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Completed

NCT Number: NCT02673060

A Trial of MBC-11 in Patients With CIBD

This study evaluates MBC-11 (a conjugate of a bone-targeting vehicle (etidronate) and a cytostatic agent [ara-C] in patients with malignant tumors with CIBD. This is a first use in human.

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Key information

Conditions

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

About this study

A standard "3+3" dose escalation design to determine Maximum Tolerated Dose with consecutive different dose level cohort recruitment.

The following dose levels to be investigated: 0.5 mg/kg, 1.0 mg/kg, 2.5 mg/kg, 5.0 mg/kg, 10 mg/kgm 20 mg/kg. The study for each patient consists of 14-days screening period, single dose administration of MBC-11 followed by 7-day safety monitoring and then 2 cycles of multiple use of MBC-11 (28 days each cycle, study drug is administered at Days1-5). In case of partial metabolic reaction/stable metabolic reaction therapy maybe prolonged up to 4 cycles (at investigator and sponsor consideration)

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Histologically confirmed malignant tumor (breast cancer, prostate cancer etc)
  • Bone metastases, documented by radiographs, bone scan
  • No available standard chemotherapy or no indication for chemotherapy at the time of screening
  • Eastern Cooperative Oncology Group [ECOG] status 0-2
  • Adequate bone marrow function (hemoglobin ≥ 9 g/dL with or without transfusion requirement, absolute neutrophil count ≥ 1500/mm3, and platelets ≥ 75,000/mm3)
  • Adequate liver function (bilirubin ≤ 2 x Upper Limit of Normal [ULN], Alanine aminotransferase [ALT] ≤ 2.5 x ULN).
  • Adequate renal function (creatinine ≤ 1.5 x ULN) and creatinine clearance ≥ 50 mL/min [measured or calculated by nomogram]).

Exclusion criteria

  • Systemic chemotherapy and/or investigational therapy within the previous 4 weeks
  • Fracture ≤ 6 month prior the inclusion in the study
  • Brain metastasis
  • Serum calcium levels < 8.5 mg/dL (< 2.2 mmol/L)

Treatment and study plan

MBC-11

Drug

0.5 mg/kg-10 mg/kg , IV (in the vein) on day 1-5 of each 28 day cycle. Number of cycles: 2, in case of partial metabolic reaction or stable metabolic reaction - up to 4.

Primary outcomes

  1. Incidence of Treatment-Emergent Adverse Events

    Time frame: up to 20 weeks

    evaluation of adverse events, physical examination, laboratory parameters

  2. Dose Limiting Toxicity [DLT]

    Time frame: up to 20 weeks

    dose limiting toxicity is graded according to NCI CN CFT version 4

  3. Maximum tolerated dose

    Time frame: up to 20 weeks

Secondary outcomes

  1. Maximum Plasma Concentration [Cmax] of MBC-11

    Time frame: 5 weeks

    Cmax will be evaluated during Cycle 1

  2. Pharmacodynamic parameters

    Time frame: up to 20 weeks

    Levels of bone turnover markers is measured

  3. Fluorodeoxyglucose positron emission tomography-computed tomography [FDG PET-CT] response after cycle 2 and cycle 4 therapy

    Time frame: up to 20 weeks

    Response rate according to Positrone Emission Tomography Response Criteria in Solid Tumors [PERCIST] criteria using FDG PET/CT

  4. Maximum Plasma Concentration [Cmax] of etidronate

    Time frame: 5 weeks

    pharmacokinetics [PK] assessment of MBC-11 metabolite

  5. Maximum Plasma Concentration [Cmax] of ara-U

    Time frame: 5 weeks

    PK assessment of MBC-11 metabolite

  6. Peak time [Tmax] for MBC-11

    Time frame: 5 weeks

    PK parameters assessment of study drug

  7. Peak time [Tmax] for etidronate

    Time frame: 5 weeks

    PK assessment of MBC-11metabolite

Sponsors and collaborators

Lead sponsor

Osteros Biomedica Ltd

Industry

Registry information

Official study title

A Phase 1 Multicenter, Open-label, Dose-escalation Trial of MBC-11, an Etidronate-ara-C Conjugate in Patients With Malignant Tumors With Cancer-induced Bone Disease (CIBD)

Important dates

Study start
2014
Primary completion
2015
Study completion
2015
First posted
Feb 3, 2016
Registry last updated
Mar 29, 2016

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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