Dose Escalating Study of Foxy-5 in Breast-, Colon- or Prostate Cancer Patients
Metastatic Breast Cancer, Metastatic Colon Cancer, Metastatic Prostate Cancer

About this trial
This is an interventional treatment trial for Metastatic Breast Cancer
Eligibility Criteria
Inclusion Criteria:
Males and females of at least 18 years of age
- Histologically/cytologically documented diagnosis of metastatic breast, colon or prostate cancer, refractory to standard therapy or for which no curative therapy exists
- Must have an evaluable tumour appropriate for biopsy as determined by the Investigator.
- Loss of or reduced Wnt-5a protein expression in primary or metastatic tumour cells, characterised by IHC analysis
- Eastern Cooperative Oncology Group (ECOG) performance status of <= 1
- Life expectancy of at least 3 months
Unresectable disease, i.e. the metastases cannot be surgically removed with a curative intent
- 4 weeks must have elapsed since the patient has received any other IMP
- 4 weeks must have elapsed since the patient has received any anti cancer treatment; including radiotherapy (except for single dose of palliative radiotherapy), cytotoxic chemotherapy, biologic agents or targeted therapy
- 2 weeks must have elapsed since any prior surgery or therapy with bone marrow stimulating factors
- Adequate haematological functions as defined by:
- Absolute neutrophil count >= 1.5 10E9/L
- Platelets >= 100 10E9/L
- Hemoglobin >= 5.6 mmol/L
- Adequate hepatic function as defined by:
- Total bilirubin <= 1.5 x the upper limit of normal (ULN)
- Aspartate aminotransferase (AST) <= 2.5 x ULN*
Alanine aminotransferase (ALT) <= 2.5 x ULN*
- For patients with liver metastasis adequate hepatic function is defined by AST <= 5 x ULN and ALT <= 5 ULN.
- Adequate renal function as defined by Serum creatinine <= 1,5 x ULN
- Patients in active anti-coagulating treatment must be evaluated according to local standards on the discretion of the Investigator..
- Provision of written informed consent
- Willingness and ability to comply with scheduled visits, treatment plans, laboratory tests and other study procedures
- Sexually active males and females of child-producing potential, must use adequate contraception (intrauterine devices, hormonal contraceptives (contraceptive pills, implants, transdermal patches, hormonal vaginal devices or injections with prolonged release) or diaphragm always with spermicidal jelly and a male condom) for the study duration and at least six months afterwards
Exclusion Criteria:
Active uncontrolled bleeding or bleeding diathesis (e.g., active peptic ulcer disease)
- Any active infection requiring antibiotic treatment
- Known infection with human immunodeficiency virus (HIV) or hepatitis virus
- Active heart disease including myocardial infarction or congestive heart failure within the previous 6 months, symptomatic coronary artery disease, or symptomatic arrhythmias currently requiring medication
- Known or suspected active central nervous system (CNS) metastasis. (Patients stable 8 weeks after completion of treatment for CNS metastasis are eligible)
- Impending or symptomatic spinal cord compression or carcinomatous meningitis
- Requiring immediate palliative surgery and/or radiotherapy(except for a single dose of palliative radiotherapy)
- Pre-existing neuropathy, i.e., Grade >2 neuromotor or neurosensory toxicity
- Participation in other clinical studies within 4 weeks of first dose of study treatment
- Previous exposure to Foxy-5
- History of severe allergic or hypersensitive reactions to excipients
- Pregnant or breastfeeding women
- Active and/or within the last 5 years histologically confirmed diagnosis of malignant melanoma, gastric cancer, pancreatic cancer, lung cancer or nasopharyngeal cancer
- Severe or uncontrolled chronic or uncontrolled systemic disease (e. g. severe respiratory or cardiovascular disease)
- Other medications or conditions that in the Investigator's opinion would contraindicate study participation of safety reasons or interfere with the interpretation of study results
Sites / Locations
- Clinical Research Department, Oncology, Rigshospitalet
- Onkologisk Afdeling R, Herlev Hospital
- Odense University Hospital
- NCCC, Freeman Hospital
Arms of the Study
Arm 1
Experimental
Foxy-5
Slow infusion of lyophilised and reconstituted Foxy-5 three times weekly for three weeks. There will be a maximum of 8 dose cohorts. Cohorts 1-4 will be conducted in the United Kingdom and Denmark whereas cohorts 5-8 will only be conducted in Denmark. As doses in cohort 1 and 2 have been investigated in the previous phase I study, cohorts 1+2 and 3 can be run in parallel with dose escalation approved by the DSMB at all times. DK+UK: Cohort 1: 0.8 mg/kg DK+UK: Cohort 2: 1.3 mg/kg DK+UK: Cohort 3: 1.8 mg/kg DK+UK: Cohort 4: 2.3 mg/kg DK only: Cohort 5: 3.0 mg/kg DK only: Cohort 6: 4.0 mg/kg DK only: Cohort 7: 5.3 mg/kg DK only: Cohort 8: 7.0 mg/kg