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CompletedNCT00098943Updated Sep 24, 2012

NGR-TNF in Treating Patients With Advanced Solid Tumors

A Phase 1 interventional study of CNGRC peptide-TNF alpha conjugate in Colorectal Cancer, Head and Neck Cancer and Kidney Cancer, sponsored by European Organisation for Research and Treatment of Cancer - EORTC. Completed at 2 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2012-09-24.

Sponsored by European Organisation for Research and Treatment of Cancer - EORTC · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
70
Ages
18 Years and older
Sex
All
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Study summary

RATIONALE: Targeted therapy with tumor necrosis factor combined with a fusion protein may stop the growth of solid tumors by stopping blood flow to the tumor.

PURPOSE: This phase I trial is studying the side effects and best dose of NGR-TNF in treating patients with advanced solid tumors.

Read the detailed description

OBJECTIVES:

Primary

  • Determine the dose-limiting toxicity and maximum tolerated dose of tumor vasculature-targeted tumor necrosis factor alpha (NGR-TNF) in patients with advanced solid tumors.
  • Determine the recommended phase II dose of this drug in these patients.

Secondary

  • Determine the mechanism of action of this drug in these patients.
  • Determine response in patients treated with this drug.

OUTLINE: This is an open-label, nonrandomized, dose-escalation, multicenter study.

Patients receive tumor vasculature-targeted tumor necrosis factor alpha (NGR-TNF) IV over 1 hour on day 1. Courses repeat every 21 days in the absence of unacceptable toxicity or disease progression.

Cohorts of 1-6 patients receive escalating doses of NGR-TNF until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 6 patients experience dose-limiting toxicity. Up to 12 patients receive treatment at the MTD.

Patients are followed every 8 weeks until disease progression or the start of a new anticancer treatment.

PROJECTED ACCRUAL: A total of 1-30 patients will be accrued for this study.

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Conditions studied

  • Colorectal Cancer
  • Head and Neck Cancer
  • Kidney Cancer
  • Unspecified Adult Solid Tumor, Protocol Specific

Keywords

  • unspecified adult solid tumor, protocol specific
  • stage IV renal cell cancer
  • recurrent renal cell cancer
  • stage IV colon cancer
  • recurrent colon cancer
  • anaplastic thyroid cancer
  • insular thyroid cancer
  • thyroid gland medullary carcinoma
  • stage IV follicular thyroid cancer
  • stage IV papillary thyroid cancer
  • recurrent thyroid cancer
  • recurrent squamous cell carcinoma of the hypopharynx
  • recurrent squamous cell carcinoma of the larynx
  • recurrent squamous cell carcinoma of the lip and oral cavity
  • recurrent squamous cell carcinoma of the nasopharynx
  • recurrent squamous cell carcinoma of the oropharynx
  • recurrent squamous cell carcinoma of the paranasal sinus and nasal cavity
  • stage IV squamous cell carcinoma of the hypopharynx
  • stage IV squamous cell carcinoma of the larynx
  • stage IV squamous cell carcinoma of the lip and oral cavity
  • stage IV squamous cell carcinoma of the nasopharynx
  • stage IV squamous cell carcinoma of the oropharynx
  • stage IV squamous cell carcinoma of the paranasal sinus and nasal cavity
  • recurrent verrucous carcinoma of the larynx
  • recurrent verrucous carcinoma of the oral cavity
  • stage IV verrucous carcinoma of the oral cavity
  • stage IV verrucous carcinoma of the larynx
  • recurrent adenoid cystic carcinoma of the oral cavity
  • stage IV adenoid cystic carcinoma of the oral cavity
  • recurrent basal cell carcinoma of the lip
  • stage IV basal cell carcinoma of the lip
  • recurrent mucoepidermoid carcinoma of the oral cavity
  • stage IV mucoepidermoid carcinoma of the oral cavity
  • recurrent lymphoepithelioma of the nasopharynx
  • recurrent lymphoepithelioma of the oropharynx
  • stage IV lymphoepithelioma of the nasopharynx
  • stage IV lymphoepithelioma of the oropharynx
  • recurrent esthesioneuroblastoma of the paranasal sinus and nasal cavity
  • stage IV esthesioneuroblastoma of the paranasal sinus and nasal cavity
  • recurrent inverted papilloma of the paranasal sinus and nasal cavity
  • recurrent midline lethal granuloma of the paranasal sinus and nasal cavity
  • stage IV inverted papilloma of the paranasal sinus and nasal cavity
  • stage IV midline lethal granuloma of the paranasal sinus and nasal cavity
  • metastatic parathyroid cancer
  • recurrent parathyroid cancer
  • recurrent salivary gland cancer
  • stage IV salivary gland cancer
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In context

Head and Neck Neoplasms

2,344 studies on the registry are indexed under Head and Neck Neoplasms; 551 are open to participants now.

This study's enrollment of 70 is above the median of 47 across 1,751 interventional studies indexed under Head and Neck Neoplasms.

Browse Head and Neck Neoplasms studies →

Lead sponsor

European Organisation for Research and Treatment of Cancer - EORTC is the lead sponsor of 342 studies on the registry; 23 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Diagnosis of advanced solid tumor not amenable to any clinical improvement by current standard treatments

    • Preferably tumors well known to be very angiogenic (e.g., renal, colon, thyroid, and head and neck cancers)
  • No clinical signs of CNS involvement

PATIENT CHARACTERISTICS:

Age

  • Over 18

Performance status

  • ECOG 0-2 OR
  • WHO 0-2

Life expectancy

  • Not specified

Hematopoietic

  • Absolute neutrophil count > 1,500/mm\^3
  • Platelet count > 100,000/mm\^3

Hepatic

  • Bilirubin \< 1.5 times upper limit of normal (ULN)
  • AST and/or ALT \< 2.5 times ULN (5 times ULN in the presence of liver metastases)

Renal

  • Creatinine \< 1.5 times ULN

Cardiovascular

  • Cardiac function normal
  • No uncontrolled hypertension
  • No condition in which hypovolemia and its consequences (e.g., increased stroke volume, elevated blood pressure) or hemodilution could represent a risk to the patient

Other

  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception during and for 3 months after study participation
  • No active or uncontrolled systemic infection
  • No other uncontrolled disease, serious illness, or medical condition that would preclude study participation
  • No known hypersensitivity/allergic reaction to human albumin preparations or any of the excipients
  • No psychological, familial, sociological, or geographical condition that would preclude study compliance

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • At least 28 days since prior immunotherapy

Chemotherapy

  • At least 28 days since prior chemotherapy and recovered

Endocrine therapy

  • At least 28 days since prior hormonal therapy

Radiotherapy

  • At least 28 days since prior radiotherapy and recovered
  • No prior radiotherapy to > 25% of bone marrow reserve

Surgery

  • More than 2 weeks since prior surgery

Other

  • No other concurrent anticancer therapy
  • No other concurrent investigational agents
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Study design

Phase
Phase 1
Primary purpose
Treatment
Masking
None (open label)
Enrollment
70 participants (actual)

Interventions

  • BiologicalCNGRC peptide-TNF alpha conjugate
06

What researchers measure

Primary outcomes

  1. Dose-limiting toxicity and maximum tolerated dose as measured by CTC v 3.0

Secondary outcomes

  1. Clinical response as measured by RECIST criteria

  2. Mechanism of action as measured by Dynamic Imaging

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Study locations

2 sites
  • University Medical Center Hamburg - Eppendorf
    Hamburg, D-20246, Germany
  • Universitair Medisch Centrum St. Radboud - Nijmegen
    Nijmegen, NL-6500 HB, Netherlands
08

References and documents

Publications

  • van Laarhoven HW, Fiedler W, Desar IM, van Asten JJ, Marreaud S, Lacombe D, Govaerts AS, Bogaerts J, Lasch P, Timmer-Bonte JN, Lambiase A, Bordignon C, Punt CJ, Heerschap A, van Herpen CM. Phase I clinical and magnetic resonance imaging study of the vascular agent NGR-hTNF in patients with advanced cancers (European Organization for Research and Treatment of Cancer Study 16041). Clin Cancer Res. 2010 Feb 15;16(4):1315-23. doi: 10.1158/1078-0432.CCR-09-1621. Epub 2010 Feb 9. PubMed 20145168 ↗
  • Van Laarhoven H, Fiedler W, Desar IM, et al.: Phase I and DCE-MRI evaluation of NGR-TNF, a novel vascular targeting agent, in patients with solid tumors (EORTC 16041). [Abstract] J Clin Oncol 26 (Suppl 15): A-3521, 2008.
  • Heerschap A, Fiedler W, Marreaud S, et al.: A phase I study of NGR-TNF, a novel vascular targeting agent, in patients with refractory solid tumors (EORTC 16041). [Abstract] J Clin Oncol 25 (Suppl 18): A-14074, 2007.
  • van Herpen C, Fiedler W, Marreaud S, et al.: A biological and pharmacologic phase I study of NGR-TNF, a novel vascular targeting agent, in patients with refractory solid tumors (EORTC 16041). [Abstract] American Association for Cancer Research: Molecular Targets and Cancer Therapeutics, October 22-26, 2007, San Francisco, CA A-B78, 2007.
  • van Herpen C, Fiedler W, Toma S, et al.: Phase I study of NGR-TNF, a novel vascular targeting agent, in patients with refractory solid tumours (EORTC 16041). [Abstract] European Journal of Cancer Supplements 4 (12): A-366, 113, 2006.
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 24, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00098943
Lead sponsor
European Organisation for Research and Treatment of Cancer - EORTC
Responsible party
Sponsor
First posted
Dec 9, 2004
Start date
Sep 2004
Primary completion
Nov 2007
Last update
Sep 24, 2012

Study contacts

Cornelis J. A. Punt, MD, PhD
study chair · Universitair Medisch Centrum St. Radboud - Nijmegen
View the source record on ClinicalTrials.gov ↗

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