The primary purpose of this study is to evaluate the tolerability, safety and pharmacokinetic profile of ASP1948 in Japanese patients with locally advanced (unresectable) or metastatic solid tumors. This study will also evaluate the antitumor effect of ASP1948.
This study consists of 3 dose levels (1200 milligrams \[mg\], 2000 mg and 3000 mg) and enrollment of subjects into dose level 1200 mg will take place first. Dose level 2000 mg would only be opened if dose level 1200 mg is deemed tolerable. Dose level 3000 mg would only be opened if dose level 2000 mg is deemed tolerable.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
9
Intravenous
Site JP810001
Chuo-ku, Tokyo, Japan
Number of participants with Dose Limiting Toxicity (DLT) for Dose level 1200 mg and 2000 mg
DLT is graded using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 4.03. The DLT observation period may be increased if deemed appropriate by Dose Escalation and Safety Committee.
Time frame: Up to 28 days
Number of participants with DLT for Dose level 3000 mg
DLT is graded using NCI-CTCAE Version 4.03. The DLT observation period may be increased if deemed appropriate by Dose Escalation and Safety Committee.
Time frame: Up to 21 days
Number of participants with Adverse Events (AEs)
An AE is any untoward medical occurrence in a subject administered an investigational product (IP) and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of IP whether or not considered related to the IP.
Time frame: Up to 30 days after the final IP administration or initiation of a new anticancer treatment, whichever comes first (a maximum of 108 weeks)
Number of participants with immune-related AEs (irAEs)
Number of participants with potentially clinically significant irAEs. irAEs observed with currently approved checkpoint inhibitors (CPIs) include rash, oral mucositis, dry mouth, colitis/diarrhea, hepatitis, pneumonitis and endocrinopathies (hypophysitis, hypothyroidism, hyperthyroidism, adrenal insufficiency and Type 1 diabetes mellitus).
Time frame: Up to 30 days after the final IP administration or initiation of a new anticancer treatment, whichever comes first (a maximum of 108 weeks)
Number of participants with infusion-related reactions (IRRs)
Number of participants with potentially clinically significant IRRs. The majority of IRRs to monoclonal antibodies represent "standard" infusion reactions, and the most common manifestations of these standard infusion reactions include: fever and/or shaking/chills; flushing and/or itching; changes in heart rate and blood pressure; shortness of breath or chest discomfort; pain in back or abdomen; nausea, vomiting and/or diarrhea and skin rash (various types). Fever and muscle pain suggest that the reaction is a standard infusion reaction.
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Time frame: Up to 30 days after the final IP administration or initiation of a new anticancer treatment, whichever comes first (a maximum of 108 weeks)
Number of participants with serious AEs (SAEs)
Adverse event (AE) is considered "serious" if the investigator or sponsor view any of the following outcomes: Death, life-threatening, persistent or significant disability/incapacity, congenital anomaly or birth defect, hospitalization, or medically important event.
Time frame: Up to 90 days after the final IP administration or initiation of a new anticancer treatment, whichever comes first (a maximum of 116 weeks)
Number of participants with complete blood count (CBC) value abnormalities and/or AEs
Number of participants with potentially clinically significant CBC values.
Time frame: Up to 30 days after the final IP administration or initiation of a new anticancer treatment, whichever comes first (a maximum of 108 weeks)
Number of participants with serum chemistry value abnormalities and/or AEs
Number of participants with potentially clinically significant serum chemistry values.
Time frame: Up to 30 days after the final IP administration or initiation of a new anticancer treatment, whichever comes first (a maximum of 108 weeks)
Number of participants with urinalysis value abnormalities and/or AEs
Number of participants with potentially clinically significant urinalysis values.
Time frame: Up to end of treatment period (a maximum of 104 weeks)
Number of participants with prothrombin time/international normalized ratio (PT/INR) value abnormalities and/or AEs
Number of participants with potentially clinically significant PT/INR values.
Time frame: Up to 30 days after the final IP administration or initiation of a new anticancer treatment, whichever comes first (a maximum of 108 weeks)
Number of participants with activated partial thromboplastin time (aPTT) value abnormalities and/or AEs
Number of participants with potentially clinically significant aPTT values.
Time frame: Up to 30 days after the final IP administration or initiation of a new anticancer treatment, whichever comes first (a maximum of 108 weeks)
Number of participants with thyroid stimulating hormone (TSH) value abnormalities and/or AEs
Number of participants with potentially clinically significant TSH values.
Time frame: Up to 30 days after the final IP administration or initiation of a new anticancer treatment, whichever comes first (a maximum of 108 weeks)
Number of participants with free thyroxine (free T4) value abnormalities and/or AEs
Number of participants with potentially clinically significant free T4 values.
Time frame: Up to 30 days after the final IP administration or initiation of a new anticancer treatment, whichever comes first (a maximum of 108 weeks)
Number of participants with electrocardiogram (ECG) abnormalities and/or AEs
Number of participants with potentially clinically significant ECG values.
Time frame: Up to end of treatment period (a maximum of 104 weeks)
Number of participants with vital sign abnormalities and/or AEs
Number of participants with potentially clinically significant vital sign values.
Time frame: Up to 90 days after the final IP administration or initiation of a new anticancer treatment, whichever comes first (a maximum of 116 weeks)
Number of participants with physical exams abnormalities and/or AEs
Number of participants with potentially clinically significant physical exams values.
Time frame: Up to end of treatment period (a maximum of 104 weeks)
Eastern Cooperative Oncology Group (ECOG) performance status score
The ECOG scale will be used to assess performance status. Grades range from 0 (fully active) to 4 (completely disabled). Negative change scores indicate an improvement. Positive scores indicate a decline in performance.
Time frame: Up to 30 days after the final IP administration or initiation of a new anticancer treatment, whichever comes first (a maximum of 108 weeks)
Pharmacokinetics (PK) of ASP1948 in serum: Area under the concentration-time curve (AUC) from the time of dosing to the last measurable concentration (AUClast)
AUClast will be recorded from the PK serum samples collected.
Time frame: Up to 90 days after the final IP administration or initiation of a new anticancer treatment, whichever comes first (a maximum of 116 weeks)
PK of ASP1948 in serum: AUC from the time of dosing extrapolated to time infinity (AUCinf)
AUCinf will be recorded from the PK serum samples collected.
Time frame: Up to 90 days after the final IP administration or initiation of a new anticancer treatment, whichever comes first (a maximum of 116 weeks)
PK of ASP1948 in serum: Percentage of AUCinf due to extrapolation from the last measurable concentration to time infinity (AUCinf(%extrap))
AUCinf(%extrap) will be recorded from the PK serum samples collected.
Time frame: Up to 90 days after the final IP administration or initiation of a new anticancer treatment, whichever comes first (a maximum of 116 weeks)
PK of ASP1948 in serum: AUC from the time of dosing to the start of next dosing interval (AUCtau)
AUCtau will be recorded from the PK serum samples collected.
Time frame: Up to 90 days after the final IP administration or initiation of a new anticancer treatment, whichever comes first (a maximum of 116 weeks)
PK of ASP1948 in serum: maximum concentration (Cmax)
Cmax will be recorded from the PK serum samples collected.
Time frame: Up to 90 days after the final IP administration or initiation of a new anticancer treatment, whichever comes first (a maximum of 116 weeks)
PK of ASP1948 in serum: concentration immediately prior to dosing at multiple dosing (Ctrough)
Ctrough will be recorded from the PK serum samples collected.
Time frame: Up to 90 days after the final IP administration or initiation of a new anticancer treatment, whichever comes first (a maximum of 116 weeks)
PK of ASP1948 in serum: dosing time of maximum concentration (tmax)
tmax will be recorded from the PK serum samples collected.
Time frame: Up to 90 days after the final IP administration or initiation of a new anticancer treatment, whichever comes first (a maximum of 116 weeks)
PK of ASP1948 in serum:dosing: terminal elimination half-life (t1/2)
t1/2 will be recorded from the PK serum samples collected.
Time frame: Up to 90 days after the final IP administration or initiation of a new anticancer treatment, whichever comes first (a maximum of 116 weeks)
PK of ASP1948 in serum: time of last measurable concentration (tlast)
tlast will be recorded from the PK serum samples collected.
Time frame: Up to 90 days after the final IP administration or initiation of a new anticancer treatment, whichever comes first (a maximum of 116 weeks)
PK of ASP1948 in serum: total clearance after intravenous dosing (CL)
CL will be recorded from the PK serum samples collected.
Time frame: Up to 90 days after the final IP administration or initiation of a new anticancer treatment, whichever comes first (a maximum of 116 weeks)
PK of ASP1948 in serum: volume of distribution after intravenous dosing (V)
V will be recorded from the PK serum samples collected.
Time frame: Up to 90 days after the final IP administration or initiation of a new anticancer treatment, whichever comes first (a maximum of 116 weeks)
Percent change in tumor size from baseline
Tumor size is defined as the sum of the diameters of all target lesions per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1. The percent change from baseline in tumor size will be calculated for subjects with target lesions at baseline. The best percent change in tumor size is the maximum percent reduction from baseline, or if the subject has no reduction in size, the minimum percent increase from baseline.
Time frame: Up to end of treatment period (a maximum of 104 weeks)
Number of participants with best overall response (BOR)per RECIST 1.1 and 'immune' Response Evaluation Criteria in Solid Tumors (iRECIST)
BOR is defined as the best response recorded from the start of the study treatment until the end of treatment.
Time frame: Up to end of treatment period (a maximum of 104 weeks)