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A First in Man Study to Determine the Safety at Various Dose Levels of AGS-16M8F in Advanced Kidney Cancer

Primary Purpose

Renal Cell Carcinoma, Pharmacokinetics of AGS-16M8F

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
AGS-16M8F
Sponsored by
Astellas Pharma Inc
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Renal Cell Carcinoma focused on measuring Advanced Renal Cell Carcinoma, Advanced Kidney Cancer, AGS-16M8F

Eligibility Criteria

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

Inclusion Criteria:

  • Histologic or cytologic diagnosis (recent or remote) of metastatic renal cell carcinoma (including papillary, clear cell, and excluding transitional cell types) that is not amenable to cure by surgery or other means.
  • Non-measurable or measurable disease according to Response Criteria for Solid Tumors (RECIST Version 1.1)
  • Eastern Cooperative Group (ECOG) performance status of 0-1
  • Negative pregnancy test (women of childbearing potential)
  • Hematologic function, as follows:

    • Absolute neutrophil count (ANC) ≥ 1.5 x 109/L
    • Platelet count ≥ 100 x 109/L
    • Hemoglobin ≥ 9 g/dL (transfusions are allowed)
  • Renal function, as follows:

    • creatinine ≤ 1.5 x upper limit of normal (ULN), or calculated glomerular filtration rate (GFR) > 50 mL/min if creatinine > 1.5x ULN
  • Hepatic function, as follows:

    • Aspartate aminotransferase (AST) and Alanine aminotransferase (ALT) ≤ 2.5 x ULN or ≤ 5x ULN if known liver metastases
    • Total bilirubin ≤ 1.5 x ULN
  • International Normalized Ratio (INR) < 1.3 (or ≤ 3.0 if on therapeutic anticoagulation)
  • Women and men of childbearing potential must be advised and agree to practice effective methods of contraception during the course of the study and for four weeks after the last AGS-16M8F infusion administration

Exclusion Criteria:

  • Past or present documented central nervous system (CNS) tumor or CNS metastasis
  • Use of any investigational drug (including marketed drugs not approved for this indication) within 4 weeks prior to screening
  • History of thromboembolic events and bleeding disorders ≤ 3 months (e.g., DVT or PE)
  • Active angina or Class III or IV Congestive Heart Failure (New York Heart Association CHF Functional Classification System) or clinically significant cardiac disease within 12 months of study enrollment, including myocardial infarction, unstable angina, grade 2 or greater peripheral vascular disease, congestive heart failure, uncontrolled hypertension, or arrythmias not controlled by outpatient medication
  • Major surgery (that requires general anesthesia) within 4 weeks of study enrollment
  • Women who are pregnant (confirmed by positive pregnancy test) or lactating
  • Known positive test for human immunodeficiency virus (HIV), hepatitis C, or hepatitis B surface antigen
  • Active infection requiring treatment with systemic (intravenous or oral) anti-infectives (antibiotic, antifungal, or antiviral agent) within 72 hours of screening

Sites / Locations

  • Dana-Farber Cancer Institute
  • Memorial Sloan Kettering Cancer Center
  • Seattle Cancer Care Alliance

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm 9

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Dose Level 1

Dose Level 2

Dose Level 3

Dose Level 4

Dose Level 5

Dose Level 6

Dose Level 7

Dose Level 8

Dose Level 9

Arm Description

Outcomes

Primary Outcome Measures

Safety assessed by recording adverse events, vital signs and laboratory assessments
Pharmacokinetic variables assessment through analysis of blood samples

Secondary Outcome Measures

Incidence of anti-AGS-16M8F antibody formation
Incidence of Tumor Response (complete or partial response)

Full Information

First Posted
April 29, 2010
Last Updated
December 10, 2012
Sponsor
Astellas Pharma Inc
Collaborators
Agensys, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01114230
Brief Title
A First in Man Study to Determine the Safety at Various Dose Levels of AGS-16M8F in Advanced Kidney Cancer
Official Title
A Phase 1, Open-label, Multi-center, Dose Escalation Study of the Safety and Pharmacokinetics of AGS-16M8F Monotherapy in Subjects With Advanced Renal Cell Carcinoma
Study Type
Interventional

2. Study Status

Record Verification Date
December 2012
Overall Recruitment Status
Completed
Study Start Date
August 2010 (undefined)
Primary Completion Date
November 2012 (Actual)
Study Completion Date
November 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Astellas Pharma Inc
Collaborators
Agensys, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this dose escalation study is to examine the safety and pharmacokinetics (PK) of AGS-16M8F administered in subjects with advanced renal cell carcinoma.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Renal Cell Carcinoma, Pharmacokinetics of AGS-16M8F
Keywords
Advanced Renal Cell Carcinoma, Advanced Kidney Cancer, AGS-16M8F

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
26 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Dose Level 1
Arm Type
Experimental
Arm Title
Dose Level 2
Arm Type
Experimental
Arm Title
Dose Level 3
Arm Type
Experimental
Arm Title
Dose Level 4
Arm Type
Experimental
Arm Title
Dose Level 5
Arm Type
Experimental
Arm Title
Dose Level 6
Arm Type
Experimental
Arm Title
Dose Level 7
Arm Type
Experimental
Arm Title
Dose Level 8
Arm Type
Experimental
Arm Title
Dose Level 9
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
AGS-16M8F
Intervention Description
IV
Primary Outcome Measure Information:
Title
Safety assessed by recording adverse events, vital signs and laboratory assessments
Time Frame
For 12 weeks during treatment period and up to 4 weeks follow up
Title
Pharmacokinetic variables assessment through analysis of blood samples
Time Frame
Up to day 15 for cycle 1 and cycle 4 and pre-dose for cycles 2 and 3; every 3 weeks during the second 12 weeks of treatment; and if subject continues on study drug, every 12 weeks thereafter
Secondary Outcome Measure Information:
Title
Incidence of anti-AGS-16M8F antibody formation
Time Frame
Baseline; up to day 64 during the first 12 weeks; and if subject continues on study drug, every 3 weeks during the second 12 weeks of treatment and every 12 weeks thereafter
Title
Incidence of Tumor Response (complete or partial response)
Time Frame
Baseline and every 12 weeks while on study drug

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histologic or cytologic diagnosis (recent or remote) of metastatic renal cell carcinoma (including papillary, clear cell, and excluding transitional cell types) that is not amenable to cure by surgery or other means. Non-measurable or measurable disease according to Response Criteria for Solid Tumors (RECIST Version 1.1) Eastern Cooperative Group (ECOG) performance status of 0-1 Negative pregnancy test (women of childbearing potential) Hematologic function, as follows: Absolute neutrophil count (ANC) ≥ 1.5 x 109/L Platelet count ≥ 100 x 109/L Hemoglobin ≥ 9 g/dL (transfusions are allowed) Renal function, as follows: creatinine ≤ 1.5 x upper limit of normal (ULN), or calculated glomerular filtration rate (GFR) > 50 mL/min if creatinine > 1.5x ULN Hepatic function, as follows: Aspartate aminotransferase (AST) and Alanine aminotransferase (ALT) ≤ 2.5 x ULN or ≤ 5x ULN if known liver metastases Total bilirubin ≤ 1.5 x ULN International Normalized Ratio (INR) < 1.3 (or ≤ 3.0 if on therapeutic anticoagulation) Women and men of childbearing potential must be advised and agree to practice effective methods of contraception during the course of the study and for four weeks after the last AGS-16M8F infusion administration Exclusion Criteria: Past or present documented central nervous system (CNS) tumor or CNS metastasis Use of any investigational drug (including marketed drugs not approved for this indication) within 4 weeks prior to screening History of thromboembolic events and bleeding disorders ≤ 3 months (e.g., DVT or PE) Active angina or Class III or IV Congestive Heart Failure (New York Heart Association CHF Functional Classification System) or clinically significant cardiac disease within 12 months of study enrollment, including myocardial infarction, unstable angina, grade 2 or greater peripheral vascular disease, congestive heart failure, uncontrolled hypertension, or arrythmias not controlled by outpatient medication Major surgery (that requires general anesthesia) within 4 weeks of study enrollment Women who are pregnant (confirmed by positive pregnancy test) or lactating Known positive test for human immunodeficiency virus (HIV), hepatitis C, or hepatitis B surface antigen Active infection requiring treatment with systemic (intravenous or oral) anti-infectives (antibiotic, antifungal, or antiviral agent) within 72 hours of screening
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Chief Medical Officer
Organizational Affiliation
Agensys, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Dana-Farber Cancer Institute
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02115
Country
United States
Facility Name
Memorial Sloan Kettering Cancer Center
City
New York
State/Province
New York
ZIP/Postal Code
10021
Country
United States
Facility Name
Seattle Cancer Care Alliance
City
Seattle
State/Province
Washington
ZIP/Postal Code
98109
Country
United States

12. IPD Sharing Statement

Learn more about this trial

A First in Man Study to Determine the Safety at Various Dose Levels of AGS-16M8F in Advanced Kidney Cancer

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