Phase 2A Study of NPC-1C Chimeric Monoclonal Antibody to Treat Pancreatic and Colorectal Cancer

This study is currently recruiting participants.
Verified April 2013 by Precision Biologics, Inc
Sponsor:
Information provided by (Responsible Party):
Precision Biologics, Inc
ClinicalTrials.gov Identifier:
NCT01040000
First received: December 23, 2009
Last updated: April 19, 2013
Last verified: April 2013
  Purpose

The purpose of the phase 2A component of this study is to determine if giving the immune molecule NPC-1C to individuals who have cancer of the pancreas or gastrointestinal tract (colon or rectum) which has not responded to standard treatments can shrink or halt the growth of cancer, and to obtain additional data to study its effect on the immune system. Safety data will also be accumulated and evaluated during this study. NPC-1C is an antibody (a protein that can help 'turn on' an immune response) which binds to an antigen (a protein) located on pancreas and colon cancer cells. This binding causes the body to attract immune cells in the body that can kill these types of cancer cells, but not other cells in the body that do not have this antigen.


Condition Intervention Phase
Metastatic Pancreatic Cancer
Metastatic Colorectal Cancer
Drug: NPC-1C/NEO-102
Phase 1
Phase 2

Study Type: Interventional
Study Design: Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Phase 1/2A Therapeutic, Open Label, Multi-Center Clinical Trial of NPC-1C, a Chimeric Monoclonal Antibody, in Adults With Recurrent, Locally Advanced Unresectable or Metastatic Pancreatic and Colorectal Cancer After Standard Therapy

Resource links provided by NLM:


Further study details as provided by Precision Biologics, Inc:

Primary Outcome Measures:
  • Efficacy will be assessed by analysis of CT scans pre and post therapy, clinical laboratory tests, and physical examinations. [ Time Frame: 10 weeks ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Safety will be assessed by analysis of adverse experiences, clinical laboratory tests, and physical examinations. [ Time Frame: 10 weeks ] [ Designated as safety issue: Yes ]
  • Pharmacokinetics and select immune responses to the antibody will be assessed. [ Time Frame: 10 weeks ] [ Designated as safety issue: No ]

Estimated Enrollment: 24
Study Start Date: January 2012
Estimated Study Completion Date: April 2015
Estimated Primary Completion Date: January 2015 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: NPC-1C/NEO-102 Drug: NPC-1C/NEO-102
Three subjects will receive NPC-1C at a dose of 1.5mg/kg. Dose escalation will be explored with 3 additional dose levels of 3-6 subjects per dose. The dose levels are as follows: 2mg/kg,3mg/kg and 4mg/kg. NPC-1C will be given intravenously (by vein) over approximately 1-6 hours, once every 2 weeks for 4 doses per course. Courses will be repeated in the absence of disease progression or unacceptable toxicity.
Other Name: Ensituximab

Detailed Description:

The limitations of many current therapeutic products for pancreatic cancer are widely recognized. Despite the development of several new treatment regimens for pancreatic cancer, little if any benefit has been appreciated, leaving this disease as one of the most significant unmet medical needs in cancer.

NPC-1C is a chimeric immunoglobulin molecule comprised from the variable region of the heavy chain and light chain of murine NPC-1, genetically engineered in-frame with the constant regions of a human IgG1 isotype. NPC-1, the predecessor of NPC-1C, was derived from a Tumor Associated Antigen (TAA) based vaccine that was previously tested in a Phase 1-2 clinical trial performed in the United States in the 1980's that explored the use of TAA therapy in patients with adenocarcinoma of the colon. These early studies demonstrated safety as well as preliminary evidence of activity in these patients treated with the vaccine.

NPC-1C antibody-staining studies demonstrate specific immunoreactivity with cancer tissues from colon and pancreas patients, whereas only weak binding, if at all, is observed in normal pancreas or colon tissues with no cross-reactivity observed in other normal human tissues. The Phase 2A portion of this trial is an open label, multi-center study estimated to treat approximately 10-24 pancreatic cancer patients who have failed first line therapy, and metastatic colon cancer patients who are refractory to standard treatment.

  Eligibility

Ages Eligible for Study:   18 Years to 85 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

INCLUSION CRITERIA:

  • Age: >/= 18 and </= 85 years of age.
  • Diagnosis:

    • Histologically confirmed recurrent, locally advanced unresectable or metastatic adenocarcinoma of the pancreas who have progressed after front line chemotherapy, OR
    • Histologically confirmed metastatic colorectal adenocarcinoma who have progressed after at least 2 standard chemotherapy regimens.
  • Tumor sections must stain >/= 20% positive for NPC-1C antibody/antigen target
  • Measurable disease (by RECIST)
  • Karnofsky performance status of >/= 50%
  • Laboratory Function (within 21 days of receiving first dose of study drug):

    • Hemoglobin > 8.5 g/dL, or on stable doses (hematocrit stable within 1 gram and dose stable for one month) of erythropoietin or similar medication.
    • Absolute neutrophil count (ANC) >/= 1,500/mm3
    • Platelets >/= 50,000/mm3
    • Total bilirubin </= 2.0 mg/dL
    • ALT and AST </= 2.5 times the ULN, or, if the patient has liver metastases, </= 5 times the ULN
    • Creatinine </= ULN
  • Voluntary written informed consent before performance of any study-related procedure that is not part of normal medical care.
  • Expected to be able to remain on a study protocol for at least 8 weeks.
  • Is post-menopausal, surgically sterilized, or willing to use acceptable methods of birth control for the duration of the study. Male subject agrees to use an acceptable barrier method for contraception during the study.

EXCLUSION CRITERIA:

  • Has history of disseminated or uncontrolled brain metastases or central nervous system disease.
  • Ascites with abdominal distention.
  • Mechanical, non-reversible reason for not being able to eat, or have a likelihood of developing malignant bowel obstruction during the course of the induction phase of treatment; subjects with uncomplicated J-tubes will not be excluded.
  • Any major surgery within four weeks of enrollment.
  • Uncontrolled concomitant illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, or cardiac arrhythmia.
  • Has another serious medical illness, including a second malignancy, or psychiatric illness that could, in the Investigator's opinion, potentially interfere with the completion of treatment according to this protocol.
  • Pregnant or breast-feeding.
  • Any chemotherapeutic agents or corticosteroids within 2 weeks of study entry or biologic treatment within 4 weeks of study entry.
  • Use of any high risk medications that prolong the QT/QTc interval.
  • History of allergic reaction to Erbitux greater than grade 1.
  • Uncontrolled diabetes.
  • Prior history of a documented hemolytic event.
  • Receiving warfarin.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01040000

Locations
United States, Maryland
Johns Hopkins Kimmel Comprehensive Cancer Center Not yet recruiting
Baltimore, Maryland, United States, 21231
Contact: Sheila Linden, RN     410-614-4397     slinden2@jhmi.edu    
Contact: Luis Diaz, M.D.     410-955-8439     ldiaz1@jhmi.edu    
Sub-Investigator: Luis A. Diaz, M.D.            
Sub-Investigator: Daniel Laheru, M.D.            
Sub-Investigator: Ross Donehower, M.D.            
Sub-Investigator: David Cosgrove, MBBCh            
Sub-Investigator: Dung Thi Le, M.D.            
Sub-Investigator: Keith McIntyre, CRNP            
Principal Investigator: Nilofer Azad, M.D.            
Sub-Investigator: Emily Petito, CRNP            
United States, North Carolina
Duke University Medical Center Recruiting
Durham, North Carolina, United States, 27710
Contact: Tony H Amara, MSW     919-668-1861     anthony.amara@duke.edu    
Contact: Sheila R Plant, PhD     919-668-1861     sheila.plant@duke.edu    
Principal Investigator: Michael A Morse, MD            
Sub-Investigator: Herbert Hurwitz, MD            
Sub-Investigator: Hope Uronis, MD            
Sub-Investigator: Syed Y Zafar, MD            
Sub-Investigator: Shiao-Wen D Hsu, MD, PhD            
Sub-Investigator: Gerard Blobe, MD, PhD            
Sub-Investigator: Evan Dropkin, PA-C            
Sub-Investigator: Leigh Howard, FNP            
Sub-Investigator: Margot O'Neill, PA-C            
Sub-Investigator: John Strickler, MD            
Sub-Investigator: Fatima Rangwala, M.D., Ph.D.            
United States, Texas
UT Southwestern Medical Center Recruiting
Dallas, Texas, United States, 75390-9179
Contact: Muhammad S Beg, Medical Doctor         muhammad.beg@utsouthwestern.edu    
Contact: Tyson Dudley, MPH, MBA     214-648-7031     tyson.dudley@utsouthwestern.edu    
Sub-Investigator: Udit Verma, MD            
Sub-Investigator: Sirisha Karri, MD            
Sponsors and Collaborators
Precision Biologics, Inc
Investigators
Study Director: Philip M Arlen, M.D. Precision Biologics, Inc
  More Information

No publications provided

Responsible Party: Precision Biologics, Inc
ClinicalTrials.gov Identifier: NCT01040000     History of Changes
Other Study ID Numbers: Neogenix 0901
Study First Received: December 23, 2009
Last Updated: April 19, 2013
Health Authority: United States: Food and Drug Administration

Keywords provided by Precision Biologics, Inc:
NPC-1C
Monoclonal antibody
Pancreatic Cancer
Adenocarcinoma of the pancreas
Ductal carcinoma of the pancreas
Duct cell carcinomas, pancreas
Carcinomas, pancreas duct cell
Pancreas duct cell carcinoma
Pancreatic duct cell carcinoma
Adenocarcinoma of the colon
Adenocarcinoma of the rectum
Colorectal cancer
Colorectal tumor
Colorectal neoplasm

Additional relevant MeSH terms:
Colorectal Neoplasms
Pancreatic Neoplasms
Intestinal Neoplasms
Gastrointestinal Neoplasms
Digestive System Neoplasms
Neoplasms by Site
Neoplasms
Digestive System Diseases
Gastrointestinal Diseases
Colonic Diseases
Intestinal Diseases
Rectal Diseases
Endocrine Gland Neoplasms
Pancreatic Diseases
Endocrine System Diseases
Antibodies
Antibodies, Monoclonal
Immunologic Factors
Physiological Effects of Drugs
Pharmacologic Actions

ClinicalTrials.gov processed this record on June 17, 2013