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Phase I Dose Escalation Study of AB-16B5 in Subjects With an Advanced Solid Malignancy

Primary Purpose

Solid Tumor, Metastatic Cancer

Status
Completed
Phase
Phase 1
Locations
Canada
Study Type
Interventional
Intervention
AB-16B5
Sponsored by
Alethia Biotherapeutics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Solid Tumor focused on measuring Phase I, Clusterin, Epithelial-to-Mesenchymal Transition (EMT), Circulating Tumor Cells (CTC), EMT and Stem Cell Biomarkers, Pharmacokinetics

Eligibility Criteria

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

Inclusion Criteria:

  • Subjects with a histologically or cytologically confirmed advanced solid malignancy that has been refractory to prior therapy and is unlikely to benefit from known therapies.
  • Subjects may have measurable or non-measurable but evaluable disease.
  • Subjects must have an Eastern Cooperative Oncology Group (ECOG) performance status of ≤ 2 and an estimated life expectancy of at least 12 weeks.
  • Subjects must be ≥ 18 years old.
  • Male, or female subjects who are post-menopausal (amenorrheic for at least 12 months), or surgically or biologically sterile. Females of childbearing potential with a negative serum pregnancy test prior to entering the study and using adequate forms of contraception for the duration of the study, including 30 days after the last treatment. Males should avoid fathering children during the course of the study, and adequate methods of contraception should be used by both male and female subjects. Subjects and their partners with reproductive potential must use an effective contraceptive method while the subject is on the study treatment and for 30 days after the last treatment.
  • Subjects must have adequate organ and immune function as indicated by the following laboratory values:

    • ANC ≥ 1.5 X 109/L
    • Platelets > 100 X 109/L
    • Hemoglobin ≥ 90 g/L
    • Serum creatinine ≤ 132 µmol/L
    • Total Bilirubin ≤ 1.5 X ULN
    • AST (SGOT) and ALT (SGPT) ≤ 3 X ULN* or;

      • 5 X ULN* (if hepatic metastases present)

        • ULN: Institution's upper limit of normal
  • Subjects enrolled in the standard dose escalation portion of the study must have a tumor lesion amenable for biopsy with no contraindications for biopsy.
  • Subjects must understand and be able and willing and likely to fully comply with the study procedures, including scheduled follow-up, and restrictions.
  • Subjects must have given written personally signed and dated informed consent to participate in the study, in accordance with the International Conference on Harmonisation (ICH) Good Clinical Practice (GCP) Guidelines, before completing any study related procedures.

Exclusion Criteria:

  • Subjects with medical, social, or psychosocial factors that, in the opinion of the Investigator, could impact safety or compliance with study procedures.
  • Prior cancer therapy including surgery, radiotherapy, chemotherapy, hormonal and biological therapies within 3 weeks prior to study treatment.
  • Uncontrolled brain metastases.
  • Uncontrolled infection.
  • Clinically significant ECG abnormalities.
  • Known hypersensitivity of Grade > 2 to previous monoclonal antibody therapy.
  • History of alcohol or other substance abuse within the last year.
  • Use of another investigational agent in a clinical trial within the last 4 weeks prior to study treatment.
  • Female subjects who are pregnant or lactating, including females with a positive pregnancy test at screening must be excluded.

Sites / Locations

  • Jewish General Hospital

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

AB-16B5

Arm Description

Single-arm study of AB-16B5 given as a 60-minute intravenous weekly infusion. One cycle of treatment will consist of 21 days. The dose levels that will be assessed are 1.5, 3.0, 6.0, 9.0 and 12 mg/kg.

Outcomes

Primary Outcome Measures

Number of participants with an adverse event as a measure of safety and tolerability

Secondary Outcome Measures

Determination of plasma concentrations of AB-16B5
Objective tumor responses in subjects with measurable disease according to RECIST
Monitoring of epithelial-to-mesenchymal (EMT) and stem cells biomarkers in peripheral blood circulating tumor cells and paired tumor biopsies

Full Information

First Posted
March 30, 2015
Last Updated
June 27, 2017
Sponsor
Alethia Biotherapeutics
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1. Study Identification

Unique Protocol Identification Number
NCT02412462
Brief Title
Phase I Dose Escalation Study of AB-16B5 in Subjects With an Advanced Solid Malignancy
Official Title
A Phase I Dose-Escalation Study to Evaluate the Safety, Tolerability and Pharmacokinetics of AB-16B5 in Subjects With an Advanced Solid Malignancy
Study Type
Interventional

2. Study Status

Record Verification Date
July 2016
Overall Recruitment Status
Completed
Study Start Date
April 2015 (undefined)
Primary Completion Date
January 2017 (Actual)
Study Completion Date
January 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Alethia Biotherapeutics

4. Oversight

5. Study Description

Brief Summary
This is a Phase 1 clinical study to investigate the safety, pharmacokinetics and pharmacodynamics of AB-16B5 in patients with an advanced solid malignancy. AB-16B5 is a humanized monoclonal antibody that inhibits the activity of the secreted form of clusterin (sCLU), a potent inducer of the epithelial-to-mesenchymal transition (EMT). Eligible subjects will have a disease that has been refractory to prior therapy and is unlikely to benefit from known therapies.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Solid Tumor, Metastatic Cancer
Keywords
Phase I, Clusterin, Epithelial-to-Mesenchymal Transition (EMT), Circulating Tumor Cells (CTC), EMT and Stem Cell Biomarkers, Pharmacokinetics

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
15 (Actual)

8. Arms, Groups, and Interventions

Arm Title
AB-16B5
Arm Type
Experimental
Arm Description
Single-arm study of AB-16B5 given as a 60-minute intravenous weekly infusion. One cycle of treatment will consist of 21 days. The dose levels that will be assessed are 1.5, 3.0, 6.0, 9.0 and 12 mg/kg.
Intervention Type
Drug
Intervention Name(s)
AB-16B5
Primary Outcome Measure Information:
Title
Number of participants with an adverse event as a measure of safety and tolerability
Time Frame
Up to treatment discontinuation + 30 days with an estimated treatment duration of 6 to 24 weeks
Secondary Outcome Measure Information:
Title
Determination of plasma concentrations of AB-16B5
Time Frame
Several time-points during Cycle 1 and Cycle 2 for a total of 6 weeks
Title
Objective tumor responses in subjects with measurable disease according to RECIST
Time Frame
Up to treatment discontinuation + 30 days with an estimated treatment duration of 6 to 24 weeks
Title
Monitoring of epithelial-to-mesenchymal (EMT) and stem cells biomarkers in peripheral blood circulating tumor cells and paired tumor biopsies
Time Frame
Up to treatment discontinuation + 30 days with an estimated treatment duration of 6 to 24 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subjects with a histologically or cytologically confirmed advanced solid malignancy that has been refractory to prior therapy and is unlikely to benefit from known therapies. Subjects may have measurable or non-measurable but evaluable disease. Subjects must have an Eastern Cooperative Oncology Group (ECOG) performance status of ≤ 2 and an estimated life expectancy of at least 12 weeks. Subjects must be ≥ 18 years old. Male, or female subjects who are post-menopausal (amenorrheic for at least 12 months), or surgically or biologically sterile. Females of childbearing potential with a negative serum pregnancy test prior to entering the study and using adequate forms of contraception for the duration of the study, including 30 days after the last treatment. Males should avoid fathering children during the course of the study, and adequate methods of contraception should be used by both male and female subjects. Subjects and their partners with reproductive potential must use an effective contraceptive method while the subject is on the study treatment and for 30 days after the last treatment. Subjects must have adequate organ and immune function as indicated by the following laboratory values: ANC ≥ 1.5 X 109/L Platelets > 100 X 109/L Hemoglobin ≥ 90 g/L Serum creatinine ≤ 132 µmol/L Total Bilirubin ≤ 1.5 X ULN AST (SGOT) and ALT (SGPT) ≤ 3 X ULN* or; 5 X ULN* (if hepatic metastases present) ULN: Institution's upper limit of normal Subjects enrolled in the standard dose escalation portion of the study must have a tumor lesion amenable for biopsy with no contraindications for biopsy. Subjects must understand and be able and willing and likely to fully comply with the study procedures, including scheduled follow-up, and restrictions. Subjects must have given written personally signed and dated informed consent to participate in the study, in accordance with the International Conference on Harmonisation (ICH) Good Clinical Practice (GCP) Guidelines, before completing any study related procedures. Exclusion Criteria: Subjects with medical, social, or psychosocial factors that, in the opinion of the Investigator, could impact safety or compliance with study procedures. Prior cancer therapy including surgery, radiotherapy, chemotherapy, hormonal and biological therapies within 3 weeks prior to study treatment. Uncontrolled brain metastases. Uncontrolled infection. Clinically significant ECG abnormalities. Known hypersensitivity of Grade > 2 to previous monoclonal antibody therapy. History of alcohol or other substance abuse within the last year. Use of another investigational agent in a clinical trial within the last 4 weeks prior to study treatment. Female subjects who are pregnant or lactating, including females with a positive pregnancy test at screening must be excluded.
Facility Information:
Facility Name
Jewish General Hospital
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H3T 1E2
Country
Canada

12. IPD Sharing Statement

Learn more about this trial

Phase I Dose Escalation Study of AB-16B5 in Subjects With an Advanced Solid Malignancy

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