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Solid TumorPhase 1NCT05547906

Evaluation of the Safety and Efficacy of ASCA101 in Patients With Advanced Solid Tumors

A Phase 1 study testing ASCA101 in people with Solid Tumor, run by MetaFines at 2 sites in 2 countries.

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 prospective, open-label, dose escalation Phase 1 study. The purpose of this study is to evaluate the following objectives in patients with advanced solid tumors after failure of standard of care. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Solid Tumor
What is being tested?
ASCA101
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
18 participants
Where
2 sitesin 2 countries
Study dates
8 Nov 2021to 29 Feb 2024
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

  • Patients aged ≥ 18 years with pathologically or cytologically confirmed metastatic or unresectable advanced solid tumors that progressed despite standard of care or which did not tolerate standard of care and for which other standard of care is not available.
  • Patients with the following laboratory test values, obtained within 14 days prior to study enrollment with no history of G-CSF or blood transfusions within 14 days prior to collection of samples for the laboratory tests:
  • ANC ≥ 1,500/mm³
  • Platelet count ≥ 100,000/mm³
  • Hemoglobin ≥ 9.0 g/dL
  • CrCl ≥ 60 mL/min calculated using the Cockcroft-Gault formula ⑤ Total bilirubin ≤ 1.5×ULN ⑥ AST, ALT ≤ 3×ULN (≤ 5×ULN for patients with liver metastasis or liver cell carcinoma) ⑦ INR and aPTT ≤ 1.5×ULN ⑧ Urine protein to creatinine ratio (UPC) < 1.0 (g/g)a a UPC will be performed in patients with at least one positive (+) protein outcome upon urinalysis.
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  • At least one evaluable lesion based on the response evaluation criteria in solid tumors (RECIST) version 1.1 as measured by tumor markers or CT/MRI.
  • Life expectancy ≥ 12 weeks.
  • Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2.
  • Women of childbearing potential who test negative for pregnancy (by serum-hCG or urine-hCG at the discretion of the investigator) at the time of study participation (i.e., all women who have had menarche and are not surgically sterile [hysterectomy, bilateral tubal ligation, bilateral ovariectomy, etc.] and are not post-menopausal [no menstruation for ≥ 12 months for no other medical reasons]).
  • Patients who agree to use medically acceptable methods of birth control (patient's or partner's vasectomy, tubal ligation, intrauterine device, barrier contraception, oral contraceptives, diaphragm or condom use in combination) during treatment with the investigational product (IP) and for 6 months after the end of treatment.
  • Patients who voluntarily provide written informed consent to participate in the study.

Who cannot join

  • History of hypersensitivities to any of the components of the IP or the same class of drugs as the IP.
  • At the time of the 1st treatment:
  • < 4 weeks from a major surgery, if applicable
  • < 2 weeks from a minor surgery, if applicable
  • < 3 weeks from the last radiotherapy, if applicable
  • < 5 x half-life or < 3 weeks, whichever is longer, from chemotherapy or hormone therapy, if applicable (those who were treated with nitrosoureas or mitomycin within 6 weeks prior to the 1st treatment or targeted biological antibodies within 4 weeks prior to the 1st treatment were not allowed to participate in the study.)
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  • < 4 weeks from anticancer immunotherapy, if applicable
  • History of cardiovascular disorders within the past 5 years:
  • New York heart association (NYHA) class ≥ II (or left ventricle ejection fraction ≤ 50%) congestive heart failure (CHF)
  • Uncontrolled hypertension (systolic blood pressure [SBP]/diastolic blood pressure [DBP] > 140/90 mmHg)
  • History of hypertensive crisis or hypertensive encephalopathy
  • Pulmonary hypertension
  • Myocardial infarction
  • Significant vascular disease (e.g., aortic aneurysm requiring surgery or recent peripheral artery thrombosis) within 6 months prior to IP initiation
  • Uncontrolled arrhythmia
  • QTcF interval > 470 msec on screening electrocardiogram (ECG)
  • Clinically significant NCI-CTCAE v5.0 Grade ≥ 1 (allowing Grade ≥ 2 alopecia) ongoing toxicities from previous anticancer treatment.
  • Severe infection or severe traumatic systemic disorders.
  • Symptomatic or uncontrolled metastasis to central nervous system (CNS) (a patient with asymptomatic CNS metastasis may participate in the study if systemic corticosteroids were discontinued ≥ 4 weeks prior and the patient is radiologically and neurologically stable for ≥ 4 weeks).
  • Severe neurological or psychiatric disorders that might have an impact on study results in the opinion of the investigator.
  • Pregnant or lactating women or patients planning a pregnancy during the study period.
  • Participation in another clinical trial within 30 days prior to the 1st treatment.
  • History of bleeding or digestive disorders:
  • Evidence of active bleeding, bleeding diathesis, coagulopathy, or tumor with macrovascular invasion
  • Clinically significant digestive ulcer, gastrointestinal (GI) bleeding, GI or non-GI fistula, perforation, intra-abdominal abscess, clinical symptoms and signs of GI obstruction, patients requiring parenteral fluids or nutrition, history of digestive disorders such as inflammatory bowel disease
  • Evidence of pneumoperitoneum unexplained by recent surgery or paracentesis
  • Treatment with biguanides (e.g., metformin) within 2 weeks prior to the 1st treatment or anticipated required treatment with biguanides during the study period.
  • Patients requiring continuous treatment with systemic corticosteroids. However, the following will be permitted:
  • Use of local corticosteroids such as local intra-articular, intra-nasal, intra-ocular, or inhaled corticosteroids or temporary use of systemic corticosteroids for the treatment and prevention of adverse events (AEs) or allergic reactions to contrast agents will be permitted.
  • Patients with HIV and other severe diseases that would limit a patient's participation in the study in the opinion of the investigator (medically controlled diseases will be permitted).
  • Having ascites and/or pleural fluid drained within 14 days prior to screening.
  • Hemoptysis within 14 days prior to screening (≥ 1/2 teaspoonful cherry red blood per episode).
  • Core biopsy or any other minor surgical procedure within 14 days prior to initial IP dose (except for placing a vascular access).
  • Serious, unhealed scars, active ulcers, or untreated fractures.
  • History of cerebrovascular accident (stroke), transient ischemic attack, or subarachnoid hemorrhage within 6 months prior to screening.
  • History of glucose-6-phosphate dehydrogenase deficiency.
  • Individuals ineligible for this study for other reasons in the opinion of the investigator.
  • Patients identified with hypercalcemia (corrected calcium concentration > 10.4 mg/dL (2.6mmol/L)) identified during the screening period.

Trial locations and contacts

2 sites in 2 countries.

2 sites in 2 countries

United States1 site
  • California Research Institute

    Los Angeles, California, 90027

Other trials in United States

South Korea1 site
  • Seoul national university bundang hospital

    Seongnam-si, Gyeonggi-do, 13620

Other trials in South Korea

About this study

Official title: An Open-label, Dose-escalation, Dose-expansion, Phase 1 Study to Evaluate the Tolerability, Safety, Pharmacokinetics/Pharmacodynamics, and Antitumor Effect of ASCA101 in Patients With Advanced Solid Tumors

This is a prospective, open-label, dose escalation Phase 1 study. The purpose of this study is to evaluate the following objectives in patients with advanced solid tumors after failure of standard of care.

Conditions
Solid Tumor
Being tested
ASCA101

What participants receive

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

  • ASCA101Drug

    IV infusion Twice a Week, 8 times per each Cycle

Study groups in NCT05547906
Study groupRoleWhat they receive
ASCA101 IVExperimentalThe study drug, ASCA101(300mg/vial), will be reconstituted in water for injection and diluted with saline to a dose calculated according to individual body surface area or body weight.
Receives: Drug: ASCA101

What is being measured

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

  1. Maximum tolerated dose(MTD)

    MTD will be defined as the maximum dose level at which no more than 1 of 3 participants experience a dose-limiting toxicity (DLT) within the first 4 weeks of dosing

    Measured: 4weeks

Secondary outcomes (3)
  1. Objective response rate(ORR)

    The proportion of patients achieving a partial response (PR) or complete response (CR) per RECIST 1.1

    Measured: From first dose until documented disease progression or death, up to 36 months or until database cutoff date of 14Jul2023]

  2. Progression Free Survival(PFS)

    Time from first dose until disease progression or death using RECIST 1.1

    Measured: From first dose until documented disease progression or death, up to 36 months or until database cutoff date of 14Jul2023]

  3. Duration of Response(DoR)

    Time from first PR or CR until disease progression or death using RECIST 1.1

    Measured: From first dose until documented disease progression or death, up to 36 months or until database cutoff date of 14Jul2023]

Timeline

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

  1. First posted21 Sep 2022
  2. Study start8 Nov 2021
  3. Primary completion29 Feb 2024
  4. Study completion29 Feb 2024

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
18 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05547906
Sponsor's protocol ID
MF-ASCA101-01
Status last verified
Mar 2024
First submitted
14 Sep 2022
Last updated
13 Mar 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing ASCA101 in people with Solid Tumor, run by MetaFines at 2 sites in 2 countries.

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 12 inclusion and 38 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 13 Mar 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States, South Korea. 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?

Maximum tolerated dose(MTD) (time frame: 4weeks). 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 13 Mar 2024.

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