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A Phase Ia, Dose Escalation Study of Humanized Anti-VEGF Monoclonal Antibody (Sevacizumab) Injection in Patients With Advanced or Metastatic Solid Tumors

Phase 1
Conditions
Metastatic Solid Tumors
Advanced Solid Tumors
Interventions
Registration Number
NCT01847118
Lead Sponsor
Jiangsu Simcere Pharmaceutical Co., Ltd.
Brief Summary

This study is to assess the safety, tolerability and pharmacokinetics of single dose and multiple doses of humanized anti-VEGF monoclonal antibody (Sevacizumab) in patients with advanced or metastatic solid tumors. The secondary objective is to explore the preliminary anti-tumor effects.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
31
Inclusion Criteria
  • Histologically or cytologically confirmed advanced or metastatic malignant solid tumors;
  • Patients failed the standard anti-tumor therapy or don't have standard regimen;
  • At least one measurable lesion;
  • At least 4 weeks from the last chemotherapy, 6 weeks from mitomycin, and nitrosourea treatment. If patients received anti-tumor biological products, at least four t1/2 of washout period is needed;
  • Toxicity from previous treatment has to restore to ≤ grade 1 (NCI CTC4.0);
  • ECOG performance status 0-1;
  • Life expectancy ≥ 3 months;
  • Adequate hematologic function: ANC ≥ 1.5 × 10^9 /L, HB ≥ 90 g /L (blood transfusion allowed), PLT ≥ 100 × 10^9 /L;
  • Adequate hepatic function: ALT ≤ 2.5 × ULN, AST ≤ 2.5 × ULN, TBIL ≤ 1.5 × ULN (patients with liver metastases ALT ≤ 5 × ULN, AST ≤ 5 × ULN, TBIL ≤ 3 × ULN);
  • Adequate renal function: creatinine ≤ 1 × ULN;
  • Coagulation function: INR ≤ 1.5 × ULN, APTT ≤ 1.5 × ULN;
  • Patients of childbearing potential (male and female) must agree to use reliable methods of contraception until at least 12 weeks after the last dose.
Exclusion Criteria
  • HCV, TP or HIV antibody positive;
  • Previously received anti-VEGF protein drugs, such as bevacizumab;
  • Histologically proven squamous cell lung cancer or squamous cell carcinoma of the head and neck;
  • Active hepatitis B infection;
  • Evidence of serious infection;
  • Symptomatic brain metastases;
  • Patients with proteinuria at screening (urine protein ≥ 1+);
  • History of abdominal fistula, gastrointestinal perforation, abdominal abscess within 6 months prior to enrollment;
  • Serious non-healing wounds, ulcers or fractures;
  • Major surgery (excluding biopsy) or significant trauma within 4 weeks prior to enrollment;
  • Active bleeding within 3 months prior to enrollment;
  • Bleeding diathesis or coagulation disorder;
  • History of arterial or venous thrombosis;
  • History of myocardial infarction or stroke within 6 months prior to enrollment;
  • Unstable angina, congestive heart failure, New York Heart Association (NYHA) class II heart failure, uncontrollable arrhythmia, uncontrolled hypertension (systolic blood pressure> 150 mmHg and/or diastolic blood pressure> 100 mmHg);
  • Pregnant and lactating women;
  • Known allergies to any excipient in the study drug;
  • Patients with alcohol or drug dependence;
  • Participation in other clinical trials within 4 weeks before enrollment.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
SevacizumabSevacizumab2mg/kg、5mg/kg、7.5mg/kg、10mg/kg、12.5mg/kg、or 15mg/kg. d1, d29, d43, d57
Primary Outcome Measures
NameTimeMethod
Maximum Tolerated Dose (MTD)up to 28 days
Secondary Outcome Measures
NameTimeMethod
Cmaxd1, d2, d5, d8, d11, d15, d18, d22, d25,d29, d43, d57
tmaxd1, d2, d5, d8, d11, d15, d18, d22, d25,d29, d43, d57
AUCd1, d2, d5, d8, d11, d15, d18, d22, d25,d29, d43, d57
Disease Control Rate (DCR)d29, d86
t1/2d1, d2, d5, d8, d11, d15, d18, d22, d25,d29, d43, d57
Objective Response Rate (ORR)d29, d86

Trial Locations

Locations (1)

Fudan University Shanghai Cancer Center

🇨🇳

Shanghai, China

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