A Dose Escalation Study of SCB01A in Subjects With Advanced Solid Tumors Who Have Failed Standard Therapy
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Purpose
The goal of this study with SCB01A is to determine the Maximum Tolerated Dose of SCB01A in patients with advanced solid tumors that have failed previous therapy.
| Condition | Intervention | Phase |
|---|---|---|
|
Solid Tumors |
Drug: SCB01A |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Phase 1 Dose Escalation Study of SCB01A in Subjects With Advanced Solid Tumors Who Have Failed Standard Therapy |
- To determine the maximum tolerated dose (MTD)in subjects with advanced solid tumor [ Time Frame: Each subject can be given up to 2 cycles of SCB01A. Each cycle will be 21 days. ] [ Designated as safety issue: Yes ]MTD is the dose at which atleast two subjects experience the DLT; and DLT is defined as Grade 3 or greater Neutropenia, Thrombocytopenia, prolonged QTc, non-hematological adverse events and neurotoxicity
- To determine DLT (Dose Limiting Toxicity) in subjects with advanced solid tumor [ Time Frame: Each subject can be given up to 2 cycles of SCB01A. Each cycle will be 21 days. ] [ Designated as safety issue: Yes ]DLT is defined as Grade 3 or greater Neutropenia, Thrombocytopenia, prolonged QTc, non-hematological adverse events and neurotoxicity
- Safety will be evaluated by physical examinations, vital signs, laboratory assessments, ECOG PS scale, and the incidence and severity of adverse events. [ Time Frame: ECOG-PS, AE's, physical examinations, vital signs, laboratory assessments will be assessed weekly. ] [ Designated as safety issue: Yes ]
- For PK profile, blood samples will be collected at various time points [ Time Frame: PK blood samples will be taken immediately pre-infusion then at 1, 2, 3, 4, 6, 10, 21 and 24 hours after start of infusion on Day 1 ] [ Designated as safety issue: Yes ]
- Tumor response will be assessed by RECIST v1.1 [ Time Frame: During screening and final visit ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 90 |
| Study Start Date: | April 2011 |
| Estimated Study Completion Date: | December 2013 |
| Estimated Primary Completion Date: | October 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: SCB01A
This is an open-label, single-arm, dose-escalation, safety and tolerability study. Eligible subjects will be assigned to a SCB01A dose level at the time of study entry and scheduled to receive two treatment cycles with SCB01A for the observation of DLT. A treatment cycle is defined as a three-hour infusion of SCB01A given every 21 days. Unless any off-study criteria are met, the study period of each subject can be up to two cycles.
|
Drug: SCB01A
This is an open-label, single-arm, dose-escalation, safety and tolerability study. Eligible subjects will be assigned to a SCB01A dose level at the time of study entry and scheduled to receive two treatment cycles with SCB01A for the observation of DLT. A treatment cycle is defined as a three-hour infusion of SCB01A given every 21 days. Unless any off-study criteria are met, the study period of each subject can be up to two cycles.
|
Detailed Description:
This is an open-label, single-arm, dose-escalation, safety and tolerability study. Eligible subjects will be assigned to a SCB01A dose level at the time of study entry and scheduled to receive two treatment cycles with SCB01A for the observation of DLT. A treatment cycle is defined as a three-hour infusion of SCB01A given every 21 days. Unless any off-study criteria are met, the study period of each subject can be up to two cycles.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Subjects who are at least 18 years of age.
- Have provided written informed consent prior to the initiation of study procedures.
- Have histologically or cytologically confirmed diagnosis of an advanced solid tumor that has failed to respond to all available standard treatments.
- Have ECOG PS scale of 0-1 at the time of enrollment.
Have adequate organ function:
Bone marrow function:
- White blood cell count (WBC) ≥ 4000/μL
- Absolute neutrophil count (ANC) ≥ 1500/μL
- Hemoglobin ≥ 10.0 g/dL
- Platelet count ≥ 100,000/μL
Hepatic Function:
- Serum total bilirubin level ≤ 1.0 x upper normal limit
- Serum alanine aminotransferase (ALT) level ≤ 2.5 x upper normal limit
Renal Function:
• Serum creatinine ≤ 1.0 x upper normal limit and creatinine clearance (estimated by Cockcroft-Gault formula) > 60 mL/min
Heart Function:
- Ejection fraction ≥ 55%
- QTC < 450 msec
- Have a life expectancy of at least 3 months
- Have negative serum pregnancy test within 1 week before study drug administration (for women of childbearing potential and not diagnosed as germ cell tumor with beta-HCG only).
- Are willing to practice medically accepted contraception (if the risk of contraception exists) throughout the study period (from screening until Final Visit).
Exclusion Criteria:
- Subjects who have failed to recover from prior anti-cancer treatment-related toxicities, e.g. surgery, chemotherapy, radiotherapy, target therapy, biologic therapy, immunotherapy, alternative medicine, hormonal therapy, or investigational agent(s).
- Treatment with an investigational drug, chemotherapy, targeting agent(s), biologic therapy (e.g., IL-2, Interferon, etc.), immunotherapy (e.g. tumor vaccine, etc.), alternative medicine or hormonal therapy (e.g. anti-estrogens, anti-androgens, etc.), radiation (except to bone) or surgery (except exploratory biopsy or intravenous device implantation, etc.) within 28 days prior to study entry.
- Grade 2 or higher sensory neuropathy of any etiology.
- Subjects with severe cardiopulmonary diseases (including history of stable, effort-induced or unstable angina pectoris, myocardial infarction, or arrhythmia) or other systemic diseases under poor control.
- Females who are pregnant, lactating, or have a positive serum pregnancy test except those are diagnosed as germ cell tumor with beta-HCG prior to study treatment. Pre-menopausal women who are not abstinent must prove surgical sterility or compliance with a contraceptive regimen. Male subjects and male partners of female subjects must be abstinent, surgically sterile, or utilizing a barrier contraceptive method.
- Tumor with central nervous system (CNS) involvement.
- Subjects with concomitant active 2nd primary malignancies or disease-free for no more than 3 years following a definitive therapy for prior metachronous malignancies, except for surgically cured carcinoma, i.e. in situ of the cervix or adequately treated basal cell carcinoma of the skin or Dukes' A colorectal cancer.
- Known history of allergy to any component of this investigational preparation.
- History of exposure to SCB01A or its analogs.
- Active infection requiring antibiotic therapy at time of study entry.
- Is unwilling or unable to comply with the protocol requirements.
- Known human immunodeficiency virus (HIV) infection.
- History of receiving organ transplantation or immunologic illness that require continuous immunosuppressant agent therapy.
- Have other medical or psychological conditions that would not permit the study participant to complete the study or sign informed consent.
- Have any other disease, dysfunction, alcohol or drug abuse, physical examination or lab finding that, in the investigator's opinion, would exclude the subject from the study.
Contacts and Locations| Contact: Douglas Shr-Wei Chen, MS | 886-2-27603688 ext 2325 | swchen1@sinphar.com.tw |
| Contact: Wan-Ting Huang, MS | 886-2-27603688 ext 2280 | wthuang@sinphar.com.tw |
| Taiwan | |
| National Cheng Kung University Hospital | Recruiting |
| Tainan, Taiwan | |
| Principal Investigator: Li-Tzong Chen, MD | |
| Study Director: | Muh-Hwan Su, Ph.D. | SynCore Biotechnology |
More Information
No publications provided
| Responsible Party: | SynCore Biotechnology Co., Ltd. |
| ClinicalTrials.gov Identifier: | NCT01159522 History of Changes |
| Other Study ID Numbers: | SCB01A-01 |
| Study First Received: | June 23, 2010 |
| Last Updated: | June 19, 2012 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by SynCore Biotechnology Co., Ltd.:
|
Advanced Solid Tumors Who Have Failed Standard Therapy |
Additional relevant MeSH terms:
|
Neoplasms |
ClinicalTrials.gov processed this record on May 16, 2013