A Dose-escalation Study to Evaluate the Safety, Tolerability, and Antitumor Activity of MEDI-573 in Subjects With Advanced Solid Tumors
31 de octubre de 2018 actualizado por: MedImmune LLC
A Phase 1, Multicenter, Open-label, Single-arm, Dose-escalation Study to Evaluate the Safety, Tolerability, and Antitumor Activity of MEDI-573, a Fully Human Monoclonal Antibody Directed Against Insulin-like Growth Factors I and II, in Subjects With Advanced Solid Tumors Refractory to Standard Therapy or for Which No Standard Therapy Exists
Evaluate the safety and tolerability of MEDI-573 in adult subjects with advanced solid tumors refractory to standard therapy or for which no standard therapy exists.
Descripción general del estudio
Tipo de estudio
Intervencionista
Inscripción (Actual)
43
Fase
- Fase 1
Contactos y Ubicaciones
Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.
Ubicaciones de estudio
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Arizona
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Scottsdale, Arizona, Estados Unidos, 85259
- Research Site
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Florida
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Jacksonville, Florida, Estados Unidos, 32224
- Research Site
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Massachusetts
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Boston, Massachusetts, Estados Unidos, 02115
- Research Site
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Michigan
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Detroit, Michigan, Estados Unidos, 48201
- Research Site
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Minnesota
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Rochester, Minnesota, Estados Unidos, 55905
- Research Site
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Pennsylvania
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Philadelphia, Pennsylvania, Estados Unidos, 19111
- Research Site
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Criterios de participación
Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.
Criterio de elegibilidad
Edades elegibles para estudiar
18 años a 99 años (Adulto, Adulto Mayor)
Acepta Voluntarios Saludables
No
Géneros elegibles para el estudio
Todos
Descripción
Inclusion Criteria:
- Histologically confirmed advanced solid tumor for which no curative or standard therapies exist.
- Karnofsky Performance Status ≥60.
- Adequate hematological function.
- Adequate organ function.
- Women of non-child-bearing potential (defined as being >1 year post-menopausal) or using effective contraception, e.g., use of oral contraceptives with an additional barrier method (since the investigational product may impair the effectiveness of oral contraceptives), double barrier methods (diaphragm with spermicidal gel or condoms with contraceptive foam), Depo-Provera, partner vasectomy, or total abstinence, from the time the informed consent is signed through 30 days after the last dose of MEDI-573. Male subjects with partners of child-bearing potential must be surgically sterile or use contraceptive method as described above from the time of the initiation of MEDI-573 through 30 days after the last dose of MEDI-573.
Exclusion Criteria:
- No prior treatment within 4 weeks of study drug administration.
- No concurrent therapy for treatment of cancer.
- No uncontrolled diabetes.
- New York Heart Association Grade ≥ 2 congestive heart failure.
- History of myocardial infarction, unstable angina, transient ischemic attack or stroke within the previous 6 months prior to study entry.
- Documented brain metastasis.
- Pregnancy or lactation or plans to become pregnant while on study.
- Clinically significant abnormality on ECG.
Plan de estudios
Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: N / A
- Modelo Intervencionista: Asignación de un solo grupo
- Enmascaramiento: Ninguno (etiqueta abierta)
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
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Experimental: MEDI-573 0.5 mg/Kg QWk Dose Escalation
Participants received MEDI-573 0.5 milligram per kilogram (mg/kg) as a 60-minute intravenous (IV) infusion once every 7 days until unacceptable toxicity, documentation of disease progression, or other reason for participant withdrawal.
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Administered at a dose determined by the subject's enrollment cohort as an IV infusion as part of a 21 day treatment cycle.
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Experimental: MEDI-573 1.5 mg/Kg QWk Dose Escalation
Participants received MEDI-573 1.5 mg/kg as a 60-minute IV infusion once every 7 days until unacceptable toxicity, documentation of disease progression, or other reason for participant withdrawal.
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Administered at a dose determined by the subject's enrollment cohort as an IV infusion as part of a 21 day treatment cycle.
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Experimental: MEDI-573 5 mg/Kg QWk Dose Escalation
Participants received MEDI-573 5 mg/kg as a 60-minute IV infusion once every 7 days until unacceptable toxicity, documentation of disease progression, or other reason for participant withdrawal.
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Administered at a dose determined by the subject's enrollment cohort as an IV infusion as part of a 21 day treatment cycle.
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Experimental: MEDI-573 10 mg/Kg QWk Dose Escalation
Participants received MEDI-573 10 mg/kg as a 60-minute IV infusion once every 7 days until unacceptable toxicity, documentation of disease progression, or other reason for participant withdrawal.
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Administered at a dose determined by the subject's enrollment cohort as an IV infusion as part of a 21 day treatment cycle.
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Experimental: MEDI-573 15 mg/Kg QWk Dose Escalation
Participants received MEDI-573 15 mg/kg as a 60-minute IV infusion once every 7 days until unacceptable toxicity, documentation of disease progression, or other reason for participant withdrawal.
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Administered at a dose determined by the subject's enrollment cohort as an IV infusion as part of a 21 day treatment cycle.
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Experimental: MEDI-573 30 mg/Kg Q3Wk Dose Escalation
Participants received MEDI-573 30 mg/kg as a 90-minute IV infusion once every 21 days until unacceptable toxicity, documentation of disease progression, or other reason for participant withdrawal.
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Administered at a dose determined by the subject's enrollment cohort as an IV infusion as part of a 21 day treatment cycle.
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Experimental: MEDI-573 45 mg/Kg Q3Wk Dose Escalation
Participants received MEDI-573 45 mg/kg as a 90-minute IV infusion once every 21 days until unacceptable toxicity, documentation of disease progression, or other reason for participant withdrawal.
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Administered at a dose determined by the subject's enrollment cohort as an IV infusion as part of a 21 day treatment cycle.
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Experimental: MEDI-573 5 mg/Kg QWk Dose Expansion
Participants received MEDI-573 5 mg/kg as a 60-minute IV infusion once every 7 days until unacceptable toxicity, documentation of disease progression, or other reason for participant withdrawal.
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Administered at a dose determined by the subject's enrollment cohort as an IV infusion as part of a 21 day treatment cycle.
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Experimental: MEDI-573 15 mg/Kg QWk Dose Expansion
Participants received MEDI-573 15 mg/kg as a 60-minute IV infusion once every 7 days until unacceptable toxicity, documentation of disease progression, or other reason for participant withdrawal.
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Administered at a dose determined by the subject's enrollment cohort as an IV infusion as part of a 21 day treatment cycle.
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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
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Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (SAEs)
Periodo de tiempo: From the start of study treatment through 30 days after the last dose of MEDI-573, up to 3.5 years
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AEs were any unfavorable and unintended signs (including abnormal laboratory findings), symptoms, or diseases temporally associated with the use of MEDI-573, whether or not considered related to MEDI-573.
A SAE was any AE that resulted in: death; inpatient hospitalization or prolongation of existing hospitalization; persistent or significant disability or incapacity; was life-threatening; was a congenital anomaly/birth defect in the offspring of a study participant; or was an important medical event that may not have resulted in death, threatened life, or required hospitalization and that, based on appropriate medical judgment, may have jeopardized the participant and may have required medical or surgical intervention to prevent one of the outcomes above.
TEAEs were defined as AEs present at baseline that worsened in intensity after administration of MEDI-573, or events absent at baseline that emerged after administration of MEDI-573, up to 30 days after the last dose.
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From the start of study treatment through 30 days after the last dose of MEDI-573, up to 3.5 years
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Number of Participants With Clinical Laboratory Abnormalities Reported as TEAEs
Periodo de tiempo: From the start of study treatment through 30 days after the last dose of MEDI-573, up to 3.5 years
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An abnormal laboratory finding that was judged by the investigator to be medically significant was reported as an AE.
TEAEs were defined as events present at baseline that worsened in intensity after administration of MEDI-573, or events absent at baseline that emerged after administration of MEDI-573, for the period extending to 30 days after the last dose.
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From the start of study treatment through 30 days after the last dose of MEDI-573, up to 3.5 years
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Number of Participants With Vital Signs and Physical Findings Abnormalities Reported as TEAEs
Periodo de tiempo: From the start of study treatment through 30 days after the last dose of MEDI-573, up to 3.5 years
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Vital signs and physical findings included parameters such as heart rate, blood pressure, temperature, and respiratory rate.
TEAEs were defined as events present at baseline that worsened in intensity after administration of MEDI-573 or events absent at baseline that emerged after administration of MEDI-573, for the period extending to 30 days after the last dose.
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From the start of study treatment through 30 days after the last dose of MEDI-573, up to 3.5 years
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Maximum Tolerated Dose (MTD) of MEDI-573
Periodo de tiempo: Cycle 1 Day 1 through Cycle 1 Day 21
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The MTD was defined as the highest dose that can be safely administered to participants and was determined by the number of participants in each cohort with a dose-limiting toxicity (DLT).
The number and proportion of participants in each dose cohort and the number of participants with a DLT was presented using the total number of participants in the MTD Evaluable Population as the denominator.
2 participants from Cohorts 0.5 and 5 mg/kg QWk (1 in each cohort) did not complete the DLT period and therefore not evaluable for MTD.
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Cycle 1 Day 1 through Cycle 1 Day 21
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Number of Participants With Dose-Limiting Toxicities (DLTs)
Periodo de tiempo: Cycle 1 Day 1 through Cycle 1 Day 21
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A DLT was defined as any grade greater than or equal to (>=) 3 treatment-related non-hematologic toxicity that occurred during the DLT assessment period with the following exceptions: Grade less than (<) 4 serum-high glucose (fasting) with duration of < 24 hours; Grade 3 fever (in the absence of neutropenia) defined as > 40.0 degree centigrade (°C) [greater than (>) 104.0°F] that resolved to normal or baseline within 24 hours of treatment and was not considered an SAE; or Grade 3 rigors/chills that responded to optimal therapy; any Grade >= 3 treatment-related hematologic toxicity that occurred during the DLT assessment period.
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Cycle 1 Day 1 through Cycle 1 Day 21
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Optimal Biologically Effective Dose (OBED) of MEDI-573
Periodo de tiempo: From the start of study treatment through 30 days after the last dose of MEDI-573, up to 3.5 years
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The OBED was defined as the dose at which all circulating insulin-like growth factor (IGF)-1 and IGF-2 ligand was sequestered by MEDI-573.
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From the start of study treatment through 30 days after the last dose of MEDI-573, up to 3.5 years
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Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
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Maximum Observed Serum Concentration (Cmax) After the First Dose
Periodo de tiempo: For weekly dosing: Pre- and post-infusion (0, 2, 6, 24, and 48 hours post-infusion); For 3 weekly dosing: Pre- and post-infusion (0, 2, 6, 24, and 48 hours post-infusion); and on Days 8 and 15
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The Cmax was the maximum observed serum concentration of MEDI-573.
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For weekly dosing: Pre- and post-infusion (0, 2, 6, 24, and 48 hours post-infusion); For 3 weekly dosing: Pre- and post-infusion (0, 2, 6, 24, and 48 hours post-infusion); and on Days 8 and 15
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Time to Reach Maximum Observed Concentration (Tmax) After the First Dose
Periodo de tiempo: For weekly dosing: Pre- and post-infusion (0, 2, 6, 24, and 48 hours post-infusion); For 3 weekly dosing: Pre- and post-infusion (0, 2, 6, 24, and 48 hours post-infusion); and on Days 8 and 15
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The tmax was defined as actual sampling time to reach the maximum observed serum concentration of MEDI-573.
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For weekly dosing: Pre- and post-infusion (0, 2, 6, 24, and 48 hours post-infusion); For 3 weekly dosing: Pre- and post-infusion (0, 2, 6, 24, and 48 hours post-infusion); and on Days 8 and 15
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Trough Serum Concentration (Ctrough) After the First Dose
Periodo de tiempo: For weekly dosing: Pre- and post-infusion (0, 2, 6, 24, and 48 hours post-infusion); For 3 weekly dosing: Pre- and post-infusion (0, 2, 6, 24, and 48 hours post-infusion); and on Days 8 and 15
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The Ctrough was the lowest serum concentration of MEDI-573 within a dosing interval.
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For weekly dosing: Pre- and post-infusion (0, 2, 6, 24, and 48 hours post-infusion); For 3 weekly dosing: Pre- and post-infusion (0, 2, 6, 24, and 48 hours post-infusion); and on Days 8 and 15
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Dose Normalized Cmax (Cmax/Dose) After the First Dose
Periodo de tiempo: For weekly dosing: Pre- and post-infusion (0, 2, 6, 24, and 48 hours post-infusion); For 3 weekly dosing: Pre- and post-infusion (0, 2, 6, 24, and 48 hours post-infusion); and on Days 8 and 15
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The Cmax/dose was the dose-normalized maximum serum concentration of MEDI-573.
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For weekly dosing: Pre- and post-infusion (0, 2, 6, 24, and 48 hours post-infusion); For 3 weekly dosing: Pre- and post-infusion (0, 2, 6, 24, and 48 hours post-infusion); and on Days 8 and 15
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Area Under the Serum Concentration-time Curve Over the First Dosing Interval (AUCτ)
Periodo de tiempo: For weekly dosing: Pre- and post-infusion (0, 2, 6, 24, and 48 hours post-infusion); For 3 weekly dosing: Pre- and post-infusion (0, 2, 6, 24, and 48 hours post-infusion); and on Days 8 and 15
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Area under the serum concentration-time curve over the first dosing interval.
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For weekly dosing: Pre- and post-infusion (0, 2, 6, 24, and 48 hours post-infusion); For 3 weekly dosing: Pre- and post-infusion (0, 2, 6, 24, and 48 hours post-infusion); and on Days 8 and 15
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Dose-normalized Area Under the Serum Concentration Time Curve Over the First Dosing Interval (AUCτ/Dose)
Periodo de tiempo: For weekly dosing: Pre- and post-infusion (0, 2, 6, 24, and 48 hours post-infusion); For 3 weekly dosing: Pre- and post-infusion (0, 2, 6, 24, and 48 hours post-infusion); and on Days 8 and 15
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The AUCtau/dose was a measure of dose-normalized area under the serum concentration-time curve over the first dosing interval.
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For weekly dosing: Pre- and post-infusion (0, 2, 6, 24, and 48 hours post-infusion); For 3 weekly dosing: Pre- and post-infusion (0, 2, 6, 24, and 48 hours post-infusion); and on Days 8 and 15
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Number of Participants With Positive Anti-Drug Antibodies (ADA) to MEDI-573
Periodo de tiempo: Pre-infusion on Day 1 of each cycle, end of treatment, and 90 days after last dose MEDI-573 (up to 3.5 years)
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Two methods were used to assess the immunogenicity data: an ECL-based method and measurement of neutralizing ADA.
The titer was calculated by multiplying the minimum assay dilution factor by the reciprocal of the highest dilution factor which yielded an ECL multiple equal to or greater than the screening assay cut-point factor.
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Pre-infusion on Day 1 of each cycle, end of treatment, and 90 days after last dose MEDI-573 (up to 3.5 years)
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Objective Response Rate (ORR)
Periodo de tiempo: From study entry through the end of the study, up to 3.5 years
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The ORR was defined as the proportion of participants with confirmed complete response (CR) or partial response (PR) according to the RECIST criteria The CR was defined as disappearance of all target and nontarget lesions and no new lesions; and PR was definded as >= 30% decrease in the sum of diameters of Target Lesions (compared to baseline [screening]) and no new lesions.
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From study entry through the end of the study, up to 3.5 years
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Progression-free Survival (PFS)
Periodo de tiempo: From study entry through the end of the study, up to 3.5 years
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Progression-free survival (PFS) was defined as the duration from the start of treatment with MEDI-573 until the documentation of disease progression or death due to any cause, whichever occurred first.
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From study entry through the end of the study, up to 3.5 years
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Time to Progression
Periodo de tiempo: From study entry through the end of the study, up to 3.5 years
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Time to disease progression (TTP) was defined as the duration from the start of treatment with MEDI-573 until the documentation of disease progression.
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From study entry through the end of the study, up to 3.5 years
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Overall Survival
Periodo de tiempo: From study entry through the end of the study, up to 3.5 years
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Overall survival (OS) was defined as the time from the start of treatment with MEDI-573 until death.
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From study entry through the end of the study, up to 3.5 years
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Time to Response (TTR)
Periodo de tiempo: From study entry through the end of the study, up to 3.5 years
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Time to response was defined as the duration from the start of treatment with MEDI-573 to the first documentation of objective response (confirmed CR or PR) and was only assessed in participants who had achieved objective response.
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From study entry through the end of the study, up to 3.5 years
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Duration of Response
Periodo de tiempo: From study entry through the end of the study, up to 3.5 years
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Duration of response was defined as the duration from the first documentation of objective response (confirmed CR or PR) to the first documented disease progression.
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From study entry through the end of the study, up to 3.5 years
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Suppression Profiles of IGF-I and IGF-II Post-Administration of MEDI-573
Periodo de tiempo: From the start of study treatment through 30 days after the last dose of MEDI-573, up to 3.5 years
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The suppression profiles of both IGF-1 and IGF-2 post administration of MEDI-573 in relation to time course of antibody concentrations in serum were evaluated during treatment.
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From the start of study treatment through 30 days after the last dose of MEDI-573, up to 3.5 years
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Colaboradores e Investigadores
Aquí es donde encontrará personas y organizaciones involucradas en este estudio.
Patrocinador
Investigadores
- Director de estudio: Susan Perez, MD, MSc, MedImmune LLC
Publicaciones y enlaces útiles
La persona responsable de ingresar información sobre el estudio proporciona voluntariamente estas publicaciones. Estos pueden ser sobre cualquier cosa relacionada con el estudio.
Enlaces Útiles
Fechas de registro del estudio
Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.
Fechas importantes del estudio
Inicio del estudio (Actual)
9 de marzo de 2009
Finalización primaria (Actual)
11 de septiembre de 2012
Finalización del estudio (Actual)
11 de septiembre de 2012
Fechas de registro del estudio
Enviado por primera vez
23 de diciembre de 2008
Primero enviado que cumplió con los criterios de control de calidad
30 de diciembre de 2008
Publicado por primera vez (Estimar)
1 de enero de 2009
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
4 de marzo de 2019
Última actualización enviada que cumplió con los criterios de control de calidad
31 de octubre de 2018
Última verificación
1 de octubre de 2018
Más información
Términos relacionados con este estudio
Otros números de identificación del estudio
- MI-CP184
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
Sí
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
No
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