This is a Phase I, open-label, multi-center, competitive enrollment and dose-escalation study of ALT-836 in combination with standard of care gemcitabine in participants who have locally advanced or metastatic solid tumors. The purpose of this study is to determine the maximum tolerated dose (MTD), and to assess the safety and pharmacokinetic profile of ALT-836 given with gemcitabine. The clinical benefit, progression-free survival and overall survival of study participants will also be assessed.
Tissue Factor (TF) is over-expressed in most cancer types. Results from many recent studies have suggested a key role for TF in the development of cancer-associated thrombosis, tumor growth, tumor angiogenesis, and tumor metastasis. ALT-836, a recombinant human-chimeric monoclonal antibody, is designed as a direct TF antagonist to block TF displayed by cancers and to inhibit cancer-associated venous thromboembolism, tumor growth, tumor angiogenesis and tumor metastasis. In numerous pre-clinical studies in laboratory animals, including non-human primates, ALT-836 exhibits potent anti-tumor, anti-thrombotic and anti-inflammatory activities with a remarkable safety profile. In humans, ALT-836, administered as a single bolus and monotherapy in patients with coronary artery disease (CAD) and acute lung injury/acute respiratory distress syndrome (ALI/ARDS), is safe and exhibits anti-coagulant and anti-inflammatory effects. A Phase II study using a multi-dose regimen of ALT-836 is being conducted in patients with ALI/ARDS. In the dose-escalation study described in this protocol, the investigators will assess the safety and determine the maximum tolerated dose (MTD) of ALT-836 in combination with gemcitabine in patients with advanced malignancies known to overexpress TF and in which venous thromboembolism is a major complication.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
30
Study participants will receive up to four courses of a 28-day biochemotherapy with the study drug (ALT-836) and gemcitabine. Each treatment course consists of five doses of ALT-836 (on Day 1, 4, 8, 15 and 22) and three doses of gemcitabine (Day 1, 8 and 15). Participants with persistent responses will receive additional two cycles, three doses each, of standard of care gemcitabine therapy.
Emory University, Winship Cancer Institute
Atlanta, Georgia, United States
University of Iowa Hospitals and Clinics
Iowa City, Iowa, United States
University of Rochester Medical Center, James P. Wilmot Cancer Center
Rochester, New York, United States
Carolinas Hematology-Oncology Associates
Charlotte, North Carolina, United States
Maximum Tolerated Dose (MTD) of ALT-836 in combination with gemcitabine
Time frame: 18 months
Safety Profile
Number and severity of treatment related AEs that occur or worsen after the first dose of study treatment
Time frame: 18 months
Clinical Benefit
Number of participants with complete response, partial response or stable disease
Time frame: 18 months
Progression Free Survival
Number of participants with 9-month, 12-month, 18-month, 24-month, 30-month or 36-month progression-free survival
Time frame: 36 months
Overall Survival
Number of participants with 9-month, 12-month, 18-month, 24-month, 30-month or 36-month overall survival
Time frame: 36 months
Pharmacokinetics
Area under the plasma concentration-time curve from time zero to infinity (AUC) and the half-life of ALT-836
Time frame: 18 months
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