stop_circleTerminated/Withdrawn

Neoplasms

Dose-escalation study of Lupartumab Amadotin (BAY1129980)

Trial purpose

The purpose of this study is to evaluate:
- The side effects of BAY1129980 when given every 21 days different dose levels.
- Determine the dose level of BAY1129980 that should be tested in future clinical research studies.
- Measure how much BAY1129980 is in the blood at specific times after administration.
- If treatment with BAY1129980 shows any effect on reducing the tumor growth.
- If there are specific biomarkers that might be able to explain why some patients respond to treatment and others do not.
- If treatment with BAY1129980 causes an immune response from the body against the drug (immunogenicity).

Key Participants Requirements

Sex

Both

Age

18 - N/A
  • - All subjects must be ≥ 18 years at the first screening examination / visit
    - All subjects must provide a tumor tissue sample from [Formalin Fixed Paraffin Embedded (FFPE) slides] archival tissue or fresh biopsy collected before Cycle 1, Day 1
    - Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 to 1
    - Life expectancy of at least 12 weeks
    - Radiographically or clinically evaluable tumor. In the expansion phase, disease must be measurable according to RECIST 1.1.
    - Adequate bone marrow, liver, and renal function
    - Histologically or cytologically confirmed solid tumors known to express C4.4a (eg, carcinomas of the lung, head & neck SCC, esophagus SCC (squamous cell carcinoma),colon, ovary, prostate, and breast) that are refractory to any standard therapy, or have no standard therapy available, or for which subjects actively refuse any treatment that would be regarded as standard and in whom, in the opinion of the investigator, experimental therapy with BAY1129980 may be beneficial.
    - A signed informed consent must be obtained prior to any study-specific procedures.
    - Measurable disease with at least one lesion that can be accurately measured in at least one dimension according to RECIST 1.1
  • - Anticancer chemotherapy, experimental cancer therapy, or cancer immunotherapy within 4 weeks prior to first dose study drug. Anticancer therapy is defined as any agent or combination of agents with clinically proven anti tumor activity administered by any route with the purpose of affecting the malignancy, either directly or indirectly, including palliative and therapeutic endpoints.
    - Skin toxicity including but not limited to erythema, rash, ulceration, and open wound that is still clinically present and considered as acute or chronic.
    - Subjects with psoriasis or other severe skin disease (eg, autoimmune skin disease, active erythematous skin lesions, etc.)
    - Serious, non-healing wound, skin ulcer (of any grade), or bone fracture.
    - Prior local radiotherapy is allowed if it is completed at least 4 weeks prior to the first dose of study drug and the subject has evaluable lesions not previously irradiated
    - Significant liver dysfunction determined as Child-Pugh score B or C
    - History of symptomatic metastatic brain or meningeal tumors unless the subject is >3 months from the end of definitive therapy before the first dose of study drug and has clinically or radiologically no evidence of tumor growth.
    - History of clinically significant cardiac disease.
    - Anti-platelet drugs within 4 weeks prior to the first dose of study drug. Anti-platelet drugs are defined as any agent or combination of agents with clinically proven anti-thrombotic activity administered by any route with the purpose of affecting blood clotting ability of the subject.
    - Participation in another clinical trial in which they received active therapy within 4 weeks prior to the first dose of study drug.
    - Subjects with CNS symptoms should undergo a CT scan or MRI of the brain to exclude new or progressive brain metastases. Spinal cord metastasis is acceptable. However, subjects with spinal cord compression should be excluded.
    - Subjects with severe renal impairment (GFR <50 mL/min/1.73 m²) or on dialysis.
    - History of organ allograft (except for corneal transplant) or autologous or allogeneic bone marrow transplant, or stem cell rescue within 3 months prior to the first dose of study drug.
    - Current evidence or previous medical history of (ie, any absolute risk of latent infection) hepatitis B or C, any active hepatitis, or human immunodeficiency virus (HIV) infection. Active clinically serious infections > CTCAE Grade 2.
    - Major surgery or significant trauma within 2 weeks prior to the first dose of study drug.
    - Substance abuse, medical, psychological or social conditions that may interfere with the subject’s participation in the study or evaluation of the study result.
    - Subjects who are pregnant or are breast-feeding.
    - Any condition that is unstable or could jeopardize the safety of the subject and his / her compliance to the study.

Trial summary

Enrollment Goal
69
Trial Dates
May 2014 - August 2018
Phase
Phase 1
Could I Receive a placebo
No
Products
Lupartumab Amadotin (BAY1129980)
Accepts Healthy Volunteer
No

Where to participate

StatusInstitutionLocation
Completed
Nashville, 37203, United States
Completed
Buffalo, 14263, United States
Completed
Houston, 77030, United States
Completed
Dallas, 75230, United States
Completed
Washington, 20007-2113, United States
Completed
La Jolla, 92093, United States
Withdrawn
Chicago, United States
Withdrawn
Orlando, 32806, United States
Completed
Gainsville, 32610, United States
Completed
New York, United States
Withdrawn
Los Angeles, 90089, United States
Completed
Aurora, 80045, United States
Completed
Seattle, 98109-1023, United States
Completed
Westwood, 66205, United States
Completed
Durham, 27708, United States
Withdrawn
Hamilton, L8V 5C2, Canada
Withdrawn
London, N6A 4L6, Canada
Withdrawn
Edmonton, T6G 1Z2, Canada
Completed
Stanford, 94305, United States
Completed
Philadelphia, 19104, United States
Completed
Hackensack, 07601, United States

Primary Outcome

  • Maximum tolerated dose (MTD)
    MTD is defined as the maximum dose at which the incidence of DLTs (dose limiting toxicities) during Cycle 1 is below 20%, or the maximum dose administered, whichever is achieved first during dose escalation.
    date_rangeTime Frame:
    21 days
    enhanced_encryption
    Safety Issue:
    Yes
  • Number of participants with adverse events as a measure of safety and tolerability
    date_rangeTime Frame:
    Up to 2 years
    enhanced_encryption
    Safety Issue:
    Yes

Secondary Outcome

  • C4.4a expression levels in tumour tissue as measured by immunohistochemistry (IHC)
    date_rangeTime Frame:
    Baseline
    enhanced_encryption
    Safety Issue:
    No
  • Tumor response evaluation following RECIST 1.1 criteria
    date_rangeTime Frame:
    Up to 2 years
    enhanced_encryption
    Safety Issue:
    No
  • Plasma concentration of BAY1129980 characterized by AUC (0-tlast)
    date_rangeTime Frame:
    2 years
    enhanced_encryption
    Safety Issue:
    No
  • Antidrug and antibody titer
    date_rangeTime Frame:
    Baseline and up to 2 years
    enhanced_encryption
    Safety Issue:
    No

Trial design

An open-label Phase I dose-escalation study to evaluate the safety, tolerability, maximum tolerated dose, pharmacokinetics, and pharmacodynamics of the anti-C4.4a antibody drug conjugate BAY1129980 in subjects with advanced solid tumors known to express C4.4a
Trial Type
Interventional
Intervention Type
Drug
Trial Purpose
Treatment
Allocation
N/A
Blinding
Open Label
Assignment
Single Group Assignment
Trial Arms
1