This study is an open-label, multi-center, phase 1, dose escalation study with a phase 2 expansion cohort to determine the safety, pharmacokinetics and preliminary anti-tumor activity of intravenous TKM-080301 in subjects with advanced hepatocellular carcinoma (HCC). This study is being done to: * Test the safety and tolerability of TKM-080301 in subjects with advanced hepatocellular carcinoma * Find the highest dose of TKM-080301 that can be given without causing side effects, called the maximum tolerated dose (MTD). * Provide a preliminary assessment of anti-tumor activity of TKM-080301
Study design: Open label, multi-center, 3 + 3 dose-escalation study with an expansion cohort at the maximum tolerated dose (MTD) to investigate safety, tolerability, PK, and preliminary anti-tumor activity of TKM 080301 in subjects with HCC. Sequential cohorts of 3 to 6 subjects will receive escalating doses of TKM 080301 according to a pre-specified dose escalation scheme. Assessment of dose-limiting toxicities (DLTs) will be made during Cycle 1 to determine the maximum tolerated dose (MTD). Once the MTD level is established, approximately 20 subjects will be enrolled in an expansion cohort to further confirm the safety and tolerability of TKM-080301 at the MTD. Study Population: A minimum of 9 and up to approximately 18 adult male or female subjects with histologically or cytologically confirmed metastatic or locally advanced inoperable HCC and a life expectancy of 3 months or more are planned in the dose escalation phase. Approximately 20 subjects are planned in the expansion cohort. Study Treatment: TKM-080301 will be administered by intravenous (IV) infusion, once weekly for 3 consecutive weeks followed by a 1 week rest period. This 28-day treatment period constitutes 1 cycle. Subjects who demonstrate clinical benefit without progression per RECIST 1.1 guidelines may receive treatment beyond 6 cycles if the Investigator considers it is in the best interest of the subject, and only with the approval of the Medical Monitor. Subjects would then continue TKM 080301 therapy until withdrawal of consent, disease progression or unacceptable toxicity occurs. Pharmacokinetics (PK) Subjects will undergo blood sample collection for PK analysis during cycles 1 and 2. Study Duration: Each treatment cycle will have duration of 28 days and each subject will typically receive up to 6 cycles of treatment. The total duration of the study is expected to be approximately 28 months.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
43
TKM-080301 intravenous infusion
Arizona Clinical Research Center
Tucson, Arizona, United States
University of California San Francisco
San Francisco, California, United States
Kansas City Research Institute
Kansas City, Missouri, United States
Memorial Sloan Kettering Cancer Center
New York, New York, United States
Mary Crowley Cancer Research Centers
Dallas, Texas, United States
Princess Margaret Hospital
Toronto, Ontario, Canada
Queen Mary Hospital
Hong Kong, China
National University Hospital
Singapore, Singapore
Seoul National University Hospital
Seoul, Gyeonggi-do, South Korea
Samsung Medical Center
Seoul, Gyeonggi-do, South Korea
...and 5 more locations
Maximum tolerated dose (MTD)
Laboratory assessments
Time frame: Up to 6 months after initial dose.
Preliminary assessment of anti-tumor activity by Response Evaluation Criteria In Solid Tumors version 1.1 (RECIST 1.1)
Obtain preliminary assessment of anti-tumor activity by Response Evaluation Criteria In Solid Tumors version 1.1 (RECIST 1.1)
Time frame: Upon every 2 cycles of treatment for up to 6 months
Clinical Benefit Rate at maximum tolerated dose (MTD) in Expansion Cohort
Assessed after completion of Phase 2.
Time frame: Upon completion of treatment of expansion cohort; up to 6 months after last participant is dosed.
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