This is the first study to test Sym013 (Pan-HER) in humans. The primary purpose of this study is to see if Sym013 is safe and effective for patients with advanced epithelial malignancies without available therapeutic options.
This is an open-label, multicenter trial composed of 2 parts in which Sym013 will be evaluated when administered by intravenous infusion in patients with advanced epithelial malignancies without available therapeutic options. Part 1 is a Phase 1a dose-escalation evaluating weekly (Q1W) and every second week (Q2W) schedules of administration in separate dose-escalation cohorts to determine the recommended phase 2 dose (RP2D) and regimen of Sym013. Part 2 is a Phase 2a dose-expansion at the RP2D and regimen. Four (4) dose-expansion cohorts will be evaluated in this part of the trial and will be selected based upon findings from Part 1, additional preclinical data, and additional clinical data available at that time from other agents inhibiting these targets. Patients will be entered, depending upon either a defined molecular profile or profiles, or their underlying malignancy, to 1 of 4 corresponding expansion cohorts: Cohort A, Cohort B, Cohort C, or Cohort D.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
32
Sym013 is a recombinant antibody mixture containing 6 humanized immunoglobulin G1 (IgG1) monoclonal antibodies (mAbs), which bind specifically to non-overlapping epitopes or domains on the epidermal growth factor receptor (EGFR), and the human epidermal growth factor receptors (HER) HER2 and HER3.
Vanderbilt University Medical Center
Nashville, Tennessee, United States
South Texas Accelerated Research Therapeutics, LLC
San Antonio, Texas, United States
NEXT Oncology
San Antonio, Texas, United States
Part 1: Assess the Safety and Tolerability of Sym013 When Administered Either Q1W or Q2W to Separate Dose-escalation Cohorts of Patients.
Assess the occurrence of dose-limiting toxicities (DLTs) during Cycle 1 of Sym013 administration.
Time frame: 24 months
Part 2: Evaluate the Antitumor Effect of Sym013 When Administered at the RP2D and Regimen to Patients.
No data were collected for this Outcome Measures as Part 2 of the trial was never initiated.
Time frame: 24 months
Part 1: Determine the RP2D and Regimen of Sym013.
No RP2D or regimen of Sym013 was determined as the trial was prematurely terminated
Time frame: 24 months
Parts 1 and 2: Evaluate the Immunogenicity of Sym013.
Serum sampling to assess the potential for anti-drug antibody (ADA) formation was not analyzed as the trial was prematurely terminated
Time frame: 42 months
Parts 1 and 2: Area Under the Concentration-time Curve Extrapolated to Infinity (AUC).
Will be estimated using non-compartmental methods and actual time points.
Time frame: 0, 2, 4, 8, 24, 48, 168 hours and 336 hours if Q2W
Parts 1 and 2: Maximum Concentration (Cmax) and Trough Concentration (Ctrough) - Mean Values.
Will be derived from observed data.
Time frame: 0, 2, 4, 8, 24, 48, 168 hours and 336 hours if Q2W
Parts 1 and 2: Time to Reach Maximum Concentration (Tmax).
Will be derived from observed data. End of infusion was defined as time zero (0)
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Time frame: 0, 2, 4, 8, 24, 48, 168 hours and 336 hours if Q2W
Parts 1 and 2: Elimination Half-life (T½).
Will be estimated using non-compartmental methods and actual time points
Time frame: 0, 2, 4, 8, 24, 48, 168 hours and 336 hours if Q2W
Parts 1 and 2: Clearance (CL).
Will be estimated using non-compartmental methods and actual time points.
Time frame: 0, 2, 4, 8, 24, 48, 168 hours and 336 hours if Q2W