Single Dose Escalation Study of Bivatuzumab Mertansine in Patients With Advanced Squamous Cell Carcinoma of the Head and Neck
Primary Purpose
Head and Neck Neoplasms
Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
bivatuzumab mertansine
Sponsored by
About this trial
This is an interventional treatment trial for Head and Neck Neoplasms
Eligibility Criteria
Inclusion Criteria:
- male and female patients aged 18 years or older
- patients with histologically confirmed squamous cell carcinoma of the head and neck
- patients with local and / or regional recurrent disease or distant metastases who are refractory to or not amenable to established treatments
- measurable tumour deposits by one or more radiological techniques (MRI, CT)
- life expectancy of at least 6 months
- Eastern Cooperative Oncology Group (ECOG) performance score ≤ 2
- patients must have given written informed consent (which must be consistent with International Conference of Harmonisation-Good Clinical Practice (ICH-GCP) and local legislation)
Exclusion Criteria:
- hypersensitivity to humanised or murine antibodies, immunoconjugates or the excipients of the trial drugs
- known secondary malignancy requiring therapy
- active infectious disease
- brain metastases
- neuropathy grade 2 or above (excluding pre-existing neuropathy of cranial nerves due to surgery, radiotherapy or tumour growth)
- absolute neutrophil count less than 1,500/mm3
- platelet count less than 100,000/mm3
- bilirubin greater than 1.5 mg/dl (> 26 μmol/L, système internationale (SI) unit equivalent)
- aspartate amino transferase (AST) and/or alanine amino transferase (ALT) greater than 3 times the upper limit of normal
- serum creatinine greater than 1.5 mg/dl (> 132 μmol/L, SI unit equivalent)
- concomitant non-oncological diseases which are considered relevant for the evaluation of the safety of the trial drug
- chemo- or immunotherapy within the past three weeks prior to treatment with the trial drug or during the trial
- radiotherapy to head and neck region within the past four weeks before inclusion or during the trial
- men and women who are sexually active and unwilling to use a medically acceptable method of contraception
- pregnancy or lactation
- treatment with other investigational drugs or participation in another clinical trial within the past three weeks before start of therapy or concomitantly with this trial
- patients unable to comply with the protocol
Sites / Locations
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
bivatuzumab mertansine
Arm Description
single dose escalation
Outcomes
Primary Outcome Measures
Maximum tolerated dose (MTD) of bivatuzumab mertansine
Secondary Outcome Measures
Number of patients with adverse events
grading according to the common toxicity criteria (CTC)
Number of patients with clinically significant changes in laboratory parameters
Number of patients with clinically significant changes in vital signs
Tumor response
according to the response evaluation criteria in solid tumours (RECIST)
Concentration of bivatuzumab mertansine
Concentration of CD44v6 recognising IgG antibodies (anti-CD44v6-IgG)
Number of patients with development of human anti-human antibodies (HAHA)
Full Information
NCT ID
NCT02254018
First Posted
September 30, 2014
Last Updated
October 23, 2023
Sponsor
Boehringer Ingelheim
1. Study Identification
Unique Protocol Identification Number
NCT02254018
Brief Title
Single Dose Escalation Study of Bivatuzumab Mertansine in Patients With Advanced Squamous Cell Carcinoma of the Head and Neck
Official Title
An Open Phase I Single Dose Escalation Study of Bivatuzumab Mertansine Administered Intravenously in Patients With Advanced Squamous Cell Carcinoma of the Head and Neck With Repeated Administration in Patients With Clinical Benefit
Study Type
Interventional
2. Study Status
Record Verification Date
October 2023
Overall Recruitment Status
Completed
Study Start Date
September 1, 2002 (Actual)
Primary Completion Date
February 1, 2005 (Actual)
Study Completion Date
undefined (undefined)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Boehringer Ingelheim
4. Oversight
5. Study Description
Brief Summary
maximum tolerated dose (MTD), safety, pharmacokinetics, efficacy of bivatuzumab mertansine
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Head and Neck Neoplasms
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
31 (Actual)
8. Arms, Groups, and Interventions
Arm Title
bivatuzumab mertansine
Arm Type
Experimental
Arm Description
single dose escalation
Intervention Type
Drug
Intervention Name(s)
bivatuzumab mertansine
Primary Outcome Measure Information:
Title
Maximum tolerated dose (MTD) of bivatuzumab mertansine
Time Frame
up to day 21
Secondary Outcome Measure Information:
Title
Number of patients with adverse events
Description
grading according to the common toxicity criteria (CTC)
Time Frame
up to day 21
Title
Number of patients with clinically significant changes in laboratory parameters
Time Frame
up to day 21
Title
Number of patients with clinically significant changes in vital signs
Time Frame
up to day 21
Title
Tumor response
Description
according to the response evaluation criteria in solid tumours (RECIST)
Time Frame
up to 1 year
Title
Concentration of bivatuzumab mertansine
Time Frame
up to day 21
Title
Concentration of CD44v6 recognising IgG antibodies (anti-CD44v6-IgG)
Time Frame
up to day 21
Title
Number of patients with development of human anti-human antibodies (HAHA)
Time Frame
up to day 21
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
male and female patients aged 18 years or older
patients with histologically confirmed squamous cell carcinoma of the head and neck
patients with local and / or regional recurrent disease or distant metastases who are refractory to or not amenable to established treatments
measurable tumour deposits by one or more radiological techniques (MRI, CT)
life expectancy of at least 6 months
Eastern Cooperative Oncology Group (ECOG) performance score ≤ 2
patients must have given written informed consent (which must be consistent with International Conference of Harmonisation-Good Clinical Practice (ICH-GCP) and local legislation)
Exclusion Criteria:
hypersensitivity to humanised or murine antibodies, immunoconjugates or the excipients of the trial drugs
known secondary malignancy requiring therapy
active infectious disease
brain metastases
neuropathy grade 2 or above (excluding pre-existing neuropathy of cranial nerves due to surgery, radiotherapy or tumour growth)
absolute neutrophil count less than 1,500/mm3
platelet count less than 100,000/mm3
bilirubin greater than 1.5 mg/dl (> 26 μmol/L, système internationale (SI) unit equivalent)
aspartate amino transferase (AST) and/or alanine amino transferase (ALT) greater than 3 times the upper limit of normal
serum creatinine greater than 1.5 mg/dl (> 132 μmol/L, SI unit equivalent)
concomitant non-oncological diseases which are considered relevant for the evaluation of the safety of the trial drug
chemo- or immunotherapy within the past three weeks prior to treatment with the trial drug or during the trial
radiotherapy to head and neck region within the past four weeks before inclusion or during the trial
men and women who are sexually active and unwilling to use a medically acceptable method of contraception
pregnancy or lactation
treatment with other investigational drugs or participation in another clinical trial within the past three weeks before start of therapy or concomitantly with this trial
patients unable to comply with the protocol
12. IPD Sharing Statement
Plan to Share IPD
No
IPD Sharing Plan Description
Clinical studies sponsored by Boehringer Ingelheim, phases I to IV, interventional and non-interventional, are in scope for sharing of the raw clinical study data and clinical study documents. Exceptions might apply, e.g. studies in products where Boehringer Ingelheim is not the license holder; studies regarding pharmaceutical formulations and associated analytical methods, and studies pertinent to pharmacokinetics using human biomaterials; studies conducted in a single center or targeting rare diseases (in case of low number of patients and therefore limitations with anonymization).
For more details refer to: https://www.mystudywindow.com/msw/datatransparency
Links:
URL
http://trials.boehringer-ingelheim.com
Description
Related Info
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Single Dose Escalation Study of Bivatuzumab Mertansine in Patients With Advanced Squamous Cell Carcinoma of the Head and Neck
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