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Study With Atu027 in Patients With Advanced Solid Cancer

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ClinicalTrials.gov Identifier: NCT00938574
Recruitment Status : Completed
First Posted : July 14, 2009
Last Update Posted : April 9, 2013
Information provided by (Responsible Party):
Silence Therapeutics GmbH

Brief Summary:
This is a phase I, prospective, open-label, single center, dose finding study with Atu027 (an siRNA formulation) given as single treatment followed by repeated treatment (repeated treatment phase: 8 treatments within 4 weeks) as therapy in subjects with advanced solid cancer.

Condition or disease Intervention/treatment Phase
Advanced Solid Tumors Drug: Atu027 Phase 1

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 34 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Prospective, Open-label, Single Center, Dose Finding Phase I-study With Atu027 (an siRNA Formulation) in Subjects With Advanced Solid Cancer
Study Start Date : June 2009
Actual Primary Completion Date : July 2012
Actual Study Completion Date : September 2012

Arm Intervention/treatment
Experimental: Drug Atu027 Drug: Atu027

Primary Outcome Measures :
  1. Determination of dose-limiting toxicities (DLT) and maximum tolerated dose (MTD) of single and repeated intravenous infusion with Atu027 in subjects with advanced solid tumors [ Time Frame: treatment and follow up ]

Secondary Outcome Measures :
  1. Collection of data concerning pharmacokinetics of Atu027 and its components [ Time Frame: treatment and follow up ]
  2. Collection of data concerning clinical safety and tolerability [ Time Frame: treatment and follow up ]
  3. Clinical response as measured by RECIST criteria [ Time Frame: treatment and follow up ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  1. Histologically and/or cytologically proven advanced, recurrent or metastatic solid malignancy for which standard curative or palliative measures do not exist, are no longer effective, or are unlikely to be effective.
  2. Age >/= 18 years.
  3. ECOG performance score of 0-2.
  4. Life expectancy of at least 3 months.
  5. Subjects must have recovered from the acute reversible effects of previous anti-cancer therapies. At least 30 days since major surgery and at least 5 half-lives (t1/2) must have elapsed since treatment with any investigational agent.
  6. Adequate marrow, hepatic, renal, and heart function at the time of screening.
  7. Weight >/= 50kg.
  8. Subjects must have at least one measurable lesion according to RECIST.
  9. Women of childbearing potential must have a negative urine pregnancy test at baseline.
  10. Women of childbearing potential and men must be willing to use highly effective contraceptive methods during the course of the study and three months after.
  11. Subjects must be willing and able (in the opinion of the investigator) to understand the subject information and informed consent form and to comply with the study protocol and procedures.
  12. Subjects must be willing and able to give written informed consent.

Exclusion Criteria:

  1. Evidence of central nervous system (CNS) metastases.
  2. Peripheral venous access insufficient to permit intravenous infusion or acquisition of laboratory specimen.
  3. Major surgery within 30 days prior to first study treatment.
  4. Evidence that subject has only insufficiently recovered from the acute reversible effects of previous anti-cancer therapies or surgery.
  5. Abnormal hematologic parameters as defined:

    • Neutrophil count < 1.500/mm3 (=1.5x10^9/l)
    • Platelet count < 100.00/mm3 (=100x10^9/l)
    • White blood cells < 3x10^9/l
    • Hemoglobin < 9.0 g/l
  6. Abnormal renal or hepatic function as defined:

    • ASAT (SGOT), ALAT (SGPT) >/= 1.5xULN or >/= 2.0xULN in case of liver metastases
    • Total bilirubin >/= 1.5xULN
    • Creatinine clearance < 50ml/min calculated by the Cockroft-Gault formula
  7. Weight < 50 kg.
  8. Any concurrent disease, medical or social condition that could affect compliance with the protocol or interpretation of results as judged by the investigator. In particular, subjects with the following conditions are not allowed to enter the study:

    • Seizures
    • Poorly controlled Diabetes mellitus
    • Lipid metabolism disorder (cholesterol and triglycerides >/= 1.5xULN), Refsum disease
    • Myocardial infarction within six (6) months prior to enrollment or having insufficient cardiac function defined as NYHA Grade 3 or 4, uncontrolled angina, cardiomyopathy, severe uncontrolled ventricular arrhythmias, left bundle branch block or electrocardiographic evidence of acute ischemic or active conduction system abnormalities (e.g. long QT interval, Torsade de Pointes)
    • Poorly controlled hypertension
    • Severe dyspnea or severe pulmonary dysfunction
    • Autoimmune and inflammatory disease
    • Active infection or known bacteremia
    • Known infection with HIV or chronic infection with hepatitis B or C virus
    • History of acute or chronic pancreatitis
    • Substance abuse
  9. Prior gene transfer therapy.
  10. Concurrent treatment with investigational or commercial agents or therapies administered with the intention to treat the subject's malignancy.
  11. Participation in any other clinical study or use of investigational device(s) during participation in this study.
  12. Known hypersensitivity to ingredients of the infusion solution.
  13. Pregnant or nursing women or women of childbearing potential who are not willing to use highly effective forms of contraception during participation in this study and at least three months thereafter.
  14. Male subjects with partners of child-bearing potential who are not willing to use highly effective contraception during participation in this study and for at least three months thereafter, unless surgically sterile.
  15. Subject is a relative of, or staff directly reporting to the investigator or employee of the sponsor.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00938574

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Dept. of Hematology & Med. Oncology, Univ. of Bochum, Marienhospital Herne
Herne, Germany, 44625
Sponsors and Collaborators
Silence Therapeutics GmbH
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Principal Investigator: Dirk Strumberg,, MD, Prof., Director Dept. of Hematology & Med. Oncology, Univ. of Bochum, Marienhospital Herne
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Silence Therapeutics GmbH
ClinicalTrials.gov Identifier: NCT00938574    
Other Study ID Numbers: Atu027-I-01
EudraCT-No: 2008-005588-32
First Posted: July 14, 2009    Key Record Dates
Last Update Posted: April 9, 2013
Last Verified: September 2012