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Redosing With CP-870, 893 in Patients With Clinical Benefit After a Single Infusion From A Phase I, Open-Label, Dose-Escalation Study of CP-870,893 in Patients With Solid Tumors

Early Phase 1
Completed
Conditions
Solid Tumors
Interventions
Biological: CP-870,893
Registration Number
NCT02157831
Lead Sponsor
Abramson Cancer Center at Penn Medicine
Brief Summary

Patients who had clinical benefit following a single infusion of CP-870, 893 on Protocol UPCC 10903 will receive a single repeated infusion of CP-870,893 at the same dose given on UPCC 10903 intravenously.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
10
Inclusion Criteria
  • Clinical benefit, including stable disease, partial response, or complete response, without a dose-limiting toxicity after a single infusion of CP-870,893; however, patients who experienced transient, not serious, and fully reversible grade 1-3 increases in ALT or AST after one dose of CP-870,893 may, if otherwise eligible, receive a second dose on this protocol.
  • Age at least 18 years old;
  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0-1;
  • Adequate bone marrow function documented within 2 weeks prior to treatment, defined as:
  • White blood cell (WBC) count >3000 cells/μL without growth factor support;
  • Absolute neutrophil count (ANC) ≥1500/μL without growth factor support;
  • Platelets >100,000/μL without growth factor support; and
  • Hemoglobin ≥10 g/dL.
  • Adequate renal and hepatic function documented within 2 weeks prior to treatment, defined as:
  • Total bilirubin <1.5 times the upper limit of normal (ULN);
  • Serum alanine aminotransferase (ALT) or aspartate aminotransferase (AST) <2.5 × ULN;
  • Creatinine clearance (CLcr, measured or calculated) >80 mL/min; and
  • Life expectancy of at least 12 weeks;
  • Signed written informed consent.

Exclusion Criteria

  • Concurrent treatment with any anticancer agent;
  • History of autoimmune disorder, including pemphigus vulgaris, systemic mastocytosis, systemic lupus erythamatosus, dermatomyositis/polymyositis, rheumatoid arthritis, systemic sclerosis, Sjörgen's syndrome, vasculitis/arteritis, Behcet's syndrome, inflammatory bowel disease, autoimmune thyroiditis, multiple sclerosis, or other chronic inflammatory disease;
  • Treatment with any other cancer therapy from the time of the first dose of CP-870,893, except as noted in Section 4.4; 1 Cancer Therapy Evaluation Program, Common Terminology Criteria for Adverse Events, Version 3.0, DCTD, NCI, NIH, DHHS. 31 Mar 2003 (http://ctep.cancer.gov).
  • History of congestive heart failure, stroke, or myocardial infarction;
  • Hereditary or acquired coagulopathies (e.g. hemophilia, von Willebrand's disease, cancer-associated DIC);
  • Brain metastases.
  • Patient having reproductive potential who is not using an effective method of birth control or who is pregnant or breastfeeding or has a positive (urine or serum) pregnancy test at baseline;
  • Known sensitivity to immunomodulating agents or monoclonal antibodies;
  • Alcohol abuse or illicit drug use within 12 months of enrollment;
  • History of serum creatinine ≥2 mg/dL for any duration and for any reason;
  • Urine dipstick 1+ or more positive for blood (other than menstruating females) or 2+ or more positive for protein;
  • Positive HAHA antibody titer in response to treatment with first dose of CP-870,893 (as determined by Pfizer)
  • Clinically significant presence of granular or cellular casts in centrifuged urine sediment;
  • Renal carcinoma or renal metastases;
  • Partial or complete nephrectomy;
  • History of dialysis (peritoneal or hemodialysis);
  • Prior treatment with Amphotericin B or cisplatin;
  • History of insulin-dependent diabetes for greater than 5 years;
  • Concomitant treatment with systemic corticosteroids or treatment with systemic corticosteroids within 4 weeks of baseline;
  • Concomitant treatment with anticoagulants, such as coumadin or heparin, except to maintain patency of in-dwelling catheters;
  • Prior allergic reactions attributed to compounds of similar chemical or biologic composition to study drug (e.g., rituximab or immunoglobulin G);
  • Ongoing or active infection;
  • Required the use of systemic antibiotics or antifungals for ongoing or recurrent infections. Topical use of antibiotics or antifungals is allowed;
  • Other uncontrolled concurrent illness that would preclude study participation; or Psychiatric illness or social situation that would preclude study participation.
Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Subjects from UPCC 10903CP-870,893-
Primary Outcome Measures
NameTimeMethod
Number of Adverse Events8 weeks
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Abramson Cancer Center of the University of Pennsylvania

🇺🇸

Philadelphia, Pennsylvania, United States

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