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临床试验/NCT03120130
NCT03120130暂停1 期

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

União Química Farmacêutica Nacional S/A2 个研究点 分布在 1 个国家目标入组 24 人开始时间: 2021年2月15日最近更新:
适应症
干预措施

试验速览

阶段
1 期
状态
暂停
入组人数
24
试验地点
2
主要终点
grade 4 or non-haematological grade 3 haematological toxicity according to the CTCAE (version 4)

研究概览

简要总结

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.

详细描述

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.

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Sequential
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • 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).

排除标准

  • 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.

研究组 & 干预措施

Cohort 6

Experimental

This cohort will include 3 patients with the sixth calculated dose of Amblyomin-X drug, the last dose calculated. The patient will receive the intravenous drug.

干预措施: Amblyomin-X (Biological)

Cohort 1

Experimental

This cohort will include 3 patients with the first calculated dose of Amblyomin-X drug. The patient will receive the intravenous drug. If no Dose-limiting toxicity (DLT) in this group the study continues including the next cohort. However, if If only one patient in a given cohort develops DLT, three more patients will be included at that dose level, up to a maximum total of six patients per dose level. If two or more of the three patients of a certain dose level develop DLT, this dose level is considered very toxic, and the study does not proceed. If this occurs at the first dose level, the study will be finalized. If only one in six patients at a dose level develops DLTs, escalation proceeds until Tolerated Maximum Dose.

干预措施: Amblyomin-X (Biological)

Cohort 4

Experimental

This cohort will include 3 patients with the fourth calculated dose of Amblyomin-X drug. The patient will receive the intravenous drug. If no Dose-limiting toxicity in this group the study continues including the next cohort

干预措施: Amblyomin-X (Biological)

Cohort 2

Experimental

This cohort will include 3 patients with the second calculated dose of Amblyomin-X drug. The patient will receive the intravenous drug. If no Dose-limiting toxicity in this group the study continues including the next cohort

干预措施: Amblyomin-X (Biological)

Cohort 3

Experimental

This cohort will include 3 patients with the third calculated dose of Amblyomin-X drug. The patient will receive the intravenous drug. If no Dose-limiting toxicity in this group the study continues including the next cohort

干预措施: Amblyomin-X (Biological)

Cohort 5

Experimental

This cohort will include 3 patients with the fifth calculated dose of Amblyomin-X drug. The patient will receive the intravenous drug. If no Dose-limiting toxicity in this group the study continues including the next cohort

干预措施: Amblyomin-X (Biological)

结局指标

主要结局

grade 4 or non-haematological grade 3 haematological toxicity according to the CTCAE (version 4)

时间窗: 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)

次要结局

  • Adverse Events(4 weeks)
  • maximum tolerated dose (MTD) and the recommended dose for phase II(2 weeks)

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (2)

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