Phase Ia/Ib Multicenter Trial of Mogamulizumab for Advanced or Recurrent Cancer.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
This study consists of phase Ia and Ib portions for patients with solid tumors.
Phase Ia portion is the standard 3+3 dose-escalation design with 0.1mg/kg, 0.5mg/kg and 1.0mg/kg of Mogamulizumab.
Phase Ib portion is the randomized study comparing 0.1mg/kg and tolerated dose of Mogamulizumab based on the phase Ia portion to pursue safer and immunologically more efficient dose.
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Locations
-
-
Aichi
-
Nagoya, Aichi, Japan
- Aichi Medical University
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients with histologically confirmed, CCR4 negative lung, stomach, esophageal, ovarian or skin cancer.
- Patients with therapy-resistant cancer. Patients with recurrent cancer or advanced cancer who refused standard therapies.
- Eastern Cooperative Oncology Group (ECOG) Performance Status is 0, 1 or 2.
- Patients should be 20 years or older at the time of informed consent.
- No serious dysfunction of major organs (bone marrow, heart, lung, liver and kidney) and meet the following conditions ; 1) WBC count : >=1,500/mm3 2) Hemoglobin : >=8.0g/dL 3) Platelet count : >=75,000/mm3 4) Serum total bilirubin : <=2.0 x ULN 5) AST and ALT : <=2.5 x ULN (Patients with hepatic infiltration which is attributed to primary disease<=5.0 x ULN) 6) Serum creatinine : <=1.5 mg/dL 7) SpO2 : >=93 % 8) ECG : No abnormal findings. 9) EF : >=50 %
- Agree to use birth control including condom etc. from the time of obtaining the first consent to 24 weeks after the final administration of the study drug (except female after menopause (1 year or more after the last menstruation) and female/male after the operation for sterilization).
- Given written informed consent.
- Patients who can be hospitalized from the day of first administration to the next day.
- Patients who have target lesions measurable by RECIST ver.1.1.
- Life expectancy >= 3 months.
Exclusion Criteria:
- Patients with HIV antibody positive.
- Patients with HCV antibody positive.
- Patients with autoimmune disease.
- Patients with HBs antigen or HBV-DNA positive.
- History of serious anaphylaxis induced by antibody preparation.
- Patients with double cancer.
- Within 4 weeks after treatment with anticancer agent, immune suppressant, immune enhancer, cytokine therapy, radiotherapy or surgery for the primary disease.
- Pregnant or breast-feeding females and females who have a possibility of pregnancy.
- Patients with active infection.
- Patients with psychosis or dementia.
- Patients who need continuous systemic administration of adrenocorticosteroid.
- Patients who have received hematopoietic stem cell transplantation.
- Patients who have presence or suspicion of CNS involvement.
- Patients who are administered the other investigational product within 4 weeks of the entry.
- Patients treated with immunotherapy for cancer (e.g. cancer vaccine therapy) within 12 weeks of the entry.
- Any other inadequacy for this study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: <Phase Ia> Mogamulizumab 0.1mg/kg, 0.5mg/kg or 1.0mg/kg
<Phase Ia> Dose-escalation method with Mogamulizumab 0.1mg/kg, 0.5mg/kg or 1.0mg/kg.
Mogamulizumab will be administered 8 times every week.
|
Mogamulizumab 0.1mg/kg, 0.5mg/kg or 1.0mg/kg will be administered 8 times every week.
Other Names:
|
|
Experimental: <Phase Ib> Mogamulizumab of the tolerated dose
<Phase Ib> Mogamulizumab of the tolerated dose in Phase Ia will be administered 8 times every week.
|
Mogamulizumab 0.1mg/kg, 0.5mg/kg or 1.0mg/kg will be administered 8 times every week.
Other Names:
|
|
Experimental: <Phase Ib> Mogamulizumab 0.1mg/kg
<Phase Ib> Mogamulizumab 0.1mg/kg will be administered 8 times every week.
|
Mogamulizumab 0.1mg/kg, 0.5mg/kg or 1.0mg/kg will be administered 8 times every week.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Maximum tolerated dose(MTD) of Mogamulizumab
Time Frame: from first administration until day 28
|
from first administration until day 28
|
|
Dose limiting toxicity(DLT) of Mogamulizumab
Time Frame: from first administration until day 28
|
from first administration until day 28
|
|
Number of adverse events
Time Frame: from first administration to 24 weeks after the final administration, an expected average of 32 weeks.
|
from first administration to 24 weeks after the final administration, an expected average of 32 weeks.
|
|
Cmax of Mogamulizumab
Time Frame: from day 0 to 28 days after the final administration, an expected average of 12 weeks.
|
from day 0 to 28 days after the final administration, an expected average of 12 weeks.
|
|
Ctrough of Mogamulizumab
Time Frame: from day 0 to 28 days after the final administration, an expected average of 12 weeks.
|
from day 0 to 28 days after the final administration, an expected average of 12 weeks.
|
|
AUC0-7day of Mogamulizumab
Time Frame: from day 0 to 28 days after the final administration, an expected average of 12 weeks.
|
from day 0 to 28 days after the final administration, an expected average of 12 weeks.
|
|
Rate of Treg decrease in PBMC compared to baseline
Time Frame: from baseline to every 4 weeks until data cut off
|
from baseline to every 4 weeks until data cut off
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Objective tumor response rate according to RECIST
Time Frame: from baseline to every 12 weeks, until data cut off
|
from baseline to every 12 weeks, until data cut off
|
|
Median progression free survival rate
Time Frame: from baseline to every 12 weeks, until data cut off (expected date is March 2016)
|
from baseline to every 12 weeks, until data cut off (expected date is March 2016)
|
|
Median Overall survival rate
Time Frame: from baseline to every 12 weeks, until data cut off
|
from baseline to every 12 weeks, until data cut off
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- KW0761-IIT-01
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