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A Phase 1 Study to Evaluate the Safety and Pharmacokinetics of KTN3379 in Adult Subjects With Advanced Tumors

Phase 1
Completed
Conditions
Advanced Cancer
Interventions
Biological: KTN3379
Registration Number
NCT02014909
Lead Sponsor
Celldex Therapeutics
Brief Summary

Part I will evaluate the pharmacokinetic profile and safety of KTN3379 over several doses with the objective of defining a Phase 2 dose in patients with advanced malignancies. Part II will evaluate the pharmacokinetic profile and safety of KTN3379 in combination with other targeted agents and obtain preliminary evidence of anti tumor activity in specific types of cancer. Patients will continue receiving KTN3379 alone or in combination until disease progression or toxicity that necessitates discontinuation (whichever comes first).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
64
Inclusion Criteria
  • Part I Histologically- or cytologically-confirmed advanced solid tumors that are refractory to standard therapy or for which no standard therapy exist. Part II Arm A have head and neck cancer or K-Ras wild type EGFR expressing colon cancer, Arm B, have non small cell lung cancer, Arm C, have BRAF V600E mutated melanoma and Arm D have HER2 positive breast or gastric cancer that has progressed following one or more treatments for advanced or metastatic disease.

  • Eastern Cooperative Oncology Group (ECOG) status of 0 or 1

  • Adequate organ function as defined below:

    • Hemoglobin ≥ 9 g/dL
    • Absolute neutrophil count ≥ 1500/mm3
    • Platelet count ≥ 100,000/mm3
    • Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 5 × institutional upper limit of normal (ULN) for cases involving liver metastasis and ≤ 2.5 ×ULN for all other cases
    • Bilirubin ≤ 1.5 × ULN except for cases of documented or suspected Gilbert's disease, in which bilirubin must be ≤ 5 × ULN
    • Serum creatinine ≤ 1.5 g/dL
  • Measurable disease by RECIST

  • Females must be surgically sterile, one year post menopausal or negative results for a pregnancy test performed at Screening and agree to use two methods of contraception; Males who have not had a vasectomy must agree to two methods of contraception

Major

Exclusion Criteria
  • Receipt of anticancer therapy:

    • within 3 weeks prior to the first dose of KTN3379, or
    • within 6 weeks or 7 half lives prior to the first dose of KTN3379 in the case of anticancer therapy involving MAbs, or
    • within 2 weeks prior to the first dose of KTN3379 in the case of palliative radiation therapy.
  • Symptomatic or untreated central nervous system metastases requiring concurrent treatment, including but not limited to surgery, radiation, and/or corticosteroids; if treated, subject must be asymptomatic for 3 months prior to study entry

  • Subjects who are known to have a history of or active human immunodeficiency virus (HIV) or active hepatitis B and/or C

  • Uncontrolled intercurrent illness including but not limited to ongoing or active infection, symptomatic congestive heart failure, uncontrolled hypertension, uncontrolled or idiopathic hypotension, unstable angina pectoris, cardiac arrhythmia including atrial fibrillation, active peptic ulcer disease or gastritis, or psychiatric illness/social situations that would limit compliance with study requirements or compromise the ability of the subject to give written informed consent

  • Any condition that, in the opinion of the investigator, would interfere with evaluation of the investigational product or interpretation of subject safety or study results

  • Subjects with a left ventricular cardiac ejection fraction < 50% as assessed by an echocardiogram or MUGA scan

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
KTN3379KTN3379KTN3379
Part II, Arm AKTN3379Combination of KTN3379 and cetuximab
Part II, Arm BKTN3379Combination of KTN3379 and erlotinib
Part II, Arm CKTN3379Combination of KTN3379 and vemurafenib
Part II, Arm DKTN3379Combination of KTN3379 and trastuzumab
Primary Outcome Measures
NameTimeMethod
Dose limiting toxicities for KTN3379 alone or in combinationParticipants will be followed for the duration of treatment, an expected average of 3 cycles/9 weeks

Continued assessment of safety

Secondary Outcome Measures
NameTimeMethod
Area Under the Concentration-Time Curve (AUC 0 through end of study)Prior to the initial dose on day 1 through duration of treatment, an expected average of 3 cycles/9 weeks

Trial Locations

Locations (4)

Sarah Cannon Research Institute

🇺🇸

Nashville, Tennessee, United States

Yale Cancer Center

🇺🇸

New Haven, Connecticut, United States

University of Pennsylvania Perelman School of Medicine

🇺🇸

Philadelphia, Pennsylvania, United States

Barbara Ann Karmanos Cancer Institute

🇺🇸

Detroit, Michigan, United States

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