Dose Escalation Study MORAb-066 Targeting TF-expressing Malignancies Including Breast, Pancreatic, Colorectal, NSCLC

This study is currently recruiting participants. (see Contacts and Locations)
Verified August 2013 by Morphotek
Sponsor:
Collaborator:
SCRI Development Innovations, LLC
Information provided by (Responsible Party):
Morphotek
ClinicalTrials.gov Identifier:
NCT01761240
First received: January 3, 2013
Last updated: August 29, 2013
Last verified: August 2013
  Purpose

This study is a Phase I, first in human, dose-escalation study of MORAb-066, an investigational humanized immunoglobulin G (IgG) monoclonal antibody (mAb) that targets TF-expressing malignancies that include breast, pancreatic, colorectal, and non-small-cell lung cancer (NSCLC) (adenocarcinoma). This open-label study will assess the safety, tolerability, and pharmacokinetics of MORAb-066 administered weekly. This study will identify the MTD when MORAb-066 is administered IV once weekly on a 28-day cycle.


Condition Intervention Phase
Breast Cancer
Pancreatic Cancer
Colorectal Cancer
Non-small-cell Lung Cancer
NSCLC
Adenocarcinoma
Drug: MORAb-066
Phase 1

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 I Study of the Safety, Tolerability, and PK of MORAb-066, a Humanized Monoclonal Antibody to Human TF, in Patients With Advanced or Metastatic Breast, Pancreatic, Colorectal, or NSCLC (Adenocarcinoma) Malignancies

Resource links provided by NLM:


Further study details as provided by Morphotek:

Primary Outcome Measures:
  • Maximum Tolerated Dose [ Time Frame: 24 Months ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 40
Study Start Date: June 2013
Estimated Study Completion Date: June 2015
Estimated Primary Completion Date: June 2015 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Study Drug Drug: MORAb-066

Detailed Description:

Primary Objective

• To evaluate the safety and tolerability of weekly intravenous (IV) infusions of MORAb-066.

Secondary Objectives

  • To identify the dose-limiting toxicities (DLT) and to determine the maximum tolerated dose (MTD) of MORAb-066.
  • To characterize the pharmacokinetic (PK) properties of MORAb-066.
  • To identify, on the basis of safety, PK, and pharmacodynamics (PDx) data, a recommended Phase II dose and schedule for MORAb-066.
  • To make a preliminary assessment of the antitumor activity of MORAb-066.
  • T
  • To detect any antibody response (i.e., human antihuman antibodies [HAHA]) to multiple IV infusions to MORAb-066.

Exploratory Objectives

  • To evaluate the presence of tissue factor (TF) substrates such as protease activated receptor 2 when applicable.
  • To evaluate the archived tumor tissue for TF overexpression by immunohistochemistry.
  • To evaluate whether there are potential biomarkers that correlate responses to MORAb-066.
  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients must meet the following criteria in order to be included in this clinical trial:

    1. Histologically or cytologically confirmed diagnosis of breast, colorectal, pancreas, or NSCLC (adenocarcinoma) that is metastatic or unresectable for which there is no effective therapy.
    2. Eastern Cooperative Oncology Group (ECOG) Performance Status score of 0 or 1 (see Appendix A).
    3. Measurable disease according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.
    4. Subject has recovered (to Grade ≤ 1) from all clinically significant toxicities related to prior antineoplastic therapies with the exception of alopecia and bone marrow and organ functions (described separately below).
    5. Adequate organ system function ≤2 weeks prior to Day1, defined as follows:

      • Absolute neutrophil count (ANC) ≥1.5 x 109/L
      • Platelets ≥100 x 109/L
      • Hemoglobin ≥9 g/dL
      • Prothrombin time/partial thromboplastin time (PT/PTT) within institutional limits of normal
      • Serum total bilirubin ≤1.5 times the upper limit of normal (ULN)
      • Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤3.0 x ULN if no liver involvement or ≤5 x ULN with liver involvement.
      • Serum creatinine ≤1.5 x ULN or calculated creatinine clearance ≥50 mL/min as calculated by the Cockcroft-Gault method, OR 24-hour measured urine creatinine clearance ≥50 mL/min.
    6. Life expectancy of ≥12 weeks.
    7. Female patients of child-bearing potential (see Appendix C), and all male patients must consent to use a medically acceptable method of contraception throughout the study period and for 30 days after their last MORAb-066 administration. A barrier method of contraception must be included.
    8. Patients must be ≥18 years of age.
    9. Patients entering this study will be asked to provide archival tissue from a previous tumor biopsy (if available) for correlative testing. If tissue is not available, the subject will still be eligible for enrollment into the study.
    10. Ability to understand the nature of this study and give written informed consent.

Exclusion Criteria:

  • Patients who meet any of the following criteria will be excluded from trial entry:

    1. Patients currently receiving cancer therapy (i.e., chemotherapy, radiation therapy, immunotherapy, biologic therapy, hormonal therapy, surgery and/or tumor embolization).
    2. Use of an investigational drug within 21 days or 5 half-lives (whichever is shorter) prior to the first dose of MORAb-066. For investigational drugs for which 5 half-lives is less than 21 days, a minimum of 10 days between termination of the investigational drug and administration of MORAb-066 is required.
    3. Any major surgery, chemotherapy, radiotherapy, or immunotherapy within the last 21 days (limited palliative radiation is allowed ≥2 weeks).
    4. Subject has received wide field radiotherapy (including therapeutic radioisotopes such as strontium 89) ≤ 28 days or limited field radiation for palliation ≤ 14 days prior to starting study drug or has not recovered from side effects of such therapy.
    5. Known intracranial involvement, leptomeningeal metastases or spinal cord compression due to disease.
    6. Known allergy or hypersensitivity to monoclonal antibodies.
    7. Known bleeding diathesis, such as factor deficiency, factor inhibitor, platelet disorder, or who are on active anticoagulation, or any dose of aspirin within 5 days prior to first dose of MORAb-066.
    8. Known prior significant bleeding history.
    9. Patients with ureteral stents or 3+ blood in the urine at baseline.
    10. Patients who are receiving chronic systemic anticoagulation therapy (warfarin sodium or heparin, etc.).
    11. Patients who received a previous mAb therapy and have evidence of an immune or allergic reaction or previously documented HAHA reaction.
    12. A serious non-healing wound, active ulcer, or untreated bone fracture. An abdominal fistula or gastrointestinal perforation <6 months prior to treatment.
    13. History of hematemesis or hemoptysis (defined as having bright red blood of 1/2 teaspoon or more per episode) ≤1 month prior to study enrollment.
    14. Subject has cardiac dysfunction including any of the following:

      • Myocardial infarction within the last 6 months, documented by persistent elevated cardiac enzymes or persistent regional wall abnormalities on assessment of left ventricular ejection fraction function
      • QTcF >470 msec
      • History of documented congestive heart failure (New York Heart Association functional classification III-IV [see Appendix B])
      • Angina not well-controlled by medication
    15. A serious active infection (bacterial or fungal) at the time of treatment, or another serious underlying medical condition that would impair the ability of the subject to receive protocol treatment.
    16. Chronic inflammatory disorder(e.g., inflammatory bowel disease, active vasculitis).
    17. Herbal preparations/medications must be discontinued 7 days prior to first dose of study drug (see Section 5.3.1).
    18. Known diagnosis of human immunodeficiency virus, Hepatitis B or Hepatitis C.
    19. Women who are pregnant or lactating.
    20. Psychological, familial, sociological, or geographical conditions that do not permit compliance with the protocol.
    21. Concurrent condition that in the investigator's opinion would jeopardize compliance with the protocol.
    22. Inability or unwillingness to comply with study and/or follow-up procedures outlined in the protocol.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01761240

Locations
United States, Oklahoma
Oklahoma University Not yet recruiting
Oklahoma City, Oklahoma, United States, 73104
Contact: Ingrid Block    405-271-8777    ingrid-block@ouhsc.edu   
Principal Investigator: Carla Kurkjian, MD         
United States, Tennessee
Tennessee Oncology Recruiting
Nashville, Tennessee, United States, 37203
Contact: Scottina Pickens    615-329-0570      
Principal Investigator: Johanna Bendell, MD         
Sponsors and Collaborators
Morphotek
SCRI Development Innovations, LLC
Investigators
Principal Investigator: Johanna Bendell, MD SCRI Development Innovations, LLC
Principal Investigator: Carl Kurkjian, MD Oklahoma University
  More Information

No publications provided

Responsible Party: Morphotek
ClinicalTrials.gov Identifier: NCT01761240     History of Changes
Other Study ID Numbers: MORAb-066-001
Study First Received: January 3, 2013
Last Updated: August 29, 2013
Health Authority: United States: Food and Drug Administration

Additional relevant MeSH terms:
Adenocarcinoma
Breast Neoplasms
Carcinoma, Non-Small-Cell Lung
Colorectal Neoplasms
Pancreatic Neoplasms
Breast Diseases
Bronchial Neoplasms
Carcinoma
Carcinoma, Bronchogenic
Colonic Diseases
Digestive System Diseases
Digestive System Neoplasms
Endocrine Gland Neoplasms
Endocrine System Diseases
Gastrointestinal Diseases
Gastrointestinal Neoplasms
Intestinal Diseases
Intestinal Neoplasms
Lung Diseases
Lung Neoplasms
Neoplasms
Neoplasms by Histologic Type
Neoplasms by Site
Neoplasms, Glandular and Epithelial
Pancreatic Diseases
Rectal Diseases
Respiratory Tract Diseases
Respiratory Tract Neoplasms
Skin Diseases
Thoracic Neoplasms

ClinicalTrials.gov processed this record on October 22, 2014