Open Label Study With OHR/AVR118 in Advanced Cancer Patients With Anorexia-Cachexia

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: NCT01206335
Recruitment Status : Unknown
Verified November 2012 by Ohr Pharmaceutical Inc..
Recruitment status was:  Active, not recruiting
First Posted : September 21, 2010
Last Update Posted : November 27, 2012
Information provided by (Responsible Party):
Ohr Pharmaceutical Inc.

Brief Summary:
The purpose of this study is to determine whether patients with advanced cancers who receive OHR/AVR118 solution for injection into the skin can achieve improvement in quality of life. Based on a previous study in patients with AIDS, possible benefits may include improved appetite and strength; weight gain, improved mood; and decreased fatigue.

Condition or disease Intervention/treatment Phase
Anorexia Cancer Cachexia Drug: OHR/AVR118 Phase 2

Detailed Description:
Advanced cancers are usually debilitating. There are few treatments available for symptoms of advanced cancers like loss of appetite, decreased strength, fatigue, and change in mood. This Phase II, open label study with OHR/AVR118 will enable the Sponsor to gather data on safety and efficacy of OHR/AVR118 in the patient population with anorexia-cachexia. Patients aged 18-85 with advanced cancers (excluding central nervous system [CNS] cancers) who may or may not be receiving chemotherapy, may be eligible to participate. The study drug, 4.0 mL, will be given subcutaneously each day for 28 days. Patients who respond to the trial period dosing will be eligible to continue on OHR/AVR118 if they and their physicians believe it would be beneficial, and if no safety concerns are raised.

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 20 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Phase II Open Label Study With OHR/AVR118 in Anorectic Patients With Recurrent or Advanced Malignancies
Study Start Date : September 2010
Estimated Primary Completion Date : December 2012
Estimated Study Completion Date : February 2013

Arm Intervention/treatment
Experimental: OHR/AVR118
Experimental Drug
Drug: OHR/AVR118
OHR/AVR118 given subcutaneously at 4mL per day
Other Name: AVR118

Primary Outcome Measures :
  1. Alleviation of multiple cachexia symptoms [ Time Frame: Four weeks ]
    Functional Status/Quality of Life as assessed by Simmonds Functional Assessment (SFA); Appetite and early satiety as assesed by patetient-generated subjective global assessment (PG-SGA), Edmonton Symptom assessment Scale (ESAS) and dyspepsia symptom severity index (DSSI); weight gain; increase in lean body mass.

Secondary Outcome Measures :
  1. Impact on inflammatory markers and hormonal milieu [ Time Frame: 4 weeks ]
    Measurement of effects on Testosterone, TSH and C-Reactive protein

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.

Ages Eligible for Study:   18 Years to 85 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Histologically confirmed solid tumor cancer, leukemia, lymphoma, or multiple myeloma.
  • Concurrent anti-cancer treatment, such as chemotherapy or radiation therapy is permitted except for neo-adjuvant or adjuvant programs.
  • Between the ages of 18-85.
  • Symptoms of recurrent or metastatic cancer in which anorexia is a predominant symptom, not necessarily associated with cachexia, and are not attributed to anemia, concomitant illnesses, or obstruction or loss of organ function.
  • Karnofsky performance status of 40%
  • Palliative Prognostic Score (PaP) of less than 6
  • Patient is expected to be able to remain on a study protocol for two months.
  • Pretreatment laboratory data within 7 days of enrollment:
  • 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
  • ALT and AST 2.5 times the ULN, or, if the patient has liver metastases, 5 times the ULN.
  • Creatinine 1.5 mg/dL.
  • Normal TSH
  • Testosterone levels determined.
  • Voluntary written informed consent before performance of any study-related procedure that is not part of normal medical care.
  • Ability to self-administer subcutaneous medication if an assistant or nurse is not available, and to keep a compliance journal documenting injections at home.
  • If on an antidepressant, the dose must have been stabilized for at least 30 days.
  • Female patient is post-menopausal, surgically sterilized, or willing to use acceptable methods of birth control (i.e., a hormonal contraceptive, intra-uterine device, diaphragm with spermicide, or condom with spermicide, or abstinence) for the duration of the study.
  • Male patient agrees to use an acceptable barrier method for contraception during the study

Exclusion Criteria:

  • Patient has uncontrolled brain metastases or central nervous system disease.
  • Patient has mechanical, non-reversible reason for not being able to eat, or have a potential for developing malignant bowel obstruction during the course of the induction phase of treatment, or patients requiring a PEG for obstruction.
  • Patient has had any major surgery within four weeks of enrollment.
  • Patient has an uncontrolled concomitant illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, or cardiac arrhythmia.
  • In the Investigator's opinion, potentially interfere with the completion of treatment according to this protocol.
  • Female patient is pregnant or breast-feeding.

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): NCT01206335

Canada, Ontario
Ottawa Hospital Cancer Centre
Ottawa, Ontario, Canada, K1H 8L6
Sponsors and Collaborators
Ohr Pharmaceutical Inc.
Principal Investigator: Martin Chasen, MBChB Ottawa Hospital Cancer Centre

Responsible Party: Ohr Pharmaceutical Inc. Identifier: NCT01206335     History of Changes
Other Study ID Numbers: OHR-201
First Posted: September 21, 2010    Key Record Dates
Last Update Posted: November 27, 2012
Last Verified: November 2012

Keywords provided by Ohr Pharmaceutical Inc.:
Cancer Cachexia
Advanced Malignancies
Weight Loss
C-Reactive Protein
Simmonds Functional Assessment

Additional relevant MeSH terms:
Wasting Syndrome
Signs and Symptoms, Digestive
Signs and Symptoms
Weight Loss
Body Weight Changes
Body Weight
Metabolic Diseases
Nutrition Disorders