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Study of Angiocal® in Patients With Solid Tumors, Investigating Safety, Tolerability, Blood Concentration of Study Drug

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01141257
Recruitment Status : Completed
First Posted : June 10, 2010
Last Update Posted : October 19, 2011
FGK Clinical Research GmbH
Information provided by (Responsible Party):
Pieris Pharmaceuticals GmbH

Brief Summary:
The purpose of this study is to determine if Angiocal® (PRS-050-PEG40) is safe and well tolerated when it is injected into the veins of patients with solid tumors. Other purposes of this study are to investigate how the body of the patients reacts to Angiocal®, how the blood level of Angiocal® develops after injection and how the tumor responds to the injection of Angiocal®.

Condition or disease Intervention/treatment Phase
Solid Tumor Drug: Angiocal® (PRS-050-PEG40) Phase 1

Detailed Description:
This is a phase I, open-label, dose escalation study with Angiocal® in patients with solid tumors using a group sequential adaptive treatment assignment. Patients will be allocated to different dose levels in small cohorts and will receive one single dose application on Day 1, followed by a repeated dosing period. The primary objective of the study is to evaluate the safety and tolerability of Angiocal® when administered intravenously to patients with solid tumors. The secondary objectives of the study are the characterization of the pharmacodynamic response, evaluation of the pharmacokinetic profile of Angiocal®, observation of tumor response.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 26 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Phase I, Open-label Study of the Safety, Tolerability, and Pharmacokinetics of Angiocal® (PRS-050-PEG40) in Patients With Solid Tumors
Study Start Date : May 2010
Actual Primary Completion Date : September 2011
Actual Study Completion Date : September 2011

Arm Intervention/treatment
Experimental: Angiocal®
Drug: Angiocal® (PRS-050-PEG40)
Single dose of Angiocal® i.v. (intravenous) on Day 1 and further applications of Angiocal® i.v. during a repeated dosing period.

Primary Outcome Measures :
  1. Dose limiting toxicity [ Time Frame: Throughout the course of the study ]
    Dose limiting toxicity is determined by recording and evaluating adverse events / toxicity.

Secondary Outcome Measures :
  1. Pharmacokinetic analysis [ Time Frame: Throughout the course of the study ]
    AUC_0- τ; AUC_0-tlast; AUC_0-∞; C_max; T_max; t_½; CL; V_z; V_ss; RA_AUC; RA_Cmax; RL; dose normalized values (norm) for AUC_0-τ and C_max will be determined by dividing the original toxicokinetic parameter by the dose level.

  2. Development of biomarkers in blood over time [ Time Frame: Throughout the course of the study ]
  3. Response of target lesions over time [ Time Frame: Throughout the course of the study ]
    The objective tumor response for target lesions will be presented over time, employing the categories 'complete response', 'partial response, 'progressive disease´ and 'stable disease' and absolute changes.

  4. ECOG performance status [ Time Frame: Throughout the course of the study ]
    ECOG = Eastern Cooperative Oncology Group

  5. Clinical laboratory measures [ Time Frame: Throughout the course of the study ]
    Hematology, biochemistry, coagulation parameters, and urinalysis.

  6. Anti-drug antibodies [ Time Frame: Throughout the course of the study ]
  7. Results of 12-lead Electrocardiogram by time point [ Time Frame: Throughout the course of the study ]
    Changes from the baseline visit will be presented using shift tables (employing the categories 'normal', 'abnormal, clinically not significant' and 'abnormal, clinically significant') and absolute changes in laboratory values, if appropriate. Changes from the baseline visit in QTc between >30 and <60 ms and >60 ms will be listed and summarized separately.

  8. Changes of vital signs from the baseline visit [ Time Frame: Throughout the course of the study ]
    Heart rate, blood pressure and body temperature.

  9. Physical examination [ Time Frame: Throughout the course of the study ]
    Any changes in physical examination findings from baseline visit will just be summarized, since the physical examiniations will not result in measurable values.

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

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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:

  • Males or females with advanced, recurrent or metastatic cancer, refractory to standard therapy;
  • Age ≥18 years;
  • Signed informed consent form and ability to understand the study procedures.

Exclusion Criteria:

  • Concomitant anticancer therapy, including radiation;
  • Current or previous (within 30 days of first study dosing) treatment with another investigational drug or participation in another clinical study;
  • Chronic daily treatment with aspirin (>325 mg/day) or clopidogrel (>75 mg/day);
  • Chronic daily treatment with corticosteroids, with the exception of inhaled steroids;
  • Inadequate bone marrow function;
  • Inadequate liver function;
  • Inadequate renal function;
  • Patients not receiving anticoagulant medication who have an International Normalized Ratio (INR) >1.5 or an activated partial thromboplastin time (aPTT) >1.5 x ULN within 7 days prior to first study treatment;
  • Patients with lymphomas;
  • Evidence of spinal cord compression or brain metastases;
  • Other malignancy diagnosed within the previous 5 years;
  • Pregnant or lactating females.;
  • All patients who do not use a highly effective method of birth control;
  • Major surgical procedure (including open biopsy) within 28 days prior to the first study treatment, or anticipation of the need for major surgery during the course of the study treatment;
  • Minor surgical procedures, within 24 hours prior to the first study treatment;
  • History or evidence of inherited bleeding diathesis or coagulopathy with the risk of bleeding;
  • Uncontrolled hypertension or clinically significant (i.e. active) cardiovascular disease;
  • History of abdominal fistula, grade 4 bowel obstruction or gastrointestinal perforation, intra-abdominal abscess within 6 months of enrollment;
  • Lung carcinoma of squamous cell histology or any histology in close proximity to a major vessel;
  • Serious non-healing wound, peptic ulcer or bone fracture;
  • Known hypersensitivity to the study medication or any of its excipients;
  • Evidence of any other medical conditions that may interfere with the planned treatment, affect patient compliance or place the patient at high risk of treatment-related complications;
  • Previous enrollment in this study;
  • Known hepatitis B or C or HIV infection;
  • Employees of the sponsor or patients who are employees or relatives of the investigator.

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 identifier (NCT number): NCT01141257

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Breisgau, Baden-Württemberg, Germany
Ruhrgebiet, Nordrhein-Westfalen, Germany
Sponsors and Collaborators
Pieris Pharmaceuticals GmbH
FGK Clinical Research GmbH
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Study Director: Laurent Audoly, PhD Pieris Pharmaceuticals GmbH
Publications automatically indexed to this study by Identifier (NCT Number):
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Responsible Party: Pieris Pharmaceuticals GmbH Identifier: NCT01141257    
Other Study ID Numbers: Pieris001
First Posted: June 10, 2010    Key Record Dates
Last Update Posted: October 19, 2011
Last Verified: October 2011
Keywords provided by Pieris Pharmaceuticals GmbH:
Angiocal®; PRS-050-PEG40; Solid tumor; Phase I
Additional relevant MeSH terms:
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