Safety and Tolerability Study of Claudiximab in Patients With Advanced Gastroesophageal Cancer
- Conditions
- Solid Tumors
- Interventions
- Drug: Claudiximab
- Registration Number
- NCT00909025
- Lead Sponsor
- Ganymed Pharmaceuticals GmbH
- Brief Summary
Claudiximab is a monoclonal antibody specific for gastric and gastroesophageal adenocarcinomas. Preclinically, claudiximab was shown to inhibit tumor growth and to kill cancer cells by indirect (complement-dependent cytoxicity, antibody-dependent cellular cytotoxicity) and direct mechanisms (antiproliferative and proapoptotic effects). The aim of this phase I study is to establish safety, toxicity and maximal tolerable dose of a single infusion of claudiximab in patients suffering from relapsing, advanced gastroesophageal and gastric adenocarcinoma
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 15
- Metastatic, refractory or recurrent disease of advanced gastroesophageal cancer (adenocarcinoma) proven by histology
- CLDN18.2 expression confirmed by immunohistochemistry
- Prior standard chemotherapy containing a fluoropyrimidine, a platinum compound and/or epirubicine, and - if clinically appropriate - docetaxel
- At least 1 measurable site of the disease according RECIST criteria (CT-scans or MRT not older than 6 weeks before study entry)
- Age ≥ 18 years
- ECOG performance status (PS) 0-1 or Karnofsky Index 70-100%
- Life expectancy > 3 months
- Platelet count ≥ 100,000/mm³
- Hemoglobin ≥ 10 g/dl
- INR < 1.5
- Bilirubin normal
- AST and ALT < 2.5 times upper limit of normal (ULN) (5 times ULN if liver metastases are present)
- Creatinine < 1.5 x ULN
- Pregnancy or breastfeeding
- Prior allergic reaction or intolerance to a monoclonal antibody
- Prior inclusion in the present study
- Less than 3 weeks since prior anti-tumor or radiation therapy
- Other investigational agents or devices concurrently or within 4 weeks prior to this study
- Other concurrent anticancer therapies
- History of positive test for human immunodeficiency virus (HIV) antibody
- Known Hepatitis.
- Uncontrolled or severe illness.
- Concurrent administration of anticoagulation agents with vitamin K antagonists
- Concurrent administration of therapeutic doses of heparin (prophylactic doses are acceptable)
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Claudiximab Claudiximab -
- Primary Outcome Measures
Name Time Method Determination of maximum tolerated dose of claudiximab (Phase I: toxicities as assessed by NCI CTCAE version 3.0) Four weeks
- Secondary Outcome Measures
Name Time Method Overall tumor response as assessed by RECIST Four weeks Pharmacokinetic evaluation Four weeks Determination of the safety profile Four weeks Evaluation of immunogenicity Four weeks Determination of antitumoral efficacy Four weeks
Trial Locations
- Locations (6)
Piejuras Hospital
🇱🇻Liepaja, Latvia
Pauls Stradins University
🇱🇻Riga, Latvia
Universitätsklinikum Essen, Innere Klinik (Tumorforschung)
🇩🇪Essen, Germany
Universität Heidelberg, Nationales Centrum für Tumorerkrankungen (NCT)
🇩🇪Heidelberg, Germany
Johannes Gutenberg Universität, 1.Med Klinik und Poliklinik
🇩🇪Mainz, Germany
Klinikum Rechts-der-Isar, III.Medizinische Klinik und Poliklinik
🇩🇪München, Germany