Solid Cancers
Conditions
Keywords
Solid Tumor
Brief summary
This is a Phase Ib, open-label, dose-escalation study of MEGF0444A in combination with bevacizumab, and in combination with bevacizumab and paclitaxel as therapy for locally advanced or metastatic solid tumors.
Interventions
Intravenous escalating dose
Intravenous repeating dose
Intravenous repeating dose
Sponsors
Study design
Eligibility
Inclusion criteria
* Histologically or cytologically documented, incurable, or metastatic solid malignancy that has progressed on or failed to respond to regimens or therapies known to provide clinical benefit Specific to Arm A: * For patients undergoing optional or mandatory exploratory MRI, at least one tumor lesion that represents a liver, fixed peritoneal, neck, extremity, or pelvic lesion measuring \>/= 3 to 10 cm (for liver lesions) or \>= 2 to 10 cm (for all other lesion locations) to be used for MRI Specific to Arm B: * Maximum of two prior chemotherapy regimens for metastatic disease
Exclusion criteria
* Anti-cancer therapy within 3 weeks prior to initiation of study treatment * Patients who had to discontinue prior bevacizumab therapy due to intolerable toxicity * Leptomeningeal disease * Active infection or autoimmune disease * Known clinically significant liver disease, including active viral, alcoholic, or other hepatitis, or cirrhosis * Known primary central nervous system (CNS) malignancy or untreated or active CNS metastases * Inadequately controlled hypertension; history of hypertensive crisis or encephalopathy; congestive heart failure (New York Heart Association Class II or greater); history of myocardial infarction or unstable angina within 6 months prior to initiation of study treatment * History of hemoptysis; evidence of bleeding diathesis or significant coagulopathy * History of abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within 6 months prior to initiation of study treatment * Serious, non-healing wound, active gastrointestinal ulcer, or untreated bone fracture Specific to Arm B: * Known significant hypersensitivity to paclitaxel or other drugs using the vehicle cremophor * Previous intolerance to paclitaxel * Grade \>= 2 sensory neuropathy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence and nature of dose-limiting toxicities (DLTs) | Days 1 to 28 of Cycle 1 |
| Incidence, nature, and severity of adverse events | Until 90 days after last dose of study treatment |
Secondary
| Measure | Time frame |
|---|---|
| Pharmacokinetic parameters including total exposure, minimum and maximum serum concentration, clearance, and volume of distribution | Following administration of study drug |
Countries
United States