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Delay in the R & D stage
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| Name | Class |
|---|---|
| Buranello e Rodrigues Consultoria em Desenvolvimento Farmacêutico Ltda ME | INDUSTRY |
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Amblyomin-X is an inhibitor of Factor Xa that also acts as an apoptotic agent for tumor cells. In the case of in vitro assays, Amblyomin-X induces tumor cells to death and does not affect the viability of normal cells. When in vivo assays were performed on mice bearing tumors, treatment with Amblyomin-X caused a significant reduction in tumor mass and number of metastases.
This trial will be the first clinical study in humans with the product, which until then has been studied only in experimental models. Given the current epidemiological impact of cancer and the need to improve its systemic treatment, making it available to a larger portion of the Brazilian population, it is proposed to conduct the first Amblyomin-X study in cancer patients, more specifically those with advanced solid tumors For which there is no contraindicated or inaccessible therapeutic option established as the standard at the time of inclusion in the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort 1 | Experimental | This cohort will include 3 patients with the first calculated dose of Amblyomin-X drug. The patient will receive the intravenous drug. If no Dose-limiting toxicity (DLT) in this group the study continues including the next cohort. However, if If only one patient in a given cohort develops DLT, three more patients will be included at that dose level, up to a maximum total of six patients per dose level. If two or more of the three patients of a certain dose level develop DLT, this dose level is considered very toxic, and the study does not proceed. If this occurs at the first dose level, the study will be finalized. If only one in six patients at a dose level develops DLTs, escalation proceeds until Tolerated Maximum Dose. |
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| Cohort 2 | Experimental | This cohort will include 3 patients with the second calculated dose of Amblyomin-X drug. The patient will receive the intravenous drug. If no Dose-limiting toxicity in this group the study continues including the next cohort |
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| Cohort 3 | Experimental | This cohort will include 3 patients with the third calculated dose of Amblyomin-X drug. The patient will receive the intravenous drug. If no Dose-limiting toxicity in this group the study continues including the next cohort |
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| Cohort 4 | Experimental | This cohort will include 3 patients with the fourth calculated dose of Amblyomin-X drug. The patient will receive the intravenous drug. If no Dose-limiting toxicity in this group the study continues including the next cohort |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Amblyomin-X | Biological | Intravenous drug administration, with different doses in each cohort |
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| Measure | Description | Time Frame |
|---|---|---|
| grade 4 or non-haematological grade 3 haematological toxicity according to the CTCAE (version 4) | Presence of grade 4 or non-haematological grade 3 haematological toxicity according to the Common Terminology Criteria for Adverse Events (CTCAE, version 4) | 2 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| maximum tolerated dose (MTD) and the recommended dose for phase II | This will be based on dose-limiting toxicity of the previous cohort | 2 weeks |
| Adverse Events | haematological toxicity |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Paula F Santos | União Quimica | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| União QuÃmica Farmacêutica Nacional | São Paulo | São Paulo | 05676-120 | Brazil |
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| ID | Term |
|---|---|
| C559369 | Amblyomin-X protein, Amblyomma cajennense |
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Study with dose escalation regime, done according to the classic scheme known as "3 + 3"
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| Cohort 5 | Experimental | This cohort will include 3 patients with the fifth calculated dose of Amblyomin-X drug. The patient will receive the intravenous drug. If no Dose-limiting toxicity in this group the study continues including the next cohort |
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| Cohort 6 | Experimental | This cohort will include 3 patients with the sixth calculated dose of Amblyomin-X drug, the last dose calculated. The patient will receive the intravenous drug. |
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| 4 weeks |