Phase 1
Completed N=18
A Phase 1 Study Evaluating the Safety, Tolerability and Pharmacokinetics of Trebananib (AMG 386 ) in Adult Japanese Participants With Advanced Solid Tumors
Neoplasms, Advanced Solid
Source: ClinicalTrials.gov NCT02525536 ↗
Enrolled (actual)
18
Serious AEs
16.7%
Results posted
Sep 2015
Primary outcomePrimary: Number of Participants With Dose Limiting Toxicity (DLT) — 0; 0; 0 participants
Summary
The purpose of this study is to evaluate the safety, tolerability and pharmacokinetic (PK) profile of trebananib (AMG 386) after intravenous administration in adult Japanese participants with advanced solid tumors.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With Dose Limiting Toxicity (DLT) |
0; 0; 0 | — |
| PRIMARY Number of Participants Reporting One or More Treatment-emergent Adverse Events (AEs) and Serious Adverse Event (SAEs) |
6; 6; 6; 2; 0; 1 | — |
| PRIMARY Number of Participants With Significant Change From Baseline in Electrocardiogram (ECG) |
0; 0; 0 | — |
| PRIMARY Number of Participants With Clinically Significant Change From Baseline in Vital Signs |
0; 0; 0 | — |
| PRIMARY Number of Participants With Abnormal Laboratory Values |
5; 4; 6; 6; 6; 6 | — |
| PRIMARY Cmax: Maximum Observed Serum Concentration for AMG 386 After Week 1 Dose |
52.33; 239.0; 551.2 | — |
| PRIMARY Cmax: Maximum Observed Serum Concentration for AMG 386 After Week 4 Dose |
59.02; 277.0; 688.7 | — |
| PRIMARY Tmax: Time to Reach the Maximum Serum Concentration (Cmax) for AMG 386 After Week 1 Dose |
1.067; 1.033; 1.167 | — |
| PRIMARY Tmax: Time to Reach the Maximum Serum Concentration (Cmax) for AMG 386 After Week 4 Dose |
1.067; 1.017; 1.508 | — |
| PRIMARY AUC (0-tau): Area Under the Serum Concentration-time Curve From Time 0 to Time Tau Over the Dosing Interval for AMG 386 After Week 1 Dose |
1760; 4629; 18040 | — |
| PRIMARY AUC (0-tau): Area Under the Serum Concentration-time Curve From Time 0 to Time Tau Over the Dosing Interval for AMG 386 After Week 4 Dose |
2171; 5880; 21170 | — |
| PRIMARY Cmin: Minimum Observed Serum Trough Concentration for AMG 386 After Week 1 Dose |
2.702; 3.857; 20.20 | — |
| PRIMARY Cmin: Minimum Observed Serum Trough Concentration for AMG 386 After Week 4 Dose |
5.323; 7.266; 45.07 | — |
| PRIMARY Vss: Volume of Distribution at Steady State for AMG 386 |
158.2; 121.0; 136.6 | — |
| PRIMARY Terminal Phase Elimination Half-life (T1/2) for AMG 386 |
95.86; 95.41; 93.89 | — |
| PRIMARY Systemic Clearance at Steady State (CLss) for AMG 386 |
1.495; 1.713; 1.439 | — |
| PRIMARY Accumulation Ratio (AR) for AMG 386 |
1.235; 1.193; 1.211 | — |
| SECONDARY Number of Participants With Best Overall Response |
0; 0; 0; 1; 0; 1 | — |
| SECONDARY Percentage of Participants With Objective Response |
17; 0; 17 | — |
| SECONDARY Time to Progression (TTP) |
48.0; 46.0; 45.5 | — |
| SECONDARY Percent Change From Baseline to Post-baseline in the Sum of the Longest Diameters of Tumor |
-1.53; 16.36; 5.53 | — |
| SECONDARY Number of Participant With Anti-AMG 386 Antibody |
2; 1; 0 | — |
Eligibility Criteria
Inclusion Criteria: 1. Histologically or cytologically documented and definitively diagnosed, advanced solid tumor that is refractory to standard treatment or for which no curative therapy is available. 2. Has Eastern Cooperative Oncology Group (ECOG) of 0 or 1 (within 2 weeks prior to enrollment). 3. Men or women, 20 to 74 years old at the time the written informed consent is obtained. 4. Those meeting the following laboratory criteria (within 2 weeks prior to enrollment): A. Hematological function, as follows: • Absolute neutrophil count >=1500 /microliter (mcL) (without granulocyte colony stimulating factor support within 2 weeks of enrollment). • Platelet count >=10*10^4 /mcL (without transfusion within 2 weeks of enrollment). • Hemoglobin >=9 grams per deciliter (g/dL) (without transfusion within 2 weeks of enrollment). B. Renal function, as follows: • Calculated creatinine clearance (CCr) >40 milliliter per minute (mL/min) according to the Cockcroft-Gault formula. • Urinary protein quantitative value of less than or equal to ( 90 millimeter of mercury [mmHg]; systolic >150 mmHg]. Participant on antihypertensive medication must meet these parameters on a stable antihypertensive. 7. Has history of arterial or venous (deep vein) thrombosis within 1 year before enrollment. 8. Has presence of ascites or pleural effusion requiring medical intervention (example, drainage.) 9. Has history of bleeding diathesis or clinically significant bleeding including hemoptysis within 6 months of enrollment. 10. Has non-healing wound, ulcer or fracture. 11. With head and neck cancer. 12. Has squamous cell tumor or lung cancer with large central (located adjacent to or within the hilum or mediastinum) tumor lesions >=3 centimeter (cm), regardless of histology. 13. Has positive test for human immunodeficiency virus infection. 14. Has positive test for hepatitis C virus infection (positive hepatitis C virus antibody [HCVAb] or hepatitis B infection (positive hepatitis B virus antigen [HBsAg] or positive hepatitis B virus antibody [HBcAb])). 15. Had major surgery (requiring general anesthesia) within 4 weeks before enrollment. 16. Has minor surgery, placement of central venous catheter, or fine needle aspiration within 7 days prior to enrollment. 17. Is unable to tolerate IV administration, in the judgment of the investigator. 18. Has prior anti-tumor therapies, defined as: •Treatment with tumor directed antibody therapy within 4 weeks prior to Study Day 1, with the exception of bevacizumab and other monoclonal antibodies with a half-life >10 days, which must be discontinued at least 8 weeks prior to Study Day 1. •Anti-cancer therapy including chemotherapy and retinoid therapy within 4 weeks (6 weeks for nitrosoureas or mitomycin) before Study Day 1. •Hormonal anti-tumor therapy within 4 weeks before Study Day 1. Does not include hormones for non-cancer related conditions (example, insulin for diabetes, hormone replacement therapy). •Therapeutic or palliative radiation therapy within 4 weeks before Study Day 1 (participants must have resolution of any significant adverse effects from radiation therapy received prior to 2 weeks before Study Day 1). 19. Has any elective surgeries scheduled during their participation in the study. 20. Has prior radiation to abdomen. 21. Has concurrent or prior (within 4 weeks before Study Day 1) anticoagulation therapy excluding aspirin and anti-platelet agents. The concurrent use of low molecular weight heparin or low dose warfarin ( 5 mg daily]) within 4 weeks prior to Study Day 1. 23. Currently or previously treated with angiopoietin inhibitors, or inhibitors of Tie-1 or Tie-2 including, but not limited to, AMG 386, XL880, XL820. 24. Is enrolled in the clinical study for other investigational products or devices or within 4 weeks since the last administration at the enrollment. 25. Is pregnant (example, positive human choriogonadotropin [HCG] test) or breastfeeding. 26. Has a childbearing potential, or participa
Data sourced from ClinicalTrials.gov (NCT02525536). 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. Informational only — not medical advice.