Phase 1 Study of CEP-37250/KHK2804 in Subjects With Advanced Solid Tumors
Primary Purpose
Solid Tumour, Adenocarcinoma of the Colorectal, Adenocarcinoma of the Pancreas
Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
CEP-37250/KHK2804
Sponsored by

About this trial
This is an interventional treatment trial for Solid Tumour focused on measuring Monoclonal antibody (Mab), Antibody dependent cellular cytotoxicity (ADCC), Complement-dependent toxicity (CDC), Non-fucosylated immunoglobulin G
Eligibility Criteria
Inclusion Criteria:
- Adequate hepatic, renal, and hematologic function;
- Life expectancy > 3 months;
- Part 1 and 2: The subject has histopathologically or cytologically documented, measurable, unresectable, locally advanced primary or recurrent, metastatic solid tumor, locally advanced primary or recurrent, metastatic pancreatic adenocarcinoma and must have received at least one prior treatment regimen containing gemcitabine or 5-FU, and locally advanced primary or recurrent, metastatic colon adenocarcinoma.
Exclusion Criteria:
Parts 1 and 2:
- Malignant melanoma, Merkel cell cancer, small cell lung cancer, lymphoepithelial carcinoma, malignant mesothelioma, GIST, Hodgkin and NHL, thymoma, neuroendocrine, neuronal tumors, and sarcomas. This list of excluded tumors may be modified as additional research findings become available on target antigen expression;
- The subject has received anti-cancer chemotherapy, hormonal therapy, radiotherapy, immunotherapy, or investigational agents within 4 weeks (6 weeks for mitomycin C and nitrosoureas) prior to the first dose of CEP-37250/KHK2804;
- The subject has received monoclonal antibodies of any type or for any form of disease within 4 weeks of the first dose of CEP-37250/KHK2804;
- Major surgery within 4 weeks prior to the first dose;
- Known symptomatic brain metastases (screening magnetic resonance imaging (MRI) of the brain is only required when there is clinical suspicion of central nervous system [CNS] involvement or past history of treated brain metastasis). Subjects with treated brain metastasis (radiotherapy and/or surgery) will be eligible if they:
- Have completed treatment for their brain metastasis > 4 weeks prior to scheduled study treatment start date;
- Are neurologically stable;
- Are on corticosteroids in doses no greater than physiological replacement (e.g., dexamethasone < 1.5 mg/day); and
- Have a screening MRI scan of the brain that specifically verifies no evidence of CNS hemorrhage and no active gadolinium enhancing lesions;
Subjects with primary brain/CNS malignancy (e.g., gliomas, lymphomas) are excluded.
- Hypersensitivity reaction to monoclonal antibodies, other therapeutic proteins, or allergy to any component of the CEP-37250/KHK2804 finished drug and the reaction could not be controlled or prevented on subsequent infusion with standard therapies such as antihistamines, 5-HT3 antagonists, or corticosteroids.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
Part 1
Part 2
Arm Description
Dose escalation in subjects with advanced solid tumors with Part 1 which includes intervention of CEP-37250/KHK2804
Subjects with colorectal or pancreatic cancer Part 2 which includes intervention of CEP-37250/KHK2804
Outcomes
Primary Outcome Measures
Adverse Event collection and assessment will be done for all 74 potentially treated subjects.
The safety of CEP-37250/KHK2804 will be determined by reported adverse events (AEs), changes in the physical examinations, vital laboratory evaluations, and treatment discontinuations due to toxicity.
Secondary Outcome Measures
To assess PK parameters which include: area under the plasma concentration versus time curve (AUC), peak plasma concentration (Cmax), t 1/2 and CL of CEP-37250/KHK2804.
Participating subjects will have serial blood samples taken to determine the PK profile of study drug.
To screen for the development of antibodies against CEP-37250/KHK2804 (immunogenicity)
Subjects will have serial blood samples to check for the developments of anti-CEP-37250/KHK2804 antibodies.
To evaluate preliminary efficacy (overall response (Objective response rate(ORR; Complete Response(CR)+Partial Response(PR) and clinical benefit rate(CR+PR+stable disease(SD)).
Tumor measurements and disease response assessments will be performed on all participating subjects.
Full Information
NCT ID
NCT01447732
First Posted
September 30, 2011
Last Updated
March 17, 2015
Sponsor
Kyowa Hakko Kirin Pharma, Inc.
Collaborators
Teva Pharma
1. Study Identification
Unique Protocol Identification Number
NCT01447732
Brief Title
Phase 1 Study of CEP-37250/KHK2804 in Subjects With Advanced Solid Tumors
Official Title
Two-Part, Open-Label, Multi-Center Phase 1 Study of Monoclonal Antibody CEP-37250/KHK2804 in Subjects With Advanced Solid Tumors
Study Type
Interventional
2. Study Status
Record Verification Date
March 2015
Overall Recruitment Status
Completed
Study Start Date
October 2011 (undefined)
Primary Completion Date
January 2015 (Actual)
Study Completion Date
January 2015 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Kyowa Hakko Kirin Pharma, Inc.
Collaborators
Teva Pharma
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
This is a two-part, Phase 1 open label, multi-center, dose escalation study of CEP-37250/KHK2804 as monotherapy in subjects with advanced solid tumors who no longer respond to standard therapy or for whom no standard therapy is available.
Detailed Description
The study will be conducted in two parts. In Part 1, a standard 3+3 designed dose escalation phase, subjects will receive CEP-37250/KHK2804, administered iv, once every week. A treatment cycle will consists of total of four doses per cycle. Part 2 of the study will enroll subjects with either colon cancer or pancreatic cancer to receive CEP-37250/KHK2804 at a dose to be determined following completion of Part 1.
All subjects will receive study therapy until disease progression, the development of unacceptable toxicity, noncompliance or withdrawal of consent by the subject, or Investigator decision, up to a maximum of six cycles (approximately six months). After six cycles of CEP-37250/KHK2804 therapy, the subject may continue to receive CEP-37250/KHK2804 after discussion with the Sponsor and determination that the subject is experiencing a best response of at least stable disease (SD) and is not experiencing any unacceptable toxicities or dose limiting toxicities (DLTs).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Solid Tumour, Adenocarcinoma of the Colorectal, Adenocarcinoma of the Pancreas
Keywords
Monoclonal antibody (Mab), Antibody dependent cellular cytotoxicity (ADCC), Complement-dependent toxicity (CDC), Non-fucosylated immunoglobulin G
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
71 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Part 1
Arm Type
Experimental
Arm Description
Dose escalation in subjects with advanced solid tumors with Part 1 which includes intervention of CEP-37250/KHK2804
Arm Title
Part 2
Arm Type
Experimental
Arm Description
Subjects with colorectal or pancreatic cancer Part 2 which includes intervention of CEP-37250/KHK2804
Intervention Type
Drug
Intervention Name(s)
CEP-37250/KHK2804
Other Intervention Name(s)
KHK2804
Intervention Description
Part 1 is based on the CEP-37250/KHK2804 tolerability and safety data from three subjects enrolled in a cohort, enrollment at the next dose level or additional subjects into the ongoing cohort will occur based upon the number subjects with DLT at a given dose level. Dose depends on subject's body weight. Part 1 includes intervention of CEP-37250/KHK2804.
Part 2 will receive CEP-37250/KHK2804 at a dose to be determined following completion of Part 1.
Primary Outcome Measure Information:
Title
Adverse Event collection and assessment will be done for all 74 potentially treated subjects.
Description
The safety of CEP-37250/KHK2804 will be determined by reported adverse events (AEs), changes in the physical examinations, vital laboratory evaluations, and treatment discontinuations due to toxicity.
Time Frame
at least 30 days or up to 12 weeks
Secondary Outcome Measure Information:
Title
To assess PK parameters which include: area under the plasma concentration versus time curve (AUC), peak plasma concentration (Cmax), t 1/2 and CL of CEP-37250/KHK2804.
Description
Participating subjects will have serial blood samples taken to determine the PK profile of study drug.
Time Frame
at least 30 days or up to 12 weeks
Title
To screen for the development of antibodies against CEP-37250/KHK2804 (immunogenicity)
Description
Subjects will have serial blood samples to check for the developments of anti-CEP-37250/KHK2804 antibodies.
Time Frame
at least 30 days or up to 12 weeks
Title
To evaluate preliminary efficacy (overall response (Objective response rate(ORR; Complete Response(CR)+Partial Response(PR) and clinical benefit rate(CR+PR+stable disease(SD)).
Description
Tumor measurements and disease response assessments will be performed on all participating subjects.
Time Frame
up to 30 days or up to 12 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Adequate hepatic, renal, and hematologic function;
Life expectancy > 3 months;
Part 1 and 2: The subject has histopathologically or cytologically documented, measurable, unresectable, locally advanced primary or recurrent, metastatic solid tumor, locally advanced primary or recurrent, metastatic pancreatic adenocarcinoma and must have received at least one prior treatment regimen containing gemcitabine or 5-FU, and locally advanced primary or recurrent, metastatic colon adenocarcinoma.
Exclusion Criteria:
Parts 1 and 2:
Malignant melanoma, Merkel cell cancer, small cell lung cancer, lymphoepithelial carcinoma, malignant mesothelioma, GIST, Hodgkin and NHL, thymoma, neuroendocrine, neuronal tumors, and sarcomas. This list of excluded tumors may be modified as additional research findings become available on target antigen expression;
The subject has received anti-cancer chemotherapy, hormonal therapy, radiotherapy, immunotherapy, or investigational agents within 4 weeks (6 weeks for mitomycin C and nitrosoureas) prior to the first dose of CEP-37250/KHK2804;
The subject has received monoclonal antibodies of any type or for any form of disease within 4 weeks of the first dose of CEP-37250/KHK2804;
Major surgery within 4 weeks prior to the first dose;
Known symptomatic brain metastases (screening magnetic resonance imaging (MRI) of the brain is only required when there is clinical suspicion of central nervous system [CNS] involvement or past history of treated brain metastasis). Subjects with treated brain metastasis (radiotherapy and/or surgery) will be eligible if they:
Have completed treatment for their brain metastasis > 4 weeks prior to scheduled study treatment start date;
Are neurologically stable;
Are on corticosteroids in doses no greater than physiological replacement (e.g., dexamethasone < 1.5 mg/day); and
Have a screening MRI scan of the brain that specifically verifies no evidence of CNS hemorrhage and no active gadolinium enhancing lesions;
Subjects with primary brain/CNS malignancy (e.g., gliomas, lymphomas) are excluded.
Hypersensitivity reaction to monoclonal antibodies, other therapeutic proteins, or allergy to any component of the CEP-37250/KHK2804 finished drug and the reaction could not be controlled or prevented on subsequent infusion with standard therapies such as antihistamines, 5-HT3 antagonists, or corticosteroids.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Michael Tirgan, MD
Organizational Affiliation
Kyowa Hakko Kirin Pharma, Inc.
Official's Role
Study Director
12. IPD Sharing Statement
Citations:
PubMed Identifier
27457707
Citation
Mita MM, Nemunaitis J, Grilley-Olson J, El-Rayes B, Bekaii-Saab T, Harvey RD, Marshall J, Zhang X, Strout V. Phase 1 Study of CEP-37250/KHK2804, a Tumor-specific Anti-glycoconjugate Monoclonal Antibody, in Patients with Advanced Solid Tumors. Target Oncol. 2016 Dec;11(6):807-814. doi: 10.1007/s11523-016-0449-2.
Results Reference
derived
Learn more about this trial
Phase 1 Study of CEP-37250/KHK2804 in Subjects With Advanced Solid Tumors
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