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A Study of IMC-RON8 in Advanced Solid Tumors

8. oktober 2018 oppdatert av: Eli Lilly and Company

Phase 1 Study of the Anti-Ron Receptor Monoclonal Antibody IMC-RON8 in Patients With Advanced Solid Tumors Who No Longer Respond to Standard Therapy or for Whom No Standard Therapy is Available

A dose escalation study to determine the maximum tolerated dose of IMC-RON8 in participants with solid tumors. Participants can either be dosed once a week, or once every other week.

Studieoversikt

Status

Fullført

Forhold

Intervensjon / Behandling

Studietype

Intervensjonell

Registrering (Faktiske)

39

Fase

  • Fase 1

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

  • Forente stater
    • Indiana
      • Indianapolis, Indiana, Forente stater, 46202
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician
    • Michigan
      • Detroit, Michigan, Forente stater, 48201
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician
    • New York
      • New York, New York, Forente stater, 10065
        • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

18 år og eldre (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

Inclusion Criteria:

  • The participant has histologically-confirmed advanced primary or recurrent solid tumors that have not responded to standard therapy or for which no standard therapy is available
  • The participant has measurable or non-measurable disease
  • The participant has not received major surgery, prior chemotherapy, prior treatment with an investigational agent or device, or prior radiation therapy within 28 days prior to the first dose of study therapy
  • The participant has an Eastern Cooperative Oncology Group Performance Status (ECOG PS) score of 0-2
  • The participant has adequate hematologic function
  • The participant has adequate renal function as defined by serum creatinine ≤1.5 times the institutional upper limit of normal (ULN)
  • The participant has a life expectancy >3 months

Exclusion Criteria:

  • The participant has received chemotherapy or therapeutic radiation therapy within 28 days prior to the first dose of study therapy
  • The participant has ongoing toxicities of >Grade 1 associated with any prior treatment
  • The participant has a known sensitivity to monoclonal antibodies or other therapeutic agents, or to agents of similar biologic composition as IMC-RON8
  • The participant has received treatment with any monoclonal antibodies within 6 weeks prior to first dose of study therapy
  • The participant has received treatment with agents specifically targeting the RON ligand or receptor within 6 weeks prior to first dose of study therapy
  • The participant has undergone a major surgical procedure, open biopsy, or experienced a significant traumatic injury within 28 days prior to the first dose of study therapy
  • The participant has an ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, serious cardiac arrhythmia (well controlled atrial fibrillation is permitted), psychiatric illness/social situations, active bleeding, or any other serious uncontrolled medical disorders in the opinion of the investigator
  • The participant has known or suspected brain or leptomeningeal metastases (participants with a history of brain metastases must have received definitive surgery or radiotherapy, be clinically stable, and may not be taking steroids; participants receiving anticonvulsants are eligible)
  • The participant has a serious or nonhealing active wound, ulcer, or bone fracture
  • The participant is currently using or has received a thrombolytic agent within 28 days prior to first dose of study therapy
  • The participant is receiving full-dose warfarin (participants receiving low-dose warfarin to maintain the patency of permanent, indwelling intravenous catheters are eligible if the international normalized ratio is <1.5)
  • The participant is receiving intravenous heparin

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Intervensjonsmodell: Sekvensiell tildeling
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: IMC-RON8
A monoclonal antibody to human macrophage-stimulating 1-receptor-8 (RON8).
Biologisk: IMC-RON8

5 milligrams per kilogram (mg/kg) intravenously (IV)

Once a week for each 4-week treatment cycle, for a total of four doses per cycle. The initial 4-week treatment cycle will be followed by a 2-week observation period.

Cohort 1

Andre navn:
  • Narnatumab
  • LY3012219
Biologisk: IMC-RON8

10 mg/kg IV

Once a week for each 4-week treatment cycle, for a total of four doses per cycle. The initial 4-week treatment cycle will be followed by a 2-week observation period.

Cohort 2

Andre navn:
  • Narnatumab
  • LY3012219
Biologisk: IMC-RON8

15 mg/kg IV

Once a week for each 4-week treatment cycle, for a total of four doses per cycle. The initial 4-week treatment cycle will be followed by a 2-week observation period.

Cohort 3

Andre navn:
  • Narnatumab
  • LY3012219
Biologisk: IMC-RON8

15 mg/kg IV

Once every 2 weeks for each 4-week treatment cycle, for a total of two doses per cycle.

Cohort 4

Andre navn:
  • Narnatumab
  • LY3012219
Biologisk: IMC-RON8

20 mg/kg IV

Once every 2 weeks for each 4-week treatment cycle, for a total of two doses per cycle.

Cohort 5

Andre navn:
  • Narnatumab
  • LY3012219
Biologisk: IMC-RON8

25 or 30 mg/kg IV

Once every 2 weeks for each 4-week treatment cycle, for a total of two doses per cycle.

Cohort 6

Andre navn:
  • Narnatumab
  • LY3012219
Biologisk: IMC-RON8

30, 35, or 40 mg/kg IV

Once every 2 weeks for each 4-week treatment cycle, for a total of two doses per cycle.

Cohort 7

Andre navn:
  • Narnatumab
  • LY3012219
Biologisk: IMC-RON8

20 or 25 mg/kg IV

Once every week for each 4-week treatment cycle, for a total of four doses per cycle.

Cohort 8

Andre navn:
  • Narnatumab
  • LY3012219

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Maximum Tolerated Dose (MTD) of IMC-RON8
Tidsramme: Baseline through end of study treatment (up to 48 weeks)
The MTD was the previous dose level to that in which 2 of 6 participants experienced dose-limiting toxicities (DLTs). DLTs were defined as any of the following events: Grade 4 neutropenia lasting >7 days; any Grade 3 or 4 neutropenia complicated by fever ≥38.5 degrees Celsius or infection, Grade 4 thrombocytopenia, or Grade 3 thrombocytopenia complicated by hemorrhage; Grade 3 hepatic toxicity; or any Grade 3 or 4 nonhematologic toxicity (excluding alopecia, fatigue, anorexia, nausea, and vomiting that is controlled with antiemetics).
Baseline through end of study treatment (up to 48 weeks)

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Pharmacokinetics (PK): Maximum Concentration (Cmax) of IMC-RON8
Tidsramme: First and fourth or fifth infusion: Predose, immediately postdose through 168 or 336 hours postdose
The Cmax of IMC-RON8 following the first and multiple IV infusions (the fourth infusion for the qw treatment regimen and the fifth infusion for the q2w treatment regimen) is reported. PK samples were collected per protocol and individual sampling times varied depending on the treatment arm and infusion (first or multiple). The geometric mean and geometric coefficient of variation (%CV) were calculated for treatment arms that had ≥3 participants who had evaluable PK samples for Cmax.
First and fourth or fifth infusion: Predose, immediately postdose through 168 or 336 hours postdose
PK: Area Under the Curve (AUC) of IMC-RON8
Tidsramme: First and fourth or fifth infusion: Predose, immediately postdose through 168 or 336 hours postdose
The AUC from time 0 to the last quantifiable concentration [AUC(0-tlast)] of IMC-RON8 following the first IV infusion is reported along with the AUC for 1 dosing interval (AUC tau). Tau = fourth infusion through 168 hours post infusion for the qw regimen and the fifth infusion through 336 hours post infusion for the q2w regimen. PK samples were collected per protocol and individual sampling times varied depending on the treatment arm and infusion (first or multiple). The geometric mean and geometric coefficient of variation (%CV) were calculated for treatment arms that had ≥3 participants who had evaluable PK samples for AUC(0-tlast) or AUC tau.
First and fourth or fifth infusion: Predose, immediately postdose through 168 or 336 hours postdose
Immunogenicity of IMC-RON8
Tidsramme: Prior to first infusion through study completion (up to 52 weeks)
An immunogenicity assay for IMC-RON8 was not developed due to the decision to not further develop IMC-RON8 based on preliminary results of this study.
Prior to first infusion through study completion (up to 52 weeks)
Pharmacodynamics: H-Score of Macrophage-Stimulating 1-Receptor-8 (RON8)
Tidsramme: Prior to first infusion through 1 hour post last infusion (end of study treatment, up to 48 weeks)
The expression of RON8 was measured in cell membrane/cytoplasm by immunohistochemistry (IHC) methods that incorporated both intensity and distribution of staining. The H-Score was calculated by summing the percentage of cell staining at each intensity multiplied by the weighted intensity of staining: 0 (no staining), 1+ (weak staining), 2+ (medium staining), 3+ (strongest staining). H-Scores could range from a minimum score of 0 to a maximum score of 300; the maximum score indicated the strongest expression. Pharmacodynamic samples were collected per protocol and individual sampling times varied depending on the treatment group.
Prior to first infusion through 1 hour post last infusion (end of study treatment, up to 48 weeks)
Best Overall Tumor Response (Antitumor Activity of IMC-RON8 in the Treatment of Solid Tumors)
Tidsramme: Baseline to measured PD (up to 48 weeks)
Response was defined using Response Evaluation Criteria In Solid Tumors version 1.1 (RECIST, v 1.1) criteria. CR was the disappearance of all target and nontarget lesions; and any pathological lymph node (whether target or nontarget) must have had a reduction in short axis to <10 millimeters (mm) and normalization of tumor marker level of nontarget lesions. The disappearance of any intratumoral arterial enhancement in all target lesions was also required. PR was having at least a 30% decrease in sum of longest diameter of target lesions. PD was having at least 20% increase in sum of longest diameter of target lesions and minimum 5 mm increase above nadir and the unequivocal progression of existing nontarget lesions. SD was small changes that did not meet the above criteria.
Baseline to measured PD (up to 48 weeks)

Andre resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Number of Participants Who Died
Tidsramme: Baseline through study completion (up to 52 weeks)
The number of participants who died is reported by cause of death.
Baseline through study completion (up to 52 weeks)

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Eli Lilly and Company

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart

1. mai 2010

Primær fullføring (Faktiske)

1. november 2013

Studiet fullført (Faktiske)

1. november 2013

Datoer for studieregistrering

Først innsendt

6. mai 2010

Først innsendt som oppfylte QC-kriteriene

6. mai 2010

Først lagt ut (Anslag)

7. mai 2010

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

15. februar 2019

Siste oppdatering sendt inn som oppfylte QC-kriteriene

8. oktober 2018

Sist bekreftet

1. oktober 2018

Mer informasjon

Begreper knyttet til denne studien

Nøkkelord

Andre studie-ID-numre

  • 13958
  • CP21-0901 (Annen identifikator: ImClone Systems)
  • I5D-IE-JRCA (Annen identifikator: Eli Lilly and Company)

Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .

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