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A Study of MDX-1106 in Patients With Selected Refractory or Relapsed Malignancies
This study is ongoing, but not recruiting participants.
Sponsored by: Medarex
Information provided by: Medarex
ClinicalTrials.gov Identifier: NCT00441337
  Purpose

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
Carcinoma, Non-Small-Cell Lung
Colorectal Cancer
Malignant Melanoma
Renal Cancer
Prostate Cancer
Biological: MDX-1106
Phase I

MedlinePlus related topics: Cancer Colorectal Cancer Kidney Cancer Lung Cancer Melanoma Prostate Cancer
U.S. FDA Resources
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

Further study details as provided by Medarex:

Primary Outcome Measures:
  • incidence and severity of treatment-emergent adverse events [ Time Frame: if they occur, they will be monitored through resolution of the event ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Clinical laboratory tests [ Time Frame: study duration ] [ Designated as safety issue: No ]
  • physical examination [ Time Frame: screening ] [ Designated as safety issue: No ]
  • electrocardiograms [ Time Frame: study completion ] [ Designated as safety issue: No ]
  • vital sign measurements [ Time Frame: study duration - each visit ] [ Designated as safety issue: No ]

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
1: Experimental
patients will receive active MDX-1106 drug
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.

Detailed Description:

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.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Signed Informed Consent/HIPPA Authorization
  • Histologic diagnosis of non-small cell lung cancer, colorectal adenocarcinoma, malignant melanoma, renal (clear) cell carcinoma, or hormone-refractory prostate adenocarcinoma. Tumor must be recurrent or treatment-refractory for which no alternative, standard therapy exists.
  • Prior chemotherapy or immunotherapy (tumor vaccine, cytokine, or growth factor given to control the cancer) must have been completed at least 4 weeks prior to enrollment and all adverse changes have either returned to baseline or stabilized
  • Prior systemic radiation therapy completed at lease 4 weeks prior to study drug administration. Prior focal radiotherapy completed at least 2 weeks prior to study drug administration. No radiopharmaceuticals (strontium, samarium) within 8 weeks prior to study drug administration.
  • Prior major treatment-related surgery completed at least 4 weeks prior to study drug administration.
  • No prior primary or metastatic brain or meningeal tumors unless clinically and radiographically stable as well as off steroid therapy for at least 2 months
  • Life expectancy 12 weeks or greater
  • Age 18 years or older
  • Body Mass Index of 18 or greater and 30 or less
  • ECOG Performance Status of 0 or 1
  • Use of contraception
  • Meet all screening laboratory values

Exclusion Criteria:

  • History of severe hypersensitivity reactions to other monoclonal antibodies
  • Other prior malignancy, except for adequately treated basal or squamous cell skin cancer or superficial bladder cancer, or any other cancer from which the patient has been disease free for at least 5 years
  • patients with any active autoimmune disease or a documented history of autoimmune disease, or history of syndrome that required systemic steroids or immunosuppressive medications, except for patients with vitiligo
  • Prior therapy with an anti-PD-1 or anti-CTLA-4 antibody
  • Active infection requiring therapy, positive tests for HIV-1, HIV-2, or HTLV-1 serum antibody, hepatitis B surface antigen, or hepatitis C positive RNA
  • Underlying medical condition that, int he opinion of the Investigator, will make administration of the study drug hazardous or obscure the interpretation of toxicity determination or adverse events
  • concurrent medical condition requiring the use of immunosuppressive medications, or systemic or topical corticosteroids; systemic or topical corticosteroids must be discontinued at least 4 weeks prior to enrollment. Inhaled or intranasal corticosteroids (with minimal systemic absorption may be continued if the patient is on a stable dose). Non-absorbed intra-articular steroid injections will be permitted
  • Use of other investigational drugs within 30 days prior to study drug administration.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00441337

Locations
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
Sponsors and Collaborators
Medarex
Investigators
Study Director: Isreal Lowy, MD Medarex
  More Information

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

Keywords provided by Medarex:
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

Study placed in the following topic categories:
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

Additional relevant MeSH terms:
Respiratory Tract Neoplasms
Neoplasms
Neoplasms by Site
Neoplasms by Histologic Type
Neoplasms, Nerve Tissue
Nevi and Melanomas

ClinicalTrials.gov processed this record on January 14, 2009