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This study evaluates MBC-11 (a conjugate of a bone-targeting vehicle (etidronate) and a cytostatic agent [ara-C] in patients with malignant tumors with CIBD. This is a first use in human.
A standard "3+3" dose escalation design to determine Maximum Tolerated Dose with consecutive different dose level cohort recruitment.
The following dose levels to be investigated: 0.5 mg/kg, 1.0 mg/kg, 2.5 mg/kg, 5.0 mg/kg, 10 mg/kgm 20 mg/kg. The study for each patient consists of 14-days screening period, single dose administration of MBC-11 followed by 7-day safety monitoring and then 2 cycles of multiple use of MBC-11 (28 days each cycle, study drug is administered at Days1-5). In case of partial metabolic reaction/stable metabolic reaction therapy maybe prolonged up to 4 cycles (at investigator and sponsor consideration)
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| dose escalation of MBC-11 | Experimental | MBC-11 was administered in 5 consecutively recruited cohort in dose 0.5 mg/kg, 1 mg/kg, 2.5 mg/kg, 5 mg/kg,10 mg/kg accordingly. The dose escalation is aimed at determining the maximum tolerated dose (MTD) |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MBC-11 | Drug | 0.5 mg/kg-10 mg/kg , IV (in the vein) on day 1-5 of each 28 day cycle. Number of cycles: 2, in case of partial metabolic reaction or stable metabolic reaction - up to 4. |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of Treatment-Emergent Adverse Events | evaluation of adverse events, physical examination, laboratory parameters | up to 20 weeks |
| Dose Limiting Toxicity [DLT] | dose limiting toxicity is graded according to NCI CN CFT version 4 | up to 20 weeks |
| Maximum tolerated dose | up to 20 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum Plasma Concentration [Cmax] of MBC-11 | Cmax will be evaluated during Cycle 1 | 5 weeks |
| Pharmacodynamic parameters | Levels of bone turnover markers is measured |
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Inclusion Criteria:
Exclusion Criteria:
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30413669 | Derived | Zinnen SP, Karpeisky A, Von Hoff DD, Plekhova L, Alexandrov A. First-in-Human Phase I Study of MBC-11, a Novel Bone-Targeted Cytarabine-Etidronate Conjugate in Patients with Cancer-Induced Bone Disease. Oncologist. 2019 Mar;24(3):303-e102. doi: 10.1634/theoncologist.2018-0707. Epub 2018 Nov 9. |
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| up to 20 weeks |
| Fluorodeoxyglucose positron emission tomography-computed tomography [FDG PET-CT] response after cycle 2 and cycle 4 therapy | Response rate according to Positrone Emission Tomography Response Criteria in Solid Tumors [PERCIST] criteria using FDG PET/CT | up to 20 weeks |
| Maximum Plasma Concentration [Cmax] of etidronate | pharmacokinetics [PK] assessment of MBC-11 metabolite | 5 weeks |
| Maximum Plasma Concentration [Cmax] of ara-U | PK assessment of MBC-11 metabolite | 5 weeks |
| Peak time [Tmax] for MBC-11 | PK parameters assessment of study drug | 5 weeks |
| Peak time [Tmax] for etidronate | PK assessment of MBC-11metabolite | 5 weeks |