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Maytansinoid DM4-Conjugated Humanized Monoclonal Antibody huC242 in Treating Patients With Solid Tumors

Primary Purpose

Non-colorectal Cancer, Pancreatic Cancer

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
HuC242-DM4
Sponsored by
ImmunoGen, Inc.
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Non-colorectal Cancer focused on measuring unspecified adult solid tumor, protocol specific, stage II pancreatic cancer, stage III pancreatic cancer, stage IV pancreatic cancer, recurrent pancreatic cancer

Eligibility Criteria

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

DISEASE CHARACTERISTICS: Histologically confirmed solid tumor Inoperable or metastatic disease Failed standard therapy Confirmed cancer antigen (CanAg) expression Patients must have non-colorectal cancer or pancreatic cancer Tumor must have a homogeneous pattern (i.e., staining present in > 75% of tumor cells for CanAg) and are 2+ or 3+ intensity by immunohistochemistry * No known leptomeningeal disease or progressive brain disease PATIENT CHARACTERISTICS: ECOG performance status 0-2 Life expectancy ≥ 12 weeks Absolute neutrophil count ≥ 1,500/mm³ Hemoglobin ≥ 9 g/dL (transfusion allowed) Platelet count ≥ 100,000/mm³ aPTT and INR ≤ 1.5 times upper limit of normal (ULN) Creatinine ≤ 1.5 mg/dL Creatinine clearance ≥ 60 mL/min Bilirubin ≤ 1.5 mg/dL AST and ALT < 2.5 times ULN Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception during and for 30 days after completion of study treatment No hypersensitivity to agents of the same class as the study drug, humanized or nonhumanized antibodies, or immunoconjugates No active, uncontrolled infection No hepatitis B surface antigen or hepatitis C antibody positivity No history of alcoholic liver disease No serious medical or psychiatric disorder that would preclude compliance with study requirements No peripheral neuropathy > grade 1 No other malignancy within the past 2 years except adequately treated basal cell or squamous cell skin cancer, carcinoma in situ of the cervix, or stage A low-grade prostate cancer No severe concurrent disease or condition that, in the opinion of the investigator, would preclude study participation PRIOR CONCURRENT THERAPY: Recovered from prior therapy At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas and mitomycin C) At least 4 weeks since prior radiotherapy, immunotherapy, or hormone therapy for cancer At least 4 weeks since prior major surgery No concurrent chemotherapy, other immunotherapy, radiotherapy, or other investigational therapy Palliative radiotherapy for related bone metastases allowed No other concurrent anticancer therapy

Sites / Locations

  • South Texas Accelerated Research Therapeutics
  • UT Health Science Center

Outcomes

Primary Outcome Measures

Dose-limiting toxicity
Maximum tolerated dose

Secondary Outcome Measures

Toxicity
Pharmacokinetics
Antitumor activity

Full Information

First Posted
July 13, 2006
Last Updated
March 16, 2010
Sponsor
ImmunoGen, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT00352131
Brief Title
Maytansinoid DM4-Conjugated Humanized Monoclonal Antibody huC242 in Treating Patients With Solid Tumors
Official Title
A Phase I Study to Assess the Safety and Pharmacokinetics of huC242-DM4 Administered as a Single Intravenous Infusion Once Every Three Weeks to Subjects With Solid Tumors
Study Type
Interventional

2. Study Status

Record Verification Date
March 2010
Overall Recruitment Status
Completed
Study Start Date
February 2005 (undefined)
Primary Completion Date
December 2009 (Actual)
Study Completion Date
December 2009 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
ImmunoGen, Inc.

4. Oversight

5. Study Description

Brief Summary
RATIONALE: Monoclonal antibodies, such as maytansinoid DM4-conjugated humanized monoclonal antibody huC242, can block tumor growth in different ways. Some block the ability of tumor cells to grow and spread. Others find tumor cells and help kill them or carry tumor-killing substances to them. PURPOSE: This phase I trial is studying the side effects and best dose of maytansinoid DM4-conjugated humanized monoclonal antibody huC242 in treating patients with solid tumors that cannot be removed by surgery or have spread to other parts of the body.
Detailed Description
OBJECTIVES: Primary Determine the dose-limiting toxicity and maximum tolerated dose of maytansinoid DM4-conjugated humanized monoclonal antibody huC242 in patients with inoperable or metastatic colorectal cancer, pancreatic cancer, or other solid tumors. Secondary Determine the qualitative and quantitative toxicities of this drug in these patients. Characterize the pharmacokinetics of this drug in these patients. Describe any antitumor activity of this drug in these patients. OUTLINE: This is an open-label, nonrandomized, dose-escalation study. Patients receive maytansinoid DM4-conjugated humanized monoclonal antibody huC242 IV over 4-5 hours on day 1. Treatment repeats every 3 weeks in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of maytansinoid DM4-conjugated humanized monoclonal antibody huC242 until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 6 patients experience dose-limiting toxicity. Up to 15 patients are treated at the MTD. Patients undergo blood collection at baseline and periodically during study for pharmacokinetic studies. After completion of study treatment, patients are followed at 30 days. PROJECTED ACCRUAL: A total of 40 patients will be accrued for this study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Non-colorectal Cancer, Pancreatic Cancer
Keywords
unspecified adult solid tumor, protocol specific, stage II pancreatic cancer, stage III pancreatic cancer, stage IV pancreatic cancer, recurrent pancreatic cancer

7. Study Design

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

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
HuC242-DM4
Other Intervention Name(s)
IMGN242
Intervention Description
Dose escalation study to define maximum tolerated dose. Doses will vary per cohort. Patients will receive an IV infusion once every three weeks.
Primary Outcome Measure Information:
Title
Dose-limiting toxicity
Time Frame
for the duration of the trial
Title
Maximum tolerated dose
Time Frame
for the duration of the trial
Secondary Outcome Measure Information:
Title
Toxicity
Time Frame
for the duration of the trial
Title
Pharmacokinetics
Time Frame
for the duration of the trial
Title
Antitumor activity
Time Frame
for the duration of the trial

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically confirmed solid tumor Inoperable or metastatic disease Failed standard therapy Confirmed cancer antigen (CanAg) expression Patients must have non-colorectal cancer or pancreatic cancer Tumor must have a homogeneous pattern (i.e., staining present in > 75% of tumor cells for CanAg) and are 2+ or 3+ intensity by immunohistochemistry * No known leptomeningeal disease or progressive brain disease PATIENT CHARACTERISTICS: ECOG performance status 0-2 Life expectancy ≥ 12 weeks Absolute neutrophil count ≥ 1,500/mm³ Hemoglobin ≥ 9 g/dL (transfusion allowed) Platelet count ≥ 100,000/mm³ aPTT and INR ≤ 1.5 times upper limit of normal (ULN) Creatinine ≤ 1.5 mg/dL Creatinine clearance ≥ 60 mL/min Bilirubin ≤ 1.5 mg/dL AST and ALT < 2.5 times ULN Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception during and for 30 days after completion of study treatment No hypersensitivity to agents of the same class as the study drug, humanized or nonhumanized antibodies, or immunoconjugates No active, uncontrolled infection No hepatitis B surface antigen or hepatitis C antibody positivity No history of alcoholic liver disease No serious medical or psychiatric disorder that would preclude compliance with study requirements No peripheral neuropathy > grade 1 No other malignancy within the past 2 years except adequately treated basal cell or squamous cell skin cancer, carcinoma in situ of the cervix, or stage A low-grade prostate cancer No severe concurrent disease or condition that, in the opinion of the investigator, would preclude study participation PRIOR CONCURRENT THERAPY: Recovered from prior therapy At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas and mitomycin C) At least 4 weeks since prior radiotherapy, immunotherapy, or hormone therapy for cancer At least 4 weeks since prior major surgery No concurrent chemotherapy, other immunotherapy, radiotherapy, or other investigational therapy Palliative radiotherapy for related bone metastases allowed No other concurrent anticancer therapy
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Alain Mita, MD
Organizational Affiliation
Institute for Drug Development
Official's Role
Study Chair
Facility Information:
Facility Name
South Texas Accelerated Research Therapeutics
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
UT Health Science Center
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78245-3217
Country
United States

12. IPD Sharing Statement

Citations:
Citation
Sankhala KK, Mita AC, Ricart AD, et al.: A phase I and pharmacokinetic study of a CanAg-targeted immunoconjugate, HuC242-DM4, in patients with CanAg-expressing solid tumors. [Abstract] American Association for Cancer Research: Molecular Targets and Cancer Therapeutics, October 22-26, 2007, San Francisco, CA A-B70, 2007.
Results Reference
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Maytansinoid DM4-Conjugated Humanized Monoclonal Antibody huC242 in Treating Patients With Solid Tumors

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