Clinical Trials /

Safety and Activity of G-202 in Patients With Clear Cell Renal Cell Carcinoma That Expresses PSMA

NCT02607553

Description:

An open-label, single-arm, single-center Phase II study to evaluate the safety and activity of G-202 in patients with clear cell renal cell carcinoma that expresses PSMA

Related Conditions:
  • Renal Cell Carcinoma
Recruiting Status:

Completed

Phase:

Phase 2

Trial Eligibility

Document

Title

  • Brief Title: Safety and Activity of G-202 in Patients With Clear Cell Renal Cell Carcinoma That Expresses PSMA
  • Official Title: G-202-006: An Open-Label, Single-Arm, Phase II Study to Evaluate the Safety and Activity of G-202 in Patients With Clear Cell Renal Cell Carcinoma That Expresses PSMA

Clinical Trial IDs

  • ORG STUDY ID: G-202-006
  • NCT ID: NCT02607553

Conditions

  • Clear Cell Renal Cell Carcinoma

Interventions

DrugSynonymsArms
G-202MipsagarginExperimental: G-202

Purpose

An open-label, single-arm, single-center Phase II study to evaluate the safety and activity of G-202 in patients with clear cell renal cell carcinoma that expresses PSMA

Detailed Description

      Epithelial tumors, including clear cell renal cell carcinoma (RCC), have the ability to grow
      to only a finite size in the absence of vascularization. RCC is characterized as a
      highly-vascularized tumor and inhibiting angiogenesis has the potential to impair tumor
      growth, including growth of RCC. Therapeutic targeting of integral biological pathways in
      RCC, including those involving VEGF and mTOR, has produced robust clinical effects and
      revolutionized the treatment of metastatic RCC. These approaches offers significant clinical
      benefit and sequential use of these agents has become the empirical standard of care.
      However, complete or durable responses are uncommon and resistance develops after a median
      interval of 6-15 months. This raises the pressing clinical need for additional therapeutic
      approaches for patients with metastatic clear cell RCC. The purpose of this study is to
      investigate the approach of targeted delivery of cytotoxic chemotherapy with G-202 in
      patients with advanced, refractory RCC. This study is based on prodrug tumor targeting, in
      which an inactive form of a toxic agent is administered systemically and gets activated in
      specific locations in the body, resulting in higher concentrations of the cytotoxic form at
      the tumor location. G-202 is a prodrug that is activated by PSMA in the blood vessels of
      tumors, but not normal tissue; once activated, G-202 leads to disruption of intracellular
      calcium levels and subsequent induction of apoptosis. Thus, G-202 is expected to bring about
      cell death in RCC and destroy the blood supply of RCC tumors. This single-arm, open-label
      Phase II clinical trial will evaluate the safety and activity of G-202 in patients with RCC
      that expresses PSMA.
    

Trial Arms

NameTypeDescriptionInterventions
Experimental: G-202ExperimentalG-202 administered by intravenous infusion on 3 consecutive days of a 28-day cycle
  • G-202

Eligibility Criteria

        Inclusion Criteria:

          -  Male or female patients age ≥ 18 years

          -  Pathologic documentation of clear cell renal cell carcinoma

          -  Disease that is resistant or refractory to standard of care

          -  ECOG Performance Status < 2

          -  Most recent tissue biopsy demonstrates PSMA expression by immunohistochemical staining

          -  Adequate bone marrow function measured within 7 days prior to first infusion of G-202
             (absolute peripheral granulocyte count > 1500 cells/m3; platelet count > 100,000
             cells/m3)

          -  Adequate hepatic function measured within 7 days prior to first infusion of G-202
             (Albumin ≥ 2.8 g/dL; AST and ALT ≤ 5 x ULN; Total bilirubin <2 mg/dL)

          -  Adequate renal function measured within 7 days prior to first infusion of G-202
             (Proteinuria level ≤ 2 by urine dipstick; Serum creatinine ≤1.5 x ULN)

          -  Normal coagulation profile measured within 14 days prior to first infusion of G-202
             (INR ≤ 2.3; aPTT ≤ 1.5 X ULN)

          -  No history of substantial non-iatrogenic bleeding diatheses. Use of anti-coagulants is
             limited to local use only (for control of central line patency)

          -  Patients must sign an informed consent indicating that they are aware of the
             investigational nature of the study and are willing to participate in the study

          -  Females of child-bearing potential and males with female partners of child-bearing
             potential must be willing to use acceptable methods of contraception to avoid
             pregnancy (for example, oral, injectable, or implantable hormonal contraceptive; tubal
             ligation; intra-uterine device; barrier contraceptive with spermicide; or vasectomized
             partner) beginning before the first infusion of G-202 and for 3 months after the last
             infusion of G-202

        Exclusion Criteria:

          -  Uncontrolled cardiac, hepatic, renal, or neurologic/psychiatric disorder

          -  HIV positivity or history of chronic hepatitis B or C infection

          -  Congestive heart failure New York Heart Association (NYHA) class 3 or 4, or history of
             congestive heart failure New York Heart Association (NYHA) class 3 or 4, unless a 2D
             echocardiogram or multi-gated acquisition scan (MUGA) performed within 3 months of
             enrollment demonstrates a left ventricular ejection fraction >45%

          -  History of another malignancy within the previous 5 years other than curatively
             treated non-melanoma skin cancer or or intraepithelial carcinoma of the cervix

          -  Surgical resection or major surgery within 4 weeks or stereotactic biopsy within 1
             week of first G-202 treatment

          -  Treatment, chemotherapy, radiation therapy, immunotherapy, or investigational drug for
             the patient's renal cell cancer within 28 days prior to first infusion of G-202

          -  Currently requiring systemic administration of antibiotics or chronic administration
             of anti-viral agents

          -  Use of anti-coagulants is limited to local use for control of central line patency

          -  History or evidence of cardiac risk, including corrected QT interval on screening ECG
             > 470 msec, clinically significant uncontrolled arrhythmias or arrhythmia requiring
             treatment with the exceptions of atrial fibrillation and paroxysmal supraventricular
             tachycardia, history of acute coronary syndromes within 6 months prior to the first
             dose of study therapy (including myocardial infarction and unstable angina, coronary
             artery bypass graft, angioplasty, or stenting), any history of congestive heart
             failure with most recent ejection fraction < 45%

          -  Uncontrolled cardiac or coronary artery disease

          -  Uncontrolled hypertension (mean systolic BP ≥ 160 mm Hg and/or mean diastolic BP ≥ 100
             mm Hg on 3 determinations 5 minutes apart while on 2 anti-hypertensive agents) or
             hypertension requiring treatment with more than 2 anti-hypertensive agents.

          -  Severe or uncontrolled medical disease, including uncontrolled diabetes, congestive
             heart failure, chronic renal disease or chronic pulmonary disease

          -  Severe gastrointestinal bleeding within 12 weeks of treatment with G-202

          -  Requirement for chronic use of medications known to be strong inhibitors or inducers
             of cytochrome (CYP3A4) iso-enzymes (Appendix 3) Note: If patients can stop receiving
             these medications, CYP3A4 inhibitors should be discontinued at least 7 days prior to
             starting treatment with G-202

          -  Known hypersensitivity to any study drug component including thapsigargin derivatives,
             polysorbate 20, or propylene glycol

          -  Any other condition, including concurrent medical condition, social circumstance or
             drug dependency, which in the opinion of the investigator could compromise patient
             safety and/or compliance with study requirements
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Clinical activity
Time Frame:8 weeks from first administration of G-202
Safety Issue:
Description:Use RECIST criteria to assess the clinical activity of G-202 administered by intravenous infusion daily for 3 consecutive days of a 28-day cycle

Details

Phase:Phase 2
Primary Purpose:Interventional
Overall Status:Completed
Lead Sponsor:GenSpera, Inc.

Last Updated

February 24, 2017