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Brief Title: Folic Acid-Tubulysin Conjugate EC1456 In Patients With Advanced Solid Tumors
Official Title: A Phase I A/B Study of the Folic Acid-Tubulysin Conjugate EC1456 In Patients With Advanced Solid Tumors
Study ID: NCT01999738
Brief Summary: Phase 1A/B, multicenter, open-label, non-randomized, dose-escalation oncology study to evaluate the administration of EC1456 in advanced solid tumors. In part A, EC1456 will be dose escalated on 4 concurrently enrolling schedules. FR-positive expression on a 99mTc-etarfolatide scan is not required for inclusion in Part A. Part B of the study will confirm the maximum tolerated dose (MTD) and the recommended Phase 2 (RP2) dose of EC1456, and evaluate the efficacy of EC1456 in NSCLC all subtype patient populations with FR-positive cancer in up to three schedules (i.e., twice weekly, once weekly, and four times weekly). FR-positive expression on a 99mTc-etarfolatide scan is required for inclusion in Part B. Minimum length of patient participation is anticipated to be 10 weeks (two 3-week cycles followed by a 30 day follow-up period).
Detailed Description: In part A, EC1456 will be dose escalated on 4 concurrently enrolling schedules. Treatment 1 is EC1456 BIW on Days 1, 4, 8, and 11 of a 3-week schedule (BIW); Treatment 2 is EC1456 QW on Days 1 and 8 of a 3-week schedule (QW); Treatment 3 is EC1456 QW on Days 1, 8, and 15 of a 3-week schedule (CWD) and Treatment 4 is EC1456 QIW on Days 1, 2, 3, 4, 8, 9, 10, and 11 of a 3-week schedule (QIW). In part B, EC1456 will be dosed on 3 concurrently enrolling schedules: Treatment 5 is EC1456 BIW. Once a dose is determined in Part A, Part B will begin with 3-6 subjects who will receive consecutive day dosing on Days 1, 2, 8, and 9 of a 3-week schedule. If this is not tolerated, the BIW cohort will continue with dosing on Days 1, 4, 8, and 11 of a 3-week schedule; Treatment 6 is EC1456 QW on Days 1 and 8 of a 3-week schedule or CWD on Days 1, 8 and 15 of a 3-week schedule; Treatment 7 is EC1456 QIW on Days 1, 2, 3, 4, 8, 9, 10, and 11 of a 3-week schedule for at least two cycles. If the patient is eligible to continue treatment (based upon treatment response and tolerability), he/she may opt to continue on the QIW schedule or change to the Treatment 6 regimen schedule (once its MTD and schedule have been determined).
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Mayo Clinic, Phoenix, Arizona, United States
Honor Health, Scottsdale, Arizona, United States
University of Arizona Cancer Center, Tucson, Arizona, United States
City of Hope, Duarte, California, United States
Northwestern University Robert H. Lurie Comprehensive Cancer Center, Chicago, Illinois, United States
IU Health Goshen Center for Cancer Care, Goshen, Indiana, United States
Indiana University Cancer Center, Indianapolis, Indiana, United States
Horizon BioAdvance, Lafayette, Indiana, United States
University of Maryland-Greenebaum Cancer Center, Baltimore, Maryland, United States
Henry Ford Hospital - Josephine Ford Cancer Center, Detroit, Michigan, United States
Roswell Park Cancer Institute, Buffalo, New York, United States
Weill Cornell Medical College, New York, New York, United States
University Hospitals Case Medical Center - Seidman Cancer Center, Cleveland, Ohio, United States
Westchase Clinical Associates, Houston, Texas, United States
University of Texas MD Anderson Cancer Center, Houston, Texas, United States
University of Vermont Cancer Center, Burlington, Vermont, United States
Name: Alison Armour, MD
Affiliation: Endocyte
Role: STUDY_DIRECTOR