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Solid TumorPhase 1NCT02412462

Phase I Dose Escalation Study of AB-16B5 in Subjects With an Advanced Solid Malignancy

A Phase 1 study testing AB-16B5 in people with Solid Tumor and Metastatic Cancer, run by Alethia Biotherapeutics at 1 site in Canada.

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

This is a Phase 1 clinical study to investigate the safety, pharmacokinetics and pharmacodynamics of AB-16B5 in patients with an advanced solid malignancy. AB-16B5 is a humanized monoclonal antibody that inhibits the activity of the secreted form of clusterin (sCLU), a potent inducer of the epithelial-to-mesenchymal… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Solid Tumor, Metastatic Cancer
What is being tested?
AB-16B5
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
15 participants
Where
1 siteCanada
Study dates
Apr 2015to Jan 2017
Phase
Phase 1
Are there results?
None posted in the registry

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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subjects with a histologically or cytologically confirmed advanced solid malignancy that has been refractory to prior therapy and is unlikely to benefit from known therapies.
  • Subjects may have measurable or non-measurable but evaluable disease.
  • Subjects must have an Eastern Cooperative Oncology Group (ECOG) performance status of ≤ 2 and an estimated life expectancy of at least 12 weeks.
  • Subjects must be ≥ 18 years old.
  • Male, or female subjects who are post-menopausal (amenorrheic for at least 12 months), or surgically or biologically sterile. Females of childbearing potential with a negative serum pregnancy test prior to entering the study and using adequate forms of contraception for the duration of the study, including 30 days after the last treatment. Males should avoid fathering children during the course of the study, and adequate methods of contraception should be used by both male and female subjects. Subjects and their partners with reproductive potential must use an effective contraceptive method while the subject is on the study treatment and for 30 days after the last treatment.
  • Subjects must have adequate organ and immune function as indicated by the following laboratory values:
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  • ANC ≥ 1.5 X 109/L
  • Platelets > 100 X 109/L
  • Hemoglobin ≥ 90 g/L
  • Serum creatinine ≤ 132 µmol/L
  • Total Bilirubin ≤ 1.5 X ULN
  • AST (SGOT) and ALT (SGPT) ≤ 3 X ULN* or;
  • 5 X ULN* (if hepatic metastases present)
  • ULN: Institution's upper limit of normal
  • Subjects enrolled in the standard dose escalation portion of the study must have a tumor lesion amenable for biopsy with no contraindications for biopsy.
  • Subjects must understand and be able and willing and likely to fully comply with the study procedures, including scheduled follow-up, and restrictions.
  • Subjects must have given written personally signed and dated informed consent to participate in the study, in accordance with the International Conference on Harmonisation (ICH) Good Clinical Practice (GCP) Guidelines, before completing any study related procedures.

Who cannot join

  • Subjects with medical, social, or psychosocial factors that, in the opinion of the Investigator, could impact safety or compliance with study procedures.
  • Prior cancer therapy including surgery, radiotherapy, chemotherapy, hormonal and biological therapies within 3 weeks prior to study treatment.
  • Uncontrolled brain metastases.
  • Uncontrolled infection.
  • Clinically significant ECG abnormalities.
  • Known hypersensitivity of Grade > 2 to previous monoclonal antibody therapy.
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  • History of alcohol or other substance abuse within the last year.
  • Use of another investigational agent in a clinical trial within the last 4 weeks prior to study treatment.
  • Female subjects who are pregnant or lactating, including females with a positive pregnancy test at screening must be excluded.

Trial locations and contacts

1 site in 1 country.

Canada1 site
  • Jewish General Hospital

    Montreal, Quebec, H3T 1E2

Other trials in Canada

About this study

Official title: A Phase I Dose-Escalation Study to Evaluate the Safety, Tolerability and Pharmacokinetics of AB-16B5 in Subjects With an Advanced Solid Malignancy

This is a Phase 1 clinical study to investigate the safety, pharmacokinetics and pharmacodynamics of AB-16B5 in patients with an advanced solid malignancy. AB-16B5 is a humanized monoclonal antibody that inhibits the activity of the secreted form of clusterin (sCLU), a potent inducer of the epithelial-to-mesenchymal transition (EMT). Eligible subjects will have a disease that has been refractory to prior therapy and is unlikely to benefit from known therapies.

Being tested
AB-16B5
Keywords
Phase I, Clusterin, Epithelial-to-Mesenchymal Transition (EMT), Circulating Tumor Cells (CTC), EMT and Stem Cell Biomarkers, Pharmacokinetics
Medical subject headings
Neoplasm Metastasis, Neoplastic Cells, Circulating

What participants receive

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

  • AB-16B5Drug

Study groups in NCT02412462
Study groupRoleWhat they receive
AB-16B5ExperimentalSingle-arm study of AB-16B5 given as a 60-minute intravenous weekly infusion. One cycle of treatment will consist of 21 days. The dose levels that will be assessed are 1.5, 3.0, 6.0, 9.0 and 12 mg/kg.
Receives: Drug: AB-16B5

What is being measured

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

  1. Number of participants with an adverse event as a measure of safety and tolerability

    Measured: Up to treatment discontinuation + 30 days with an estimated treatment duration of 6 to 24 weeks

Secondary outcomes (3)
  1. Determination of plasma concentrations of AB-16B5

    Measured: Several time-points during Cycle 1 and Cycle 2 for a total of 6 weeks

  2. Objective tumor responses in subjects with measurable disease according to RECIST

    Measured: Up to treatment discontinuation + 30 days with an estimated treatment duration of 6 to 24 weeks

  3. Monitoring of epithelial-to-mesenchymal (EMT) and stem cells biomarkers in peripheral blood circulating tumor cells and paired tumor biopsies

    Measured: Up to treatment discontinuation + 30 days with an estimated treatment duration of 6 to 24 weeks

Timeline

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

  1. First posted9 Apr 2015 (estimated)
  2. Study startApr 2015
  3. Primary completionJan 2017
  4. Study completionJan 2017

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
15 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02412462
Sponsor's protocol ID
AB-16B5-101
Status last verified
Jul 2016
First submitted
30 Mar 2015
Last updated
28 Jun 2017
Results posted
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing AB-16B5 in people with Solid Tumor and Metastatic Cancer, run by Alethia Biotherapeutics at 1 site in Canada.

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 17 inclusion and 9 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 28 Jun 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Canada. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Number of participants with an adverse event as a measure of safety and tolerability (time frame: Up to treatment discontinuation + 30 days with an estimated treatment duration of 6 to 24 weeks). 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 28 Jun 2017.

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