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NCT Number: NCT05865535

A Dose Escalation Study of AV-380 in Cancer Patients With Cachexia

This open label ascending dose study is designed to evaluate the safety, pharmacokinetics (PK), pharmacodynamics (PD), and immunogenicity of AV-380 in cancer patients with Cachexia. AV-380 is an immunoglobulin (Ig) G1 monoclonal antibody (mAb) intended to bind circulating human growth differentiation factor 15 (GDF-15), a cytokine involved in cancer-induced cachexia.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Beverly Hills Cancer Center, Beverly Hills, California, United States

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patient must be ≥ 18 years of age at the time of signing the informed consent.
  • Patients with histologically confirmed solid tumor cancer who are actively receiving SoC therapy for this cancer.
  • Patients with cachexia as defined by Fearon criteria:
  • Weight loss > 5% over past 6 months (in absence of simple starvation), or
  • BMI < 20 kg/m2 and any degree of weight loss > 2%, or
  • Sarcopenia and any degree of weight loss > 2%
  • Patients with life expectancy ≥ 3 months

Exclusion criteria

  • History of allergic or anaphylactic reaction to any monoclonal antibody (IgG protein) or molecules made of components of monoclonal antibody
  • Known brain metastases or cranial epidural disease unless adequately treated with radiotherapy and/or surgery (including radiosurgery) and stable for at least 2 weeks before first dose of study treatment.
  • Myocardial infarction or heart failure of New York Heart Association Grade 3-4 within 3 months prior to start of protocol therapy
  • Uncontrolled pericardial effusion, or ascites requiring recurrent drainage procedures (once monthly or more frequently)
  • Cachexia is caused by other reasons (e.g., severe chronic obstructive pulmonary disease, heart failure, or HIV/AIDS), or the patient has uncontrolled reversible causes of reduced oral food intake, including, but not limited to, oral mucositis, nausea/vomiting, diarrhea, and/or obstruction, impairing the patient's ability to eat as determined by the Investigator.
  • Patients receiving tube feedings or parenteral nutrition at the time of Screening.

Treatment and study plan

AV-380

Biological

AV-380 is an immunoglobulin (Ig) G1 monoclonal antibody (mAb) intended to bind circulating human growth differentiation factor 15 (GDF-15), a cytokine involved in cancer-induced cachexia.

Primary outcomes

  1. Assessment of adverse events (AEs)

    Time frame: From enrollment to the last follow-up visit approximately 60-days post dose

    AEs as characterized by incidence, type, frequency, and severity (graded according to National Cancer Institute Common Terminology Criteria for Adverse Events [NCI CTCAE])

  2. Toxicity

    Time frame: While receiving study drug (up to 4 months)

    Dose-limiting Toxicity (DLT) events observed at increasing doses of AV-380

  3. Laboratory Abnormalities

    Time frame: From enrollment to the last follow-up visit approximately 60-days post dose.

    Laboratory abnormalities as characterized by type, frequency, severity (graded according to NCI-CTCAE v5.0) and timing.

Secondary outcomes

  1. Cmax

    Time frame: From first dose to the last follow-up visit approximately 60-days post dose.

    Maximum observed plasma concentration for AV-380

  2. Tmax

    Time frame: From first dose to the last follow-up visit approximately 60-days post dose

    Time to reach the Cmax for AV-380

  3. AUC(0-t)

    Time frame: From first dose to the last follow-up visit approximately 60-days post dose.

    Area under the plasma concentration-time curve from zero time to the last measurable point for AV-380

Other outcomes

  1. Immunogenicity

    Time frame: From first dose to the last follow-up visit approximately 60-days post dose.

    Serum levels of Anti-Drug Antibody (ADA) against AV-380 and their potential relationship with AEs and serum levels of GDF-15

  2. Weight

    Time frame: From enrollment to the last follow-up visit approximately 60-days post dose.

    Change from baseline body weight during the study

  3. Patient-Reported Outcomes

    Time frame: From enrollment to the end of treatment, approximately 4 months

    Change from baseline in the following questionnaires: Functional Assessment of Anorexia Cachexia Therapy (FAACT); Patient global impression of severity (PGI-S) and patient global impression of change (PGI-C) for appetite, fatigue, and physical activity.

  4. Lumbar (L3) Skeletal Muscle Index (L3SMI)

    Time frame: From enrollment to the end of treatment, approximately 4 months

    Measurement of a cross-sectional area of muscle at the level of the third lumbar vertebra (L3) using computed tomography (CT) scan

  5. Physical Function

    Time frame: From enrollment to the end of treatment, approximately 4 months

    Change from baseline in physical function endpoints, including Short Physical Performance Battery test and digital measures of non-sedentary time

  6. Serum level of GDF-15

    Time frame: From enrollment to the last follow-up visit approximately 60-days post dose.

  7. Albumin and CRP

    Time frame: From enrollment to the last follow-up visit approximately 60-days post dose.

    Change from baseline in albumin and CRP levels

  8. Tumor status

    Time frame: From enrollment to the last follow-up visit approximately 60-days post dose.

    Evaluate the effect of AV-380 on tumor burden and tumor status, per Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST 1.1)

  9. Biomarkers

    Time frame: From first dose to the last follow-up visit approximately 60-days post dose.

    including activin A and cytokine levels (e.g., monocyte chemoattractant protein-1 [MCP-1] and proinflammatory)

Study contacts

Contact information is provided by the study sponsor or research team.

AVEO Clinical Trials Office

CONTACT

[email protected]

(857)400-0101

Sponsors and collaborators

Lead sponsor

AVEO Pharmaceuticals, Inc.

Industry

Registry information

Official study title

A Phase 1B Dose Escalation Study of AV-380 in Combination With Standard of Care Chemotherapy in Metastatic Cancer Patients With Cachexia and Elevated GDF-15 Levels

Important dates

Study start
2023
Primary completion
2026
Study completion
2026
First posted
May 19, 2023
Registry last updated
Jan 8, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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