A Phase 2, Open-Label, Multi-Center Dose Escalation Study of the Safety, Pharmacodynamics, and Pharmacokinetics of Subcutaneously Administered Peginesatide in Anemic Cancer Patients Receiving Chemotherapy
Overview
- Phase
- Phase 2
- Intervention
- peginesatide
- Conditions
- Chemotherapy Induced Anemia
- Sponsor
- Affymax
- Enrollment
- 60
- Locations
- 2
- Primary Endpoint
- Percentage of participants with a hemoglobin increase of ≥ 1 gram per deciliter (g/dL) at 9 weeks following Dose 1
- Status
- Completed
- Last Updated
- 13 years ago
Overview
Brief Summary
The purpose of this study is to evaluate the safety, pharmacodynamics (PD), and pharmacokinetics (PK) of multiple subcutaneously administered injections of peginesatide in anemic cancer participants receiving chemotherapy.
Detailed Description
This was a Phase 2, open-label, multi-center, sequential dose finding study with up to 6 treatment cohorts receiving chemotherapy with 15 participants per cohort. The primary objective of this study was to determine the dose of peginesatide administered every 3 weeks (Q3W) by subcutaneous injection associated with a hemoglobin increase of ≥ 1 g/dL in ≥ 50% of anemic cancer participants receiving chemotherapy at 9 weeks following the first dose.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Participant is informed of the investigational nature of this study and has given written, witnessed informed consent in accordance with institutional, local, and national guidelines
- •Males or females ≥ 18 and ≤ 80 years of age; pre-menopausal females (with the exception of those who are surgically sterile) must have a negative pregnancy test at screening; those who are sexually active must practice a highly effective method of birth control for at least 2 weeks prior to study start, and must be willing to continue practicing birth control for at least 4 weeks after the last dose of study drug. A highly effective method of birth control is defined as one that results in a low failure rate (i.e., less than 1% per year) when used consistently and correctly such as implants, injectables, combined oral contraceptives, some IUDs, sexual abstinence (only acceptable if practiced as a life-style and not acceptable if one who is sexually active practices abstinence only for the duration of study) or vasectomized partner
- •Participants with histologically confirmed solid tumor malignancy or lymphoma who are scheduled to receive at least 9 weeks of cyclic myelosuppressive chemotherapy while on study
- •Hemoglobin value of ≥ 8 and \< 11 g/dL within 1 week prior to administration of study drug.
- •ECOG Performance Status of 0-2
- •One reticulocyte hemoglobin content (CHr) \> 29 picograms within 4 weeks prior to study drug administration.
- •One transferrin saturation ≥ 15% within 4 weeks prior to study drug administration.
- •One serum or red cell folate level above the lower limit of normal within 4 weeks prior to study drug administration
- •One vitamin B12 level above the lower limit of normal within 4 weeks prior to study drug administration
- •One absolute neutrophil count ≥ 1.0 x 10\^9/L within 1 week prior to administration of study drug
Exclusion Criteria
- •Treatment with any erythropoiesis stimulating agent (ESA) in the past 90 days
- •History of failure to respond to ESA treatment
- •Known antibodies to other ESAs or history of pure red cell aplasia (PRCA)
- •Acute or chronic leukemia, myelodysplastic syndrome (MDS), or multiple myeloma
- •Any previous or planned radiotherapy to more than 50% of either the pelvis or spine
- •Known intolerance to parenteral iron supplementation
- •Red blood cell transfusion within 4 weeks prior to study drug administration
- •Known hemoglobinopathy (e.g., homozygous sickle-cell disease, thalassemia of all types, etc.)
- •Known hemolysis
- •History of pulmonary embolism or deep venous thrombosis (DVT) in the previous 2 years or current therapeutic doses of anticoagulants
Arms & Interventions
Cohort 1
Peginesatide starting dose of 0.1 milligram per kilogram (mg/kg) administered subcutaneously (SC) once every 3 weeks (Q3W) for a total of 4 doses.
Intervention: peginesatide
Cohort 2
Peginesatide starting dose of 0.15 mg/kg administered SC Q3W for a total of 4 doses.
Intervention: peginesatide
Cohort 3
Peginesatide starting dose of 0.2 mg/kg administered SC Q3W for a total of 4 doses.
Intervention: peginesatide
Cohort 4
Peginesatide starting dose of 0.05 mg/kg administered SC Q3W for a total of 4 doses.
Intervention: peginesatide
Outcomes
Primary Outcomes
Percentage of participants with a hemoglobin increase of ≥ 1 gram per deciliter (g/dL) at 9 weeks following Dose 1
Time Frame: Week 9 post Dose 1
Secondary Outcomes
- Incidence of adverse events and serious adverse events(13 Weeks)
- Time to achieve hemoglobin increase ≥ 1 g/dL from baseline(Baseline to Week 13)
- Proportion of participants with a hemoglobin response(13 Weeks)
- Pharmacokinetic parameters(13 Weeks)