Advanced Solid Malignancies, Cancer
Conditions
Keywords
Phase I, cancer, solid tumours, advanced solid malignancies, dose escalation, Insulin like growth factor, Japanese
Brief summary
The primary purpose of this study is to explore the safety and tolerability of MEDI-573 in Japanese subjects with advanced solid tumours refractory to standard therapy or for which no standard therapy exists.
Interventions
MEDI-573 will be administrated once 7 days in Cohort 1 and 2, and once every 21 days in Cohort 3 as a IV infusion as part of a 21-day treatment cycle.
Sponsors
Study design
Eligibility
Inclusion criteria
* Japanese men or women at least 20 years of age * Histological or cytological confirmation of a solid, malignant tumour excluding lymphoma that is refractory to standard therapies or for which no standard therapies exist * WHO performance status 0-2 with no deterioration over the previous 2 weeks
Exclusion criteria
* Previous therapy with medication against IGF (ie, monoclonal antibodies with IGF-1R or IGF-targeting tyrosine kinase inhibitors) * Inadequate bone marrow reserve or organ function * Poorly controlled diabetes mellitus as defined by the investigator's assessment and/or glycosylated hemoglobin (HbA1c) reading \> 6.5% within 28 days prior to the first dose of MEDI-573 * History of allergy or reaction to any component of the MEDI-573 formulation or drugs with a similar chemical structure or class to MEDI-573
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants with adverse events (based on CTCAE version 4.0), laboratory values, vital sign measurements, ECG, Physical Examination | All AEs will be collected throughout the study, from informed consent until 30 days after the end of study treatment. | The total duration of this time frame can not be specified, as it depends on the number of treatments the subject may receive. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Anti-tumor activity of MEDI-573 using Response Evaluation Criteria in Solid Tumors(RECIST) | Tumor assessment by RECIST 1.1 every 2 cycles | subjects who discontinue the study treatment for reasons other than disease progression or initiation of alternative anticancer therapy will undergo tumor assessment 3 months after the last dose of MEDI-573). The total duration of this time frame can not be specified, as it depends on the number of treatments the subject may receive. |
| Pharmacokinetics, - Cmax | For Cohorts 1, 2 and 3:Multiple timepoints taken, begining at Day 1 and until 30 days after last dose. | The total duration of this time frame can not be specified, as it depends on the number of treatments the subject may receive. |
| Pharmacokinetics,- Cmax at steady state (Cmax, ss) | For Cohorts 1, 2 and 3: Multiple timepoints taken, begining at Day 1 and until 30 days after last dose. | The total duration of this time frame can not be specified, as it depends on the number of treatments the subject may receive. |
| Pharmacokinetics - time to maximum concentration (tmax) | For Cohorts 1, 2 and 3: Multiple timepoints taken, begining at Day 1 and until 30 days after last dose. | The total duration of this time frame can not be specified, as it depends on the number of treatments the subject may receive. |
| Immunogenicity of MEDI-573 (by measuring anti-MEDI-573 antibodies) | For Cohorts 1, 2 and 3:day 1 (pre-dose) of every cycle; 30 days after the last dose; 3 months after the last dose | The total duration of this time frame can not be specified, as it depends on the number of treatments the subject may receive. |
| Pharmacokinetics - (AUC(0-t)) | For Cohorts 1, 2 and 3: Multiple timepoints taken, begining at Day 1 and until 30 days after last dose. | The total duration of this time frame can not be specified, as it depends on the number of treatments the subject may receive. |
| Pharmacokinetics - total clearance and terminal phase (Vz) of MEDI-573 | For Cohorts 1, 2 and 3: Multiple timepoints taken, begining at Day 1 and until 30 days after last dose. | The total duration of this time frame can not be specified, as it depends on the number of treatments the subject may receive. |
| Pharmacodynamics: - Insulin-like growth factor (IGF)-I and IGF-II on circulating plasma levels of MEDI-573 | For Cohorts 1, 2 and 3: Multiple timepoints taken, begining at Day 1 and until 30 days after last dose. | The total duration of this time frame can not be specified, as it depends on the number of treatments the subject may receive. |
| Pharmacokinetics, - terminal elimination rate constant (λz) | For Cohorts 1, 2 and 3: Multiple timepoints taken, begining at Day 1 and until 30 days after last dose. | The total duration of this time frame can not be specified, as it depends on the number of treatments the subject may receive. |
Countries
Japan