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This open label ascending dose study is designed to evaluate the safety, pharmacokinetics (PK), pharmacodynamics (PD), and immunogenicity of AV-380 in cancer patients with Cachexia. AV-380 is an immunoglobulin (Ig) G1 monoclonal antibody (mAb) intended to bind circulating human growth differentiation factor 15 (GDF-15), a cytokine involved in cancer-induced cachexia.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dose Escalation Cohorts | Experimental | Experimental: Dose escalation cohorts of AV-380 administered by IV infusion |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AV-380 | Biological | AV-380 is an immunoglobulin (Ig) G1 monoclonal antibody (mAb) intended to bind circulating human growth differentiation factor 15 (GDF-15), a cytokine involved in cancer-induced cachexia. |
| Measure | Description | Time Frame |
|---|---|---|
| Assessment of adverse events (AEs) | AEs as characterized by incidence, type, frequency, and severity (graded according to National Cancer Institute Common Terminology Criteria for Adverse Events [NCI CTCAE]) | From enrollment to the last follow-up visit approximately 60-days post dose |
| Toxicity | Dose-limiting Toxicity (DLT) events observed at increasing doses of AV-380 | While receiving study drug (up to 4 months) |
| Laboratory Abnormalities | Laboratory abnormalities as characterized by type, frequency, severity (graded according to NCI-CTCAE v5.0) and timing. | From enrollment to the last follow-up visit approximately 60-days post dose. |
| Measure | Description | Time Frame |
|---|---|---|
| Cmax | Maximum observed plasma concentration for AV-380 | From first dose to the last follow-up visit approximately 60-days post dose. |
| Tmax | Time to reach the Cmax for AV-380 |
| Measure | Description | Time Frame |
|---|---|---|
| Immunogenicity | Serum levels of Anti-Drug Antibody (ADA) against AV-380 and their potential relationship with AEs and serum levels of GDF-15 | From first dose to the last follow-up visit approximately 60-days post dose. |
| Weight |
Inclusion Criteria:
Patient must be ≥ 18 years of age at the time of signing the informed consent.
Patients with histologically confirmed solid tumor cancer who are actively receiving SoC therapy for this cancer.
Patients with cachexia as defined by Fearon criteria:
Patients with life expectancy ≥ 3 months
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| AVEO Clinical Trials Office | Contact | (857)400-0101 | clinical@aveooncology.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beverly Hills Cancer Center | Recruiting | Beverly Hills | California | 90211 | United States | |
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| ID | Term |
|---|---|
| D002100 | Cachexia |
| ID | Term |
|---|---|
| D015431 | Weight Loss |
| D001836 | Body Weight Changes |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
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| From first dose to the last follow-up visit approximately 60-days post dose |
| AUC(0-t) | Area under the plasma concentration-time curve from zero time to the last measurable point for AV-380 | From first dose to the last follow-up visit approximately 60-days post dose. |
Change from baseline body weight during the study
| From enrollment to the last follow-up visit approximately 60-days post dose. |
| Patient-Reported Outcomes | Change from baseline in the following questionnaires: Functional Assessment of Anorexia Cachexia Therapy (FAACT); Patient global impression of severity (PGI-S) and patient global impression of change (PGI-C) for appetite, fatigue, and physical activity. | From enrollment to the end of treatment, approximately 4 months |
| Lumbar (L3) Skeletal Muscle Index (L3SMI) | Measurement of a cross-sectional area of muscle at the level of the third lumbar vertebra (L3) using computed tomography (CT) scan | From enrollment to the end of treatment, approximately 4 months |
| Physical Function | Change from baseline in physical function endpoints, including Short Physical Performance Battery test and digital measures of non-sedentary time | From enrollment to the end of treatment, approximately 4 months |
| Serum level of GDF-15 | From enrollment to the last follow-up visit approximately 60-days post dose. |
| Albumin and CRP | Change from baseline in albumin and CRP levels | From enrollment to the last follow-up visit approximately 60-days post dose. |
| Tumor status | Evaluate the effect of AV-380 on tumor burden and tumor status, per Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST 1.1) | From enrollment to the last follow-up visit approximately 60-days post dose. |
| Biomarkers | including activin A and cytokine levels (e.g., monocyte chemoattractant protein-1 [MCP-1] and proinflammatory) | From first dose to the last follow-up visit approximately 60-days post dose. |
| Cancer and Blood Specialty Clinic |
| Recruiting |
| Lakewood |
| California |
| 90712 |
| United States |
| Hoag Memorial Hospital | Recruiting | Newport Beach | California | 92663 | United States |
| Hartford Hospital | Recruiting | Hartford | Connecticut | 06102 | United States |
| Advent Health Orlando Hospital | Recruiting | Orlando | Florida | 32804 | United States |
| Nebraska Cancer Specialists | Recruiting | Omaha | Nebraska | 68130 | United States |
| Astera Cancer Care | Recruiting | East Brunswick | New Jersey | 08816 | United States |
| New York Cancer And Blood Specialists | Recruiting | Shirley | New York | 11967 | United States |
| Oregon Health and Science University | Recruiting | Portland | Oregon | 97239 | United States |
| MUSC Hollings Cancer Center | Recruiting | Charleston | South Carolina | 29425 | United States |
| Vanderbilt University Henry-Joyce Cancer Clinic | Recruiting | Nashville | Tennessee | 37232 | United States |
| Community Clinical Trials | Recruiting | Kingwood | Texas | 77339 | United States |
| D013568 |
| Pathological Conditions, Signs and Symptoms |
| D013851 | Thinness |