Zalutumumab Pharmacokinetics (PK) in Squamous Cell Carcinoma of the Head and Neck (SCCHN)
Primary Purpose
Head and Neck Cancer
Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
zalutumumab
Sponsored by
About this trial
This is an interventional treatment trial for Head and Neck Cancer focused on measuring Squamous Cell Carcinoma of the Head and Neck, Head and Neck Cancer, Head and Neck Neoplasms, anti-EGFr monoclonal antibody, Zalutumumab
Eligibility Criteria
Inclusion Criteria:
- Males and females ≥ 18 years.
- Diagnosis of squamous cell carcinoma of the oral cavity, oropharynx, hypopharynx or larynx, considered incurable with standard therapy. Diagnosis will have been confirmed using a biopsy of the tumour.
- Patients having, based on the investigators judgment, had disease progression and for whom curative therapy is not possible.
- Patients with a WHO performance status ≤ 2 and a life expectancy of greater than 3 months.
- Following receipt of verbal and written information about the study, the patient must provide signed informed consent before any study related activity is carried out.
Exclusion Criteria:
- Patients previously treated with any Epidermal Growth Factor Receptor (EGFR) targeted therapy such as anti-EGFR monoclonal antibodies or small molecule inhibitors within 6 months prior to visit 2 (first treatment).
Received the following treatments within 4 weeks prior to Visit 2 (first treatment):
- Cytotoxic or cytostatic anticancer chemotherapy
- Total tumor resection
- Radiotherapy of > 50 Gy to gross tumor volume
- Chronic or current infectious disease such as, but not limited to, chronic renal infection, chronic chest infection with bronchiectasis, sinusitis, and tuberculosis
- Clinically significant cardiac disease including unstable angina, acute myocardial infarction within six months from Visit 1 (screening), congestive heart failure, and arrhythmia requiring therapy, with the exception of extra systoles or minor conduction abnormalities
- Significant concurrent, uncontrolled medical condition including, but not limited to, renal, hepatic, haematological, gastrointestinal, endocrine, pulmonary, neurological, cerebral or psychiatric disease
- History of significant cerebrovascular disease
- Known HIV infection
- Known hepatitis B and/or hepatitis C
Screening laboratory values:
- Neutrophils < 1.5 x109/l
- Platelets < 75 x109/l
- ALAT > 2.5 times the upper limit of normal (unless known liver metastases exceptions will be dealt with on a case by case basis)
- ALP > 2.5 times the upper limit of normal (unless known liver metastases exceptions will be dealt with on a case by case basis)
- Bilirubin > 1.5 times the upper limit of normal
- Creatinine clearance < 50 ml/min (measured or calculated by the CockgroftGault method)
- Patients who have received treatment with any non-marketed drug substance within 4 weeks before Visit 1(screening)
- Current participation in any other interventional clinical study
- Patients with a BMI ≥ 30 kg/m2
- Patients known or suspected of not being able to comply with a study protocol (e.g. due to alcoholism, drug dependency or psychological disorder)
- Breast feeding women or women with a positive pregnancy test at Visit 1 (screening)
- Women of childbearing potential not willing to use adequate contraception such as hormonal birth control or intrauterine device during study.
Sites / Locations
- Cliniques Universitaires SaintLuc
- Uz Leuven - Campus Gasthuisberg
- Uzsoki Hospital
- Vas Megye es Szombathely
- Narodny onkologicky ustav
- FN Tnava
- St James's Institute of Oncology
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Experimental
Experimental
Arm Label
zalutumumab 4 mg/kg
zalutumumab 8 mg/kg
zalutumumab 16 mg/kg
Arm Description
zalutumumab 4 mg/kg iv single infusion week 1,3, 4 and 5
zalutumumab 8 mg/kg iv single infusion week 1, 3, 4 and 5
zalutumumab 16 mg/kg iv single infusion week 1, 3, 4 and 5
Outcomes
Primary Outcome Measures
Maximum Plasma Concentration of Zalutumumab After Fourth Infusion
Area Under the Curve 0-7 Days
Secondary Outcome Measures
Area Under the Curve 0-21 Days
Elimination Half-life
Clearance
Apparent Volume of Distribution During the Terminal Phase
Apparent Volume of Distribution at Steady State
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01054625
Brief Title
Zalutumumab Pharmacokinetics (PK) in Squamous Cell Carcinoma of the Head and Neck (SCCHN)
Official Title
An Open-label, Multi-Center, Phase I/II Trial Investigating the Pharmacokinetic Profile of Zalutumumab, a Human Monoclonal Epidermal Growth Factor Receptor Antibody in Non-curable Patients With SCCHN
Study Type
Interventional
2. Study Status
Record Verification Date
August 2023
Overall Recruitment Status
Completed
Study Start Date
March 2010 (undefined)
Primary Completion Date
July 2011 (Actual)
Study Completion Date
October 2011 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Genmab
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
This study is to support current and future Zalutumumab studies by increasing the Pharmacokinetic (PK) knowledge of the drug. PK is the study of how a drug is absorbed (taken up), distributed (moved around), metabolised (broken down) and excreted (removed) by the body, in relation to time. The first PK trial only went up to 8 mg/kg, and, as there has been some indication that the PK profile for the higher and lower doses is different, this needs to be further evaluated. Furthermore, there is a need for more PK data on dosing with 16mg/kg.
The aim with this study is therefore to evaluate the PK profiles at different doses of Zalutumumab and the amount of drug in the blood at different time points after single and multiple doses. The results of this study, combined with data from completed and ongoing Zalutumumab studies, will enable us to provide patients with an effective treatment option which may significantly prolong their survival and/or improve their quality of life.
Detailed Description
This study is to look at the Pharmacokinetics (PK) of Zalutumumab in patients with Head and Neck Cancer. 26 participants will be treated with the study drug Zalutumumab at 4 different doses. Zalutumumab will be given at day 0, day 14, day 21 and day 28. Blood samples (for PK and to check the participant's safety) will be taken before drug is given. Blood samples for PK only will be taken directly after drug is given at all treatment visits and also at +3hr and +12hrs on day 0 and day 28 which may require an overnight stay.
Blood samples for PK only are also taken on days between treatments. After treatment on day 28, eight more blood samples will be taken over 3 weeks. On day 49 participants may enter an optional extended treatment period receiving the drug weekly until it is no longer appropriate for the participant (doctor/participant decision or cancer has advanced).
Dosing in the extended treatment period will start at 16mg/kg. The correct dose for the participant will be checked at each visit by looking for the presence and severity of skin rash. This is a common side effect of medicines like Zalutumumab which block the Epidermal Growth Factor Receptor. The severity of the skin rash is used as a guide for dosing. A mild rash could mean more medication is needed, a severe rash will mean the participant needs a break from the medication. End of study is 8 weeks after the last dose of Zalutumumab and blood samples will be taken +4weeks and +8weeks after the last dose of drug.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Head and Neck Cancer
Keywords
Squamous Cell Carcinoma of the Head and Neck, Head and Neck Cancer, Head and Neck Neoplasms, anti-EGFr monoclonal antibody, Zalutumumab
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
31 (Actual)
8. Arms, Groups, and Interventions
Arm Title
zalutumumab 4 mg/kg
Arm Type
Experimental
Arm Description
zalutumumab 4 mg/kg iv single infusion week 1,3, 4 and 5
Arm Title
zalutumumab 8 mg/kg
Arm Type
Experimental
Arm Description
zalutumumab 8 mg/kg iv single infusion week 1, 3, 4 and 5
Arm Title
zalutumumab 16 mg/kg
Arm Type
Experimental
Arm Description
zalutumumab 16 mg/kg iv single infusion week 1, 3, 4 and 5
Intervention Type
Biological
Intervention Name(s)
zalutumumab
Intervention Description
Zalutumumab is a clear to opalescent liquid. It is intended for intravenous infusion following dilution in sterile, pyrogen free, 0.9% NaCl. Patients will be treated at a specified dose of Zalutumumab over a period of 7 weeks. The dose will be 4mg/kg, 8mg/kg or 16mg/kg depending on when they enter the study. The study will begin with 6 patients on 4mg/kg, then 10 patients on 8mg/kg and lastly 10 patients on 16mg/kg.
Primary Outcome Measure Information:
Title
Maximum Plasma Concentration of Zalutumumab After Fourth Infusion
Time Frame
Pre-dose and post dose at multiple timepoints up to end of the study (up to 30 days)
Title
Area Under the Curve 0-7 Days
Time Frame
Pre-dose and post dose at multiple timepoints from start of first infusion up to end of last infusion (Day 0 to 7)
Secondary Outcome Measure Information:
Title
Area Under the Curve 0-21 Days
Time Frame
Pre-dose and post dose at multiple timepoints from start of fourth infusion up to end of last infusion (Day 0 to 21)
Title
Elimination Half-life
Time Frame
Pre-dose and post dose at multiple timepoints up to end of the study (up to 30 days)
Title
Clearance
Time Frame
Pre-dose and post dose at multiple timepoints up to end of the study (up to 30 days)
Title
Apparent Volume of Distribution During the Terminal Phase
Time Frame
Pre-dose and post dose at multiple timepoints up to end of the study (up to 30 days)
Title
Apparent Volume of Distribution at Steady State
Time Frame
Pre-dose and post dose at multiple timepoints up to end of the study (up to 30 days)
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Males and females ≥ 18 years.
Diagnosis of squamous cell carcinoma of the oral cavity, oropharynx, hypopharynx or larynx, considered incurable with standard therapy. Diagnosis will have been confirmed using a biopsy of the tumour.
Patients having, based on the investigators judgment, had disease progression and for whom curative therapy is not possible.
Patients with a WHO performance status ≤ 2 and a life expectancy of greater than 3 months.
Following receipt of verbal and written information about the study, the patient must provide signed informed consent before any study related activity is carried out.
Exclusion Criteria:
Patients previously treated with any Epidermal Growth Factor Receptor (EGFR) targeted therapy such as anti-EGFR monoclonal antibodies or small molecule inhibitors within 6 months prior to visit 2 (first treatment).
Received the following treatments within 4 weeks prior to Visit 2 (first treatment):
Cytotoxic or cytostatic anticancer chemotherapy
Total tumor resection
Radiotherapy of > 50 Gy to gross tumor volume
Chronic or current infectious disease such as, but not limited to, chronic renal infection, chronic chest infection with bronchiectasis, sinusitis, and tuberculosis
Clinically significant cardiac disease including unstable angina, acute myocardial infarction within six months from Visit 1 (screening), congestive heart failure, and arrhythmia requiring therapy, with the exception of extra systoles or minor conduction abnormalities
Significant concurrent, uncontrolled medical condition including, but not limited to, renal, hepatic, haematological, gastrointestinal, endocrine, pulmonary, neurological, cerebral or psychiatric disease
History of significant cerebrovascular disease
Known HIV infection
Known hepatitis B and/or hepatitis C
Screening laboratory values:
Neutrophils < 1.5 x109/l
Platelets < 75 x109/l
ALAT > 2.5 times the upper limit of normal (unless known liver metastases exceptions will be dealt with on a case by case basis)
ALP > 2.5 times the upper limit of normal (unless known liver metastases exceptions will be dealt with on a case by case basis)
Bilirubin > 1.5 times the upper limit of normal
Creatinine clearance < 50 ml/min (measured or calculated by the CockgroftGault method)
Patients who have received treatment with any non-marketed drug substance within 4 weeks before Visit 1(screening)
Current participation in any other interventional clinical study
Patients with a BMI ≥ 30 kg/m2
Patients known or suspected of not being able to comply with a study protocol (e.g. due to alcoholism, drug dependency or psychological disorder)
Breast feeding women or women with a positive pregnancy test at Visit 1 (screening)
Women of childbearing potential not willing to use adequate contraception such as hormonal birth control or intrauterine device during study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jean-Pascal Machiels, MD, PhD
Organizational Affiliation
Cliniques Universitaires SaintLuc, Belgium
Official's Role
Principal Investigator
Facility Information:
Facility Name
Cliniques Universitaires SaintLuc
City
Brussels
ZIP/Postal Code
1200
Country
Belgium
Facility Name
Uz Leuven - Campus Gasthuisberg
City
Leuven
ZIP/Postal Code
3000
Country
Belgium
Facility Name
Uzsoki Hospital
City
Budapest
ZIP/Postal Code
H-1145
Country
Hungary
Facility Name
Vas Megye es Szombathely
City
Szombathely
ZIP/Postal Code
9700
Country
Hungary
Facility Name
Narodny onkologicky ustav
City
Bratislava
ZIP/Postal Code
833 10
Country
Slovakia
Facility Name
FN Tnava
City
Trnava
ZIP/Postal Code
917 75
Country
Slovakia
Facility Name
St James's Institute of Oncology
City
Leeds
ZIP/Postal Code
LS9 7TF
Country
United Kingdom
12. IPD Sharing Statement
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Zalutumumab Pharmacokinetics (PK) in Squamous Cell Carcinoma of the Head and Neck (SCCHN)
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