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OpenTrials
Completed

NCT Number: NCT01514123

Study of VGX-100 Administered Alone and Co-administered With Bevacizumab in Adult Subjects With Advanced Solid Tumors

This is a non-randomized, multi-dose, first-in-human, multicenter, two arm (Arm A: VGX-100 alone; Arm B: VGX-100 co-administered with bevacizumab), open label, dose escalation study in subjects with advanced or metastatic solid tumors. The study is aimed at evaluating the safety and establishing the recommended dose of the VEGF-C human monoclonal antibody VGX-100 when administered alone or in combination with bevacizumab.

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Key information

Conditions

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

UCLA Hematology-Oncology, Santa Monica, California, United States

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Age ≥ 18 years
  • Provision of written informed consent
  • Histologically or cytologically documented advanced or metastatic solid tumor that is refractory to standard treatment, for which no standard therapy is available, or for which the subject refuses standard therapy
  • Life expectancy > 3 months in the opinion of the investigator
  • ECOG performance status 0 to 1
  • Evaluable OR measurable disease by RECIST 1.1 criteria
  • Agree to the use of effective contraceptive if either male or female of child bearing potential

Exclusion criteria

  • Inadequate venous access
  • Women who are lactating/breastfeeding
  • Women with a positive pregnancy test or who are planning to become pregnant during the duration of the study
  • Known to be HIV positive, or have chronic hepatitis B or C
  • Major surgical procedure within 6 weeks of Baseline or surgical or other wound that is not fully healed at Baseline
  • Untreated or symptomatic brain metastasis, known central nervous system metastasis, or spinal cord compression (except glioblastoma multiforme)
  • Mediastinal or cavitated, or lung mass located near, invading or encasing a major blood vessel or airway on imaging
  • Squamous cell lung cancer
  • History of or known/suspected gastrointestinal perforation
  • Hemoptysis of >2.5 mL (half a teaspoon) red blood within 28 days of Screening
  • Deep venous thrombosis or history of symptomatic pulmonary thromboembolism within 6 months of Screening
  • Gastrointestinal bleeding requiring medical intervention within 28 days of Screening
  • Receipt of therapeutic concentrations of warfarin or other anticoagulants within 7 days of Screening
  • Receipt of investigational agent(s) for any indication within 28 days of Baseline or 5 half lives, whichever is greater
  • Receipt of the following treatments:
  • Traditional cytotoxics, tyrosine kinase inhibitors or other small molecule anti-cancer agents within 21 days
  • Nitrosoureas, mitomycin C, bevacizumab or trastuzumab within 6 weeks
  • Any other therapeutic monoclonal antibodies within 21 days
  • Hormonal therapy (other than gonadal suppression) within 14 days
  • Radiotherapy:
  • to >25% bone marrow
  • to brain within 28 days of baseline
  • other than above within 14 days of baseline
  • Unstable angina, myocardial infarction, transient ischemic events, or stroke within 24 weeks of Screening
  • History of CNS hemorrhage, cerebrovascular hemorrhage, myocardial infarction or reversible posterior leukoencephalopathy syndrome associated with prior anti-VEGF/anti-VEGFR therapy
  • Uncontrolled hypertension of ≥ CTCAE Grade 2
  • Proteinuria at Baseline of ≥2+ or 1.0g/24 hours
  • Prior allergic reaction to a monoclonal antibody

Treatment and study plan

VGX-100

Drug

VGX-100 will be administered by IV infusion once every week

Bevacizumab

Drug

Bevacizumab will be administered by IV infusion once every 2 weeks

Other names: Avastin

Primary outcomes

  1. The incidence and severity of adverse events including dose limiting toxicities

    Time frame: Approximately 16 months

Secondary outcomes

  1. Tumor response by RECIST criteria

    Time frame: Approximately 16 months

    Tumor response assessment will be measured by computated tomography (CT) or Magnetic resonance imaging (MRI) every 8 or 12 weeks throughout the study

  2. Pharmacokinetic parameters of VGX-100 alone and co-administered with bevacizumab including Cmax, Cmin, AUC and if feasible half life (t1/2)

    Time frame: 28 days after the last subject in each cohort

  3. Anti-VGX-100 antibody formation

    Time frame: Approximately 16 months

  4. Biomarker levels including VEGF-A, VEGF-C, VEGF-D, soluble VEGFR-2, and soluble VEGFR-3

    Time frame: Approximately 16 months

Sponsors and collaborators

Lead sponsor

Circadian Technologies Ltd.

Industry

Registry information

Official study title

A Phase I, Open Label, Dose Escalation Study of the VEGF-C Human Monoclonal Antibody VGX-100 Administered by Intravenous Infusion Alone and Co-administered With Bevacizumab in Adult Subjects With Advanced or Metastatic Solid Tumors

Important dates

Study start
2011
Primary completion
2014
Study completion
2017
First posted
Jan 20, 2012
Registry last updated
Sep 17, 2020

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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