Primary Objective: To determine the maximum tolerated dose (MTD) of SAR566658 Secondary Objectives: * To characterize the safety profile of SAR566658 * To evaluate the pharmacokinetic profile of SAR566658 * To assess the potential immunogenicity of SAR566658 * To assess preliminary antitumor activity * To assess the effect of SAR566658 at recommended dose on CYP3A enzyme activity using midazolam * To assess safety in the alternative schedules of SAR566658 administration
The duration of the study for one patient in the dose escalation phase of the study will include a screening period of up to 3 weeks, a 3-week treatment cycle(s) and a 2-week treatment cycle(s). The patients may continue treatment until disease progression, unacceptable toxicity, or willingness to stop, followed by a minimum of 30-day follow-up. If a patient treated in dose escalation part or in an expansion cohorts, continues to benefit from the treatment at the time of Clinical Study Report, the patient can continue study treatment and will continue to undergo all assessments as per the study flowchart. Such patients will be followed at least until 30 days after the last IMP administration.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
114
Pharmaceutical form:solution for infusion Route of administration: intravenous
Investigational Site Number 840002
Cincinnati, Ohio, United States
Investigational Site Number 840001
San Antonio, Texas, United States
Investigational Site Number 250001
Toulouse, France
Investigational Site Number 724002
Madrid, Spain
Dose Escalation to determine the maximum tolerated dose (MTD) of SAR566658
Time frame: 3 weeks
Extension Cohorts to evaluate the preliminary anti-tumoral effect of SAR566658
Time frame: Anticancer activity is assessed every 6 weeks
To assess the effect of SAR566658 at the recommended dose on CYP3A enzyme activity using midazolam as probe
Time frame: At D1 and D4 of administration of SAR566658 for 24h of midazolam dosing
Overall safety profile based on adverse events reporting, laboratory tests, vital signs and specific pulmonary and ocular tests, according to the NCI-CTC AE v4.03
Time frame: Up to 2 years
Pharmacokinetic (PK) parameters
Time frame: Up to 2 years
Immunogenicity evaluation (anti-drug antibodies)
Time frame: Up to 2 years
Antitumoral response
Time frame: Up to treatment discontinuation
To assess the effect of SAR566658 at recommended dose on CYP3A enzyme activity using midazolam
Time frame: Up to Cycle 2
To assess safety in the alternative schedules of SAR566658 administration
Time frame: Up to 2 years
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Investigational Site Number 724001
Madrid, Spain