Phase I Study (First in Humans) of the Amblyomin-X in the Treatment of Patients With Advanced Solid Tumors Refractory or Without Indication / Access to Standard Treatment
Overview
- Phase
- Phase 1
- Intervention
- Not specified
- Conditions
- Advanced Cancer
- Sponsor
- União Química Farmacêutica Nacional S/A
- Enrollment
- 24
- Locations
- 1
- Primary Endpoint
- grade 4 or non-haematological grade 3 haematological toxicity according to the CTCAE (version 4)
- Status
- Suspended
- Last Updated
- 6 years ago
Overview
Brief Summary
Amblyomin-X is an inhibitor of Factor Xa that also acts as an apoptotic agent for tumor cells. In the case of in vitro assays, Amblyomin-X induces tumor cells to death and does not affect the viability of normal cells. When in vivo assays were performed on mice bearing tumors, treatment with Amblyomin-X caused a significant reduction in tumor mass and number of metastases.
Detailed Description
This trial will be the first clinical study in humans with the product, which until then has been studied only in experimental models. Given the current epidemiological impact of cancer and the need to improve its systemic treatment, making it available to a larger portion of the Brazilian population, it is proposed to conduct the first Amblyomin-X study in cancer patients, more specifically those with advanced solid tumors For which there is no contraindicated or inaccessible therapeutic option established as the standard at the time of inclusion in the study.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Eligible patients must sign the Free and Informed Consent Term (TCLE),
- •be between 18 and 75 years of age,
- •present a solid tumor proven by anatomopathological examination at an advanced or metastatic stage and refractory to conventional treatment or without current indication or access to conventional treatment ,
- •have a life expectancy of at least 12 weeks.
- •presence of measurable disease according to Response Response Criteria in Solid Tumors (RECIST, version 1.1),
- •medullary, renal and hepatic functions within acceptable limits (defined in protocol),
- •end of the previous antineoplastic treatment at least 4 weeks (since the last dose of any antineoplastic medication, radiotherapy, or surgical procedure).
Exclusion Criteria
- •The presence of previously non-irradiated brain metastasis;
- •Prediction of the use of radiotherapy, surgery, systemic antineoplastic treatment, or any other form of treatment for cancer after inclusion in the study;
- •Prediction of corticosteroid use, hematopoietic growth factors or inhibitors of bone resorption during the first course of treatment (4 weeks);
- •Regular use of anticoagulants or known previous coagulation disorder;
- •Severe comorbidity (at the discretion of the researcher);
- •Gestational, lactating, pregnant women, or who have not been surgically infertile or menopausal for at least 12 months;
- •Men and women who refuse to use an adequate contraceptive method during the study period;
- •Participation of another clinical study in the last 12 months (unless justified by the investigator);
- •Or inability to comply with study requirements and procedures.
Outcomes
Primary Outcomes
grade 4 or non-haematological grade 3 haematological toxicity according to the CTCAE (version 4)
Time Frame: 2 weeks
Presence of grade 4 or non-haematological grade 3 haematological toxicity according to the Common Terminology Criteria for Adverse Events (CTCAE, version 4)
Secondary Outcomes
- Adverse Events(4 weeks)
- maximum tolerated dose (MTD) and the recommended dose for phase II(2 weeks)