Patritumab With Cetuximab and a Platinum Containing Therapy for Patients With Head and Neck Cancer
Primary Purpose
Squamous Cell Carcinoma of the Head and Neck
Status
Completed
Phase
Phase 1
Locations
United Kingdom
Study Type
Interventional
Intervention
Patritumab
Cetuximab
Cisplatin
Carboplatin
Sponsored by
About this trial
This is an interventional treatment trial for Squamous Cell Carcinoma of the Head and Neck focused on measuring Recurrent or metastatic squamous cell carcinoma of the head and neck, SCCHN
Eligibility Criteria
Inclusion Criteria:
- Histologically or cytologically confirmed recurrent disease or metastatic SCCHN originating from the oral cavity, oropharynx, hypopharynx, and larynx
- Has documented disease recurrence following prior treatment
- Has Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
- Has adequate hematological function, per protocol
- Has adequate renal function, per protocol
- Has adequate hepatic function, per protocol
- Has prothrombin time (PT) or partial thromboplastin time (PTT) within 1.5 x upper limit of normal (ULN)
- Has a negative serum pregnancy test performed within 14 days prior to enrollment (where required by local regulations, test may be required within 72 hours prior to enrollment), if a woman of child-bearing potential
- Agrees to use double-barrier contraceptive measures, oral contraception, or avoidance of intercourse during the study and for 90 days after last study dose received, if of child-bearing potential
- Is willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures
Exclusion Criteria:
- Has left ventricular ejection fraction (LVEF) < 50%
- Has received prior epidermal growth factor receptor (EGFR) targeted regimen
- Has received prior anti-HER2, anti-HER3, or anti-HER4 therapy
- Has received prior treatment for recurrent/metastatic disease
- Has history of other malignancies, except adequately treated non-melanoma skin cancer, curatively treated in-situ disease, or other solid tumors curatively treated with no evidence of disease for ≥ 5 years
- Has known history of and active brain metastases
- Has uncontrolled hypertension (systolic > 160 mm Hg or diastolic > 100 mm Hg)
- Has clinically significant electrocardiogram (ECG) changes
- Has had myocardial infarction within 1 year before enrollment, symptomatic congestive heart failure (New York Heart Association >Class II), unstable angina, or unstable cardiac arrhythmia requiring medication
- Had platinum-containing drug therapy/chemotherapy with radiotherapy < 6 months before study drug treatment
- Had therapeutic or palliative radiation therapy or major surgery within 4 weeks before study drug treatment.
- Participated in clinical drug trials within 4 weeks before study drug treatment or is currently participating in other investigational procedures
- Has uncontrolled infection requiring intravenous (IV) antibiotics, antivirals, or antifungals, known human immunodeficiency virus (HIV) infection, active hepatitis B or C infection, or is undergoing medical treatment for infection
- Has uncontrolled type 1 or 2 diabetes mellitus
- Has known hypersensitivity or allergic reaction against any of the components of the trial treatment
- Is pregnant, breastfeeding, or unwilling/unable to use acceptable contraception
- Has psychological, social, familial, or geographical factors that would interfere with study participation or follow up
Sites / Locations
- The Royal Marsden Hospital
- University College London Hospital
- The Royal Marsden Hospital
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
All Participants - Period 1
All Participants - Period 2
Arm Description
All participants receive patritumab with cetuximab plus platinum-based therapy (cisplatin or carboplatin) in Period 1 - Initial phase of the trial.
Participants deriving clinical benefit enter Period 2 - Extension phase, during which they continue to receive patritumab with cetuximab, but not platinum-based therapy.
Outcomes
Primary Outcome Measures
Percentage of participants experiencing dose-limiting toxicities (DLTs)
DLTs are used to determine the maximum tolerated dose.
Secondary Outcome Measures
Pharmacokinetic profile of serum patritumab
Cmax and AUC
Pharmacokinetic profile of serum cetuximab
Cmax and AUC
Percentage of participants with human anti-human antibody (HAHA) formation (anti-patritumab antibodies)
Titer of HAHA formation (anti-patritumab antibodies)
A titer is a way of expressing concentration. Titer testing employs serial dilution to obtain approximate quantitative information from an analytical procedure that inherently only evaluates as positive or negative. The titer corresponds to the highest dilution factor that still yields a positive reading.
Full Information
NCT ID
NCT02350712
First Posted
January 19, 2015
Last Updated
September 10, 2018
Sponsor
Daiichi Sankyo, Inc.
1. Study Identification
Unique Protocol Identification Number
NCT02350712
Brief Title
Patritumab With Cetuximab and a Platinum Containing Therapy for Patients With Head and Neck Cancer
Official Title
An Open Label, Phase 1B Safety Evaluation of Patritumab (U31287) in Combination With Cetuximab Plus Platinum Containing Therapy In Subjects With Recurrent or Metastatic Squamous Cell Carcinoma of the Head and Neck
Study Type
Interventional
2. Study Status
Record Verification Date
September 2018
Overall Recruitment Status
Completed
Study Start Date
December 2014 (undefined)
Primary Completion Date
March 2016 (Actual)
Study Completion Date
June 2016 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Daiichi Sankyo, Inc.
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to test a study drug called patritumab. Patritumab may work when combined with other medications that are approved in the UK for treating Squamous Cell Carcinoma of the Head and Neck (SCCHN), called cetuximab, cisplatin or carboplatin. It is hoped that patritumab may have some benefit in treating patients with cancer. This study will help identify how much patritumab can be given in combination with cetuximab, and cisplatin or carboplatin. This study will show how safe and how well tolerated patritumab is when these medications are given together.
Detailed Description
The trial will be performed in two "phases" (Periods):
Period 1: Initial phase in which the recommended phase 2 dose (RP2D) is determined
Period 2: Extension phase in which participants who are deriving benefit (stable disease or better) will have the opportunity to continue treatment at the discretion of the Investigator
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Squamous Cell Carcinoma of the Head and Neck
Keywords
Recurrent or metastatic squamous cell carcinoma of the head and neck, SCCHN
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
15 (Actual)
8. Arms, Groups, and Interventions
Arm Title
All Participants - Period 1
Arm Type
Experimental
Arm Description
All participants receive patritumab with cetuximab plus platinum-based therapy (cisplatin or carboplatin) in Period 1 - Initial phase of the trial.
Arm Title
All Participants - Period 2
Arm Type
Experimental
Arm Description
Participants deriving clinical benefit enter Period 2 - Extension phase, during which they continue to receive patritumab with cetuximab, but not platinum-based therapy.
Intervention Type
Drug
Intervention Name(s)
Patritumab
Other Intervention Name(s)
U3-1287, Monoclonal antibody
Intervention Description
Patritumab initial loading dose is 18 mg/kg IV over 60 minutes, followed in Cycle 2 and beyond with a maintenance dose of 9 mg/kg IV over 60 minutes (+/- 10 minutes) every 3 weeks. Infusion time can be extended to a maximum of 120 minutes for participants unable to tolerate the 60-minute infusion.
Intervention Type
Drug
Intervention Name(s)
Cetuximab
Other Intervention Name(s)
Chemotherapy
Intervention Description
Cetuximab initial dose at 400 mg/m2 IV as a 2-hour infusion, followed by 250 mg/m2 IV over 60 minutes weekly.
Intervention Type
Drug
Intervention Name(s)
Cisplatin
Other Intervention Name(s)
Chemotherapy, Platinum therapy
Intervention Description
Cisplatin is given as an IV infusion, over 1 hour, 1 hour after the cetuximab infusion, every 3 weeks up to a maximum of 6 cycles (with standard pre- or post-treatment therapies at the investigator's discretion).
Intervention Type
Drug
Intervention Name(s)
Carboplatin
Other Intervention Name(s)
Chemotherapy, Platinum therapy
Intervention Description
Carboplatin is given as an IV-bolus, over 30-60 minutes, every 3 weeks, for a maximum of 6 cycles (with standard pre- or post-treatment therapies at the investigator's discretion).
Primary Outcome Measure Information:
Title
Percentage of participants experiencing dose-limiting toxicities (DLTs)
Description
DLTs are used to determine the maximum tolerated dose.
Time Frame
6 months
Secondary Outcome Measure Information:
Title
Pharmacokinetic profile of serum patritumab
Description
Cmax and AUC
Time Frame
6 months
Title
Pharmacokinetic profile of serum cetuximab
Description
Cmax and AUC
Time Frame
6 months
Title
Percentage of participants with human anti-human antibody (HAHA) formation (anti-patritumab antibodies)
Time Frame
6 months
Title
Titer of HAHA formation (anti-patritumab antibodies)
Description
A titer is a way of expressing concentration. Titer testing employs serial dilution to obtain approximate quantitative information from an analytical procedure that inherently only evaluates as positive or negative. The titer corresponds to the highest dilution factor that still yields a positive reading.
Time Frame
6 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Histologically or cytologically confirmed recurrent disease or metastatic SCCHN originating from the oral cavity, oropharynx, hypopharynx, and larynx
Has documented disease recurrence following prior treatment
Has Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
Has adequate hematological function, per protocol
Has adequate renal function, per protocol
Has adequate hepatic function, per protocol
Has prothrombin time (PT) or partial thromboplastin time (PTT) within 1.5 x upper limit of normal (ULN)
Has a negative serum pregnancy test performed within 14 days prior to enrollment (where required by local regulations, test may be required within 72 hours prior to enrollment), if a woman of child-bearing potential
Agrees to use double-barrier contraceptive measures, oral contraception, or avoidance of intercourse during the study and for 90 days after last study dose received, if of child-bearing potential
Is willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures
Exclusion Criteria:
Has left ventricular ejection fraction (LVEF) < 50%
Has received prior epidermal growth factor receptor (EGFR) targeted regimen
Has received prior anti-HER2, anti-HER3, or anti-HER4 therapy
Has received prior treatment for recurrent/metastatic disease
Has history of other malignancies, except adequately treated non-melanoma skin cancer, curatively treated in-situ disease, or other solid tumors curatively treated with no evidence of disease for ≥ 5 years
Has known history of and active brain metastases
Has uncontrolled hypertension (systolic > 160 mm Hg or diastolic > 100 mm Hg)
Has clinically significant electrocardiogram (ECG) changes
Has had myocardial infarction within 1 year before enrollment, symptomatic congestive heart failure (New York Heart Association >Class II), unstable angina, or unstable cardiac arrhythmia requiring medication
Had platinum-containing drug therapy/chemotherapy with radiotherapy < 6 months before study drug treatment
Had therapeutic or palliative radiation therapy or major surgery within 4 weeks before study drug treatment.
Participated in clinical drug trials within 4 weeks before study drug treatment or is currently participating in other investigational procedures
Has uncontrolled infection requiring intravenous (IV) antibiotics, antivirals, or antifungals, known human immunodeficiency virus (HIV) infection, active hepatitis B or C infection, or is undergoing medical treatment for infection
Has uncontrolled type 1 or 2 diabetes mellitus
Has known hypersensitivity or allergic reaction against any of the components of the trial treatment
Is pregnant, breastfeeding, or unwilling/unable to use acceptable contraception
Has psychological, social, familial, or geographical factors that would interfere with study participation or follow up
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Global Team Leader
Organizational Affiliation
Daiichi Sankyo, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
The Royal Marsden Hospital
City
Sutton
State/Province
Surrey
ZIP/Postal Code
SM2 5PT
Country
United Kingdom
Facility Name
University College London Hospital
City
London
ZIP/Postal Code
NW1 2BU
Country
United Kingdom
Facility Name
The Royal Marsden Hospital
City
London
ZIP/Postal Code
SW3 6JJ
Country
United Kingdom
12. IPD Sharing Statement
Learn more about this trial
Patritumab With Cetuximab and a Platinum Containing Therapy for Patients With Head and Neck Cancer
We'll reach out to this number within 24 hrs