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Unresectable or Metastatic Hepatocellular Carcinoma (HCC)Phase 1MEDI-573-1028NCT01498952

MEDI-573 in Combination With SOC in Unresectable or Metastatic HCC.

A Phase 1 study testing MEDI-573 (1 of 3 doses) and Sorafenib in people with Unresectable or Metastatic Hepatocellular Carcinoma (HCC), run by MedImmune LLC at 3 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

A Phase 1b/2, open-label, randomized study to evaluate MEDI-573 in combination with standard of care in adult subjects with unresectable or metastatic hepatocellular carcinoma (HCC). Read more about this study

Who is it for?
Ages 18 to 99 years
What is being tested?
MEDI-573 (1 of 3 doses) and Sorafenib
Could I receive a placebo?
No, everyone receives an active treatment
How many people
6 participants
Where
3 sitesUnited States
Study dates
17 Jan 2012to 9 Apr 2013
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 99 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age ≥ 18 years or minimum age of consent per local regulations at the time of screening
  • Unresectable or metastatic hepatocellular carcinoma
  • ECOG Performance Status ≤ 2
  • Life expectancy of ≥ 3 months;

Who cannot join

  • Child-Pugh Score for Cirrhosis Mortality > 7 points
  • Prior or current system anti-cancer therapy for HCC, including cytotoxic, biologic, targeted or experimental therapy
  • Prior local treatment for HCC less than 4 weeks prior to initiating study treatment
  • Active second malignancy
  • Major surgery, open biopsy or significant traumatic injury within 4 weeks prior to initiating study treatment
  • Thrombotic or embolic events within 6 months prior to initiating study treatment
Show all 14Show fewer
  • Ongoing pancreatitis
  • Uncontrolled or refractory ascites
  • Evidence of ongoing spinal cord compression, known carcinomatous meningitis, or known leptomeningeal carcinomatosis
  • Hepatic encephalopathy > Grade 1
  • Active brain metastases with exceptions
  • Poorly controlled diabetes mellitus
  • Active coronary artery disease
  • Uncontrolled hypertension

Trial locations and contacts

3 sites in 1 country.

United States3 sites
  • Research Site

    Golden Springs, Colorado, 80401

  • Research Site

    Las Vegas, Nevada, 89169

  • Research Site

    Oxnard, California, 93030

Other trials in United States

About this study

Official title: A Phase 1b/2, Open-label, Randomized Study of MEDI-573 in Combination With Sorafenib Verses Sorafenib Alone in Adult Subjects With Unresectable or Metastatic Hepatocellular Carcinoma

A Phase 1b/2, open-label, randomized study to evaluate MEDI-573 in combination with standard of care in adult subjects with unresectable or metastatic hepatocellular carcinoma (HCC).

Being tested
MEDI-573 (1 of 3 doses), Sorafenib
Keywords
HCC, liver cancer, hepatocellular carcinoma, MEDI-573, anti-IGF
Medical subject headings
Carcinoma, Hepatocellular, Liver Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • MEDI-573 (1 of 3 doses)Drug

    MEDI-573, a human immunoglobulin G2 lambda (IgG2λ) monoclonal antibody (MAb), is a dual-targeting human antibody that neutralizes insulin-like growth factor (IGF)-I and IGF-II ligands

  • SorafenibDrug

    Sorafenib is a tyrosine kinase inhibitor, anti-angiogenic, VEGF inhibitor

Study groups in NCT01498952
Study groupRoleWhat they receive
Phase 1b Cohort AExperimentalParticipants will receive MEDI-573 10 mg/kg intravenous infusion on Day 1 of each 21-day cycle and sorafenib 400 mg orally twice daily as background therapy until unacceptable toxicity, documentation of disease progression, initiation of alternative anticancer treatment, or withdrawal for other reasons.
Receives: Drug: MEDI-573 (1 of 3 doses); Drug: Sorafenib
Phase 1b Cohort BExperimentalParticipants will receive MEDI-573 45 mg/kg intravenous infusion on Day 1 of each 21-day cycle and sorafenib 400 mg orally twice daily as background therapy until unacceptable toxicity, documentation of disease progression, initiation of alternative anticancer treatment, or withdrawal for other reasons.
Receives: Drug: MEDI-573 (1 of 3 doses); Drug: Sorafenib
Phase 1b Cohort CExperimentalParticipants will receive MEDI-573 30 mg/kg intravenous infusion on Day 1 of each 21-day cycle and sorafenib 400 mg orally twice daily as background therapy until unacceptable toxicity, documentation of disease progression, initiation of alternative anticancer treatment, or withdrawal for other reasons.
Receives: Drug: MEDI-573 (1 of 3 doses); Drug: Sorafenib
Phase 2 Arm 1ExperimentalParticipants will receive recommended dose of MEDI-573 from Phase 1b IV on Day 1 of each 21-day cycle and sorafenib 400 mg orally twice daily as background therapy until unacceptable toxicity, documentation of disease progression, initiation of alternative anticancer treatment, or withdrawal for other reasons.
Receives: Drug: MEDI-573 (1 of 3 doses); Drug: Sorafenib
Phase 2 Arm 2Active comparatorParticipants will receive sorafenib 400 mg orally twice daily until unacceptable toxicity, documentation of disease progression, initiation of alternative anticancer treatment, or withdrawal for other reasons.
Receives: Drug: Sorafenib

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Phase 1b: Number of Participants With Dose-limiting Toxicities (DLTs)

    The DLT was defined as any Grade 3 or higher hematologic or non-hematologic toxicity considered to be related to MEDI-573 that occurred during the DLT evaluation period (Days 1 to 21 of Cycle 1), with the exceptions of Grade 3 fever (occurred in the absence of neutropenia and resolved to normal or baseline within 24 hours of treatment and was not considered as SAE), Grade 3 rigors/chills that responded to optimal therapy, and Grade < 4 hyperglycemia that resolved in < 24 hours.

    Measured: Day 1 to Day 21 of Cycle 1

  2. Phase 1b: Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (SAEs)

    An Adverse Event (AE) is any unfavourable and unintended sign, symptoms, or diseases temporally associated with use of study drug, whether or not considered related to study drug. A serious adverse event (SAE) is an AE that results in death, initial or prolonged inpatient hospitalization, life-threatening, persistent or significant disability/incapacity, congenital anomaly/birth defect, or an important medical event. The TEAEs are defined as AEs present at baseline that worsened in intensity after administration of study drug, or events absent at baseline that emerged after administration of study drug, up to 60 days after the last study drug or until the participants started another anticancer therapy, whichever occurred first (approximately 15 months).

    Measured: From the start of study treatment (Day 1) through 60 days after the last dose of MEDI-573 or initiation of another anticancer therapy, whichever occurred first (approximately 15 months)

  3. Phase 1b: Number of Participants With Clinical Laboratory Abnormalities Reported as TEAEs

    An abnormal laboratory finding which required an action or intervention by the investigator, or a finding judged by the investigator to represent a change beyond the range of normal physiologic fluctuation were reported as AEs. The TEAEs are defined as AEs present at baseline that worsened in intensity after administration of study drug, or events absent at baseline that emerged after administration of study drug, up to 60 days after the last study drug or until the participants started another anticancer therapy, whichever occurred first (approximately 15 months).

    Measured: From the start of study treatment (Day 1) through 60 days after the last dose of MEDI-573 or initiation of another anticancer therapy, whichever occurred first (approximately 15 months)

  4. Phase 1b: Number of Participants With Vital Signs Abnormalities Reported as TEAEs

    An abnormal vital signs that were judged by the investigator to be medically significant were reported as AEs. The TEAEs are defined as AEs present at baseline that worsened in intensity after administration of study drug, or events absent at baseline that emerged after administration of study drug, up to 60 days after the last study drug or until the participants started another anticancer therapy, whichever occurred first (approximately 15 months).

    Measured: From the start of study treatment (Day 1) through 60 days after the last dose of MEDI-573 or initiation of another anticancer therapy, whichever occurred first (approximately 15 months)

  5. Phase 1b: Number of Participants With Electrocardiogram (ECG) Abnormalities Reported as TEAEs

    An abnormal ECG findings that were judged by the investigator to be medically significant were reported as AEs. The TEAEs are defined as AEs present at baseline that worsened in intensity after administration of study drug, or events absent at baseline that emerged after administration of study drug, up to 60 days after the last study drug or until the participants started another anticancer therapy, whichever occurred first (approximately 15 months).

    Measured: From the start of study treatment (Day 1) through 60 days after the last dose of MEDI-573 or initiation of another anticancer therapy, whichever occurred first (approximately 15 months)

  6. Phase 2: Time to Progression

    Phase 2 part of the study was not launched by the sponsor due to strategic business reasons. Therefore, this outcome was not evaluated.

    Measured: From Day 1 until documentation of progressive disease (approximately 15 months)

Secondary outcomes (8)
  1. Phase 1b and Phase 2: Number of Participants With Positive Anti-drug Antibodies (ADA) to MEDI-573

    Participants with positive ADA to MEDI-573 are reported in the below table. This outcome was not evaluated for Phase 2 as it was not launched by the sponsor due to strategic business reasons.

    Measured: Predose on Day 1 of every treatment cycle; end of treatment; Days 30, 60 and 90 post treatment; every 3 months post treatrment till end of study (approximately 15 months)

  2. Phase 2: Best Overall Tumor Response

    Phase 2 part of the study was not launched by the sponsor due to strategic business reasons. Therefore, this outcome was not evaluated.

    Measured: From Day 1 until disease progression or death due to any cause, whichever occurred first (approximately 15 months)

  3. Phase 2: Objective Response Rate

    Phase 2 part of the study was not launched by the sponsor due to strategic business reasons. Therefore, this outcome was not evaluated.

    Measured: From Day 1 until disease progression or death due to any cause, whichever occurred first (approximately 15 months)

  4. Phase 2: Progression-free Survival (PFS)

    Phase 2 part of the study was not launched by the sponsor due to strategic business reasons. Therefore, this outcome was not evaluated.

    Measured: From Day 1 until disease progression or death due to any cause, whichever occurred first (approximately 15 months)

  5. Phase 2: Change in Tumor Size

    Phase 2 part the study was not launched by the sponsor due to strategic business reasons. Therefore, this outcome was not evaluated.

    Measured: From Day 1 until disease progression or death due to any cause, whichever occurred first (approximately 15 months)

  6. Phase 1b and Phase 2: Time to Reach Maximum Observed Serum Concentration (Tmax) of MEDI-573 for Cycle 1

    The tmax is defined as actual sampling time to reach maximum observed serum concentration of the study drug. This outcome was not evaluated for Phase 2 as it was not launched by the sponsor due to strategic business reasons.

    Measured: Cycle 1 (pre-dose; and 5 minutes, 24 hours, Day 8, and Day 15 post-dose); and Cycle 2 Day 1 (pre-dose)

  7. Phase 1b and Phase 2: Maximum Observed Serum Concentration (Cmax) of MEDI-573 for Cycle 1

    The Cmax is the maximum observed serum concentration of study drug. This outcome was not evaluated for Phase 2 as it was not launched by the sponsor due to strategic business reasons.

    Measured: Cycle 1 (pre-dose; and 5 minutes, 24 hours, Day 8, and Day 15 post-dose); and Cycle 2 Day 1 (pre-dose)

  8. Phase 1b and Phase 2: Area Under Serum Concentration-time Curve From Time Zero to Day 22 (AUC0-Day22) of MEDI-573 for Cycle 1

    Area under the concentration-time curve from time zero to Day 22 is reported. This outcome was not evaluated for Phase 2 as it was not launched by the sponsor due to strategic business reasons.

    Measured: Cycle 1 (pre-dose; and 5 minutes, 24 hours, Day 8, and Day 15 post-dose); and Cycle 2 Day 1 (pre-dose)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Dec 2011 (estimated)
  2. Study start17 Jan 2012
  3. Primary completion9 Apr 2013
  4. Study completion9 Apr 2013

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
6 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01498952
Sponsor's protocol ID
CD-ON-MEDI-573-1028
Acronym
MEDI-573-1028
Status last verified
Feb 2019
First submitted
29 Nov 2011
Last updated
19 Feb 2019
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing MEDI-573 (1 of 3 doses) and Sorafenib in people with Unresectable or Metastatic Hepatocellular Carcinoma (HCC), run by MedImmune LLC at 3 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 19 Feb 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 19 Feb 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Phase 1b: Number of Participants With Dose-limiting Toxicities (DLTs) (time frame: Day 1 to Day 21 of Cycle 1). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Feb 2019.

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