Malignant Pleural Effusion
Conditions
Interventions
Case series:SCB-313 Intrapleural injection, once daily. Single dose on Day 1 in Cycle 0 followed by 7-day safety assessment, then dose on Day 1,2,3 in Cycle 1 followed by 21-day observation .
Sponsors
West China Hospitial, Sichuan University
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1. Histologically or cytologically confirmed cancer of any primary tumor type; 2. Malignant pleural effusion causing respiratory symptoms requiring drainage that is histologically or cytologically confirmed; 3. Eastern Cooperative Oncology Group (ECOG) performance status: 0 to 2. Patients with an ECOG performance status of 3 may be included if the Investigator determines that removal of pleural fluid would improve their performance status to 2 or better; 4. Life expectancy of at least 8 weeks; 5. Aged 18 to 75 years; 6. Body weight >= 45 kg and body mass index >=17 kg/m2; 7. Adequate hematologic function, defined as: 1) Platelet count >= 100,000/uL; 2) Prothrombin time and activated partial thromboplastin time =1,500 µL; 4) Hemoglobin >=8 g/dL (transfusion and erythropoietic agents are allowed). In case there is existence of active bleeding or other persistent condition of either increased destruction or impaired production of erythrocytes, which may require repeated transfusion or erythropoietic treatment, the eligibility must be discussed with the Sponsor on a case by-case basis prior to randomization. e) Ablumin >= 35g/L; 8. Adequate renal function, defined as serum creatinine 50 mL/minute; 9. Adequate liver function, defined as: 1) Aspartate aminotransferase and alanine aminotransferase <= 2.0 times ULN; 2) Bilirubin <= 2.0 times ULN, unless patient has known Gilberts syndrome; 10. Female patients of childbearing potential (excluding women who have undergone surgical sterilization or are menopausal, defined as no menstrual periods for 1 year or more without any other medical reasons) are eligible if they have negative serum pregnancy test result 7 days before the first dose of SCB-313 and are willing to use an effective method of birth control/contraception to prevent pregnancy until 6 months after discontinuation of SCB-313. Both men and women of reproductive potential must agree to use effective contraception during the study and for 6 months after discontinuation of SCB 313. Note: Contraceptive methods that are considered highly effective areas follows: total abstinence, intrauterine device, double barrier method (such as condom plus diaphragm with spermicide), contraceptive implant, hormonal contraceptives (contraceptive pills, implants, transdermal patches, hormonal vaginal devices, or injections with prolonged release), or vasectomized partner with confirmed azoospermia; 11. Willing to attend follow-up visits according to study protocol.
Exclusion criteria
Exclusion criteria: 1. Significantly loculated pleural effusions not amenable to drainage or patient is unlikely to benefit from intrapleural therapy; 2. Prior antitumor therapy (chemotherapy) within 2 weeks, or small-molecule targeted therapy within 5 half-lives prior to enrollment, radiotherapy outside the chest field within 2 weeks, or radical radiotherapy to pleural or lung lesions within 8 weeks prior to enrollment (Note: palliative radiotherapy to the chest is allowed). Prior therapy with monoclonal antibody should be stopped per Investigators judgement making sure delayed side effects will not interfere with the DLT evaluation period after SCB-313 therapy; 3. Acute or chronic infection (such as tuberculosis) requiring antiviral or intravenous antibiotics within 2 weeks prior to enrollment; 4. Clinical unstable or uncontrolled concomitant hematologic, cardiovascular, pulmonary, hepatic, renal, pancreatic, or endocrine diseases; 5. History of gross hemoptysis (>2.5 mL) within 3 months prior to enrollment; 6. Residual adverse events (AEs) > Grade 2 from previous treatment; 7. Evidence or suspicion of relevant psychiatric impairment, including alcohol or recreational drug abuse; 8. Myocardial infarction within 6 months prior to treatment and/or prior diagnoses of congestive heart failure (New York Heart Association Class III or IV), unstable angina, unstable cardiac arrhythmia requiring medication, and/or long QT syndrome or QT/QTc interval >450 msec at Baseline; 9. Uncontrolled hypertension defined as systolic blood pressure >= 160 mmHg and/or diastolic blood pressure >= 100 mmHg confirmed upon repeated measures (note: no more than 3 repeated measures allowed); 10. Major surgery (open procedures) within 4 weeks prior to enrollment; 11. Patient with ileus within 30 days prior to Screening; 12. Positive serology test for human immunodeficiency virus,Syphilis, HBV and/or HCV; 13. Live vaccine within 2 weeks prior to enrollment; 14. Scheduled participation in another clinical study involving an investigational product or device during the DLT observation period of this study; 15. Previous treatment with a TRAIL-based therapy or death receptor 4/5 agonist therapy; 16. Known or suspected hypersensitivity to any component of SCB-313; 17. Any further condition which, in the opinion of the Investigator, may result in undue risk of the patient by participating in the present study; 18. Untreated or uncontralled central nervous system metastatic disease, leptomeningeal disease, or cord compression.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Dose-limiting toxicity;Adverse event; | — |
Countries
China
Contacts
Public ContactYongsheng Wang
West China Hospitial, Sichuan University
Outcome results
None listed