Clinical Trials /

Study to Determine an Appropriate Starting Dose of Sacituzumab Govitecan-hziy in Participants With Advanced or Metastatic Solid Tumor and Moderate Liver Impairment

NCT04617522

Description:

The primary objectives of this study are to identify the safe starting dose of sacituzumab govitecan-hziy, assess the number of participants with antibodies against sacituzumab govitecan-hziy, and evaluate the pharmacokinetics (PK) of sacituzumab govitecan-hziy, free SN-38, SN-38 glucuronide (SN-38G), total SN-38, in participants with solid tumor and moderate hepatic impairment.

Related Conditions:
  • Malignant Solid Tumor
Recruiting Status:

Recruiting

Phase:

Phase 1

Trial Eligibility

Document

Title

  • Brief Title: Study to Determine an Appropriate Starting Dose of Sacituzumab Govitecan-hziy in Participants With Advanced or Metastatic Solid Tumor and Moderate Liver Impairment
  • Official Title: A Phase 1, Open-Label, Dose-Escalation Study to Determine an Appropriate Starting Dose of Sacituzumab Govitecan in Subjects With Advanced or Metastatic Solid Tumor and Moderate Liver Impairment

Clinical Trial IDs

  • ORG STUDY ID: IMMU-132-15
  • NCT ID: NCT04617522

Conditions

  • Advanced or Metastatic Solid Tumor
  • Liver Failure

Interventions

DrugSynonymsArms
Sacituzumab Govitecan-hziyIMMU-132Advanced or Metastatic Solid Tumor and Moderate Liver Impairment

Purpose

The primary objectives of this study are to identify the safe starting dose of sacituzumab govitecan-hziy, assess the number of participants with antibodies against sacituzumab govitecan-hziy, and evaluate the pharmacokinetics (PK) of sacituzumab govitecan-hziy, free SN-38, SN-38 glucuronide (SN-38G), total SN-38, in participants with solid tumor and moderate hepatic impairment.

Trial Arms

NameTypeDescriptionInterventions
Advanced or Metastatic Solid Tumor and Moderate Liver ImpairmentExperimentalParticipants with advanced solid tumor and moderate hepatic impairment will receive an escalating dose of sacituzumab govitecan-hziy on Days 1 and 8. The dose-escalation plan will start at 5 mg/kg and escalate to 7.5 mg/kg, and finally 10 mg/kg, if deemed to be safe. At the completion of study treatment, participants who are deriving benefit from sacituzumab govitecan-hziy may continue to receive treatment in a Gilead sponsored rollover study (IMMU-132-14; NCT04319198).
  • Sacituzumab Govitecan-hziy
Advanced or Metastatic Solid Tumor and Normal Liver functionExperimentalParticipants with advanced or metastatic solid tumor and normal hepatic function will receive sacituzumab govitecan-hziy 10 mg/kg on Days 1 and 8. At the completion of study treatment, participants who are deriving benefit from sacituzumab govitecan-hziy may continue to receive treatment in a Gilead sponsored rollover study (IMMU-132-14; NCT04319198).
  • Sacituzumab Govitecan-hziy

Eligibility Criteria

        Key Inclusion Criteria for all Individuals:

          -  Histologically confirmed advanced or metastatic solid tumor that is measurable or
             nonmeasurable.

          -  Eastern Cooperative Oncology Group (ECOG) performance status score of 0, 1, or 2.

          -  Adequate hematologic counts without transfusional or growth factor support within 2
             weeks of study drug initiation (hemoglobin ≥ 9 g/dL, absolute neutrophil count (ANC)
             ≥1,500/mm^3, and platelets ≥ 100,000/ μL).

          -  Creatinine clearance ≥ 30 mL/min as assessed by the Cockcroft-Gault equation

        Key Inclusion Criteria for Individuals with Normal Hepatic Function:

          -  Normal hepatic function (total bilirubin ≤ ULN and aspartate aminotransferase [AST] ≤
             3.0× ULN).

        Key Inclusion Criteria for Individuals with Moderate Hepatic Function:

          -  Moderate hepatic impairment (1.5 × ULN < total bilirubin < 3.0 × ULN and any level of
             AST).

          -  For individuals with hepatic encephalopathy, the condition does not, in the
             Investigator's opinion, interfere with the individual's ability to provide an
             appropriate informed consent.

        Key Exclusion Criteria for all Individuals:

          -  Have poor venous access

          -  Donated or lost 500mL or more of blood volume (including plasmapheresis) to plans to
             donate during the study

          -  Have had a prior anticancer biologic agent within 4 weeks prior to Day 1 or have had
             prior chemotherapy, targeted small molecule therapy, or radiation therapy within 2
             weeks prior to Day 1 and who have not recovered (i.e., ≤ Grade 2) from adverse events
             (AEs) at the time of study entry. Individuals participating in observational studies
             are eligible.

          -  Had prior treatment with irinotecan within 4 weeks prior to Day 1

          -  Have not recovered (i.e., ≤ Grade 1) from AEs due to a previously administered agent

          -  Have an active second malignancy

          -  Have known active central nervous system (CNS) metastases and/or carcinomatous
             meningitis. Individuals with previously treated brain metastases may participate
             provided they have stable CNS disease for at least 4 weeks prior to the first dose of
             study drug and all neurologic symptoms have returned to baseline, have no evidence of
             new or enlarging brain metastases, and are taking ≤ 20 mg/day of prednisone or its
             equivalent. All individuals with carcinomatous meningitis are excluded regardless of
             clinical stability.

          -  Have history of cardiac disease

          -  Have active chronic inflammatory bowel disease (ulcerative colitis or Crohn's disease)
             or gastrointestinal (GI) perforation within 6 months of enrollment

          -  Have active serious infection requiring intravenous antibiotics (Contact medical
             monitor for clarification)

          -  High-dose systemic corticosteroids (≥20 mg of prednisone or its equivalent) are not
             allowed within 2 weeks of Check-In. However, inhaled, intranasal, intra-articular, and
             topical steroids are allowed.

          -  Use of strong inhibitor or inducer of UGT1A1

          -  Have a history of Gilbert's disease

        Key Exclusion Criteria for Individuals with Normal Hepatic Impairment:

          -  Must have pre-existing condition interfering with hepatic and/or renal function that
             could interfere with the metabolism and/or excretion of the study drug

        Key Exclusion Criteria for Individuals with Moderate Hepatic Impairment:

          -  Had a clinical exacerbation of liver disease within the 2-week period before
             administration of study drug (i.e., abdominal pain, nausea, vomiting, anorexia, or
             fever)

          -  Had clinically demonstrable, tense ascites

          -  Had evidence of acute viral hepatitis within 1 month prior to administration of study
             drug

          -  Have evidence of hepatorenal syndrome

          -  Individuals with transjugular intrahepatic portosystemic shunt (TIPS) placement.

          -  Have active Stage 3 or 4 encephalopathy
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Percentage of Participants experiencing Treatment Emergent Adverse Events (TEAEs)
Time Frame:First dose date up to Day 38
Safety Issue:
Description:Cmax will be determined for 4 analytes: Free SN-38, SN-38 glucuronide, Total SN-38, and sacituzumab govitecan-hziy, a derived antibody drug conjugate (ADC) concentration. SN-38 is one of the components of sacituzumab govitecan-hziy. Cmax is defined as the maximum observed concentration obtained directly from the observed concentration-time data.

Details

Phase:Phase 1
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:Gilead Sciences

Last Updated

August 18, 2021