics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cancer focused on measuring adenocarcinoma of the bladder, adenocarcinoma of the colon, adenocarcinoma of the esophagus, adenocarcinoma of the extrahepatic bile duct, adenocarcinoma of the gallbladder, adenocarcinoma of the lung, adenocarcinoma of the pancreas, adenocarcinoma of the prostate, adenocarcinoma of the rectum, adenocarcinoma of the stomach, adenocarcinoma with squamous metaplasia of the gallbladder, cervical adenocarcinoma, endometrial adenocarcinoma, ovarian endometrioid adenocarcinoma, ovarian undifferentiated adenocarcinoma, salivary gland adenocarcinoma, small intestine adenocarcinoma, vaginal adenocarcinoma, vaginal clear cell adenocarcinoma, ovarian clear cell cystadenocarcinoma, ovarian mucinous cystadenocarcinoma, ovarian serous cystadenocarcinoma, stage IV bladder cancer, stage IV breast cancer, stage IV colon cancer, stage IV endometrial carcinoma, stage IV esophageal cancer, stage IV gastric cancer, stage IV non-small cell lung cancer, stage IV ovarian epithelial cancer, stage IV prostate cancer, stage IV rectal cancer, stage IV renal cell cancer, stage IV salivary gland cancer, stage IVA cervical cancer, stage IVA vaginal cancer, stage IVB cervical cancer, stage IVB vaginal cancer, recurrent bladder cancer, recurrent breast cancer, recurrent cervical cancer, recurrent colon cancer, recurrent endometrial carcinoma, recurrent esophageal cancer, recurrent extrahepatic bile duct cancer, recurrent gallbladder cancer, recurrent gastric cancer, recurrent non-small cell lung cancer, recurrent ovarian epithelial cancer, recurrent pancreatic cancer, recurrent prostate cancer, recurrent rectal cancer, recurrent renal cell cancer, recurrent salivary gland cancer, recurrent small intestine cancer, recurrent vaginal cancer, unresectable extrahepatic bile duct cancer, unresectable gallbladder cancer, stage IV pancreatic cancer

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

DISEASE CHARACTERISTICS: Histologically confirmed adenocarcinoma Metastatic or recurrent disease Not curable by standard therapies Must have failed at least 1, but no more than 3, prior therapies for metastatic or recurrent disease Patients with colorectal or breast adenocarcinoma must have failed at least 2 prior therapies Must have had at least stable disease for 3 months while on last treatment prior to most recent disease progression Meets 1 of the following criteria: At least 1 measurable site of disease ≥ 2 cm by radiography Evaluable disease that could be reliably and consistently followed, as deemed by the principal investigator RAAG12 expression confirmed* by immunohistochemistry NOTE: *Not required for patients with colon, pancreatic, or gastric adenocarcinoma No evidence of residual or recurrent CNS metastases Hormone receptor status: Not specified PATIENT CHARACTERISTICS: Age 18 and over Sex Not specified Menopausal status Not specified Performance status ECOG 0-1 Life expectancy More than 3 months Hematopoietic Platelet count ≥ 100,000/mm^3 Hemoglobin ≥ 9.0 g/dL (transfusions allowed) Absolute neutrophil count ≥ 1,500/mm^3 Hepatic Bilirubin ≤ 1.5 times upper limit of normal (ULN) AST and ALT ≤ 2.5 times ULN Alkaline phosphatase ≤ 2.5 times ULN γ-glutamyl transferase ≤ 2.5 times ULN Adequate hepatic function sufficient to undergo study therapy Renal Creatinine < 1.5 mg/dL Adequate renal function sufficient to undergo study therapy Cardiovascular No New York Heart Association class III or IV heart disease No thrombosis within the past 3 months, including any of the following: Deep vein thrombosis Myocardial infarction Stroke Adequate cardiac function sufficient to undergo study therapy Pulmonary No pulmonary embolism within the past 3 months No significant pulmonary compromise, particularly dependence on supplemental oxygen on an as-needed or continuous basis Adequate pulmonary function sufficient to undergo study therapy Immunologic No active viral, bacterial or systemic fungal infection requiring parenteral therapy within the past 4 weeks No history of chronic or recurrent infection requiring continual antiviral, antifungal, or antibacterial agents No known hypersensitivity to murine or recombinant proteins, polysorbate 80, or any excipient contained in study drug Other Amylase and lipase normal No other primary malignancy within the past 3 years except for the following: Treated non-melanoma skin cancer Carcinoma in situ of the cervix by biopsy Squamous intraepithelial lesion of the cervix by PAP smear Localized prostate cancer (Gleason score < 6) Resected melanoma in situ No other serious medical condition that would preclude study participation No dementia or altered mental status that would preclude giving informed consent Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception during and for 3 months after study participation PRIOR CONCURRENT THERAPY: Biologic therapy At least 3 half-lives since prior monoclonal antibody therapy No concurrent vaccinations No concurrent prophylactic hematologic growth factors Chemotherapy At least 4 weeks since prior chemotherapy Endocrine therapy No concurrent steroids except for the following: Inhaled, ophthalmic, or nasal steroids Stable dose of oral prednisone (or equivalent) ≤ 10 mg/day Radiotherapy At least 4 weeks since prior radiotherapy Surgery More than 4 weeks since prior major surgery Other More than 4 weeks since prior investigational agents Prior oral antiviral, antifungal, or antibacterial therapy allowed provided therapy was completed within the past week No other concurrent antineoplastic therapy No concurrent immunosuppressive medications No other concurrent investigational agents No concurrent vitamins except those approved by the medical monitor Concurrent daily multivitamin allowed Concurrent bisphosphonates allowed provided patient is on stable dose for ≥ 1 month prior to study entry

Sites / Locations

  • Premiere Oncology
  • Lombardi Comprehensive Cancer Center at Georgetown University Medical Center
  • University of Miami Sylvester Comprehensive Cancer Center - Miami
  • Fox Chase Cancer Center - Philadelphia
  • Sarah Cannon Cancer Center at Centennial Medical Center

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

RAV12

Arm Description

Outcomes

Primary Outcome Measures

Toxicity by CTCAE

Secondary Outcome Measures

Maximum tolerated dose
Pharmacokinetics of RAV12 by serum levels
Immunogenicity by Human Anti-chimeric antibodies
Time to tumor progression by clinical assessment
Progression free survival by clinical assessment

Full Information

First Posted
January 18, 2005
Last Updated
February 4, 2022
Sponsor
MacroGenics
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1. Study Identification

Unique Protocol Identification Number
NCT00101972
Brief Title
RAV12 in Treating Patients With Metastatic or Recurrent Adenocarcinoma
Official Title
A Phase I, Multi-Dose Study of RAV12 (ANTI-RAAG12 MAB) in Patients With Metastatic or Recurrent Adenocarcinoma
Study Type
Interventional

2. Study Status

Record Verification Date
February 2022
Overall Recruitment Status
Completed
Study Start Date
December 2004 (undefined)
Primary Completion Date
May 2008 (Actual)
Study Completion Date
May 2008 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
MacroGenics

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
RATIONALE: Monoclonal antibodies, such as RAV12, can block tumor growth in different ways. Some block the ability of tumor cells to grow and spread. Others find tumor cells and help kill them or carry tumor-killing substances to them. PURPOSE: This phase I trial is studying the side effects and best dose of RAV12 in treating patients with metastatic or recurrent adenocarcinoma.
Detailed Description
OBJECTIVES: Determine the maximum tolerated dose of RAV12 in patients with metastatic or recurrent adenocarcinoma. Determine the toxicity profile of this drug in these patients. Determine the pharmacokinetics and immunogenicity of this drug in these patients. Determine, preliminarily, the antitumor activity of this drug in these patients. OUTLINE: This is an open-label, dose-escalation study. Patients receive RAV12 IV over 2 hours 2-3 times per week in weeks 1-4 (course 1). Patients are evaluated for response on day 43. Patients achieving a partial or complete response may be eligible to receive additional courses of RAV12 as above. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of RAV12 until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 6 patients experience dose-limiting toxicity. Up to 15 additional patients are treated at the MTD in 1 or more patients groups (e.g., colorectal, pancreatic, gastroesophageal, and other adenocarcinoma). After completion of study treatment, patients are followed within 4 weeks and then every 6-12 months thereafter. PROJECTED ACCRUAL: A total of 75 patients will be accrued for this study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cancer
Keywords
adenocarcinoma of the bladder, adenocarcinoma of the colon, adenocarcinoma of the esophagus, adenocarcinoma of the extrahepatic bile duct, adenocarcinoma of the gallbladder, adenocarcinoma of the lung, adenocarcinoma of the pancreas, adenocarcinoma of the prostate, adenocarcinoma of the rectum, adenocarcinoma of the stomach, adenocarcinoma with squamous metaplasia of the gallbladder, cervical adenocarcinoma, endometrial adenocarcinoma, ovarian endometrioid adenocarcinoma, ovarian undifferentiated adenocarcinoma, salivary gland adenocarcinoma, small intestine adenocarcinoma, vaginal adenocarcinoma, vaginal clear cell adenocarcinoma, ovarian clear cell cystadenocarcinoma, ovarian mucinous cystadenocarcinoma, ovarian serous cystadenocarcinoma, stage IV bladder cancer, stage IV breast cancer, stage IV colon cancer, stage IV endometrial carcinoma, stage IV esophageal cancer, stage IV gastric cancer, stage IV non-small cell lung cancer, stage IV ovarian epithelial cancer, stage IV prostate cancer, stage IV rectal cancer, stage IV renal cell cancer, stage IV salivary gland cancer, stage IVA cervical cancer, stage IVA vaginal cancer, stage IVB cervical cancer, stage IVB vaginal cancer, recurrent bladder cancer, recurrent breast cancer, recurrent cervical cancer, recurrent colon cancer, recurrent endometrial carcinoma, recurrent esophageal cancer, recurrent extrahepatic bile duct cancer, recurrent gallbladder cancer, recurrent gastric cancer, recurrent non-small cell lung cancer, recurrent ovarian epithelial cancer, recurrent pancreatic cancer, recurrent prostate cancer, recurrent rectal cancer, recurrent renal cell cancer, recurrent salivary gland cancer, recurrent small intestine cancer, recurrent vaginal cancer, unresectable extrahepatic bile duct cancer, unresectable gallbladder cancer, stage IV pancreatic cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
53 (Actual)

8. Arms, Groups, and Interventions

Arm Title
RAV12
Arm Type
Experimental
Intervention Type
Biological
Intervention Name(s)
monoclonal antibody RAV12
Intervention Description
Escalating doses of RAV12 (weekly 0.3, 1.0, 1.5, 3.0, 4.0, 5.0, 6.0 mg/kg or 0.5 mg/kg BIW or TIW; 0.75 mg/kg BIW) for 4 weeks
Primary Outcome Measure Information:
Title
Toxicity by CTCAE
Time Frame
Days 1-50
Secondary Outcome Measure Information:
Title
Maximum tolerated dose
Time Frame
Days 1-50
Title
Pharmacokinetics of RAV12 by serum levels
Time Frame
Days 1, 2, 4, 5, 8, 15, 22, 29, 36, 43, and 50
Title
Immunogenicity by Human Anti-chimeric antibodies
Time Frame
Days 1, 8, 15, 22, and 50
Title
Time to tumor progression by clinical assessment
Time Frame
6 months
Title
Progression free survival by clinical assessment
Time Frame
3 and 6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically confirmed adenocarcinoma Metastatic or recurrent disease Not curable by standard therapies Must have failed at least 1, but no more than 3, prior therapies for metastatic or recurrent disease Patients with colorectal or breast adenocarcinoma must have failed at least 2 prior therapies Must have had at least stable disease for 3 months while on last treatment prior to most recent disease progression Meets 1 of the following criteria: At least 1 measurable site of disease ≥ 2 cm by radiography Evaluable disease that could be reliably and consistently followed, as deemed by the principal investigator RAAG12 expression confirmed* by immunohistochemistry NOTE: *Not required for patients with colon, pancreatic, or gastric adenocarcinoma No evidence of residual or recurrent CNS metastases Hormone receptor status: Not specified PATIENT CHARACTERISTICS: Age 18 and over Sex Not specified Menopausal status Not specified Performance status ECOG 0-1 Life expectancy More than 3 months Hematopoietic Platelet count ≥ 100,000/mm^3 Hemoglobin ≥ 9.0 g/dL (transfusions allowed) Absolute neutrophil count ≥ 1,500/mm^3 Hepatic Bilirubin ≤ 1.5 times upper limit of normal (ULN) AST and ALT ≤ 2.5 times ULN Alkaline phosphatase ≤ 2.5 times ULN γ-glutamyl transferase ≤ 2.5 times ULN Adequate hepatic function sufficient to undergo study therapy Renal Creatinine < 1.5 mg/dL Adequate renal function sufficient to undergo study therapy Cardiovascular No New York Heart Association class III or IV heart disease No thrombosis within the past 3 months, including any of the following: Deep vein thrombosis Myocardial infarction Stroke Adequate cardiac function sufficient to undergo study therapy Pulmonary No pulmonary embolism within the past 3 months No significant pulmonary compromise, particularly dependence on supplemental oxygen on an as-needed or continuous basis Adequate pulmonary function sufficient to undergo study therapy Immunologic No active viral, bacterial or systemic fungal infection requiring parenteral therapy within the past 4 weeks No history of chronic or recurrent infection requiring continual antiviral, antifungal, or antibacterial agents No known hypersensitivity to murine or recombinant proteins, polysorbate 80, or any excipient contained in study drug Other Amylase and lipase normal No other primary malignancy within the past 3 years except for the following: Treated non-melanoma skin cancer Carcinoma in situ of the cervix by biopsy Squamous intraepithelial lesion of the cervix by PAP smear Localized prostate cancer (Gleason score < 6) Resected melanoma in situ No other serious medical condition that would preclude study participation No dementia or altered mental status that would preclude giving informed consent Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception during and for 3 months after study participation PRIOR CONCURRENT THERAPY: Biologic therapy At least 3 half-lives since prior monoclonal antibody therapy No concurrent vaccinations No concurrent prophylactic hematologic growth factors Chemotherapy At least 4 weeks since prior chemotherapy Endocrine therapy No concurrent steroids except for the following: Inhaled, ophthalmic, or nasal steroids Stable dose of oral prednisone (or equivalent) ≤ 10 mg/day Radiotherapy At least 4 weeks since prior radiotherapy Surgery More than 4 weeks since prior major surgery Other More than 4 weeks since prior investigational agents Prior oral antiviral, antifungal, or antibacterial therapy allowed provided therapy was completed within the past week No other concurrent antineoplastic therapy No concurrent immunosuppressive medications No other concurrent investigational agents No concurrent vitamins except those approved by the medical monitor Concurrent daily multivitamin allowed Concurrent bisphosphonates allowed provided patient is on stable dose for ≥ 1 month prior to study entry
Facility Information:
Facility Name
Premiere Oncology
City
Santa Monica
State/Province
California
ZIP/Postal Code
90404
Country
United States
Facility Name
Lombardi Comprehensive Cancer Center at Georgetown University Medical Center
City
Washington
State/Province
District of Columbia
ZIP/Postal Code
20007
Country
United States
Facility Name
University of Miami Sylvester Comprehensive Cancer Center - Miami
City
Miami
State/Province
Florida
ZIP/Postal Code
33136
Country
United States
Facility Name
Fox Chase Cancer Center - Philadelphia
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19111-2497
Country
United States
Facility Name
Sarah Cannon Cancer Center at Centennial Medical Center
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
20179219
Citation
Burris HA 3rd, Rosen LS, Rocha-Lima CM, Marshall J, Jones S, Cohen RB, Kunkel LA, Loo D, Baughman J, Stewart SJ, Lewis N. Phase 1 experience with an anti-glycotope monoclonal antibody, RAV12, in recurrent adenocarcinoma. Clin Cancer Res. 2010 Mar 1;16(5):1673-81. doi: 10.1158/1078-0432.CCR-09-2263. Epub 2010 Feb 23.
Results Reference
result

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RAV12 in Treating Patients With Metastatic or Recurrent Adenocarcinoma

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