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Safety And PK Study Of CVX-060 In Patients With Advanced Solid Tumors

A Phase 1, Multicenter, Open-label, Dose-escalation, Safety, Pharmacokinetic, And Pharmacodynamic Trial Of Cvx-060, A Selective Angiopoietin-2 (Ang-2) Binding, Anti-angiogenic Covx-body, In Patients With Advanced Solid Tumors

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00879684
Enrollment
34
Registered
2009-04-10
Start date
2008-01-31
Completion date
2011-04-30
Last updated
2015-01-26

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Advanced Solid Tumors, Cancer, Carcinoma, Malignancy, Neoplasms

Keywords

Phase 1, Tumors, CVX-060

Brief summary

The purpose of this study is to determine the safety and tolerability of CVX-060 in patients with advanced solid tumors.

Interventions

BIOLOGICALCVX-060

Weekly, intravenous dose

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Confirmed advanced solid tumors unresponsive to currently available therapies or for which there is no standard therapy. * Adequate coagulation, liver, and renal function. * Candidate for DCE-MRI evaluations. * ECOG (Eastern Cooperative Oncology Group) performance status of 0 or 1.

Exclusion criteria

* Evidence of significant bleeding problems. * History of certain gastrointestinal problems including fistula and abscess. * Chronic, uncontrolled hypertension. * Patients with any history of primary or metastatic tumor involvement of the brain or with tumors that encase great vessels.

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Treatment Emergent Treatment-Related Adverse Events (AEs)Baseline (Day 0) up to 30 days after last dose of study medicationTreatment-related AE was any untoward medical occurrence attributed to study drug in a participant who received study drug. Serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 30 days after last dose that were absent before treatment or that worsened relative to pretreatment state. Relatedness to CVX-060 was assessed by the investigator (Yes/No). Participants with multiple occurrences of an AE within a category were counted once within the category.

Secondary

MeasureTime frameDescription
Serum Decay Half-Life (t1/2)0 hour (pre-dose) on Day 0 up to Day 7 of cycle 1 (28 days cycle)Serum decay half-life is the time measured for the serum concentration to decrease by one half.
Area Under the Curve From Time Zero to 168 Hours [AUC (0-168)]0 hour (pre-dose) on Day 0 up to Day 7 of cycle 1 (28 days cycle)AUC (0-168)= Area under the serum concentration versus time curve from time zero (pre-dose) to 168 hours after dosing (Day 7).
Apparent Volume of Distribution (Vss)0 hour (pre-dose) on Day 0 up to Day 7 of cycle 1 (28 days cycle)Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug. Apparent volume of distribution after intravenous infusion dose (Vss) is influenced by the fraction absorbed.
Apparent Clearance (CL)0 hour (pre-dose) on Day 0 up to Day 7 of cycle 1 (28 days cycle)Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood (rate at which a drug is metabolized or eliminated by normal biological processes). Clearance obtained after intravenous infusion dose (apparent clearance) is influenced by the fraction of the dose absorbed.
Maximum Observed Serum Concentration (Cmax)0 hour (pre-dose) on Day 0 up to Day 7 of cycle 1 (28 days cycle)
Recommended Phase 2 Dose (RP2D): Stage 1Baseline (Day 0) up to 42 days after the last dose of study medicationRP2D was determined as the highest dose where none out of 3 (0/3) or less than or equal to 1 out of 6 (\<=1/6) participants experienced a dose limiting toxicity (DLT) or was determined based on the safety, pharmacokinetic, and pharmacodynamic findings. DLT was first course AE defined based on National Cancer Institute common toxicity criteria for adverse events version 3 (NCI-CTCAE Version 3) as any hematologic or non-hematologic toxicity greater than or equal to (\>=) Grade 3.
Number of Participants With Anti-CVX-060 AntibodiesBaseline (Day 0) up to 42 days after last dose
Number of Samples From Participants With Anti-CVX-060 AntibodiesBaseline (Day 0) up to 42 days after last dose
Number of Participants With Best Overall Response (BOR)Day 0 (predose), assessed every 8 weeks (2 cycles) until disease progression, unacceptable toxicity, or withdrawal for other reasons (up to Week 133)BOR: best response recorded from treatment start until disease progression/recurrence based on Response Evaluation Criteria in Solid Tumors (RECIST). Complete Response (CR): disappearance of all lesions. Partial Response (PR): \>=30% decrease in sum of longest diameters (SLDs) of target lesions taking as reference baseline SLDs, associated to non-progressive disease (non-PD) response for non-target (NT) lesions. PD: \>=20% increase in SLDs of target lesions taking as reference smallest SLDs since treatment start, or appearance of \>=1 new lesion, or unequivocal progression in NT lesions. Stable disease (SD): neither shrinkage for CR/PR nor increase for PD taking as reference smallest SLDs since treatment start. CR and PR had to be confirmed on a follow up imaging assessment \>=4 weeks after initial objective documentation of response. SD criteria should be met at least once after start of treatment in a minimum interval of 8 weeks. Participants with \>=3 treatments cycles were reported.
Time to Reach Maximum Observed Serum Concentration (Tmax)0 hour (pre-dose) on Day 0 up to Day 7 of cycle 1 (28 days cycle)

Countries

United States

Participant flow

Participants by arm

ArmCount
CVX-060 (Stage 1 and 2)
CVX-060 0.3, 1, 3, 6, 12, 15 mg/kg of body weight intravenous infusion in Stage 1 and CVX-060 15 mg/kg of body weight intravenous infusion in Stage 2, administered once-weekly in a 4-week cycle.
34
Total34

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006
Stage 1: Dose EscalationAdverse Event1000000
Stage 1: Dose EscalationDeath0010000
Stage 1: Dose EscalationInvestigator declined participation0022000
Stage 1: Dose EscalationProgressive Disease2304330
Stage 2: Expanded CohortInvestigator declined participation0000001
Stage 2: Expanded CohortLost to Follow-up0000001
Stage 2: Expanded CohortProgressive Disease00000011

Baseline characteristics

CharacteristicCVX-060 (Stage 1 and 2)
Age, Continuous59.8 years
STANDARD_DEVIATION 14.62
Sex: Female, Male
Female
21 Participants
Sex: Female, Male
Male
13 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —— / —— / —
other
Total, other adverse events
3 / 33 / 33 / 36 / 63 / 33 / 312 / 13
serious
Total, serious adverse events
1 / 30 / 32 / 33 / 60 / 30 / 33 / 13

Outcome results

Primary

Number of Participants With Treatment Emergent Treatment-Related Adverse Events (AEs)

Treatment-related AE was any untoward medical occurrence attributed to study drug in a participant who received study drug. Serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 30 days after last dose that were absent before treatment or that worsened relative to pretreatment state. Relatedness to CVX-060 was assessed by the investigator (Yes/No). Participants with multiple occurrences of an AE within a category were counted once within the category.

Time frame: Baseline (Day 0) up to 30 days after last dose of study medication

Population: Safety population included all enrolled participants in the study who received any study medication.

ArmMeasureValue (NUMBER)
CVX-060 0.3 mg/kg (Stage 1)Number of Participants With Treatment Emergent Treatment-Related Adverse Events (AEs)2 participants
CVX-060 1 mg/kg (Stage 1)Number of Participants With Treatment Emergent Treatment-Related Adverse Events (AEs)3 participants
CVX-060 3 mg/kg (Stage 1)Number of Participants With Treatment Emergent Treatment-Related Adverse Events (AEs)1 participants
CVX-060 6 mg/kg (Stage 1)Number of Participants With Treatment Emergent Treatment-Related Adverse Events (AEs)2 participants
CVX-060 12 mg/kg (Stage 1)Number of Participants With Treatment Emergent Treatment-Related Adverse Events (AEs)2 participants
CVX-060 15 mg/kg (Stage 1)Number of Participants With Treatment Emergent Treatment-Related Adverse Events (AEs)1 participants
CVX-060 15 mg/kg (Stage 2)Number of Participants With Treatment Emergent Treatment-Related Adverse Events (AEs)2 participants
Secondary

Apparent Clearance (CL)

Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood (rate at which a drug is metabolized or eliminated by normal biological processes). Clearance obtained after intravenous infusion dose (apparent clearance) is influenced by the fraction of the dose absorbed.

Time frame: 0 hour (pre-dose) on Day 0 up to Day 7 of cycle 1 (28 days cycle)

Population: PK analysis set included all participants who received at least 1 dose of CVX-060 and had PK data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
CVX-060 0.3 mg/kg (Stage 1)Apparent Clearance (CL)0.1684 (mL/hr)/kgStandard Deviation 0.02788
CVX-060 1 mg/kg (Stage 1)Apparent Clearance (CL)0.4399 (mL/hr)/kgStandard Deviation 0.30607
CVX-060 3 mg/kg (Stage 1)Apparent Clearance (CL)0.4225 (mL/hr)/kgStandard Deviation 0.12469
CVX-060 6 mg/kg (Stage 1)Apparent Clearance (CL)0.3222 (mL/hr)/kgStandard Deviation 0.10413
CVX-060 12 mg/kg (Stage 1)Apparent Clearance (CL)0.3078 (mL/hr)/kgStandard Deviation 0.05
CVX-060 15 mg/kg (Stage 1)Apparent Clearance (CL)0.3483 (mL/hr)/kgStandard Deviation 0.16529
Secondary

Apparent Volume of Distribution (Vss)

Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug. Apparent volume of distribution after intravenous infusion dose (Vss) is influenced by the fraction absorbed.

Time frame: 0 hour (pre-dose) on Day 0 up to Day 7 of cycle 1 (28 days cycle)

Population: PK analysis set included all participants who received at least 1 dose of CVX-060 and had PK data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
CVX-060 0.3 mg/kg (Stage 1)Apparent Volume of Distribution (Vss)32.34 milliliter per kilogram (mL/kg)Standard Deviation 7.8869
CVX-060 1 mg/kg (Stage 1)Apparent Volume of Distribution (Vss)54.15 milliliter per kilogram (mL/kg)Standard Deviation 9.4875
CVX-060 3 mg/kg (Stage 1)Apparent Volume of Distribution (Vss)50.70 milliliter per kilogram (mL/kg)Standard Deviation 7.99
CVX-060 6 mg/kg (Stage 1)Apparent Volume of Distribution (Vss)51.07 milliliter per kilogram (mL/kg)Standard Deviation 12.451
CVX-060 12 mg/kg (Stage 1)Apparent Volume of Distribution (Vss)54.58 milliliter per kilogram (mL/kg)Standard Deviation 5.1033
CVX-060 15 mg/kg (Stage 1)Apparent Volume of Distribution (Vss)59.67 milliliter per kilogram (mL/kg)Standard Deviation 12.711
Secondary

Area Under the Curve From Time Zero to 168 Hours [AUC (0-168)]

AUC (0-168)= Area under the serum concentration versus time curve from time zero (pre-dose) to 168 hours after dosing (Day 7).

Time frame: 0 hour (pre-dose) on Day 0 up to Day 7 of cycle 1 (28 days cycle)

Population: PK analysis set included all participants who received at least 1 dose of CVX-060 and had PK data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
CVX-060 0.3 mg/kg (Stage 1)Area Under the Curve From Time Zero to 168 Hours [AUC (0-168)]1030000 nanogram*hour per milliliter (ng*hr/mL)Standard Deviation 155260
CVX-060 1 mg/kg (Stage 1)Area Under the Curve From Time Zero to 168 Hours [AUC (0-168)]1644000 nanogram*hour per milliliter (ng*hr/mL)Standard Deviation 606660
CVX-060 3 mg/kg (Stage 1)Area Under the Curve From Time Zero to 168 Hours [AUC (0-168)]5259000 nanogram*hour per milliliter (ng*hr/mL)Standard Deviation 1127200
CVX-060 6 mg/kg (Stage 1)Area Under the Curve From Time Zero to 168 Hours [AUC (0-168)]11990000 nanogram*hour per milliliter (ng*hr/mL)Standard Deviation 3437600
CVX-060 12 mg/kg (Stage 1)Area Under the Curve From Time Zero to 168 Hours [AUC (0-168)]23700000 nanogram*hour per milliliter (ng*hr/mL)Standard Deviation 2254600
CVX-060 15 mg/kg (Stage 1)Area Under the Curve From Time Zero to 168 Hours [AUC (0-168)]26410000 nanogram*hour per milliliter (ng*hr/mL)Standard Deviation 6658800
Secondary

Maximum Observed Serum Concentration (Cmax)

Time frame: 0 hour (pre-dose) on Day 0 up to Day 7 of cycle 1 (28 days cycle)

Population: Pharmacokinetic (PK) analysis set included all participants who received at least 1 dose of CVX-060 and had PK data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
CVX-060 0.3 mg/kg (Stage 1)Maximum Observed Serum Concentration (Cmax)10550 nanogram per milliliter (ng/mL)Standard Deviation 1358.4
CVX-060 1 mg/kg (Stage 1)Maximum Observed Serum Concentration (Cmax)22660 nanogram per milliliter (ng/mL)Standard Deviation 5230.7
CVX-060 3 mg/kg (Stage 1)Maximum Observed Serum Concentration (Cmax)68280 nanogram per milliliter (ng/mL)Standard Deviation 11149
CVX-060 6 mg/kg (Stage 1)Maximum Observed Serum Concentration (Cmax)140300 nanogram per milliliter (ng/mL)Standard Deviation 28247
CVX-060 12 mg/kg (Stage 1)Maximum Observed Serum Concentration (Cmax)249600 nanogram per milliliter (ng/mL)Standard Deviation 58381
CVX-060 15 mg/kg (Stage 1)Maximum Observed Serum Concentration (Cmax)318600 nanogram per milliliter (ng/mL)Standard Deviation 66472
Secondary

Number of Participants With Anti-CVX-060 Antibodies

Time frame: Baseline (Day 0) up to 42 days after last dose

Population: Anti-drug antibodies (ADA) analysis set included all participants who received at least 1 dose of CVX-060 and had PK data.

ArmMeasureValue (NUMBER)
CVX-060 0.3 mg/kg (Stage 1)Number of Participants With Anti-CVX-060 Antibodies20 participants
Secondary

Number of Participants With Best Overall Response (BOR)

BOR: best response recorded from treatment start until disease progression/recurrence based on Response Evaluation Criteria in Solid Tumors (RECIST). Complete Response (CR): disappearance of all lesions. Partial Response (PR): \>=30% decrease in sum of longest diameters (SLDs) of target lesions taking as reference baseline SLDs, associated to non-progressive disease (non-PD) response for non-target (NT) lesions. PD: \>=20% increase in SLDs of target lesions taking as reference smallest SLDs since treatment start, or appearance of \>=1 new lesion, or unequivocal progression in NT lesions. Stable disease (SD): neither shrinkage for CR/PR nor increase for PD taking as reference smallest SLDs since treatment start. CR and PR had to be confirmed on a follow up imaging assessment \>=4 weeks after initial objective documentation of response. SD criteria should be met at least once after start of treatment in a minimum interval of 8 weeks. Participants with \>=3 treatments cycles were reported.

Time frame: Day 0 (predose), assessed every 8 weeks (2 cycles) until disease progression, unacceptable toxicity, or withdrawal for other reasons (up to Week 133)

Population: Safety population included all enrolled participants in the study who received any study medication.

ArmMeasureGroupValue (NUMBER)
CVX-060 0.3 mg/kg (Stage 1)Number of Participants With Best Overall Response (BOR)Partial Response0 participants
CVX-060 0.3 mg/kg (Stage 1)Number of Participants With Best Overall Response (BOR)Progressive Disease1 participants
CVX-060 0.3 mg/kg (Stage 1)Number of Participants With Best Overall Response (BOR)Stable Disease2 participants
CVX-060 0.3 mg/kg (Stage 1)Number of Participants With Best Overall Response (BOR)Complete Response0 participants
CVX-060 1 mg/kg (Stage 1)Number of Participants With Best Overall Response (BOR)Complete Response0 participants
CVX-060 1 mg/kg (Stage 1)Number of Participants With Best Overall Response (BOR)Progressive Disease1 participants
CVX-060 1 mg/kg (Stage 1)Number of Participants With Best Overall Response (BOR)Stable Disease2 participants
CVX-060 1 mg/kg (Stage 1)Number of Participants With Best Overall Response (BOR)Partial Response0 participants
CVX-060 3 mg/kg (Stage 1)Number of Participants With Best Overall Response (BOR)Progressive Disease0 participants
CVX-060 3 mg/kg (Stage 1)Number of Participants With Best Overall Response (BOR)Partial Response0 participants
CVX-060 3 mg/kg (Stage 1)Number of Participants With Best Overall Response (BOR)Complete Response0 participants
CVX-060 3 mg/kg (Stage 1)Number of Participants With Best Overall Response (BOR)Stable Disease1 participants
CVX-060 6 mg/kg (Stage 1)Number of Participants With Best Overall Response (BOR)Progressive Disease0 participants
CVX-060 6 mg/kg (Stage 1)Number of Participants With Best Overall Response (BOR)Partial Response0 participants
CVX-060 6 mg/kg (Stage 1)Number of Participants With Best Overall Response (BOR)Stable Disease3 participants
CVX-060 6 mg/kg (Stage 1)Number of Participants With Best Overall Response (BOR)Complete Response0 participants
CVX-060 12 mg/kg (Stage 1)Number of Participants With Best Overall Response (BOR)Complete Response0 participants
CVX-060 12 mg/kg (Stage 1)Number of Participants With Best Overall Response (BOR)Progressive Disease2 participants
CVX-060 12 mg/kg (Stage 1)Number of Participants With Best Overall Response (BOR)Stable Disease1 participants
CVX-060 12 mg/kg (Stage 1)Number of Participants With Best Overall Response (BOR)Partial Response0 participants
CVX-060 15 mg/kg (Stage 1)Number of Participants With Best Overall Response (BOR)Stable Disease1 participants
CVX-060 15 mg/kg (Stage 1)Number of Participants With Best Overall Response (BOR)Progressive Disease2 participants
CVX-060 15 mg/kg (Stage 1)Number of Participants With Best Overall Response (BOR)Complete Response0 participants
CVX-060 15 mg/kg (Stage 1)Number of Participants With Best Overall Response (BOR)Partial Response0 participants
CVX-060 15 mg/kg (Stage 2)Number of Participants With Best Overall Response (BOR)Progressive Disease3 participants
CVX-060 15 mg/kg (Stage 2)Number of Participants With Best Overall Response (BOR)Complete Response0 participants
CVX-060 15 mg/kg (Stage 2)Number of Participants With Best Overall Response (BOR)Partial Response0 participants
CVX-060 15 mg/kg (Stage 2)Number of Participants With Best Overall Response (BOR)Stable Disease6 participants
Secondary

Number of Samples From Participants With Anti-CVX-060 Antibodies

Time frame: Baseline (Day 0) up to 42 days after last dose

Population: Anti-drug antibodies (ADA) analysis set included all participants who received at least 1 dose of CVX-060 and had PK data.

ArmMeasureValue (NUMBER)
CVX-060 0.3 mg/kg (Stage 1)Number of Samples From Participants With Anti-CVX-060 Antibodies45 samples
Secondary

Recommended Phase 2 Dose (RP2D): Stage 1

RP2D was determined as the highest dose where none out of 3 (0/3) or less than or equal to 1 out of 6 (\<=1/6) participants experienced a dose limiting toxicity (DLT) or was determined based on the safety, pharmacokinetic, and pharmacodynamic findings. DLT was first course AE defined based on National Cancer Institute common toxicity criteria for adverse events version 3 (NCI-CTCAE Version 3) as any hematologic or non-hematologic toxicity greater than or equal to (\>=) Grade 3.

Time frame: Baseline (Day 0) up to 42 days after the last dose of study medication

Population: Safety population included all enrolled participants in the study who received any study medication.

ArmMeasureValue (NUMBER)
CVX-060 0.3 mg/kg (Stage 1)Recommended Phase 2 Dose (RP2D): Stage 115 (mg/kg)/week
Secondary

Serum Decay Half-Life (t1/2)

Serum decay half-life is the time measured for the serum concentration to decrease by one half.

Time frame: 0 hour (pre-dose) on Day 0 up to Day 7 of cycle 1 (28 days cycle)

Population: PK analysis set included all participants who received at least 1 dose of CVX-060 and had PK data.

ArmMeasureValue (MEAN)Dispersion
CVX-060 0.3 mg/kg (Stage 1)Serum Decay Half-Life (t1/2)138.1 hoursStandard Deviation 36.927
CVX-060 1 mg/kg (Stage 1)Serum Decay Half-Life (t1/2)92.23 hoursStandard Deviation 36.229
CVX-060 3 mg/kg (Stage 1)Serum Decay Half-Life (t1/2)86.83 hoursStandard Deviation 25.002
CVX-060 6 mg/kg (Stage 1)Serum Decay Half-Life (t1/2)115.2 hoursStandard Deviation 32.536
CVX-060 12 mg/kg (Stage 1)Serum Decay Half-Life (t1/2)124.7 hoursStandard Deviation 19.009
CVX-060 15 mg/kg (Stage 1)Serum Decay Half-Life (t1/2)129.9 hoursStandard Deviation 51.813
Secondary

Time to Reach Maximum Observed Serum Concentration (Tmax)

Time frame: 0 hour (pre-dose) on Day 0 up to Day 7 of cycle 1 (28 days cycle)

Population: PK analysis set included all participants who received at least 1 dose of CVX-060 and had PK data.

ArmMeasureValue (MEDIAN)
CVX-060 0.3 mg/kg (Stage 1)Time to Reach Maximum Observed Serum Concentration (Tmax)2.35 hours
CVX-060 1 mg/kg (Stage 1)Time to Reach Maximum Observed Serum Concentration (Tmax)1.50 hours
CVX-060 3 mg/kg (Stage 1)Time to Reach Maximum Observed Serum Concentration (Tmax)2.62 hours
CVX-060 6 mg/kg (Stage 1)Time to Reach Maximum Observed Serum Concentration (Tmax)2.54 hours
CVX-060 12 mg/kg (Stage 1)Time to Reach Maximum Observed Serum Concentration (Tmax)2.42 hours
CVX-060 15 mg/kg (Stage 1)Time to Reach Maximum Observed Serum Concentration (Tmax)2.50 hours

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026