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CompletedNCT00483080Updated Jan 16, 2019

Study of NGR-hTNF as Single Agent in Patients Affected by Colorectal Cancer (CRC)

A Phase 2 interventional study of NGR-hTNF in Colorectal Cancer (CRC), sponsored by AGC Biologics S.p.A.. Completed at 3 sites in Italy. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2019-01-16.

Sponsored by AGC Biologics S.p.A. · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
46
Allocation
Not applicable
Ages
18 Years to 80 Years
Sex
All
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Study summary

The main objective of the trial is to document the progression free survival (PFS) in advanced or metastatic colorectal cancer patients treated with NGR-hTNF as single agent. Safety will be established by clinical and laboratory assessment according to NCI-CTC criteria.

Read the detailed description

This is a phase II, open-label, non-randomized study that will be conducted in patients affected by advanced or metastatic colorectal cancer (CRC), previously treated with fluoropyrimidine, oxaliplatin and irinotecan based regimens, that will be conducted using Simon's two-stage design method.

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Conditions studied

  • Colorectal Cancer (CRC)

Keywords

  • NGR-hTNF
  • CRC
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In context

Colorectal Neoplasms

5,599 studies on the registry are indexed under Colorectal Neoplasms; 1,459 are open to participants now.

This study's enrollment of 46 is below the median of 77 across 4,123 interventional studies indexed under Colorectal Neoplasms.

Browse Colorectal Neoplasms studies →

Lead sponsor

AGC Biologics S.p.A. is the lead sponsor of 18 studies on the registry; none 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 to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients >18 years affected by advanced or metastatic colorectal cancer (CRC), previously treated with fluoropyrimidine, oxaliplatin and irinotecan based regimens, but not more than three lines of therapy. Adjuvant chemotherapy following definitive management of the primary lesion in the colon or rectum is allowed and will not be counted as a line of therapy

    • ECOG Performance status 0 - 1
    • Patients in progression disease at study entry, CT documented
    • Adequate baseline bone marrow, hepatic and renal function, defined as follows:
  • Neutrophils > 1.5 x 10\^9/L and platelets > 100 x 10\^9/L
  • Bilirubin \< 1.5 x ULN
  • AST and/or ALT \< 2.5 x ULN in absence of liver metastases
  • AST and/or ALT \< 5 x ULN in presence of liver metastases
  • Serum creatinine \< 1.5 x ULN

    • Absence of any conditions in which hypervolemia and its consequences (e.g. increased stroke volume, elevated blood pressure) or hemodilution could represent a risk for the patient (reference appendix "Technical data sheet human albumin")
    • Normal cardiac function and absence of uncontrolled hypertension
    • Patients must give written informed consent to participate in the study

Exclusion criteria

Exclusion Criteria:

  • More than three lines of chemotherapy (except biological agents)
  • Concurrent anticancer therapy
  • Patients may not receive any other investigational agents while on study
  • Clinical signs of CNS involvement
  • Patients with active or uncontrolled systemic disease/infections or with serious illness or medical conditions, which is incompatible with the protocol
  • Known hypersensitivity/allergic reaction to human albumin preparations or to any of the excipients
  • Any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol
  • Pregnancy or lactation. Patients - both males and females - with reproductive potential (i.e.menopausal for less than 1-year and not surgically sterilized) must practice effective contraceptive measures throughout the study. Women of childbearing potential must provide a negative pregnancy test (serum or urine) within 14 days prior to registration
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
46 participants (actual)

Study arms

  • Experimental
    A: NGR-hTNF

    NGR-hTNF: 0.8 mcg/m² as 60-minutes intravenous infusion every 3 weeks or weekly

    Drug: NGR-hTNF

Interventions

  • DrugNGR-hTNF

    iv q3W or q1W NGR-hTNF 0.8 μg/m²

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What researchers measure

Primary outcomes

  1. Progression Free Survival (PFS)

    PFS evaluated according to Response evaluation criteria in solid tumors (RECIST)

    Time frame: during the study

Secondary outcomes

  1. Tumor Growth Control Rate (TGCR)

    TGCR evaluated according to Response evaluation criteria in solid tumors (RECIST)

    Time frame: during the study

  2. Overall survival (OS)

    Defined as the time from the date of randomization until the date of death due to any cause or the last date the patient was known to be alive

    Time frame: during the study

  3. Circulating tumor cells (CTCs)

    To document modification of CTCs

    Time frame: before and following the treatment

  4. Experimental imaging study (DCE-MRI)

    to document possible modifications on vessels permeability

    Time frame: before and following the first cycle

  5. to evaluate AUC(tau) of NGR-hTNF in patients treated with weekly schedule

    to evaluate AUC(tau) of NGR-hTNF administered weekly

    Time frame: during the first 6 weeks (time points: prior to infusion, 20 minutes, 60 minutes, 90 minutes, 120 minutes and 240 minutes after treatment start)

  6. to evaluate Cmax of NGR-hTNF in patients treated with weekly schedule

    to evaluate Cmax of NGR-hTNF administered weekly

    Time frame: during the first 6 weeks (time points: prior to infusion, 20 minutes, 60 minutes, 90 minutes, 120 minutes and 240 minutes after treatment start)

  7. Safety according to NCI-CTCAE criteria (version 3)

    To evaluate safety profile related to NGR-hTNF

    Time frame: during and following the treatment

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Study locations

3 sites
  • Istituto Clinico Humanitas
    Rozzano, Milan, Italy
  • Azienda Ospedaliera Universitaria "San Martino"
    Genoa, Italy
  • Fondazione San Raffaele del Monte Tabor
    Milan, Italy
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References and documents

Publications

  • Santoro A, Rimassa L, Sobrero AF, Citterio G, Sclafani F, Carnaghi C, Pessino A, Caprioni F, Andretta V, Tronconi MC, Finocchiaro G, Rossoni G, Zanoni A, Miggiano C, Rizzardi GP, Traversari C, Caligaris-Cappio F, Lambiase A, Bordignon C. Phase II study of NGR-hTNF, a selective vascular targeting agent, in patients with metastatic colorectal cancer after failure of standard therapy. Eur J Cancer. 2010 Oct;46(15):2746-52. doi: 10.1016/j.ejca.2010.07.012. Epub 2010 Aug 12. PubMed 20708923 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 16, 2019, 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
NCT00483080
Lead sponsor
AGC Biologics S.p.A.
Responsible party
Sponsor
First posted
Jun 6, 2007
Start date
Dec 2006
Primary completion
Jun 2009
Completion
Apr 2013
Last update
Jan 16, 2019

Study contacts

Federico Caligaris Cappio, MD
principal investigator · Fondazione San Raffaele del Monte Tabor

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jan 2019. You cannot join it, but the record below documents what was studied.

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