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Sponsored by: |
Medarex |
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Information provided by: | Medarex |
ClinicalTrials.gov Identifier: | NCT00441337 |
A total of 39 patients with recurrent or treatment refractory malignancies, including non-small cell lung cancer, colorectal cancer, malignant melanoma, renal clear cell cancer and hormone refractory prostate cancer, will be enrolled. Six patients will be enrolled into each of 4 dose levels of MDX-1106. An additional 10-15 patient will be enrolled at the highest dose level determined to be safe. Patients may be eligible for re-treatment provided they meet all re-treatment criteria. Patient will be followed every 2 months for tumor response until disease progression or relapse.
Condition | Intervention | Phase |
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Carcinoma, Non-Small-Cell Lung Colorectal Cancer Malignant Melanoma Renal Cancer Prostate Cancer |
Biological: MDX-1106 |
Phase I |
Study Type: | Interventional |
Study Design: | Treatment, Non-Randomized, Open Label, Active Control, Single Group Assignment, Safety Study |
Official Title: | A Phase 1, Open Label, Dose-Escalation, Safety and Pharmacokinetic Study of MDX-1106 in Patients With Selected or Relapsed Malignancies |
Estimated Enrollment: | 39 |
Study Start Date: | August 2006 |
Estimated Study Completion Date: | December 2009 |
Estimated Primary Completion Date: | December 2009 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
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1: Experimental
patients will receive active MDX-1106 drug
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Biological: MDX-1106
patients will receive a single dose of MDX-1106 at 0.3, 1.0, 3.0 or 10 mg/kg as a 90 minute infusion.
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A total of 39 patients with recurrent or treatment refractory malignancies, including non-small cell lung cancer, colorectal cancer, malignant melanoma, renal clear cell cancer and hormone refractory prostate cancer, may be enrolled. Six patients each will be enrolled at dose levels of 0.3, 1.0, 3.0 and 10mg/kg; the remaining 10 to 15 patients may subsequently be enrolled at a dose at or below the maximum tolerated dose (MTD) during the dose-escalation portion of the study. If the MTD is not reached, the additional patients will receive a dose determined by review of the available safety and efficacy data. Enrollment expansion cohort will be stopped if the incidence of dose-limiting toxicity at that dose level reaches 33%. the study will consist of 3 phases: the Single-dose Phase, the Re-treatment Phase, and the Follow-up Phase, which will include the tracking of patients for progression-free survival.
Single-dose Phase: Patients in the first cohort will be observed 24 hours post dose. Patients in subsequent cohorts will have an 8 hour post dose observation period. Patients who experience any adverse events during the 8 hours will continue to be monitored for an additional 16 hours. No two patients will be enrolled on the same day. Dosing of the next higher dose level will not be initiated until all 6 patients in the previous cohort have been dosed and 5 of the 6 patients have been followed for at least 4 weeks. Clinical laboratory test samples and pharmacokinetic samples will be collected. Immunogenicity testing will be performed, and immune function assays and tumor blood tests will be performed.
Re-treatment Phase: After participating in the Single-dose Phase, patients may be eligible for immediate retreatment with cycle(s) consisting of 2 additional doses of MDX-1106 (administered 4 weeks apart), provided they meet all criteria. Patients may be eligible to receive additional re-treatment cycles.
Long-term Follow-up Phase: Patients who respond to therapy with a complete response or partial response will enter into the long-term follow-up phase of the protocol and may be eligible for re-treatment at the time of disease progression. Patients will be monitored every 2 months until disease progression or for 2 years, whichever comes first.
Ages Eligible for Study: | 18 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
United States, Maryland | |
Johns Hopkins Unv., School of Medicine | |
Baltimore, Maryland, United States, 21231 | |
United States, Michigan | |
Henry Ford Health System | |
Detroit, Michigan, United States, 48202 | |
United States, Missouri | |
Washington University School of Medicine - Barnes Jewish Hospital | |
St. Louis, Missouri, United States, 63110 | |
United States, North Carolina | |
Carolina BioOncology Institute, PLLC | |
Huntersville, North Carolina, United States, 28078 |
Study Director: | Isreal Lowy, MD | Medarex |
Responsible Party: | Medarex ( Isreal Lowy, MD ) |
Study ID Numbers: | MDX1106-01 |
Study First Received: | February 27, 2007 |
Last Updated: | May 27, 2008 |
ClinicalTrials.gov Identifier: | NCT00441337 |
Health Authority: | United States: Food and Drug Administration |
malignancies cancer non small cell lung cancer lung cancer colorectal cancer adenocarcinoma melanoma |
malignant melanoma renal cancer renal carcinoma carcinoma prostate cancer prostate adenocarcinoma Recurrent or treatment refractory malignancies |
Thoracic Neoplasms Prostatic Diseases Genital Neoplasms, Male Gastrointestinal Diseases Colonic Diseases Urogenital Neoplasms Kidney cancer Urologic Neoplasms Rectal Diseases Melanoma Respiratory Tract Diseases Urologic Diseases Kidney Neoplasms Lung Neoplasms Nevus, Pigmented |
Neoplasms, Germ Cell and Embryonal Neuroepithelioma Kidney Diseases Non-small cell lung cancer Digestive System Neoplasms Renal cancer Genital Diseases, Male Intestinal Diseases Recurrence Intestinal Neoplasms Neuroendocrine Tumors Carcinoma Neuroectodermal Tumors Digestive System Diseases Lung Diseases |
Respiratory Tract Neoplasms Neoplasms Neoplasms by Site |
Neoplasms by Histologic Type Neoplasms, Nerve Tissue Nevi and Melanomas |