E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Histologically confirmed locally advanced and/or metastatic solid organ tumour |
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E.1.1.1 | Medical condition in easily understood language |
advanced solid organ cancer |
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E.1.1.2 | Therapeutic area | Diseases [C] - Cancer [C04] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10065143 |
E.1.2 | Term | Malignant solid tumour |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
Primary:
• To evaluate the safety and tolerability profile of CetuGEXTM at various dose levels
• To define the recommended phase II dose and regimen
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E.2.2 | Secondary objectives of the trial |
Secondary:
• To determine the pharmacokinetics of CetuGEXTM in patients after single and multiple dose applications
• To make a preliminary evaluation of anti-tumour activity of CetuGEXTM in the selected patient population (s)
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. 1. Male or female and age ≥18 yrs
2. Histologically confirmed locally advanced and/or metastatic solid organ tumour
3. Measurable or non-measurable tumour
4. Not eligible for standard therapy
5. All anti-tumor therapies must be completed 4 weeks before start of study treatment; treatment with Cetuximab must be completed at least 6 weeks prior to study start
6. ECOG Performance Status ≤1 and estimated life expectancy of ≥ 3 months
7. Adequate organ function:
• Bone marrow function: hemoglobin ≥ 100 g/L; white blood cell count (WBC) ≥ 3.0 x 109/L; absolute neutrophil count (ANC) ≥ 1.5 x 109/L; platelet count ≥ 100 x 109/L
• Hepatic: aspartate aminotransferase (ASAT) and alanine aminotransferase (ALAT) ≤ 2.5 times upper limit of normal (ULN) ( 5 x ULN if hepatic metastases present); bilirubin ≤ 1.5 x ULN; alkaline phosphatase ≤ 5.0 x upper limit of normal (ULN)
• Renal: creatinine < 1.5 xULN
8. Patients of both genders with procreative potential must use effective contraception while enrolled in the study and for at least 4 weeks after the last study drug infusion
9. Written informed consent must be obtained prior to conducting any study-specific procedures
For Expansion Phase only:
10. EGFR-positive patients
11. No prior treatment with Cetuximab allowed
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E.4 | Principal exclusion criteria |
1. Chemotherapy, radiation, other anti-cancer therapies including any investigational agents at the study enrolment within 4 weeks prior to study enrolment
2. Concurrent anti-tumour therapy or concurrent immunotherapy
3. Concurrent systemic steroids except topical (inhaled, topical, nasal) or replacement therapy for the last 28 days. Steroids at low and stable dose (up to 20 mg prednisone) given for chronic disease are also permitted
4. Major surgery within 4 weeks prior entering the study and/or incomplete recovery from surgery or planned major surgery
5. Primary or secondary immune deficiency
6. Clinically active infections > CTCAE grade 2
7. Prior allergic reaction to a monoclonal antibody (e.g. Trastuzumab, Cetuximab or Bevazicumab)
8. Active hepatitis B assessed by serology, hepatitis C by histology; human immunodeficiency virus (HIV) seropositivity
9. Any concurrent malignancy other than basal cell carcinoma or carcinoma in situ of the cervix. Patients with a previous malignancy but without evidence of disease for ≥ 3 years will be allowed to enter the study
10. Uncontrolled medical condition considered as high risk for the treatment with an investigational drug including unstable diabetes mellitus, vena-cava-syndrome, chronic symptomatic respiratory disease
11. Clinical signs of brain metastasis or leptomeningeal involvement
12. Symptomatic congestive heart failure (New York Heart Association [NYHA] 3 or 4); unstable angina pectoris within 6 months prior to enrollment; significant cardiac arrhythmia, or history of stroke or transient ischemic attack within 1 year
13. Active drug abuse or chronic alcoholism
14. Pregnancy or Breastfeeding
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E.5 End points |
E.5.1 | Primary end point(s) |
• To evaluate the safety and tolerability profile of CetuGEXTM at various dose levels
• To define the recommended phase II dose and regimen
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
Response will be evaluated every 8 weeks. Non-measurable disease allowed for inclusion.
The events will be followed until resolved, or until the study end, whichever comes later.
• Laboratory abnormalities will be recorded throughout the study.
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E.5.2 | Secondary end point(s) |
• To determine the pharmacokinetics of CetuGEXTM in patients after single and multiple dose applications
• To make a preliminary evaluation of anti-tumour activity of CetuGEXTM in the selected patient population (s)
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
Response will be evaluated every 8 weeks. Non-measurable disease allowed for inclusion.
Serum PK of CetuGEXTM will be measured at the following time points:
• Before the 1st infusion of study med,
• End of 1st infusion (D1)
• Prior to infusion (D2)
• End of infusion (D2)
• 4h after end of infusion (D2)
• 72 h after start of 1st infusion (D4)
• 168h after start of the 1st infusion (D8) only for the 1st pt of each dose level in the wkly dosing scheme & for all pts in the 2- & 3-wkly dosing scheme day 15 after start of the 1st infusion for pts in the 3-wkly dosing scheme
• All further infusions: immediately before and immed after each study drug admin until completion of the 6th infusion.
• 4 wks after last study drug admin (STV)
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | Yes |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | Yes |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 1 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 2 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 4 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Germany |
Italy |
Switzerland |
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E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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Each patient will be treated until disease progression or until intolerable toxicities. Patients can decide to withdraw from study at any time. The study will end after the last recruited patient has been followed for at least 28 days. All patients who benefit from the treatment with CetuGEX™ according to the judgement of the Investigator and the patient will continue treatment beyond the study end. For those patients safety & efficacy data
will be collected on a 3-4 wkly basis |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 2 |
E.8.9.1 | In the Member State concerned months | 0 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 2 |
E.8.9.2 | In all countries concerned by the trial months | 0 |
E.8.9.2 | In all countries concerned by the trial days | 0 |