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GC100800305: Safety and Efficacy Study of GC1008 to Treat Renal Cell Carcinoma or Malignant Melanoma
This study is currently recruiting patients.
Sponsored By:
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Genzyme
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Information Provided By:
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Genzyme
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ClinicalTrials.gov Identifier:
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NCT00356460
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Purpose
The purpose of this study is to determine the safety, tolerability, pharmacokinetics and pharmacodynamics of GC1008, a human anti-transforming growth factor-beta (TGFβ) monoclonal antibody in previously treated patients with locally advanced or metastatic renal cell carcinoma or malignant melanoma.
Condition
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Intervention
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Phase
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Advanced Renal Cell Carcinoma
Malignant Melanoma
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Drug: GC1008
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Phase I
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Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Safety/Efficacy Study
Official Title: A Phase I Study of the Safety and Efficacy of GC1008: A Human Anti Transforming Growth Factor-Beta (TGFβ) Monoclonal Antibody in Patients With Advanced Renal Cell Carcinoma or Malignant Melanoma
Further Study Details:
Primary Outcomes: To assess the maximum tolerated dose (MTD), dose-limiting toxicity (DLT), and safety of GC1008 in patients with locally advanced or metastatic renal cell carcinoma or malignant melanoma.
Secondary Outcomes: To obtain PK and PD data on GC1008.; To evaluate tumor response as a preliminary assessment of clinical activity.; To assess possible surrogate markers that might predict clinical efficacy by obtaining tumor and blood samples for exploratory biomarker analyses.
Expected Total Enrollment: 36
Study start: 2006-07
Transforming growth factor-beta (TGFβ) is a cytokine which is often over-expressed and over-produced by malignancies and has been implicated as an important factor in promoting the growth, progression, and metastatic potential of advanced cancers. In preclinical studies, TGFβ can act to promote tumor cell migration/invasiveness, influence tumor stroma (by increasing extracellular matrix production, cytokine secretion, and angiogenesis), and suppress anti-tumor immunity. The purpose of this study is to investigate the clinical use of GC1008, a human monoclonal antibody capable of binding and neutralizing all isoforms of TGFβ.
This is a Phase 1 multi-center, open-label, dose-escalation study designed to characterize the safety, tolerability, pharmacokinetic, pharmacodynamic, and potential anti-tumor activity of GC1008, in patients with histologically confirmed, locally advanced and surgically inoperable or metastatic renal cell carcinoma or malignant melanoma. Patients must have failed at least 1 prior therapy and patients with renal cell carcinoma must have failed either sorafenib or sunitinib. Patients may receive up to 4 intravenous infusions of GC1008, and patients achieving an objective tumor response may be eligible to receive extended therapy.
Eligibility
Ages Eligible for Study: 18 Years and above, Genders Eligible for Study: Both
Criteria
 | Inclusion Criteria:
Histologically confirmed, locally advanced & surgically inoperable or metastatic renal cell carcinoma or malignant melanoma are eligible. Pre-treatment tumor samples, such as paraffin blocks or unstained slides, must be available for analyses.
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 | Adult patients must have failed at least 1 prior therapy. Patients with renal cell carcinoma must have failed either sorafenib or sunitinib as 1 of their prior therapies. Other qualifying prior therapies include any medical, surgical, radiation or investigational approaches used for potential therapeutic benefit (but not for diagnostic purposes) in patients with advanced disease. Potential patients may not be eligible for curative intent treatment (e.g., potentially curative surgical resection or chemotherapy).
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 | Age > or = 18 yrs
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 | Expected survival > or =5 months
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 | ECOG Performance Status 0 to 2.
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 | Measurable disease as defined by RECIST
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 | Laboratory:
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 | Serum albumin > or = 3.0 g/dL
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 | Marrow: Hemoglobin > or =10.0 g/dL, absolute neutrophil count (ANC) > or = 1,500/mm3, and platelets > or = 100,000/mm3.
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 | Hepatic: Serum total bilirubin < or = 1.5 x upper limit of normal (ULN) (Patients with Gilbert’s Disease may be included if their total bilirubin is < or = 3.0 mg/dL.), alanine aminotransferase (ALT), and aspartate aminotransferase (AST) < or = 2.5 x ULN. If the patient has known liver metastases, an ALT and/or AST < or =5 x ULN are allowed.
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 | Renal: If negative proteinuria on urine dipstick, serum creatinine (sCr) < 2 mg/dL or urine creatinine clearance > or = 60 mL/min. If urine is 1+ positive (30 mg/dL), urine protein must be < or =1 g/24 hours and measured creatinine clearance > or = 60 mL/min.
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 | Prothrombin time (PT) and partial thromboplastin time (PTT) within normal ranges.
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 | Negative tests (antibody and/or antigen) for hepatitis viruses B and C and HIV
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 | At the time of enrollment, patients must be >4 wks since major surgery, radiotherapy, chemotherapy (> or =6 wks if they were treated with a nitrosourea, mitomycin, or monoclonal antibodies such as bevacizumab), immunotherapy, or biotherapy/targeted therapies and recovered from the toxicity of prior treatment to< or = Grade 1, exclusive of alopecia. Concurrent cancer therapy is not permitted. (In patients who received long acting agents, a treatment-free interval of 2 half-lives should be considered.)
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 | Patients must be able to give written informed consent to participate. Patients may not be consented by a durable power of attorney.
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 | Male and female patients of child-producing potential must agree to use effective contraception while enrolled on study and receiving the experimental drug, and for at least 3 months after the last treatment. Female patients of child-producing potential must have a negative serum pregnancy test.
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 | Documentation of flu vaccination if enrolled during flu season (as defined by the availability of vaccine). Otherwise, patient should receive the current flu vaccine > or = 1 wk before beginning GC1008 therapy.
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 | Exclusion Criteria:
Central nervous system (CNS) metastases, meningeal carcinomatosis, malignant seizures, or a disease that either causes or threatens neurologic compromise (e.g., unstable vertebral metastases).
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 | History of ascites or pleural effusions, unless successfully treated, completely resolved, and the patient has not been treated for these conditions for >4 months.
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 | Active thrombophlebitis, thromboembolism, hypercoagulability states, bleeding, or use of anti-coagulation therapy (including anti-platelet agents). Patients with a history of deep venous thrombosis may participate if successfully treated, completely resolved, and no treatment has been given for >4 months.
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 | Hypercalcemia: Calcium >11.0 mg/dL (2.75 mmol/L) unresponsive or uncontrolled in response to standard therapy (e.g., bisphosphonates).
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 | Pregnant or nursing women.
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 | Patients diagnosed with another malignancy – unless following curative intent therapy, the patient has been disease free for at least 5 yrs and the probability of recurrence of the prior malignancy is <5%. Patients with curatively treated early stage squamous cell carcinoma of the skin, basal cell carcinoma of the skin, or cervical intraepithelial neoplasia (CIN) are eligible for this study.
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 | Patients with an organ transplant, including those that have received an allogeneic bone marrow transplant.
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 | Use of investigational agents within 4 wks prior to study enrollment (within 6 wks if the treatment was with a long-acting agent such as a monoclonal antibody).
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 | Patients on immunosuppressive therapy
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 | Significant or uncontrolled medical illness, such as congestive heart failure (CHF), myocardial infarction, symptomatic coronary artery disease, significant ventricular arrhythmias within the last 6 months, or significant pulmonary dysfunction. Patients with a remote history of asthma or active mild asthma may participate.
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 | Active infection, including unexplained fever (temperature > 38.1 degrees C) or antibiotic therapy within 1 wk prior to enrollment.
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 | Systemic autoimmune disease (e.g., systemic lupus erythematosus, active rheumatoid arthritis, etc.).
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 | A known allergy to any component of GC1008.
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 | Patients who, in the opinion of the Investigator, have significant medical or psychosocial problems that warrant exclusion. |
Location and Contact Information
Central Contact:
Medical Information 800-745-4447 MedInfo@genzyme.com
Medical Information 617-252-7832 MedInfo@genzyme.com
Maryland
National Cancer Institute (NCI), Bethesda, Maryland, 20892, United States; Recruiting
Massachusetts
Dana Farber/Harvard Cancer Center, Dana Farber Cancer Institute, Boston, Massachusetts, 02115, United States; Recruiting
Beth Israel Deaconess Medical Center, Boston, Massachusetts, 02215, United States; Recruiting
Massachusetts General Hospital, Cambridge, Massachusetts, 02114, United States; Recruiting
New Jersey
Cancer Institute of New Jersey, New Brunswick, New Jersey, 08901, United States; Recruiting
Ohio
Ohio State University, Columbus, Ohio, 43210, United States; Recruiting
More Information
Study ID Numbers: GC100800305
ClinicalTrials.gov Identifier: NCT00356460
Health Authority: United States: Food and Drug Administration; United States: Institutional Review Board
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Contact Information
Genzyme Corporation
500 Kendall Street
Cambridge, MA 02142
T:617 252 7500
F:617 252 7600
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