Neoplasms
Conditions
Brief summary
This 3 arm study will determine the dose of R1507 which will achieve a mean drug exposure in children and adolescents with advanced solid tumors equivalent to the exposure achieved in adults at the recommended dose of 9mg/kg/week. It will also determine the maximum tolerated dose (if appropriate) and the pharmacokinetic profile of R1507. Groups of patients will be sequentially enrolled in one of up to 3 dose levels (3,9mg/kg or a PK-derived dose, not to exceed 16 mg/kg) of R1507 administered weekly by intravenous infusion.An expanded cohort of patients will be enrolled at the optimal dose/MTD. The anticipated time on study treatment is until disease progression or dose limiting toxicity, and the target sample size is \<100 individuals.
Interventions
3mg/kg iv weekly
Sponsors
Study design
Eligibility
Inclusion criteria
* pediatric patients aged 2-17 years of age; * histologically confirmed solid tumors; * cancer which has relapsed after, or failed to respond to, curative therapy, or no other potentially curative treatment options available.
Exclusion criteria
* treatment with corticosteroids within past 2 weeks; * current or past use of anti-IGF-1R antibodies; * current treatment with immunosuppressive agents; * patients with diabetes mellitus; * known HIV or hepatitis B or C; * hypersensitivity to any of the components of R1507 or to monoclonal antibodies.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Serum drug exposure level equivalent to exposure in adults at adult recommended dose. | Throughout study |
Secondary
| Measure | Time frame |
|---|---|
| MTD (AEs, laboratory parameters) | Throughout study |
Countries
United States