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Trial to Evaluate the Safety of TTAC-0001(Tanibirumab) in Recurrent Glioblastoma

Primary Purpose

Recurrent Glioblastoma

Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
TTAC-0001
Sponsored by
PharmAbcine
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Recurrent Glioblastoma

Eligibility Criteria

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

Inclusion Criteria:

  • Both male and female patients ≥19 years old
  • Diagnosed with primary glioblastoma by histopathological examination and confirmed recurrent glioblastoma by magnetic resonance imaging (MRI) scans after concomitant temozolomide chemotherapy with radiotherapy (CCRT). One previous recurrence/progression of glioblastoma with reintroduction/altered schedule of temozolomide is allowable.
  • At least one confirmed measurable lesion or non measurable lesion by response assessment in neuro-oncology (RANO) criteria
  • Karnofsky Performance Status (KPS) ≥ 80
  • A person who satisfies the following criteria in hematologic, renal, and hepatic function tests
  • At least 12 weeks of expected survival time
  • Signed informed consent

Exclusion Criteria:

  • Diagnosed with other malignant tumor within 2years
  • Uncontrolled HT or seizure, class III or IV heart failure, oxygen dependent disease, active psychiatric disorder
  • Not recovered grade 2 AE due to previous CCRT
  • Major surgery or other investigational drug treatment within 4 weeks
  • Pregnant/lactating female and female/male potential childbearing without contraception
  • Severe drug hypersensitivity or hypersensitivity to a therapy similar to the study drug
  • Expectation of poor compliance
  • Previous therapy with VEGF targeted agent

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Experimental

    Experimental

    Experimental

    Arm Label

    Cohort 1

    Cohort 2

    Cohort 3

    Arm Description

    Patients will be treated with 8mg/kg of TTAC-0001 on day 1, day 8 and day 15 in every 4 weeks of cycle.

    Patients will be treated with 12mg/kg of TTAC-0001 on day 1, day 8 and day 15 in every 4 weeks of cycle.

    Patients will be treated with 12mg/kg of TTAC-0001 weekly in every 4 weeks of cycle.

    Outcomes

    Primary Outcome Measures

    Adverse events

    Secondary Outcome Measures

    PFS at 6-month time point
    Objective response rate (ORR)
    The rate of complete response and partial response assessed according to RANO criteria.
    Disease control rate(DCR)
    The rate of complete response(CR), partial response(PR) and stable disease(SD) assessed according to RANO criteria.
    Overall survival(OS)

    Full Information

    First Posted
    January 9, 2017
    Last Updated
    January 26, 2021
    Sponsor
    PharmAbcine
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03033524
    Brief Title
    Trial to Evaluate the Safety of TTAC-0001(Tanibirumab) in Recurrent Glioblastoma
    Official Title
    A Multicenter, 3-Arm, Open-Label, Phase Ⅱa Clinical Trial to Evaluate the Safety and Efficacy of TTAC-0001, a Fully Human Monoclonal Antibody in Patients With Recurrent Glioblastoma
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    January 2021
    Overall Recruitment Status
    Completed
    Study Start Date
    February 4, 2016 (Actual)
    Primary Completion Date
    June 2, 2017 (Actual)
    Study Completion Date
    June 2, 2017 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    PharmAbcine

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    Study Design - Multicenter, open-label, 3 arms, stepwise, phase Ⅱa clinical trial Study objective: Primary - To evaluate the safety of TTAC-0001 in patients with recurrent glioblastoma. Secondary - To determine the efficacy of TTAC-0001 in patients with recurrent glioblastoma. Exploratory To evaluate pharmacokinetic (PK) parameters of TTAC-0001 in patients with recurrent glioblastoma To evaluate pharmacodynamic (PD) parameters by clinical biomarker test Study Methodology Patients will be sequentially enrolled from the 1st arm. An enrollment criterion to the next arm is defined as no patients in the previous treatment arm showing grade ≥3 of hemangioma or other Dose Limiting Toxicities (DLT). A safety review committee (SRC) will convene to determine the patient's safety with a decision on enrollment into the next arm or change in dosing frequency of study drug in the above case. A patient who is withdrawn from the study before the completion of the 1st cycle can be replaced with another patient. Patients will be treated for up to 1 year, unless a cause for termination occurs, such as progression of disease (PD) or the withdrawal of consent.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Recurrent Glioblastoma

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Non-Randomized
    Enrollment
    12 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Cohort 1
    Arm Type
    Experimental
    Arm Description
    Patients will be treated with 8mg/kg of TTAC-0001 on day 1, day 8 and day 15 in every 4 weeks of cycle.
    Arm Title
    Cohort 2
    Arm Type
    Experimental
    Arm Description
    Patients will be treated with 12mg/kg of TTAC-0001 on day 1, day 8 and day 15 in every 4 weeks of cycle.
    Arm Title
    Cohort 3
    Arm Type
    Experimental
    Arm Description
    Patients will be treated with 12mg/kg of TTAC-0001 weekly in every 4 weeks of cycle.
    Intervention Type
    Drug
    Intervention Name(s)
    TTAC-0001
    Other Intervention Name(s)
    Tanibirumab
    Intervention Description
    Calculated amount of drug will be diluted with normal saline and administered intravenously.
    Primary Outcome Measure Information:
    Title
    Adverse events
    Time Frame
    up to 1 year
    Secondary Outcome Measure Information:
    Title
    PFS at 6-month time point
    Time Frame
    6 months
    Title
    Objective response rate (ORR)
    Description
    The rate of complete response and partial response assessed according to RANO criteria.
    Time Frame
    up to 1 year
    Title
    Disease control rate(DCR)
    Description
    The rate of complete response(CR), partial response(PR) and stable disease(SD) assessed according to RANO criteria.
    Time Frame
    up to 1 year
    Title
    Overall survival(OS)
    Time Frame
    up to 1 year
    Other Pre-specified Outcome Measures:
    Title
    Area under the concentration-time curve (AUC)
    Description
    Pharmacokinetics profile
    Time Frame
    up to 1 year
    Title
    Maximum plasma concentration (Cmax)
    Description
    Pharmacokinetics profile
    Time Frame
    up to 1 year
    Title
    Minimum plasma concentration (Cmin)
    Description
    Pharmacokinetics profile
    Time Frame
    up to 1 year
    Title
    Clearance (CL)
    Description
    Pharmacokinetics profile
    Time Frame
    up to 1 year
    Title
    Volume of distribution (Vd)
    Description
    Pharmacokinetics profile
    Time Frame
    up to 1 year
    Title
    Half-life (t1/2)
    Description
    Pharmacokinetics profile
    Time Frame
    up to 1 year
    Title
    Angiogenic factors in serum or changes in concentration
    Description
    Pharmacodynamics profile
    Time Frame
    up to 1 year
    Title
    Perfusion parameter assessed by DCE-MRI
    Description
    Pharmacodynamics profile
    Time Frame
    every 2 cycles(each cycle is 4 weeks), up to 1year
    Title
    Expression of angiogenic factors in endothelial cells
    Description
    Analyzed by IHC of tumor tissue
    Time Frame
    At screening
    Title
    Immunogenicity
    Description
    Anti-drug (TTAC-0001) antibody (ADA) test for evaluation of immunogenicity
    Time Frame
    Day 1 of every cycle(each cycle is 4 weeks), up to 1 year

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    19 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Both male and female patients ≥19 years old Diagnosed with primary glioblastoma by histopathological examination and confirmed recurrent glioblastoma by magnetic resonance imaging (MRI) scans after concomitant temozolomide chemotherapy with radiotherapy (CCRT). One previous recurrence/progression of glioblastoma with reintroduction/altered schedule of temozolomide is allowable. At least one confirmed measurable lesion or non measurable lesion by response assessment in neuro-oncology (RANO) criteria Karnofsky Performance Status (KPS) ≥ 80 A person who satisfies the following criteria in hematologic, renal, and hepatic function tests At least 12 weeks of expected survival time Signed informed consent Exclusion Criteria: Diagnosed with other malignant tumor within 2years Uncontrolled HT or seizure, class III or IV heart failure, oxygen dependent disease, active psychiatric disorder Not recovered grade 2 AE due to previous CCRT Major surgery or other investigational drug treatment within 4 weeks Pregnant/lactating female and female/male potential childbearing without contraception Severe drug hypersensitivity or hypersensitivity to a therapy similar to the study drug Expectation of poor compliance Previous therapy with VEGF targeted agent

    12. IPD Sharing Statement

    Plan to Share IPD
    Undecided

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    Trial to Evaluate the Safety of TTAC-0001(Tanibirumab) in Recurrent Glioblastoma

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