Parte I: Tumores sólidos malignos metastáticos y/o localmente avanzados que expresan el receptor del factor de crecimiento endotelial (EGFR) Parte II: Cáncer colorrectal metastático o localmente avanzado con expresión de EGFR y del homólogo del oncogén viral del sarcoma 2 de rata Kirsten (KRAS) mutante Part I: Metastatic and/or locally advanced malignant solid tumors expressing (EGFR) Part II: Metastatic or locally advanced colorectal cancer expressing (EGFR) and mutant (KRAS) MedDRA version
Conditions
Interventions
Product Name: huMAb
Product Code: RO5083945
Pharmaceutical Form: Concentrate for solution for infusion
INN or Proposed INN: n/a
CAS Number: 959963-46-3
Current Sponsor code: RO5083945
Other descriptiv
Sponsors
F. Hoffmann-La Roche Ltd
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patients in both Parts I and II of the study must meet the following criteria to be eligible for study entry: 1. Signed informed consent 2. Age = 18 years 3. ECOG Performance Status (PS) 0-1 4. Able and willing to comply with protocol requirements 5. Centrally confirmed EGFR expression in tumor tissue: >10% of tumor cells show membrane staining of any intensity 6. Evidence of radiologically measurable or clinically evaluable disease 7. Last dose of systemic anti-neoplastic therapy or radiotherapy = 28 days prior to first RO5083945 infusion 8. All acute toxic effects of any prior radiotherapy, chemotherapy or surgical procedure must have resolved to Grade = 1, except alopecia and Grade 2 peripheral neuropathy 9. Neutrophil count of = 1.5 x 10 exp9 cells/L, platelet count of = 75 x 10 exp9/L, Hb = 8 g/dL 10. Total bilirubin within normal limits (excluding Gilbert Syndrome) 11. AST and/or ALT = 2.5× ULN 12. Serum creatinine = 1.5 ULN 13. Female patients of childbearing potential must commit to using a reliable and appropriate methods of contraception until at least two months after the end of study treatment. A serum pregnancy test should be performed within 7 days prior to the first dose of study treatment. Male patients with a partner of childbearing potential must agree to use a barrier contraception (condom) in addition to having their partner use another contraceptive method during the trial and for two months after the last dose. Reliable and appropriate methods of contraception include hormonal implants, oral contraceptives, intra-uterine devices or a barrier method used in conjunction with spermicidal jelly. Patients in Part I of the study must also meet the following criteria to be eligible for study entry: 14. Histologically or cytologically confirmed advanced stage, primary or metastatic EGFR+ solid tumors 15. No standard therapy exists Patients in Part II of the study must also meet the following criteria to be eligible for study entry: 16. Histologically or cytologically confirmed advanced stage, primary or metastatic EGFR+ and mutant KRAS colorectal cancer 17. Not more than 2 previous cytotoxic regimens for metastatic disease 18. Evidence of radiologically measurable and documented progressive disease Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Patients in Parts I and II who meet any of the following criteria will be excluded from the study: 1. Concurrent therapy with any other investigational drug 2. History of NCI CTCAE Grade 3-4 toxicity resulting from previous anti-EGFR treatment (Grade 4 for skin toxicity) 3. Grade 3-4 peripheral neuropathy toxicity 4. Pregnant or lactating women 5. Known or suspected CNS metastases including leptomeningeal metastases 6. Poorly controlled hypertension (systolic >180 mm Hg or diastolic > 100 mm Hg) 7. Severe uncontrolled illness including poorly controlled diabetes mellitus, active or uncontrolled infection 8. Known infection with HBV, HCV and HIV 9. Any other diseases, metabolic dysfunction, physical examination finding, or clinical laboratory finding giving reasonable suspicion of a disease or condition that would contraindicate the use of an investigational drug 10. Dementia or altered mental status that would prohibit informed consent 11. Major surgery or significant traumatic injury < 28 days prior to the 1st RO5083945 infusion (excluding biopsies) Patients in Part II who also meet the following exclusion criteria will be excluded from the study: 12. wild type KRAS colorectal cancer
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Part I of the study: - to describe the pharmacokinetics (PK) and maximum tolerated dose (MTD), if achieved, of RO5083945 in patients with metastatic and/or locally advanced malignant EGFR+ solid tumors Part II of the study: - to investigate the Tumor Growth Control Rate (TGCR): CR, PR and stable disease (SD) > 2 months and safety profile of RO5083945 in patients with metastatic and/or locally advanced colorectal cancer expressing EGFR and mutant KRAS ;Secondary Objective: Part I: - describe the tolerability and adverse event profile of RO5083945 - determine the appropriate dose and regimen of RO5083945 to be used in Phase II - describe the pharmacodynamics of phosphorylated (p)EGFR, pAKT, pMAPK status of RO5083945 in skin biopsies and tumor biopsies - describe the PD of immune effector cell (CD16+ cells) status of RO5083945 in blood samples, skin biopsies and tumor biopsies - describe the Fc?RIIIa-158 polymorphism - describe the preliminary anti-tumor activity of RO5083945 Part II: - describe the anti-tumor activity of RO5083945 using: - ORR: including CR and PR - Duration of Response - PFS - describe the tolerability and adverse event profile of RO5083945 - describe the PD of pEGFR, pAKT, pMAPK status of RO5083945 in skin biopsies And tumor biopsies - describe the PD of immune effector cell (CD16+ cells) status of RO5083945 in blood samples, skin biopsies and tumor biopsies - describe the Fc?RIIIa-158 polymorphism;Primary end point(s): The primary variable for Part I of the study will be the description of the PK and maximum tolerated dose (MTD), if achieved. The primary variable for Part II of the study will be the description of the Tumor Growth Control Rate (TGCR): CR, PR and SD > 2 months as well as safety profile. | — |
Countries
France, Spain
Outcome results
None listed