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This is a two part Phase I/Ib, open-label, non-randomized and multi-center, dose escalation study with a 3+3 design (Part 1) and an expansion cohort at the Maximum Tolerated Dose (MTD)/Recommended Phase 2 Dose (RP2D) (Part 2). If MTD is not reached in Part 1, RP2D will be determined after completion of Part 1 considering safety and tolerability, also beyond the dose limiting toxicity (DLT) period, pharmacokinetic (PK) and pharmacodynamic (PD) results.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| AMC303 | Experimental | cohorts will receive ascending doses of AMC303 as intravenous infusion Planned doses are: 0.1 mg/kg, 0.5 mg/kg, 1.5 mg/kg, 4 mg/kg, 10 mg/kg and 20 mg/kg |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AMC303 | Drug | AMC303 is a CD44v6 inhibitor blocking receptor tyrosine kinase (RTK) pathways |
|
| Measure | Description | Time Frame |
|---|---|---|
| Safety and tolerability of AMC303 | Number of patients with treatment-related adverse events as assessed by CTCAE v4.0 | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetic properties of AMC303 (Cmax) | Determine maximum plasma concentration (Cmax) | 2 days |
| Pharmacokinetic properties of AMC303 (AUC) | Determine systemic exposure (AUC) after intravenous infusion |
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Inclusion Criteria:
Histologically confirmed and documented, advanced or metastatic, accessible malignant solid tumour of epithelial origin and for which no standard therapy exists or standard therapy has failed.
Presence of a measurable tumour according to RECIST 1.1. criteria
At least 4 weeks from the completion of any previous cytotoxic chemotherapy, 6 weeks from biological therapy (monoclonal antibodies) or cancer immunotherapy (immune checkpoint modulators) or 2 weeks from targeted therapy (receptor tyrosine kinase inhibitors) at time of administration of AMC303.
Male or female patients, at least 18 years of age
Eastern Cooperative Oncology Group (ECOG) performance status 0 - 1
Life expectancy > 12 weeks.
Adequate haematological function defined as
Adequate renal function defined as
Adequate hepatic function defined as
Patient may have central nervous system (CNS) involvement if metastases have been treated and are stable at least 4 weeks after completion of radiation therapy and/or surgery. Stable disease is defined as absence of new neurological symptoms, absence of the need for steroid therapy and radiographic confirmation of stable disease. Radiographic confirmation of stable disease 4 weeks after completion of radiation therapy is not required unless indicated by neurological examination.
All female subjects will be considered to be of childbearing potential unless they are postmenopausal (at least 12 months consecutive amenorrhea, in the appropriate age group and without other known or suspected cause), or have been sterilized surgically. For female participants and female partners of childbearing potential, willingness and able to use two forms of highly effective contraception methods (e.g. oral contraceptive and condom, intra-uterine device and condom) while on study and for 30 days after the last study treatment. For male participants or male partners of childbearing potential, willingness and able to use two forms of highly effective contraception methods (e.g. oral contraceptive and condom, intra-uterine device and condom,) while on study and for three months after the last study treatment.
Provision of signed Informed Consent prior to any study related procedure being performed
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Klaus Dembowsky, MD PhD | amcure GmbH | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Jules Bordet Instiut | Brussels | 1000 | Belgium | |||
| Cliniques Universitaires Saint Luc |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26597578 | Background | Matzke-Ogi A, Jannasch K, Shatirishvili M, Fuchs B, Chiblak S, Morton J, Tawk B, Lindner T, Sansom O, Alves F, Warth A, Schwager C, Mier W, Kleeff J, Ponta H, Abdollahi A, Orian-Rousseau V. Inhibition of Tumor Growth and Metastasis in Pancreatic Cancer Models by Interference With CD44v6 Signaling. Gastroenterology. 2016 Feb;150(2):513-25.e10. doi: 10.1053/j.gastro.2015.10.020. Epub 2015 Oct 24. |
| Label | URL |
|---|---|
| Homepage amcure | View source |
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| 2 days |
| Pharmacokinetic properties of AMC303 (t1/2) | Determine half-life of AMC303 after intravenous infusion | 2 days |
| Response rate of treatment with AMC303 in patients with metastatic solid tumors | Determination of the complete response (CR) and partial response (PR) in patients treated with AMC303 | 12 months |
| Brussels |
| 1200 |
| Belgium |
| Institut Català d'Oncologia, Hospital Duran i Reynals | L'Hospitalet de Llobregat | Barcelona | 08908 | Spain |
| Vall d'Hebron Institute of Oncology (VHIO) | Barcelona | 08035 | Spain |
| START Madrid-CIOCC, Centro Integral Oncológico Clara Campal | Madiedo | 28050 | Spain |
| Hospital Universitario Virgen de la Victoria | Málaga | Spain |
| Instituto de Investigación Sanitaria INCLIVA, Hospital Clínico de Valencia | Valencia | 46010 | Spain |