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Evaluation of the safety, tolerability and pharmacokinetics (PK) of a single dose and multiple doses of ONO-4538 in Japanese patients with advanced malignant solid tumors, and exploratory evaluation of the pharmacological effect and efficacy of ONO-4538.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ONO-4538 | Biological | 1mg/kg, 3mg/kg, 10mg/kg and 20mg/kg ONO-4538 infusion cohorts |
|
| Measure | Description | Time Frame |
|---|---|---|
| Cmax at Single Dose | day1(before administration, 1 hour after the start of administration, and 2 and 8 hours after the end of administration), day2(24 h), day3(48 h), day4(72 h), day8, day15, and day22 or at the discontinuation | |
| AUClast at Single Dose | day1(before administration, 1 hour after the start of administration, and 2 and 8 hours after the end of administration), day2(24 h), day3(48 h), day4(72 h), day8, day15, and day22 or at the discontinuation | |
| T1/2 at Single Dose | day1(before administration, 1 hour after the start of administration, and 2 and 8 hours after the end of administration), day2(24 h), day3(48 h), day4(72 h), day8, day15, and day22 or at the discontinuation | |
| Ceoi at Multiple Doses | Ceoi:Serum concentrations immediately after the end of continuous administration | day 15 |
| Measure | Description | Time Frame |
|---|---|---|
| Best Overall Response | Response Evaluation Criteria In Solid Tumors Criteria (ver 1.0) was used for this Outcome Measure. Please see the reference for the detailed description. Therasse, Arbuck et al. New guidelines to evaluate the response to treatment in solid tumors. J Natl Cancer Inst 2000;92:205-16. | up to study completion, every 4 weeks in principle |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ohyama Yukiya | Ono Pharmaceutical Co., Ltd. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kanto Region | Kanto | Japan |
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| ID | Title | Description |
|---|---|---|
| FG000 | ONO-4538 1mg/kg Cohorts | Administer ONO-4538 1mg/kg as an intravenous infusion over ≥1 hour |
| FG001 | ONO-4538 3mg/kg Cohorts | Administer ONO-4538 3mg/kg as an intravenous infusion over ≥1 hour |
| FG002 | ONO-4538 10mg/kg Cohorts | Administer ONO-4538 10mg/kg as an intravenous infusion over ≥1 hour |
| FG003 | ONO-4538 20mg/kg Cohorts | Administer ONO-4538 20mg/kg as an intravenous infusion over ≥1 hour |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | ONO-4538 1mg/kg Cohorts | Administer ONO-4538 1mg/kg as an intravenous infusion over ≥1 hour |
| BG001 | ONO-4538 3mg/kg Cohorts | Administer ONO-4538 3mg/kg as an intravenous infusion over ≥1 hour |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Cmax at Single Dose | Posted | Mean | Standard Deviation | μg/mL | day1(before administration, 1 hour after the start of administration, and 2 and 8 hours after the end of administration), day2(24 h), day3(48 h), day4(72 h), day8, day15, and day22 or at the discontinuation |
|
All subjects treated with the study drug were followed up for at least 28 days after the last dose.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | ONO-4538 1mg/kg Cohorts | Administer ONO-4538 1mg/kg as an intravenous infusion over ≥1 hour |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA/J Version 17 | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Atrial fiblillation | Cardiac disorders | MedDRA/J Version 17 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Ohyama Yukiya | Ono Pharmaceutical Co. Ltd | y.ohyama@ono.co.jp |
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| ID | Term |
|---|---|
| D000077594 | Nivolumab |
| ID | Term |
|---|---|
| D061067 | Antibodies, Monoclonal, Humanized |
| D000911 | Antibodies, Monoclonal |
| D000906 | Antibodies |
| D007136 | Immunoglobulins |
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| BG002 | ONO-4538 10mg/kg Cohorts | Administer ONO-4538 10mg/kg as an intravenous infusion over ≥1 hour |
| BG003 | ONO-4538 20mg/kg Cohorts | Administer ONO-4538 20mg/kg as an intravenous infusion over ≥1 hour |
| BG004 | Total | Total of all reporting groups |
| Participants |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Performance Status(ECOG) | ECOG PERFORMANCE STATUS 0:Fully active, able to carry on all pre-disease performance without restriction 1:Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, e.g., light house work, office work | Count of Participants | Participants |
|
| disease stage classification | The stage IV:The cancer has spread to nearby lymph nodes or to organs. The stage IVb:The cancer has spread to distant organs. | Count of Participants | Participants |
|
| Cancer treatment history (surgery) | Count of Participants | Participants |
|
| Cancer treatment history (radiotherapy) | Count of Participants | Participants |
|
| Cancer treatment history (drug therapy) | Count of Participants | Participants |
|
Administer ONO-4538 10mg/kg as an intravenous infusion over ≥1 hour
| OG003 | ONO-4538 20mg/kg Cohorts | Administer ONO-4538 20mg/kg as an intravenous infusion over ≥1 hour |
|
|
| Primary | AUClast at Single Dose | Posted | Mean | Standard Deviation | μg·h/mL | day1(before administration, 1 hour after the start of administration, and 2 and 8 hours after the end of administration), day2(24 h), day3(48 h), day4(72 h), day8, day15, and day22 or at the discontinuation |
|
|
|
| Primary | T1/2 at Single Dose | Posted | Mean | Standard Deviation | day | day1(before administration, 1 hour after the start of administration, and 2 and 8 hours after the end of administration), day2(24 h), day3(48 h), day4(72 h), day8, day15, and day22 or at the discontinuation |
|
|
|
| Primary | Ceoi at Multiple Doses | Ceoi:Serum concentrations immediately after the end of continuous administration | Posted | Mean | Standard Deviation | μg/mL | day 15 |
|
|
|
| Secondary | Best Overall Response | Response Evaluation Criteria In Solid Tumors Criteria (ver 1.0) was used for this Outcome Measure. Please see the reference for the detailed description. Therasse, Arbuck et al. New guidelines to evaluate the response to treatment in solid tumors. J Natl Cancer Inst 2000;92:205-16. | Posted | Count of Participants | Participants | up to study completion, every 4 weeks in principle |
|
|
|
| 0 |
| 3 |
| 1 |
| 3 |
| 3 |
| 3 |
| EG001 | ONO-4538 3mg/kg Cohorts | Administer ONO-4538 3mg/kg as an intravenous infusion over ≥1 hour | 0 | 5 | 1 | 5 | 5 | 5 |
| EG002 | ONO-4538 10mg/kg Cohorts | Administer ONO-4538 10mg/kg as an intravenous infusion over ≥1 hour | 0 | 6 | 2 | 6 | 6 | 6 |
| EG003 | ONO-4538 20mg/kg Cohorts | Administer ONO-4538 20mg/kg as an intravenous infusion over ≥1 hour | 0 | 3 | 0 | 3 | 3 | 3 |
| malignant neoplasm progression | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA/J Version 17 | Systematic Assessment |
|
| dehydration | Metabolism and nutrition disorders | MedDRA/J Version 17 | Systematic Assessment |
|
| alanine aminotransferase increased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| aspartate aminotransferase increased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| blood bilirubin increased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Venticular extrasystoles | Cardiac disorders | MedDRA/J Version 17 | Systematic Assessment |
|
| Vitreous floaters | Eye disorders | MedDRA/J Version 17 | Systematic Assessment |
|
| Abdominal pain | Gastrointestinal disorders | MedDRA/J Version 17 | Systematic Assessment |
|
| Abdominal pain upper | Gastrointestinal disorders | MedDRA/J Version 17 | Systematic Assessment |
|
| Cheilitis | Gastrointestinal disorders | MedDRA/J Version 17 | Systematic Assessment |
|
| Constipation | Gastrointestinal disorders | MedDRA/J Version 17 | Systematic Assessment |
|
| Dental caries | Gastrointestinal disorders | MedDRA/J Version 17 | Systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA/J Version 17 | Systematic Assessment |
|
| Gastritis | Gastrointestinal disorders | MedDRA/J Version 17 | Systematic Assessment |
|
| Nausea | Gastrointestinal disorders | MedDRA/J Version 17 | Systematic Assessment |
|
| Stomatitis | Gastrointestinal disorders | MedDRA/J Version 17 | Systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA/J Version 17 | Systematic Assessment |
|
| Fatigue | General disorders | MedDRA/J Version 17 | Systematic Assessment |
|
| Malaise | General disorders | MedDRA/J Version 17 | Systematic Assessment |
|
| Pain | General disorders | MedDRA/J Version 17 | Systematic Assessment |
|
| Pyrexia | General disorders | MedDRA/J Version 17 | Systematic Assessment |
|
| Bile duct stenosis | Hepatobiliary disorders | MedDRA/J Version 17 | Systematic Assessment |
|
| Hypersensitivity | Immune system disorders | MedDRA/J Version 17 | Systematic Assessment |
|
| Cystitis | Infections and infestations | MedDRA/J Version 17 | Systematic Assessment |
|
| Herpes zoster | Infections and infestations | MedDRA/J Version 17 | Systematic Assessment |
|
| Nasopharyngitis | Infections and infestations | MedDRA/J Version 17 | Systematic Assessment |
|
| Pharyngitis | Infections and infestations | MedDRA/J Version 17 | Systematic Assessment |
|
| Skin infection | Infections and infestations | MedDRA/J Version 17 | Systematic Assessment |
|
| Ligament sprain | Injury, poisoning and procedural complications | MedDRA/J Version 17 | Systematic Assessment |
|
| Contusion | Injury, poisoning and procedural complications | MedDRA/J Version 17 | Systematic Assessment |
|
| Wound | Injury, poisoning and procedural complications | MedDRA/J Version 17 | Systematic Assessment |
|
| Tooth fracture | Injury, poisoning and procedural complications | MedDRA/J Version 17 | Systematic Assessment |
|
| Alanine aminotransferase increased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Ammonia increased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Aspartate aminotransferase increased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Bilirubin conjugated increased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Blood albumin decreased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Blood cholesterol increased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Blood creatine phosphokinase increased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Blood creatinine increased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Blood glucose increased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Blood lactate dehydrogenase increased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Blood potassium decreased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Blood potassium increased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Blood sodium decreased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Blood thyroid stimulating hormone decreased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Blood thyroid stimulating hormone increased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Blood triglycerides increased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Blood urea increased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Blood uric acid increrased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| C-reactive protein increased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Eosinophil count increased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Gamma-glutamyltransferase increased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Haematocrit decreased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Haematocrit increased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Blood urine preasent | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Haemoglobin decreased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Haemoglobin increased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Lymphocyte count decreased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Neutrophil count decreased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Neutrophil count increased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Platelet count decreased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Protein total decreased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Red blood cell count decreased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Red blood cells urine positive | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Weight decreased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Weight increased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| White blood cell count decreased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| White blood cell count increased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| White blood cells urine positive | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Platelet count increased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Protein urine present | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Tri-iodothyronine free decreased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Thyroxine free decreased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Rheumatoid factor increased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Blood alkaline phosphatese increased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Interleukin level increased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Antinuclear antibody increased | Investigations | MedDRA/J Version 17 | Systematic Assessment |
|
| Dehydration | Metabolism and nutrition disorders | MedDRA/J Version 17 | Systematic Assessment |
|
| Hyperglycaemia | Metabolism and nutrition disorders | MedDRA/J Version 17 | Systematic Assessment |
|
| Hypocalcaemia | Metabolism and nutrition disorders | MedDRA/J Version 17 | Systematic Assessment |
|
| Hyponatraemia | Metabolism and nutrition disorders | MedDRA/J Version 17 | Systematic Assessment |
|
| Decreased appetite | Metabolism and nutrition disorders | MedDRA/J Version 17 | Systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA/J Version 17 | Systematic Assessment |
|
| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA/J Version 17 | Systematic Assessment |
|
| Cancer pain | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA/J Version 17 | Systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA/J Version 17 | Systematic Assessment |
|
| Headache | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA/J Version 17 | Systematic Assessment |
|
| Hypoaeshesia | Nervous system disorders | MedDRA/J Version 17 | Systematic Assessment |
|
| Sensory disturbance | Nervous system disorders | MedDRA/J Version 17 | Systematic Assessment |
|
| Somnolence | Nervous system disorders | MedDRA/J Version 17 | Systematic Assessment |
|
| Phrenic nerve paralysis | Nervous system disorders | MedDRA/J Version 17 | Systematic Assessment |
|
| Disorientation | Psychiatric disorders | MedDRA/J Version 17 | Systematic Assessment |
|
| Calculus ureteric | Renal and urinary disorders | MedDRA/J Version 17 | Systematic Assessment |
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| Proteinuria | Renal and urinary disorders | MedDRA/J Version 17 | Systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA/J Version 17 | Systematic Assessment |
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| Hypoxia | Respiratory, thoracic and mediastinal disorders | MedDRA/J Version 17 | Systematic Assessment |
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| Respiratory tract haemorrhage | Respiratory, thoracic and mediastinal disorders | MedDRA/J Version 17 | Systematic Assessment |
|
| Upper respiratory tract inflammation | Respiratory, thoracic and mediastinal disorders | MedDRA/J Version 17 | Systematic Assessment |
|
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA/J Version 17 | Systematic Assessment |
|
| Dematitis acneiform | Skin and subcutaneous tissue disorders | MedDRA/J Version 17 | Systematic Assessment |
|
| Erythema | Skin and subcutaneous tissue disorders | MedDRA/J Version 17 | Systematic Assessment |
|
| Palmar-plantar erythodysaethesia syndrome | Skin and subcutaneous tissue disorders | MedDRA/J Version 17 | Systematic Assessment |
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| Pruritus | Skin and subcutaneous tissue disorders | MedDRA/J Version 17 | Systematic Assessment |
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| Purpura | Skin and subcutaneous tissue disorders | MedDRA/J Version 17 | Systematic Assessment |
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| Rash | Skin and subcutaneous tissue disorders | MedDRA/J Version 17 | Systematic Assessment |
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| Flushing | Vascular disorders | MedDRA/J Version 17 | Systematic Assessment |
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| Hypertension | Vascular disorders | MedDRA/J Version 17 | Systematic Assessment |
|
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| D007162 |
| Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |
| PR |
|
| SD |
|
| PD |
|
| Unknown |
|