Phase 2A Study of NPC-1C Chimeric Monoclonal Antibody to Treat Pancreatic and Colorectal Cancer
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Purpose
The purpose of the phase 2A component of this study is to determine if giving the immune molecule NPC-1C to individuals who have cancer of the pancreas or gastrointestinal tract (colon or rectum) which has not responded to standard treatments can shrink or halt the growth of cancer, and to obtain additional data to study its effect on the immune system. Safety data will also be accumulated and evaluated during this study. NPC-1C is an antibody (a protein that can help 'turn on' an immune response) which binds to an antigen (a protein) located on pancreas and colon cancer cells. This binding causes the body to attract immune cells in the body that can kill these types of cancer cells, but not other cells in the body that do not have this antigen.
| Condition | Intervention | Phase |
|---|---|---|
|
Metastatic Pancreatic Cancer Metastatic Colorectal Cancer |
Drug: NPC-1C/NEO-102 |
Phase 1 Phase 2 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Phase 1/2A Therapeutic, Open Label, Multi-Center Clinical Trial of NPC-1C, a Chimeric Monoclonal Antibody, in Adults With Recurrent, Locally Advanced Unresectable or Metastatic Pancreatic and Colorectal Cancer After Standard Therapy |
- Efficacy will be assessed by analysis of CT scans pre and post therapy, clinical laboratory tests, and physical examinations. [ Time Frame: 10 weeks ] [ Designated as safety issue: No ]
- Safety will be assessed by analysis of adverse experiences, clinical laboratory tests, and physical examinations. [ Time Frame: 10 weeks ] [ Designated as safety issue: Yes ]
- Pharmacokinetics and select immune responses to the antibody will be assessed. [ Time Frame: 10 weeks ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 24 |
| Study Start Date: | January 2012 |
| Estimated Study Completion Date: | April 2015 |
| Estimated Primary Completion Date: | January 2015 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: NPC-1C/NEO-102 |
Drug: NPC-1C/NEO-102
Three subjects will receive NPC-1C at a dose of 1.5mg/kg. Dose escalation will be explored with 3 additional dose levels of 3-6 subjects per dose. The dose levels are as follows: 2mg/kg,3mg/kg and 4mg/kg. NPC-1C will be given intravenously (by vein) over approximately 1-6 hours, once every 2 weeks for 4 doses per course. Courses will be repeated in the absence of disease progression or unacceptable toxicity.
Other Name: Ensituximab
|
Detailed Description:
The limitations of many current therapeutic products for pancreatic cancer are widely recognized. Despite the development of several new treatment regimens for pancreatic cancer, little if any benefit has been appreciated, leaving this disease as one of the most significant unmet medical needs in cancer.
NPC-1C is a chimeric immunoglobulin molecule comprised from the variable region of the heavy chain and light chain of murine NPC-1, genetically engineered in-frame with the constant regions of a human IgG1 isotype. NPC-1, the predecessor of NPC-1C, was derived from a Tumor Associated Antigen (TAA) based vaccine that was previously tested in a Phase 1-2 clinical trial performed in the United States in the 1980's that explored the use of TAA therapy in patients with adenocarcinoma of the colon. These early studies demonstrated safety as well as preliminary evidence of activity in these patients treated with the vaccine.
NPC-1C antibody-staining studies demonstrate specific immunoreactivity with cancer tissues from colon and pancreas patients, whereas only weak binding, if at all, is observed in normal pancreas or colon tissues with no cross-reactivity observed in other normal human tissues. The Phase 2A portion of this trial is an open label, multi-center study estimated to treat approximately 10-24 pancreatic cancer patients who have failed first line therapy, and metastatic colon cancer patients who are refractory to standard treatment.
Eligibility| Ages Eligible for Study: | 18 Years to 85 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
INCLUSION CRITERIA:
- Age: >/= 18 and </= 85 years of age.
Diagnosis:
- Histologically confirmed recurrent, locally advanced unresectable or metastatic adenocarcinoma of the pancreas who have progressed after front line chemotherapy, OR
- Histologically confirmed metastatic colorectal adenocarcinoma who have progressed after at least 2 standard chemotherapy regimens.
- Tumor sections must stain >/= 20% positive for NPC-1C antibody/antigen target
- Measurable disease (by RECIST)
- Karnofsky performance status of >/= 50%
Laboratory Function (within 21 days of receiving first dose of study drug):
- Hemoglobin > 8.5 g/dL, or on stable doses (hematocrit stable within 1 gram and dose stable for one month) of erythropoietin or similar medication.
- Absolute neutrophil count (ANC) >/= 1,500/mm3
- Platelets >/= 50,000/mm3
- Total bilirubin </= 2.0 mg/dL
- ALT and AST </= 2.5 times the ULN, or, if the patient has liver metastases, </= 5 times the ULN
- Creatinine </= ULN
- Voluntary written informed consent before performance of any study-related procedure that is not part of normal medical care.
- Expected to be able to remain on a study protocol for at least 8 weeks.
- Is post-menopausal, surgically sterilized, or willing to use acceptable methods of birth control for the duration of the study. Male subject agrees to use an acceptable barrier method for contraception during the study.
EXCLUSION CRITERIA:
- Has history of disseminated or uncontrolled brain metastases or central nervous system disease.
- Ascites with abdominal distention.
- Mechanical, non-reversible reason for not being able to eat, or have a likelihood of developing malignant bowel obstruction during the course of the induction phase of treatment; subjects with uncomplicated J-tubes will not be excluded.
- Any major surgery within four weeks of enrollment.
- Uncontrolled concomitant illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, or cardiac arrhythmia.
- Has another serious medical illness, including a second malignancy, or psychiatric illness that could, in the Investigator's opinion, potentially interfere with the completion of treatment according to this protocol.
- Pregnant or breast-feeding.
- Any chemotherapeutic agents or corticosteroids within 2 weeks of study entry or biologic treatment within 4 weeks of study entry.
- Use of any high risk medications that prolong the QT/QTc interval.
- History of allergic reaction to Erbitux greater than grade 1.
- Uncontrolled diabetes.
- Prior history of a documented hemolytic event.
- Receiving warfarin.
Contacts and Locations| United States, Maryland | |
| Johns Hopkins Kimmel Comprehensive Cancer Center | Not yet recruiting |
| Baltimore, Maryland, United States, 21231 | |
| Contact: Sheila Linden, RN 410-614-4397 slinden2@jhmi.edu | |
| Contact: Luis Diaz, M.D. 410-955-8439 ldiaz1@jhmi.edu | |
| Sub-Investigator: Luis A. Diaz, M.D. | |
| Sub-Investigator: Daniel Laheru, M.D. | |
| Sub-Investigator: Ross Donehower, M.D. | |
| Sub-Investigator: David Cosgrove, MBBCh | |
| Sub-Investigator: Dung Thi Le, M.D. | |
| Sub-Investigator: Keith McIntyre, CRNP | |
| Principal Investigator: Nilofer Azad, M.D. | |
| Sub-Investigator: Emily Petito, CRNP | |
| United States, North Carolina | |
| Duke University Medical Center | Recruiting |
| Durham, North Carolina, United States, 27710 | |
| Contact: Tony H Amara, MSW 919-668-1861 anthony.amara@duke.edu | |
| Contact: Sheila R Plant, PhD 919-668-1861 sheila.plant@duke.edu | |
| Principal Investigator: Michael A Morse, MD | |
| Sub-Investigator: Herbert Hurwitz, MD | |
| Sub-Investigator: Hope Uronis, MD | |
| Sub-Investigator: Syed Y Zafar, MD | |
| Sub-Investigator: Shiao-Wen D Hsu, MD, PhD | |
| Sub-Investigator: Gerard Blobe, MD, PhD | |
| Sub-Investigator: Evan Dropkin, PA-C | |
| Sub-Investigator: Leigh Howard, FNP | |
| Sub-Investigator: Margot O'Neill, PA-C | |
| Sub-Investigator: John Strickler, MD | |
| Sub-Investigator: Fatima Rangwala, M.D., Ph.D. | |
| United States, Texas | |
| UT Southwestern Medical Center | Recruiting |
| Dallas, Texas, United States, 75390-9179 | |
| Contact: Muhammad S Beg, Medical Doctor muhammad.beg@utsouthwestern.edu | |
| Contact: Tyson Dudley, MPH, MBA 214-648-7031 tyson.dudley@utsouthwestern.edu | |
| Sub-Investigator: Udit Verma, MD | |
| Sub-Investigator: Sirisha Karri, MD | |
| Study Director: | Philip M Arlen, M.D. | Precision Biologics, Inc |
More Information
No publications provided
| Responsible Party: | Precision Biologics, Inc |
| ClinicalTrials.gov Identifier: | NCT01040000 History of Changes |
| Other Study ID Numbers: | Neogenix 0901 |
| Study First Received: | December 23, 2009 |
| Last Updated: | April 19, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Precision Biologics, Inc:
|
NPC-1C Monoclonal antibody Pancreatic Cancer Adenocarcinoma of the pancreas Ductal carcinoma of the pancreas Duct cell carcinomas, pancreas Carcinomas, pancreas duct cell |
Pancreas duct cell carcinoma Pancreatic duct cell carcinoma Adenocarcinoma of the colon Adenocarcinoma of the rectum Colorectal cancer Colorectal tumor Colorectal neoplasm |
Additional relevant MeSH terms:
|
Colorectal Neoplasms Pancreatic Neoplasms Intestinal Neoplasms Gastrointestinal Neoplasms Digestive System Neoplasms Neoplasms by Site Neoplasms Digestive System Diseases Gastrointestinal Diseases Colonic Diseases |
Intestinal Diseases Rectal Diseases Endocrine Gland Neoplasms Pancreatic Diseases Endocrine System Diseases Antibodies Antibodies, Monoclonal Immunologic Factors Physiological Effects of Drugs Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 19, 2013