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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
Kyowa Hakko Kirin Pharma, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

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

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

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:

    1. 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;
    2. 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;
    3. 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;
    4. Major surgery within 4 weeks prior to the first dose;
    5. 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

    First Posted
    September 30, 2011
    Last Updated
    March 17, 2015
    Sponsor
    Kyowa Hakko Kirin Pharma, Inc.
    Collaborators
    Teva Pharma
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    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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