The Wnt proteins belong to a family of proteins that have been demonstrated to play a role in the formation and dissemination of tumours. The present project focuses on the critical role of the Wnt-5a protein in the pathobiological processes that lead to metastatic cancer disease. WntResearch has identified a formylated 6 amino acid peptide fragment, named Foxy-5, which mimick the effects of Wnt-5a to impair migration of epithelial cancer cells and thereby acting anti-metastatic. The aim of the first clinical phase I study was to establish the recommended dose for a clinical phase II study and enable further development of Foxy-5 as a first in class anti-metastatic cancer drug. The study did not see any DLTs and therefore failed to reach maximum tolerated dose (MTD); no recommended phase II dose (RP2D) could therefore be established based on toxicity. The aim of this study is to continue to establish the safety profile of Foxy-5 in higher doses, and determine the RP2D for later stage development based on any observed DLT's/MTD and further analysis of the pharmacodynamic profile of Foxy-5 to determine the biological response dose (BRD).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
17
Clinical Research Department, Oncology, Rigshospitalet
Copenhagen, Denmark
Onkologisk Afdeling R, Herlev Hospital
Herlev, Denmark
Odense University Hospital
Odense, Denmark
NCCC, Freeman Hospital
Newcastle, Newcastle Upon Tyne, United Kingdom
Presence of Dose Limiting Toxicities (DLTs).
The number of adverse events along with the results of vital sign measurements, physical examinations, and clinical laboratory tests will be used to determine the safety and tolerability profile of Foxy-5
Time frame: 6 month
Genome wide mRNA gene expression in tumour biopsies and blood (buffy coat)
Determination of the biological response dose (BRD) based on the alterations in the exploratory biomarkers during treatment with Foxy-5
Time frame: Tumour biopsies obtained prior to day 1 and on day 12 and 19
Wnt-5a protein expression and hematoxylin-eosin (HE) staining of tumour biopsies
Determination of the biological response dose (BRD) based on the alterations in the exploratory biomarkers during treatment with Foxy-5
Time frame: Tumour biopsies obtained prior to day 1 and on day 12 and 19
Numbers of circulating tumour cells (CTCs) in blood
Determination of the biological response dose (BRD) based on the alterations in the exploratory biomarkers during treatment with Foxy-5
Time frame: Blood sample obtained prior to day 1 and on day 12 and 19
Maximum tolerated dose (MTD)
Determined as the dose preceding the dose at which two or more patients have experienced DLTs. Assessment of adverse events and laboratory abnormalities
Time frame: 6 month
Area under the plasma concentration curve (AUC) of Foxy-5
The concentration of Foxy-5 in human biological samples will be measured with liquid chromatography with tandem mass spectrometry detection (LC-MS/MS)
Time frame: immediately prior to treatment, at 0, 5, 15, 30, minutes 1, 3, 6, 8, 24, 48, 72 and 96 hours after infusion.
Bioavailability (F) of Foxy-5
The concentration of Foxy-5 in human biological samples will be measured with liquid chromatography with tandem mass spectrometry detection (LC-MS/MS)
Time frame: immediately prior to treatment, at 0, 5, 15, 30, minutes 1, 3, 6, 8, 24, 48, 72 and 96 hours after infusion.
Half life (T½) of Foxy-5
The concentration of Foxy-5 in human biological samples will be measured with liquid chromatography with tandem mass spectrometry detection (LC-MS/MS)
Time frame: immediately prior to treatment, at 0, 5, 15, 30, minutes 1, 3, 6, 8, 24, 48, 72 and 96 hours after infusion.
Absorption rate Constant (tmax) of Foxy-5
The concentration of Foxy-5 in human biological samples will be measured with liquid chromatography with tandem mass spectrometry detection (LC-MS/MS)
Time frame: immediately prior to treatment, at 0, 5, 15, 30, minutes 1, 3, 6, 8, 24, 48, 72 and 96 hours after infusion.
Volume of distribution (V) of Foxy-5
The concentration of Foxy-5 in human biological samples will be measured with liquid chromatography with tandem mass spectrometry detection (LC-MS/MS)
Time frame: immediately prior to treatment, at 0, 5, 15, 30, minutes 1, 3, 6, 8, 24, 48, 72 and 96 hours after infusion.
Clearance (C) of Foxy-5
The concentration of Foxy-5 in human biological samples will be measured with liquid chromatography with tandem mass spectrometry detection (LC-MS/MS)
Time frame: immediately prior to treatment, at 0, 5, 15, 30, minutes 1, 3, 6, 8, 24, 48, 72 and 96 hours after infusion.
Extraction Ratio (E) of Foxy-5
The concentration of Foxy-5 in human biological samples will be measured with liquid chromatography with tandem mass spectrometry detection (LC-MS/MS)
Time frame: immediately prior to treatment, at 0, 5, 15, 30, minutes 1, 3, 6, 8, 24, 48, 72 and 96 hours after infusion.
Hepatic and Renal Clearance of Foxy-5
The concentration of Foxy-5 in human biological samples will be measured with liquid chromatography with tandem mass spectrometry detection (LC-MS/MS)
Time frame: immediately prior to treatment, at 0, 5, 15, 30, minutes 1, 3, 6, 8, 24, 48, 72 and 96 hours after infusion.
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