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Phase 1 N=43 Treatment

A Dose-escalation Study to Evaluate the Safety, Tolerability, and Antitumor Activity of MEDI-573 in Subjects With Advanced Solid Tumors

Cancer

Enrolled (actual)
43
Serious AEs
39.5%
Results posted
Mar 2019
Primary outcome: Primary: Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (SAEs) — 4; 3; 13; 3 Participants

Study Design & Population

Study type
Interventional
Phase
Phase 1
Interventions
MEDI-573 (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
MedImmune LLC
Primary completion
Sep 2012

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (SAEs)
4; 3; 13; 3; 13; 3
PRIMARY
Number of Participants With Clinical Laboratory Abnormalities Reported as TEAEs
2; 1; 1; 2; 2; 0
PRIMARY
Number of Participants With Vital Signs and Physical Findings Abnormalities Reported as TEAEs
1; 1; 1; 0; 1; 0
PRIMARY
Maximum Tolerated Dose (MTD) of MEDI-573
NA
PRIMARY
Number of Participants With Dose-Limiting Toxicities (DLTs)
0; 0; 0; 0; 0; 0
PRIMARY
Optimal Biologically Effective Dose (OBED) of MEDI-573
5
SECONDARY
Maximum Observed Serum Concentration (Cmax) After the First Dose
11.6; 71.8; 166; 264; 560; 588
SECONDARY
Time to Reach Maximum Observed Concentration (Tmax) After the First Dose
0.04; 0.04; 0.04; 0.04; 0.28; 0.06
SECONDARY
Trough Serum Concentration (Ctrough) After the First Dose
1.04; 1.98; 17.3; 34.6; 138; 32.9
SECONDARY
Dose Normalized Cmax (Cmax/Dose) After the First Dose
0.319; 0.593; 0.401; 0.393; 0.422; 0.240
SECONDARY
Area Under the Serum Concentration-time Curve Over the First Dosing Interval (AUCτ)
9.59; 90.8; 431; 631; 1950; 3510
SECONDARY
Dose-normalized Area Under the Serum Concentration Time Curve Over the First Dosing Interval (AUCτ/Dose)
0.245; 0.749; 0.962; 0.955; 1.47; 1.46
SECONDARY
Number of Participants With Positive Anti-Drug Antibodies (ADA) to MEDI-573
0; 0; 0; 0; 0; 0
SECONDARY
Objective Response Rate (ORR)
0; 0; 0; 0; 0; 0
SECONDARY
Progression-free Survival (PFS)
1.0; 2.6; 1.4; 1.5; 1.3; NA
SECONDARY
Time to Progression
1.0; 2.6; 1.4; 1.5; 1.3; NA
SECONDARY
Overall Survival
5.3; 13.6; 12.3; 2.5; 4.0; 7.9
SECONDARY
Time to Response (TTR)
SECONDARY
Duration of Response
SECONDARY
Suppression Profiles of IGF-I and IGF-II Post-Administration of MEDI-573
4.014; 9.264; 4.655; 1.721; 1.440; 2.693

Summary

Evaluate the safety and tolerability of MEDI-573 in adult subjects with advanced solid tumors refractory to standard therapy or for which no standard therapy exists.

Eligibility Criteria

Inclusion Criteria

  • Histologically confirmed advanced solid tumor for which no curative or standard therapies exist.
  • Karnofsky Performance Status ≥60.
  • Adequate hematological function.
  • Adequate organ function.
  • Women of non-child-bearing potential (defined as being >1 year post-menopausal) or using effective contraception, e.g., use of oral contraceptives with an additional barrier method (since the investigational product may impair the effectiveness of oral contraceptives), double barrier methods (diaphragm with spermicidal gel or condoms with contraceptive foam), Depo-Provera, partner vasectomy, or total abstinence, from the time the informed consent is signed through 30 days after the last dose of MEDI-573. Male subjects with partners of child-bearing potential must be surgically sterile or use contraceptive method as described above from the time of the initiation of MEDI-573 through 30 days after the last dose of MEDI-573.

Exclusion Criteria

  • No prior treatment within 4 weeks of study drug administration.
  • No concurrent therapy for treatment of cancer.
  • No uncontrolled diabetes.
  • New York Heart Association Grade ≥ 2 congestive heart failure.
  • History of myocardial infarction, unstable angina, transient ischemic attack or stroke within the previous 6 months prior to study entry.
  • Documented brain metastasis.
  • Pregnancy or lactation or plans to become pregnant while on study.
  • Clinically significant abnormality on ECG.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00816361). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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