This is a Phase I, open-label, uncontrolled, multicenter dose escalation and extension study to determine the maximum tolerated dose (MTD) and dose-limiting toxicity (DLT), to evaluate safety / tolerability and preliminary effects of BEL-X-HG in patients with advanced refractory solid tumors. Dose escalation during the study will be made based on dose-limiting toxicity (DLT).
This study will be carried out in 2 parts: Part 1: A sequential Dose Escalation Part of four doses following a 3 + 3 design where dose escalation will be made based on dose-limiting toxicity (DLT), for a single cycle (28-days) of BEL-X-HG treatment Part 2: A Dose Extension Part of up to 5 cycles (28-days each) at the same dose level (starting dose) of BEL-X-HG treatment Approximately 24-48 eligible subjects with confirmed advanced refractory solid tumors will be enrolled sequentially, in 3 subject cohorts, from the lower to the higher dose cohort into the study. Escalating dose levels of BEL-X-HG in 4 study cohorts and one modified dose will be as follows: Cohort 1: Dose level 1 - 0.5 g/day (0.25 g, bid) Cohort 2: Dose level 2 - 1.0 g/day (0.5 g, bid) Cohort 3: Dose level 3 - 2.0 g/day (1.0 g, bid) Cohort 4: Dose level 4 - 4.0 g/day (2.0 g, bid) Modified dose level Cohort 5: Dose level 5 - 1.5 g/day (0.75g bid) This re-escalation is allowed only when dose de-escalates from Dose level 3 to Dose level 2, and 1 DLT in 6 evaluable subjects of Dose level 2. BEL-X-HG will be administered orally at the assigned dose level for a single cycle consisting of 28 days during the Dose Escalation Part to each subject. Thereafter, if eligible and willing, subjects can continue to Extension Part for 5 more cycles of treatment (each cycle lasting 28 days), at the same assigned dose level of BEL-X-HG treatment.
Study Type
INTERVENTIONAL
Purpose
TREATMENT
Masking
NONE
Enrollment
23
This study will be carried out in 2 parts: 1. A sequential Dose Escalation Part of four doses following a 3 + 3 design where dose escalation will be made based on DLT, for a single cycle (28 days) of BEL-X-HG treatment 2. A Dose Extension Part of up to 5 cycles (28 days each) at the same dose level (starting dose) of BEL-X-HG treatment Escalating dose levels of BEL-X-HG in 5 study cohorts and one modified dose will be as follows: * Cohort 1: Dose level 1 - 0.5 g/day (0.25 g, bid) * Cohort 2: Dose level 2 - 1.0 g/day (0.5 g, bid) * Cohort 3: Dose level 3 - 2.0 g/day (1.0 g, bid) * Cohort 4: Dose level 4 - 4.0 g/day (2.0 g, bid) Modified dose level Cohort 5: Dose level 5 - 1.5 g/day (0.75g bid) This re-escalation is allowed only when dose de-escalates from Dose level 3 to Dose level 2, and 1 DLT in 6 evaluable subjects of Dose level 2.
National Cheng Kung University Hospital
Tainan, Taiwan
National Taiwan University Hospital
Taipei, Taiwan
Maximum Tolerated Dose (MTD)
The prior dose level below the dose level at which ≥2/3 or ≥2/6 subjects suffer dose-limiting toxicity (DLT).
Time frame: 28 days (first treatment cycle of every subjects)
Incidence of Treatment-Emergent Adverse Events
Incidence of Adverse Events (AEs) and Serious Adverse Events (SAEs)
Time frame: up to 168 days (up to 6 cycles of each enrolled subjects)
Tumor response per Response Evaluation Criteria in Solid Tumors (RECIST)
Tumor response per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1
Time frame: up to 168 days (up to 6 cycles of each enrolled subjects)
Oxidative stress
Oxidative stress
Time frame: up to 168 days (up to 6 cycles of each enrolled subjects)
nutritional status
serum prealbumin, triglyceride, and total cholesterol
Time frame: up to 168 days (up to 6 cycles of each enrolled subjects)
immunological status
TNF-alpha, IL-1, IL-2, IL-4, and IL-6
Time frame: up to 168 days (up to 6 cycles of each enrolled subjects)
cachexia status
fast blood glucose, C-reactive protein, and testosteron
Time frame: up to 168 days (up to 6 cycles of each enrolled subjects)
Quality of life (QoL) of patients with advanced refractory solid tumors
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SF-36 Quality of Life (QoL) Questionnaire
Time frame: up to 168 days (up to 6 cycles of each enrolled subjects)
liver function
serum AST, ALT, AKP, albumin, gamma-GT, ferritin, PT/INR and APRI
Time frame: up to 168 days (up to 6 cycles of each enrolled subjects)