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This is a non-randomized, multi-dose, first-in-human, multicenter, two arm (Arm A: VGX-100 alone; Arm B: VGX-100 co-administered with bevacizumab), open label, dose escalation study in subjects with advanced or metastatic solid tumors. The study is aimed at evaluating the safety and establishing the recommended dose of the VEGF-C human monoclonal antibody VGX-100 when administered alone or in combination with bevacizumab.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Arm A - VGX-100 alone | Experimental | Dose escalation of VGX-100 monotherapy |
|
| Arm B - VGX-100 plus bevacizumab | Experimental | Dose escalation of VGX-100 in combination with escalating doses of bevacizumab |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| VGX-100 | Drug | VGX-100 will be administered by IV infusion once every week |
|
| Measure | Description | Time Frame |
|---|---|---|
| The incidence and severity of adverse events including dose limiting toxicities | Approximately 16 months |
| Measure | Description | Time Frame |
|---|---|---|
| Tumor response by RECIST criteria | Tumor response assessment will be measured by computated tomography (CT) or Magnetic resonance imaging (MRI) every 8 or 12 weeks throughout the study | Approximately 16 months |
| Pharmacokinetic parameters of VGX-100 alone and co-administered with bevacizumab including Cmax, Cmin, AUC and if feasible half life (t1/2) |
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Inclusion Criteria:
Exclusion Criteria:
Inadequate venous access
Women who are lactating/breastfeeding
Women with a positive pregnancy test or who are planning to become pregnant during the duration of the study
Known to be HIV positive, or have chronic hepatitis B or C
Major surgical procedure within 6 weeks of Baseline or surgical or other wound that is not fully healed at Baseline
Untreated or symptomatic brain metastasis, known central nervous system metastasis, or spinal cord compression (except glioblastoma multiforme)
Mediastinal or cavitated, or lung mass located near, invading or encasing a major blood vessel or airway on imaging
Squamous cell lung cancer
History of or known/suspected gastrointestinal perforation
Hemoptysis of >2.5 mL (half a teaspoon) red blood within 28 days of Screening
Deep venous thrombosis or history of symptomatic pulmonary thromboembolism within 6 months of Screening
Gastrointestinal bleeding requiring medical intervention within 28 days of Screening
Receipt of therapeutic concentrations of warfarin or other anticoagulants within 7 days of Screening
Receipt of investigational agent(s) for any indication within 28 days of Baseline or 5 half lives, whichever is greater
Receipt of the following treatments:
Radiotherapy:
Unstable angina, myocardial infarction, transient ischemic events, or stroke within 24 weeks of Screening
History of CNS hemorrhage, cerebrovascular hemorrhage, myocardial infarction or reversible posterior leukoencephalopathy syndrome associated with prior anti-VEGF/anti-VEGFR therapy
Uncontrolled hypertension of ≥ CTCAE Grade 2
Proteinuria at Baseline of ≥2+ or 1.0g/24 hours
Prior allergic reaction to a monoclonal antibody
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| Name | Affiliation | Role |
|---|---|---|
| Clinical Research | Circadian Technologies | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| UCLA Hematology-Oncology | Santa Monica | California | 90404 | United States | ||
| UT MD Anderson Cancer Center |
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| ID | Term |
|---|---|
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| D000068258 | Bevacizumab |
| ID | Term |
|---|---|
| D061067 | Antibodies, Monoclonal, Humanized |
| D000911 | Antibodies, Monoclonal |
| D000906 | Antibodies |
| D007136 | Immunoglobulins |
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| Bevacizumab | Drug | Bevacizumab will be administered by IV infusion once every 2 weeks |
|
|
| 28 days after the last subject in each cohort |
| Anti-VGX-100 antibody formation | Approximately 16 months |
| Biomarker levels including VEGF-A, VEGF-C, VEGF-D, soluble VEGFR-2, and soluble VEGFR-3 | Approximately 16 months |
| Houston |
| Texas |
| 77030 |
| United States |
| D007162 |
| Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |