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临床试验/NCT03448042
NCT03448042进行中(未招募)1 期

A Phase Ia/Ib, Open-Label, Dose-Escalation Study of the Safety and Pharmacokinetics of Runimotamab Administered Intravenously as a Single Agent and in Combination With Trastuzumab in Patients With Locally Advanced or Metastatic HER2-Expressing Cancers

Genentech, Inc.54 个研究点 分布在 14 个国家目标入组 123 人开始时间: 2018年6月6日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
123
试验地点
54
主要终点
Percentage of Participants with Adverse Events

研究概览

简要总结

This study will evaluate the safety, tolerability, and pharmacokinetics of Runimotamab administered intravenously as a single agent and in combination with Trastuzumab in participants with locally advanced or metastatic Human Epidermal Growth Factor Receptor 2 (HER2)-expressing cancers.

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Sequential
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • * Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
  • * Life expectancy of at least 12 weeks
  • * Adequate hematologic and end-organ function
  • * Acute, clinically significant treatment-related toxicity from prior therapy must have resolved to Grade \/=50%
  • HER2-Expressing Breast Cancer-Specific Inclusion Criteria
  • * Locally tested, Human Epidermal Growth Factor Receptor 2 (HER2)-expressing BC
  • * Locally advanced or metastatic BC that has relapsed or is refractory to established therapies
  • HER2-Expressing Gastric/Gastroesophageal (GEJ) Cancer-Specific Inclusion Criteria
  • * Adenocarcinoma of the stomach or GEJ with inoperable locally advanced or recurrent and/or metastatic disease, not amenable to curative therapy
  • * HER2-expressing tumor (primary tumor or metastasis) as assessed by local lab testing
  • * HER2-positive gastric/GEJ cancer must have received prior trastuzumab, cisplatin (or carboplatin or oxaliplatin or investigational platinum agent) and 5-fluorouracil (5-FU)/capecitabine
  • HER2-Positive Solid Tumor Specific Inclusion Criteria
  • * HER2-positive tumor (primary tumor or metastasis) as assessed by local (non-central) laboratory testing
  • * Locally advanced, recurrent, or metastatic incurable malignancy that has progressed after at least one available standard therapy; or for whom standard therapy has proven to be ineffective or intolerable, or is considered inappropriate; or for whom a clinical trial of an investigational agent is a recognized standard of care; or for whom a clinical trial of an investigational agent is considered an acceptable treatment option

排除标准

  • Pregnant or breastfeeding, or intending to become pregnant during the study or within 140 days after the last dose of runimotamab
  • Significant cardiopulmonary dysfunction
  • Known clinically significant liver disease
  • Positive for acute or chronic Hepatitis B virus (HBV) infection
  • Acute or chronic Hepatitis C virus (HCV) infection
  • Human Immunodeficiency Virus (HIV) seropositivity
  • Poorly controlled Type 2 diabetes mellitus
  • History of ventricular dysrhythmias or risk factors for ventricular dysrhythmias
  • Current treatment with medications that are well known to prolong the Q-wave/T-wave (QT) interval
  • Known clinically significant liver disease
  • Primary central nervous system (CNS) malignancy, untreated CNS metastases, or active CNS metastases (progressing or requiring corticosteroids for symptomatic control)
  • Leptomeningeal disease
  • Spinal cord compression that has not definitively treated with surgery and/or radiation
  • History of autoimmune disease
  • Prior allogeneic stem cell or solid organ transplantation

研究组 & 干预措施

Dose Escalation

Experimental

Participants will be assigned sequentially to escalating doses of runimotamab up to the maximum tolerated dose (MTD).

干预措施: Runimotamab (Drug)

Dose Escalation

Experimental

Participants will be assigned sequentially to escalating doses of runimotamab up to the maximum tolerated dose (MTD).

干预措施: Trastuzumab (Drug)

Dose Expansion

Experimental

Participants will receive runimotamab based on the MTD or maximum allowed dose (MAD) identified during dose escalation.

干预措施: Tocilizumab (Drug)

Dose Escalation

Experimental

Participants will be assigned sequentially to escalating doses of runimotamab up to the maximum tolerated dose (MTD).

干预措施: Tocilizumab (Drug)

Dose Expansion

Experimental

Participants will receive runimotamab based on the MTD or maximum allowed dose (MAD) identified during dose escalation.

干预措施: Runimotamab (Drug)

Dose Expansion

Experimental

Participants will receive runimotamab based on the MTD or maximum allowed dose (MAD) identified during dose escalation.

干预措施: Trastuzumab (Drug)

结局指标

主要结局

Percentage of Participants with Adverse Events

时间窗: From baseline through end of study (approximately 78 months)

次要结局

  • Minimum Observed Serum Concentration (Cmin) of Runimotamab(At predefined intervals from Cycle 1, Day 1 (approximately 1 year))
  • Volume of Distribution at Steady State (Vss) of Runimotamab(At predefined intervals from Cycle 1, Day 1 (approximately 1 year))
  • Serum Concentration of Runimotamab(At predefined intervals from Cycle 1, Day 1 (approximately 1 year))
  • Objective Response (OR) as Determined by the Investigator According to Response Evaluation Criteria In Solid Tumors v1.1 (RECIST v1.1)(Baseline through the end of study (approximately 78 months))
  • Duration of Response (DOR)(From the first occurrence of a documented objective response to first documented disease progression or death from any cause, through the end of the study (approximately 78 months))
  • Area Under the Serum Concentration vs. Time Curve (AUC) of Runimotamab(At predefined intervals from Cycle 1, Day 1 (approximately 1 year))
  • Maximum Observed Serum Concentration (Cmax) of Runimotamab(At predefined intervals from Cycle 1, Day 1 (approximately 1 year))
  • Clearance (CL) of Runimotamab(At predefined intervals from Cycle 1, Day 1 (approximately 1 year))
  • Anti-Drug Antibody (ADA) Levels of Runimotamab(At predefined intervals from Cycle 1, Day 1 (approximately 1 year))

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (54)

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