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The purpose of this study is evaluate the pharmacokinetics, pharmacodynamics, immunogenicity and anti-tumor effect of of fully human anti - VEGF monoclonal antibody LY00101 and explore the potential prognostic and predictive biomarkers.
This study will not take into account the results of molecular-genetic tests of patients enrolled in the study
Tumors can be inactive for years, until transformation of cells into an angiogenic phenotype occurs. This phenomenon is known as angiogenic switch. It is based on balance between inhibitors and activators of angiogenesis.
Multiple genetic changes and processes leading to malignancies, such as activation of oncogenes, can trigger angiogenic switch.
Simple diffusion of nutrients and oxygen normally occurs within not more than 1-2 mm of tumor tissue. For further growth, blood supply and development of the vasculature are necessary.
Angiogenesis level in a tumor and it's metastasis activity has correlation with density of microvessels in a primary tumor and significantly affects disease prognosis.
Angiogenesis in a body is regulated through Vascular endothelial growth factor (VEGF) and its receptors.
There is a unique binding pattern of corresponding receptors typical for all members of the VEGF family:
According to studies, VEGFR1 binds to the ligand with the highest affinity, binding VEGF and inhibiting VEGF-mediated signaling.
The VEGF-VEGFR2 binder induces autophosphorylation (and partial dimerization) of the catalytic domain of the PI3K / v-akt signaling pathway receptor (Phosphoinositide 3-kinase / murine thymoma viral oncogene homolog - Akt or serine / threonine protein kinase B, PKB), as well as Raf and MAP2K, which further phosphorylate MAPK (Erk).
Monoclonal antibody LYN00101 is not only a potent inhibitor of VEGF, also blocks autocrine growth factor loops by inhibiting VEGF and VEGFR 1/2/3 receptors and effectively blocking neoangiogenesis.
The purpose of this study is evaluate the pharmacokinetics, pharmacodynamics, immunogenicity and anti-tumor effect of of fully human anti - VEGF monoclonal antibody LY00101 and explore the potential prognostic and predictive biomarkers.
This study will not take into account the results of molecular-genetic tests of patients enrolled in the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| LYN00101 | Experimental | Intravenous Infusion at the rate of 8 mg/kg of the patient's weight every 14 days. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| LYN00101 | Biological | Concentrate for intravenous infusions (10 mg / ml) with Molecular Weight 150 - 151 kDa. Each cycle of treatment consists of 24 weeks. Patients who enroll into this study will receive an infusion of assigned dose of LYN00101 biweekly. No intra-patient dose escalation is allowed. The proposed dose escalation sequence is 10mg/kg, starting from 8 mg/kg. |
| Measure | Description | Time Frame |
|---|---|---|
| Area under the concentration-time curve after single dose use | Area under the concentration-time curve from 0 to ∞ with extrapolation of the final phase of the drug distribution | up to 14 days |
| Peak plasma concentration after single dose use | Peak plasma concentration (Cmax) of T1h | up to 14 days |
| Area under the plasma concentration after single - dose use | Area under the plasma concentration versus time curve( AUC(0-t)) of T1Hh | up to 14 days |
| Elimination rate constant after single - dose use | Elimination rate constant of T1h | up to 14 days |
| Time to peak after single dose use | Time to peak(Tmax) of T1h | up to 14 days |
| Half time after single dose use | Half time (t1/2) of T1h | up to 14 days |
| volume of distribution after single - dose use | Apparent VD - volume of distribution of T1h | up to 14 days |
| Total body clearance after single-dose use | Total body clearance (CLs)of T1h |
| Measure | Description | Time Frame |
|---|---|---|
| Average plasma concentration after Each Subsequent Introduction (multiple dose) | Average plasma concentration in steady state/Css_avg/ of T1h | up to 24 weeks |
| Vss of T1h after Each Subsequent Introduction (multiple dose) |
| Measure | Description | Time Frame |
|---|---|---|
| CLs after Each Subsequent Introduction (multiple dose) | Total body clearance CLs (T1h) | up to 24 weeks |
| Apparent VD - volume of distribution of T1h after Each Subsequent Introduction (multiple dose) | Apparent VD - volume of distribution of T1h |
Inclusion Criteria:
Exclusion Criteria:
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| ID | Term |
|---|---|
| D010051 | Ovarian Neoplasms |
| D002583 | Uterine Cervical Neoplasms |
| D015179 | Colorectal Neoplasms |
| D013274 | Stomach Neoplasms |
| ID | Term |
|---|---|
| D004701 | Endocrine Gland Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D010049 | Ovarian Diseases |
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|
| up to 14 days |
| Mean residence time after single-dose use | MRT - Mean residence time of T1h | up to 14 days |
| Time to peak after Each Subsequent Introduction (multiple dose) | Time to peak(Tmax) of T1h | up to 24 weeks |
| Elimination rate constant after Each Subsequent Introductions (multiple dose) | Elimination rate constant of T1h | up to 24 weeks |
| Area under the plasma concentration versus time curve after Each Subsequent Introduction (multiple dose) | Area under the plasma concentration versus time curve( AUC(0-t)) of T1Hh | up to 24 weeks |
| Cmax of T1h after Each Subsequent Introduction (multiple dose) | Peak plasma concentration (Cmax) of T1h | up to 24 weeks |
| AUC(0-∞) of T1h after Each Subsequent Introduction (multiple dose) | Area under the plasma concentration versus time curve(AUC(0-∞))of T1h | up to 24 weeks |
Apparent volume of distribution in steady state /Vss/ of T1h
| up to 24 weeks |
| CT or MRI or PET/CT Control | Tumor Necrosis and Dynamic of the Treatment ( by CT or MRI or PET/CT) | after 8 weeks |
| Area under the plasma concentration after each subsequent introduction (multiple dose) | Area under the plasma concentration versus time curve in steady state (AUCss) of T1h | up to 24 weeks |
| Blood C-reactive protein level after Each Subsequent Introduction (multiple dose) | C-reactive protein/CARP/ | up to 24 weeks |
| Blood Test / morphology after Each Subsequent Introduction (multiple dose) | Blood Test / morphology | every week (up to 24 weeks) |
| TNF-α level after Each Subsequent Introduction (multiple dose) | Tumor Necrosis Factor -alpha (TNF-α) | up to 24 weeks |
| PGA after Each Subsequent Introduction (multiple dose) | Physician's Global Assessment /PGA/ | every week up to 24 weeks |
| up to 24 weeks |
| Half time (t1/2) of T1h after Each Subsequent Introduction (multiple dose) | Half time (t1/2) of T1h | up to 24 weeks |
| D000291 |
| Adnexal Diseases |
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D005833 | Genital Neoplasms, Female |
| D014565 | Urogenital Neoplasms |
| D000091662 | Genital Diseases |
| D004700 | Endocrine System Diseases |
| D006058 | Gonadal Disorders |
| D014594 | Uterine Neoplasms |
| D002577 | Uterine Cervical Diseases |
| D014591 | Uterine Diseases |
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |
| D013272 | Stomach Diseases |