Clinical Trials /

Safety Study of MGAH22 in HER2-positive Carcinomas

NCT01148849

Description:

The purpose of this study is to determine if MGAH22 is safe when given by intravenous (IV) infusion to patients with HER2-positive cancer. The study will also evaluate how long MGAH22 stays in the blood and how long it takes for it to leave the body, what is the highest dose that can safely be given, and whether it has an effect on tumors.

Related Conditions:
  • Carcinoma
Recruiting Status:

Active, not recruiting

Phase:

Phase 1

Trial Eligibility

Document

Title

  • Brief Title: Safety Study of MGAH22 in HER2-positive Carcinomas
  • Official Title: A Phase 1, Dose Escalation Study of MGAH22 in Patients With Refractory HER2 Positive Breast Cancer and Patients With Other HER2 Positive Carcinomas for Whom No Standard Therapy Is Available

Clinical Trial IDs

  • ORG STUDY ID: CP-MGAH22-01
  • SECONDARY ID: 02598-10
  • NCT ID: NCT01148849
  • NCT ALIAS: NCT01195935

Conditions

  • Breast Cancer
  • Gastric Cancer

Interventions

DrugSynonymsArms
MGAH22MGAH22

Purpose

The purpose of this study is to determine if MGAH22 is safe when given by intravenous (IV) infusion to patients with HER2-positive cancer. The study will also evaluate how long MGAH22 stays in the blood and how long it takes for it to leave the body, what is the highest dose that can safely be given, and whether it has an effect on tumors.

Detailed Description

      An open-label, multi-dose, single-arm, multi-center, Phase 1, dose-escalation study will be
      conducted to define the toxicity profile, MTD, PK, immunogenicity, and potential antitumor
      activity of MGAH22 in patients with refractory HER2 positive breast cancer and patients with
      other carcinomas that overexpress HER2 for whom no standard therapy is available. After an
      MTD has been defined, an additional cohort of patients will be treated at the MTD to obtain
      further information regarding the safety of the chosen dose, to definitively describe PK, and
      to evaluate potential anti-tumor activity of MGAH22.

      Patients will be monitored for a minimum of four weeks after administration of the final dose
      of MGAH22. The National Cancer Institute's (NCI's) Common Terminology Criteria for Adverse
      Events (CTCAE), v.4.0, will be used for grading AEs except as noted within the protocol.
      Study assessments will include AE monitoring, ECG monitoring, PK analysis of serum MGAH22,
      determination of the serum concentration of soluble MGAH22 and tumor markers, and an
      assessment of potential anti-MGAH22 antibody [human anti-chimeric antibody (HACA)] response.

      Tumor response assessments using Study Day 43 CT scans will be performed approximately six
      weeks after the first MGAH22 dose for each patient. Patients with evidence of disease
      regression (partial or complete response or stable disease by RECIST criteria) will be
      allowed to continue therapy at the same dose, or at a reduced dose if warranted by DLT or
      significant AE in Cycle 1. Subsequent cycles which will begin on Study Day 50 will consist of
      MGAH22 administration on Study Days 1, 8, and 15 of each 28-day cycle, with tumor evaluation
      every other cycle. Responding patients may receive continued antibody therapy until evidence
      of progression of disease is documented or the patient experiences DLT. Patients who have
      responded and received at least 3 years of MGAH22 study therapy may continue MGAH22
      post-progression, with or without chemotherapy, at the Investigators' discretion.
    

Trial Arms

NameTypeDescriptionInterventions
MGAH22ExperimentalAnti-HER2 monoclonal antibody (margetuximab)
  • MGAH22

Eligibility Criteria

        Inclusion Criteria:

          -  Histologically or cytologically confirmed carcinoma that overexpresses HER2 by
             immunohistochemistry (2+ or 3+ positivity by HercepTest or equivalent).

          -  Progressive disease during or after last treatment regimen.

          -  Appropriate treatment history for histological entity.

          -  ECOG Performance Status <= 1.

          -  Life expectancy >= 3 month.

          -  Measurable disease

          -  Acceptable laboratory parameters and adequate organ reserve.

          -  Baseline LVEF >50%

        Exclusion Criteria:

          -  Lifetime anthracycline exposure > 350 mg/m2 of doxorubicin or equivalent

          -  Major surgery within four weeks before enrollment.

          -  Known hypersensitivity to murine or recombinant proteins, polysorbate 80, or any
             excipient contained in the drug formulation.

          -  Second primary malignancy that has not been in remission for greater than 3 years.
             Treated non-melanoma skin cancer, cervical carcinoma in situ on biopsy, or squamous
             intraepithelial lesion on PAP smear, localized prostate cancer (Gleason score < 6), or
             resected melanoma in situ are exceptions and do not require a 3 year remission.

          -  Active viral, bacterial, or systemic fungal infection requiring parenteral treatment
             within four weeks of enrollment. Patients requiring any oral antiviral, fungal, or
             bacterial therapy must have completed treatment within one week of enrollment.

          -  History of chronic or recurrent infections that require continual use of antiviral,
             antifungal, or antibacterial agents.

          -  History of deep vein thrombosis, pulmonary embolism, myocardial infarction, or stroke
             within three months of enrollment.

          -  Known history of central nervous system (CNS) metastatic disease with evidence of
             residual or recurrent disease upon entry.

          -  New York Heart Association class III or IV heart disease.
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Occurrence of Adverse Events and Serious Adverse Events
Time Frame:Study Day 50 or 28 days after last infusion
Safety Issue:
Description:Note that serious adverse events that are considered study drug related can be reported at any time after Study Day 50 or 28 days after the last infusion.

Secondary Outcome Measures

Measure:Maximum tolerated dose
Time Frame:Study day 50 or 28 days after last infusion
Safety Issue:
Description:

Details

Phase:Phase 1
Primary Purpose:Interventional
Overall Status:Active, not recruiting
Lead Sponsor:MacroGenics

Trial Keywords

  • HER2 positive
  • breast cancer
  • gastric cancer

Last Updated

February 24, 2021