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Safety and Tolerability of I.V. Infusion of MB07133 in Patients With Unresectable Hepatocellular Carcinoma

Primary Purpose

Hepatocellular Carcinoma

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
MB07133 300mg/m2/day
MB07133 600 mg/m2/day
MB07133 1200 mg/m2/day
MB07133 1800 mg/m2/day
MB07133 2400 mg/m2/day
Sponsored by
Ligand Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hepatocellular Carcinoma focused on measuring Hepatocellular, Carcinoma, Liver, Cancer

Eligibility Criteria

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

Inclusion Criteria: Patients with a diagnosis of local unresectable HCC confirmed by histology using fine needle aspirate (FNA) or liver biopsy. "Local" is defined as disease either restricted to the liver or contiguous with the liver and no identifiable extrahepatic disease. Patients with Child-Pugh Class A liver function. For purposes of this trial, an eligible patient must not have Encephalopathy or Ascites and the total Child-Pugh score cannot be greater than 6 at baseline Males or females 18 years of age or older Ability to provide written informed consent before initiation of any study-related procedures and ability, in the opinion of the Principal Investigator, to comply with all the requirements of the study Male and female subjects who are surgically sterile, who remain abstinent, or who agree to practice double barrier forms of birth control from screening through 30 days (females) and 90 days (males), from the last dose of study medication Exclusion Criteria: History of or presence of clinically significant acute or unstable cardiovascular, cerebrovascular (stroke), renal, GI, pulmonary, immunological (with the exception of the presence of hepatitis B virus [HBV], HCV hepatitis, or cirrhosis), endocrine, or central nervous system disorders Patient has a history of cancer other than hepatocellular (excluding resected basal cell carcinoma; or curatively resected stage 1 or less cervical cancer if disease free for 5 years or more). Patients with distant metastasis or extrahepatic disease An Eastern Cooperative Oncology Group (ECOG) performance status score of greater than or equal to 2 Current encephalopathy or current treatment for encephalopathy History of drug or alcohol abuse within 6 months before screening History of, or current clinically significant mental disorder or an antagonistic personality that compromises the validity of the informed consent A documented variceal hemorrhage within 4 months of screening Neutrophil count less than or equal to 1,500/mm3, platelet count less than or equal to 100,000/mm3, hemoglobin less than or equal to 8.5 g/dL, or a Prothrombin Time (INR) greater than 1.3 (vitamin K supplementation allowed) Serum creatinine greater than 1.1 times the upper limit of normal History of human immunodeficiency virus or acquired immune deficiency syndrome Use of an investigational drug or product or participation in a drug study within 30 days before dosing Liver function defined as: serum bilirubin greater than 1.5 times the upper limit of normal or an aspartate aminotransferase (AST) or alanine aminotransferase (ALT) greater than 5 times upper limit of normal, or serum albumin less than 3.2 g/dL History of gout or abnormal uric acid metabolism The clinical presence of ascites Treatment of HCC within 30 days of screening by chemotherapy or treatment of the target lesion(s) by chemoembolization, PEI, or surgery Radiofrequency ("RF") ablation of the target lesion(s) within 60 days of screening Subjects with a life expectancy of less than 12 weeks Subjects having received an organ transplant Subjects currently receiving coumadin or heparin Pregnant or nursing women

Sites / Locations

  • University of California at Irvine
  • Prince of Wales Hospital - Comprehensive Cancer Trial Unit
  • Tri-Services General Hospital
  • Chang-Gung Memorial Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

MB07133 Dose Level 1

MB07133 Dose Level 2

MB07133 Dose Level 3

MB07133 Dose Level 4

MB07133 Dose Level 5

Arm Description

7-day continuous infusion in 28-day cycles

7-day continuous infusion in 28-day cycles

7-day continuous infusion in 28-day cycles

7-day continuous infusion in 28-day cycles

7-day continuous infusion in 28-day cycles

Outcomes

Primary Outcome Measures

Safety and tolerability
To determine the dose-limiting toxicities (DLT) of MB07133; To determine the maximum-tolerated continuous infusion dose (MTD) of MB07133

Secondary Outcome Measures

Determine effect of MB07133 on tumor size
To determine the effect on HCC tumor size by using CT scanning, alpha-fetoprotein (AFP) concentration, and performance status.

Full Information

First Posted
December 3, 2003
Last Updated
August 10, 2011
Sponsor
Ligand Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT00073736
Brief Title
Safety and Tolerability of I.V. Infusion of MB07133 in Patients With Unresectable Hepatocellular Carcinoma
Official Title
A Phase 1/2 Open-Label Study to Assess the Safety, Tolerability, and Pharmacokinetics of Intravenous Infusion of MB07133 in Subjects With Unresectable Hepatocellular Carcinoma and Child-Pugh Class A Liver Function
Study Type
Interventional

2. Study Status

Record Verification Date
August 2011
Overall Recruitment Status
Completed
Study Start Date
September 2003 (undefined)
Primary Completion Date
July 2007 (Actual)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
Ligand Pharmaceuticals

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Hepatocellular carcinoma (HCC) is the most common primary cancer of the liver. MB07133 is being developed for the treatment of inoperable HCC, using a platform technology known as HepDirectTM, which enables drugs to be targeted specifically to the liver. The objective for this study is to determine the safety and tolerability of MB07133.
Detailed Description
To determine the maximum tolerated dose of MB07133 when administered as a 7-day continuous i.v. To characterize the safety profile and the pharmacokinetics of MB07133 and metabolites during and after continuous infusion. To determine the effect of MB07133 on hepatocellular carcinoma (HCC) tumor size.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatocellular Carcinoma
Keywords
Hepatocellular, Carcinoma, Liver, Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
28 (Actual)

8. Arms, Groups, and Interventions

Arm Title
MB07133 Dose Level 1
Arm Type
Experimental
Arm Description
7-day continuous infusion in 28-day cycles
Arm Title
MB07133 Dose Level 2
Arm Type
Experimental
Arm Description
7-day continuous infusion in 28-day cycles
Arm Title
MB07133 Dose Level 3
Arm Type
Experimental
Arm Description
7-day continuous infusion in 28-day cycles
Arm Title
MB07133 Dose Level 4
Arm Type
Experimental
Arm Description
7-day continuous infusion in 28-day cycles
Arm Title
MB07133 Dose Level 5
Arm Type
Experimental
Arm Description
7-day continuous infusion in 28-day cycles
Intervention Type
Drug
Intervention Name(s)
MB07133 300mg/m2/day
Intervention Description
7-day continuous infusion in 28-day cycles
Intervention Type
Drug
Intervention Name(s)
MB07133 600 mg/m2/day
Intervention Description
7-day continuous infusion in 28-day cycles
Intervention Type
Drug
Intervention Name(s)
MB07133 1200 mg/m2/day
Intervention Description
7-day continuous infusion in 28-day cycles
Intervention Type
Drug
Intervention Name(s)
MB07133 1800 mg/m2/day
Intervention Description
7-day continuous infusion in 28-day cycles
Intervention Type
Drug
Intervention Name(s)
MB07133 2400 mg/m2/day
Intervention Description
7-day continuous infusion in 28-day cycles
Primary Outcome Measure Information:
Title
Safety and tolerability
Description
To determine the dose-limiting toxicities (DLT) of MB07133; To determine the maximum-tolerated continuous infusion dose (MTD) of MB07133
Time Frame
7-day continuous infusion every 28-days as tolerated
Secondary Outcome Measure Information:
Title
Determine effect of MB07133 on tumor size
Description
To determine the effect on HCC tumor size by using CT scanning, alpha-fetoprotein (AFP) concentration, and performance status.
Time Frame
28 day cycles

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients with a diagnosis of local unresectable HCC confirmed by histology using fine needle aspirate (FNA) or liver biopsy. "Local" is defined as disease either restricted to the liver or contiguous with the liver and no identifiable extrahepatic disease. Patients with Child-Pugh Class A liver function. For purposes of this trial, an eligible patient must not have Encephalopathy or Ascites and the total Child-Pugh score cannot be greater than 6 at baseline Males or females 18 years of age or older Ability to provide written informed consent before initiation of any study-related procedures and ability, in the opinion of the Principal Investigator, to comply with all the requirements of the study Male and female subjects who are surgically sterile, who remain abstinent, or who agree to practice double barrier forms of birth control from screening through 30 days (females) and 90 days (males), from the last dose of study medication Exclusion Criteria: History of or presence of clinically significant acute or unstable cardiovascular, cerebrovascular (stroke), renal, GI, pulmonary, immunological (with the exception of the presence of hepatitis B virus [HBV], HCV hepatitis, or cirrhosis), endocrine, or central nervous system disorders Patient has a history of cancer other than hepatocellular (excluding resected basal cell carcinoma; or curatively resected stage 1 or less cervical cancer if disease free for 5 years or more). Patients with distant metastasis or extrahepatic disease An Eastern Cooperative Oncology Group (ECOG) performance status score of greater than or equal to 2 Current encephalopathy or current treatment for encephalopathy History of drug or alcohol abuse within 6 months before screening History of, or current clinically significant mental disorder or an antagonistic personality that compromises the validity of the informed consent A documented variceal hemorrhage within 4 months of screening Neutrophil count less than or equal to 1,500/mm3, platelet count less than or equal to 100,000/mm3, hemoglobin less than or equal to 8.5 g/dL, or a Prothrombin Time (INR) greater than 1.3 (vitamin K supplementation allowed) Serum creatinine greater than 1.1 times the upper limit of normal History of human immunodeficiency virus or acquired immune deficiency syndrome Use of an investigational drug or product or participation in a drug study within 30 days before dosing Liver function defined as: serum bilirubin greater than 1.5 times the upper limit of normal or an aspartate aminotransferase (AST) or alanine aminotransferase (ALT) greater than 5 times upper limit of normal, or serum albumin less than 3.2 g/dL History of gout or abnormal uric acid metabolism The clinical presence of ascites Treatment of HCC within 30 days of screening by chemotherapy or treatment of the target lesion(s) by chemoembolization, PEI, or surgery Radiofrequency ("RF") ablation of the target lesion(s) within 60 days of screening Subjects with a life expectancy of less than 12 weeks Subjects having received an organ transplant Subjects currently receiving coumadin or heparin Pregnant or nursing women
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Isabela Niculae, MPH
Organizational Affiliation
Metabasis Therapeutics, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
University of California at Irvine
City
Orange
State/Province
California
ZIP/Postal Code
92868
Country
United States
Facility Name
Prince of Wales Hospital - Comprehensive Cancer Trial Unit
City
Shatin, New Territories
Country
Hong Kong
Facility Name
Tri-Services General Hospital
City
Taipei
State/Province
Nei Hu District
ZIP/Postal Code
114
Country
Taiwan
Facility Name
Chang-Gung Memorial Hospital
City
Taipei
State/Province
Taoyuan County
ZIP/Postal Code
333
Country
Taiwan

12. IPD Sharing Statement

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Safety and Tolerability of I.V. Infusion of MB07133 in Patients With Unresectable Hepatocellular Carcinoma

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