The aim of the study is to investigate the safety, pharmacokinetics, pharmacodynamics, and immunogenicity of BCD-245 after its single and multiple intravenous infusions at escalating doses in subjects with relapsed/refractory neuroblastoma.
The study includes 2 stages: 1) Data collection and safety analysis for the first four subjects 12 years of age and older from Cohort 1 2) Data collection and analysis of safety, pharmacokinetics, pharmacodynamics and immunogenicity in all cohorts (Cohorts 1-4). The design of this Phase I study is based on standard 3 + 3 design approaches. Cohort 1 includes 4 subjects aged 12 years old and older, and 2 subjects aged 3 years old and older. Cohorts 2-4 include 3-6 subjects aged 3 years and older.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
24
BCD-245 is administered as prolonged intravenous infusions during each cycle
Dmitry Rogachev National Medical Research Center Of Pediatric Hematology, Oncology and Immunology
Moscow, Russia
RECRUITINGRussian Cancer Research Center named after N.N. Blokhin "of the Ministry of Health of the Russian Federation
Moscow, Russia
RECRUITINGRaisa Gorbacheva Memorial Research Institute of Children Oncology, Hematology and Transplantation
Saint Petersburg, Russia
Proportion of subjects with adverse reactions
Time frame: 52 weeks
Proportion of subjects with serious adverse reactions
Time frame: 52 weeks
Proportion of subjects with adverse reactions of grade 3 or higher according to CTCAE 5.0
Time frame: 52 weeks
Proportion of therapy discontinuations due to adverse reactions
Time frame: up to 4 weeks
Area under the plasma concentration versus time curve from time zero to t (AUC 0-t)
Time frame: up to 4 weeks
Area under the plasma concentration versus time curve from zero to time infinity (AUC 0-∞)
Time frame: up to 4 weeks
Peak plasma concentration (Cmax)
Time frame: up to 4 weeks
Time of peak plasma concentration (Tmax)
Time frame: up to 4 weeks
Half-life (T1/2)
Half-life is the time taken to decrease the plasma concentration of a drug to one-half its original value
Time frame: up to 4 weeks
Volume of distribution (Vd)
Time frame: up to 4 weeks
Mean steady-state peak plasma concentration (Cmax)
Time frame: 20 weeks
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Pre-dose trough concentration (Ctrough)
Time frame: 20 weeks
Counts of lymphocytes and CD56+CD16+ (cytokine-secreting and cytotoxic) NK cells
Time frame: 52 weeks
Whole blood cytolytic activity test
Time frame: 52 weeks
Proportion of subjects with anti-BCD-245 BAbs and NAbs
Time frame: 52 weeks