Phase 1
N=43
A Dose-escalation Study to Evaluate the Safety, Tolerability, and Antitumor Activity of MEDI-573 in Subjects With Advanced Solid Tumors
Cancer
Bottom Line
View on ClinicalTrials.gov: NCT00816361 ↗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
| Outcome | Result | p-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.
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.