A Phase Ib Study of hPV19, a Novel Humanized Monoclonal Antibody Against Vascular Endothelial Growth Factor (VEGF),in Combination With Chemotherapy in Patients With Advanced Solid Tumors Refractory to Standard Therapy.
试验速览
- 阶段
- 1 期
- 发起方
- 入组人数
- 18
- 试验地点
- 1
- 主要终点
- Number of Participants That Experienced Any Dose-Limiting Toxicities (DLT) During the DLT Assessment Period
研究概览
简要总结
hPV19 is a monoclonal antibody (mAb) directed against vascular endothelial growth factor (VEGF). hPV19 binds to human VEGF with unique binding site on VEGF different from that of Bevacizumab(Avastin) and inhibits the binding of VEGF to it's receptors, VEGF-R1 and VEGF-R2. By preventing VEGF binding to its receptors, growth of tumor blood vessels are inhibited and tumor growth prevented or slowed. In this study we are investigating the tolerability, safety, pharmacokinetics and anti-tumor activity of hPV19 in combination with chemotherapy in patients with solid tumors. hPV19 will give to patients by intravenous(i.v.) infusion with a single and multiple doses.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 75 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Confirmed malignity
- •Measurable disease
- •Performance status 2 or less(ECOG)
- •Life expectancy ≥3 months
排除标准
- •hepatitis C virus (HCV), or HIV antibody positive
- •Previously received anti-VEGF mAb or fusion-protein drugs within 28 days nearly
- •Evidence of serious infection
研究组 & 干预措施
group 4
hPV19 mAb plus FOLFIRI(5-Fluorouracil,Irinotecan, Leucovorin)
干预措施: hPV19 mAb (Biological)
group 1
hPV19 mAb plus FOLFOX(5-Fluorouracil,Oxaliplatin,Leucovorin)
干预措施: hPV19 mAb (Biological)
group 1
hPV19 mAb plus FOLFOX(5-Fluorouracil,Oxaliplatin,Leucovorin)
干预措施: 5-Fluorouracil (Drug)
group 1
hPV19 mAb plus FOLFOX(5-Fluorouracil,Oxaliplatin,Leucovorin)
干预措施: Oxaliplatin (Drug)
group 1
hPV19 mAb plus FOLFOX(5-Fluorouracil,Oxaliplatin,Leucovorin)
干预措施: Leucovorin (Drug)
group 2
hPV19 mAb plus paclitaxel/carboplatin
干预措施: hPV19 mAb (Biological)
group 2
hPV19 mAb plus paclitaxel/carboplatin
干预措施: Paclitaxel (Drug)
group 2
hPV19 mAb plus paclitaxel/carboplatin
干预措施: Carboplatin (Drug)
group 3
hPV19 mAb plus gemcitabine/carboplatin
干预措施: hPV19 mAb (Biological)
group 3
hPV19 mAb plus gemcitabine/carboplatin
干预措施: Gemcitabine (Drug)
group 3
hPV19 mAb plus gemcitabine/carboplatin
干预措施: Carboplatin (Drug)
group 4
hPV19 mAb plus FOLFIRI(5-Fluorouracil,Irinotecan, Leucovorin)
干预措施: 5-Fluorouracil (Drug)
group 4
hPV19 mAb plus FOLFIRI(5-Fluorouracil,Irinotecan, Leucovorin)
干预措施: Leucovorin (Drug)
group 4
hPV19 mAb plus FOLFIRI(5-Fluorouracil,Irinotecan, Leucovorin)
干预措施: Irinotecan (Drug)
结局指标
主要结局
Number of Participants That Experienced Any Dose-Limiting Toxicities (DLT) During the DLT Assessment Period
时间窗: during the first 21 days
DLTs were adverse events (AEs) possibly related to study drug that met the National Cancer Institute's Common Terminology Criteria for AEs (NCI CTCAE, version 4.03) with any one of the following: 1. Grade 4 neutropenia ≥7 days; febrile neutropenia; grade 4 anemia; grade 4 thrombocytopenia or grade 3 thrombocytopenia with bleeding; 2. ≥ grade 3 nonhematologic toxicity with the exception of nausea, vomiting, diarrhea, dehydration or electrolyte abnormalities that resolved to a lower grade with maximum supportive treatment within 3 days; 3. ≥Grade 3 hypertension that cannot resolved to a lower grade with supportive treatment within 2 weeks or uncontrolled hypertension; 4. Urine protein ≥3.5 grams/24 hours and cannot resolved to \< 1.0 grams/24 hours within 2 weeks; 5. Gastrointestinal perforation: symptoms, signs and imaging evidence of abdominal pain require surgical treatment; 6. Grade 3 or 4 arterial thromboembolism, including stroke and myocardial infarction;
Number of Participants With hPV19 Drug-Related Adverse Events or Serious Adverse Events
时间窗: Baseline to the last dose plus 28 days.
Data are presented for the number of participants who experienced treatment-emergent adverse events (TEAEs), serious adverse events (SAEs), Grade ≥3 TEAEs, or adverse events (AEs) leading to discontinuation of treatment that were considered to be related to hPV19. Events related to chemotherapy were reported separately.
次要结局
- Half Life (t1/2) of hPV19(Single dose(Cycle 1):2h before administered, after administered 10min±5min、4h±30min、24h±1h、168h±1h、336h±1h. Other cycles: 2h before administered and after administration 10min±5min.)
- Area Under the Curve (AUC) of hPV19(Single dose(Cycle 1):2h before administered, after administered 10min±5min、4h±30min、24h±1h、168h±1h、336h±1h. Other cycles: 2h before administered and after administration 10min±5min.)
- Clearance (CL) of hPV19(Single dose(Cycle 1):2h before administered, after administered 10min±5min、4h±30min、24h±1h、168h±1h、336h±1h. Other cycles: 2h before administered and after administration 10min±5min.)
- Number of Participants With Serum Anti-hPV19 Antibodies (Immunogenicity)(before Single dose; Day 21 of 21-day DLT assessment period; Every 8 or 9 weeks after 21-day DLT assessment period.)
- Maximum Concentration (Cmax) of hPV19(Single dose(Cycle 1):2h before administered; after administered 10min±5min、4h±30min、24h±1h、168h±1h、336h±1h. Other cycles: 2h before administered and after administration 10min±5min.)
- Steady State Volume of Distribution (Vss) of hPV19(Single dose(Cycle 1):2h before administered; after administered 10min±5min、4h±30min、24h±1h、168h±1h、336h±1h. Other cycles: 2h before administered and after administration 10min±5min.)
- Best Overall Response [Anti-Tumor Activity of hPV19 Plus Chemotherapy](Up to six months after 1st treatment or until progression of disease (PD))
