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PCA062 in pCAD-positive Tumors.

Primary Purpose

Triple Negative Breast Cancer, Head & Neck Cancer, Esophageal Cancer

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
PCA062
Sponsored by
Novartis Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Triple Negative Breast Cancer focused on measuring PCA062, Triple Negative Breast Cancer, Head & Neck Cancer, Esophageal Cancer, pCAD, pcadherin, solid-tumors

Eligibility Criteria

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

Inclusion criteria:

  1. Male or female ≥ 18 years of age
  2. Documented pCAD expressing tumor cells with the exception of HNSCC and ESCC. An archived tumor sample collected within 36 months prior to baseline if available, or a new tumor biopsy sample must be available for molecular pre-screening.
  3. Consent for a tumor biopsy at screening
  4. Progressive disease and no effective therapy exists
  5. Measurable disease as per RECIST v1.1 criteria
  6. ECOG Performance status of ≤ 2

Exclusion criteria:

  1. CNS metastatic involvement
  2. Clinically significant cardiac, respiratory, gastrointestinal, renal, hepatic or neurological conditions.
  3. A history of serious allergic reactions, which in the opinion of the investigator pose an increased risk of serious infusion reactions.
  4. Monocular vision or has media opacities or any other condition that precludes monitoring of the retina or the fundus, or has a history of ophthalmology exam with retina or cornea abnormalities
  5. Previously treated with anti-pCAD biologic therapies.
  6. Received anti-cancer therapies within the following time frames prior to the first dose of study treatment:

    • Conventional cytotoxic chemotherapy: ≤4 weeks
    • Biologic therapy (eg, antibodies), other than ADCs: ≤4 weeks
    • Non-cytotoxic small molecule therapeutics: ≤5 T1/2 or ≤2 weeks (whichever is longer)
    • Other investigational agents: ≤4 weeks
    • Radiation therapy (palliative setting is allowed.): ≤4 weeks
    • Major surgery: ≤2 weeks
  7. Patient has out of range laboratory values defined as:

    • Hematological values:
    • Absolute neutrophil count (ANC) <1.5 x 109/L
    • Hemoglobin (Hgb) <9 g/dL
    • Platelets <100 x 109/L
    • Hepatic and renal function
    • Total bilirubin >1.5 x upper limit of normal (ULN). For patients with Gilbert's syndrome, total bilirubin >2.5 x ULN.
    • Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) >3 x ULN for patients without tumor involvement of the liver or >5 x ULN for patients with tumor involvement of the liver.
    • Serum creatinine >1.5 x ULN and/or measured creatinine clearance < 40 ml/min

Sites / Locations

  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Triple Negative Breast Cancer

Head and Neck Cancer

Esophageal Cancer

Arm Description

Outcomes

Primary Outcome Measures

Incidence rate of dose limiting toxicities

Secondary Outcome Measures

Incidence and severity of serious/adverse events
Pharmacokinetic parameter Cmax
Cmax = the maximum concentration (peak) of the drug observed in the blood after a single administration of the drug
Presence of PCA062 anti-bodies
The presence and/or concentration of the anti-bodies will be tested from the blood samples collected
Overall response rate
Duration of response
Progression free survival
Disease control rate
Best overall response
Pharmacokinetic paramater Tmax
Tmax = the time the drug takes to reach maximum (peak) concentration in the blood

Full Information

First Posted
February 9, 2015
Last Updated
December 16, 2020
Sponsor
Novartis Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT02375958
Brief Title
PCA062 in pCAD-positive Tumors.
Official Title
A Phase 1 Multi-center, Open-label Dose Escalation and Expansion Study of PCA062 Administered Intravenously in Adult Patients With p-CAD Positive Tumors
Study Type
Interventional

2. Study Status

Record Verification Date
February 2020
Overall Recruitment Status
Completed
Study Start Date
April 15, 2015 (Actual)
Primary Completion Date
July 17, 2018 (Actual)
Study Completion Date
July 17, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Novartis Pharmaceuticals

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
A first-in-human sttudy using PCA062 in patients with p-CAD positive solid tumors.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Triple Negative Breast Cancer, Head & Neck Cancer, Esophageal Cancer
Keywords
PCA062, Triple Negative Breast Cancer, Head & Neck Cancer, Esophageal Cancer, pCAD, pcadherin, solid-tumors

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Triple Negative Breast Cancer
Arm Type
Experimental
Arm Title
Head and Neck Cancer
Arm Type
Experimental
Arm Title
Esophageal Cancer
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
PCA062
Primary Outcome Measure Information:
Title
Incidence rate of dose limiting toxicities
Time Frame
28 days
Secondary Outcome Measure Information:
Title
Incidence and severity of serious/adverse events
Time Frame
Duration of study (each treatment cycle = 14 days)
Title
Pharmacokinetic parameter Cmax
Description
Cmax = the maximum concentration (peak) of the drug observed in the blood after a single administration of the drug
Time Frame
84 days
Title
Presence of PCA062 anti-bodies
Description
The presence and/or concentration of the anti-bodies will be tested from the blood samples collected
Time Frame
84 days
Title
Overall response rate
Time Frame
Duration of study (each treatment cycle = 14 days)
Title
Duration of response
Time Frame
Duration of study (each treatment cycle = 14 days)
Title
Progression free survival
Time Frame
18 months
Title
Disease control rate
Time Frame
18 months
Title
Best overall response
Time Frame
Duration of study (each treatment cycle = 14 days)
Title
Pharmacokinetic paramater Tmax
Description
Tmax = the time the drug takes to reach maximum (peak) concentration in the blood
Time Frame
84 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria: Male or female ≥ 18 years of age Documented pCAD expressing tumor cells with the exception of HNSCC and ESCC. An archived tumor sample collected within 36 months prior to baseline if available, or a new tumor biopsy sample must be available for molecular pre-screening. Consent for a tumor biopsy at screening Progressive disease and no effective therapy exists Measurable disease as per RECIST v1.1 criteria ECOG Performance status of ≤ 2 Exclusion criteria: CNS metastatic involvement Clinically significant cardiac, respiratory, gastrointestinal, renal, hepatic or neurological conditions. A history of serious allergic reactions, which in the opinion of the investigator pose an increased risk of serious infusion reactions. Monocular vision or has media opacities or any other condition that precludes monitoring of the retina or the fundus, or has a history of ophthalmology exam with retina or cornea abnormalities Previously treated with anti-pCAD biologic therapies. Received anti-cancer therapies within the following time frames prior to the first dose of study treatment: Conventional cytotoxic chemotherapy: ≤4 weeks Biologic therapy (eg, antibodies), other than ADCs: ≤4 weeks Non-cytotoxic small molecule therapeutics: ≤5 T1/2 or ≤2 weeks (whichever is longer) Other investigational agents: ≤4 weeks Radiation therapy (palliative setting is allowed.): ≤4 weeks Major surgery: ≤2 weeks Patient has out of range laboratory values defined as: Hematological values: Absolute neutrophil count (ANC) <1.5 x 109/L Hemoglobin (Hgb) <9 g/dL Platelets <100 x 109/L Hepatic and renal function Total bilirubin >1.5 x upper limit of normal (ULN). For patients with Gilbert's syndrome, total bilirubin >2.5 x ULN. Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) >3 x ULN for patients without tumor involvement of the liver or >5 x ULN for patients with tumor involvement of the liver. Serum creatinine >1.5 x ULN and/or measured creatinine clearance < 40 ml/min
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Novartis Pharmaceuticals
Organizational Affiliation
Novartis Pharmaceuticals
Official's Role
Study Director
Facility Information:
Facility Name
Novartis Investigative Site
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
Novartis Investigative Site
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Novartis Investigative Site
City
Villejuif Cedex
ZIP/Postal Code
94805
Country
France
Facility Name
Novartis Investigative Site
City
Milano
State/Province
MI
ZIP/Postal Code
20133
Country
Italy
Facility Name
Novartis Investigative Site
City
Koto ku
State/Province
Tokyo
ZIP/Postal Code
135 8550
Country
Japan
Facility Name
Novartis Investigative Site
City
Singapore
ZIP/Postal Code
169610
Country
Singapore
Facility Name
Novartis Investigative Site
City
Madrid
ZIP/Postal Code
28009
Country
Spain

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
35131875
Citation
Duca M, Lim DW, Subbiah V, Takahashi S, Sarantopoulos J, Varga A, D'Alessio JA, Abrams T, Sheng Q, Tan EY, Rosa MS, Gonzalez-Maffe J, Sand-Dejmek J, Fabre C, Martin M. A First-in-Human, Phase I, Multicenter, Open-Label, Dose-Escalation Study of PCA062: An Antibody-Drug Conjugate Targeting P-Cadherin, in Patients With Solid Tumors. Mol Cancer Ther. 2022 Apr 1;21(4):625-634. doi: 10.1158/1535-7163.MCT-21-0652.
Results Reference
derived
Links:
URL
https://www.novctrd.com/ctrdweb/trialresult/trialresults/pdf?trialResultId=17441
Description
Results for CPCA062X2101 can be found on the Novartis Clinical Trial Results Website

Learn more about this trial

PCA062 in pCAD-positive Tumors.

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