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CompletedNCT01514123Updated Sep 17, 2020

Study of VGX-100 Administered Alone and Co-administered With Bevacizumab in Adult Subjects With Advanced Solid Tumors

A Phase 1 interventional study of VGX-100 and Bevacizumab in Neoplasms and Cancer, sponsored by Circadian Technologies Ltd.. Completed at 2 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-09-17.

Sponsored by Circadian Technologies Ltd. · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
43
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a non-randomized, multi-dose, first-in-human, multicenter, two arm (Arm A: VGX-100 alone; Arm B: VGX-100 co-administered with bevacizumab), open label, dose escalation study in subjects with advanced or metastatic solid tumors. The study is aimed at evaluating the safety and establishing the recommended dose of the VEGF-C human monoclonal antibody VGX-100 when administered alone or in combination with bevacizumab.

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Conditions studied

  • Neoplasms
  • Cancer

Keywords

  • VGX-100
  • Bevacizumab
  • VEGF-C
  • First-In-Human
  • Dose Escalation
  • Advanced Solid Tumors
  • Angiogenesis Inhibitors
  • Angiogenesis Modulating Agents
  • Pharmacologic Actions
  • Antibodies, Monoclonal
  • Phase 1
  • Oncology
  • Advanced malignancy
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In context

Lead sponsor

This is the only study on the registry with Circadian Technologies Ltd. as lead sponsor.

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

Inclusion criteria

  • Age ≥ 18 years
  • Provision of written informed consent
  • Histologically or cytologically documented advanced or metastatic solid tumor that is refractory to standard treatment, for which no standard therapy is available, or for which the subject refuses standard therapy
  • Life expectancy > 3 months in the opinion of the investigator
  • ECOG performance status 0 to 1
  • Evaluable OR measurable disease by RECIST 1.1 criteria
  • Agree to the use of effective contraceptive if either male or female of child bearing potential

Exclusion criteria

Exclusion Criteria:

  • Inadequate venous access
  • Women who are lactating/breastfeeding
  • Women with a positive pregnancy test or who are planning to become pregnant during the duration of the study
  • Known to be HIV positive, or have chronic hepatitis B or C
  • Major surgical procedure within 6 weeks of Baseline or surgical or other wound that is not fully healed at Baseline
  • Untreated or symptomatic brain metastasis, known central nervous system metastasis, or spinal cord compression (except glioblastoma multiforme)
  • Mediastinal or cavitated, or lung mass located near, invading or encasing a major blood vessel or airway on imaging
  • Squamous cell lung cancer
  • History of or known/suspected gastrointestinal perforation
  • Hemoptysis of >2.5 mL (half a teaspoon) red blood within 28 days of Screening
  • Deep venous thrombosis or history of symptomatic pulmonary thromboembolism within 6 months of Screening
  • Gastrointestinal bleeding requiring medical intervention within 28 days of Screening
  • Receipt of therapeutic concentrations of warfarin or other anticoagulants within 7 days of Screening
  • Receipt of investigational agent(s) for any indication within 28 days of Baseline or 5 half lives, whichever is greater
  • Receipt of the following treatments:

    • Traditional cytotoxics, tyrosine kinase inhibitors or other small molecule anti-cancer agents within 21 days
    • Nitrosoureas, mitomycin C, bevacizumab or trastuzumab within 6 weeks
    • Any other therapeutic monoclonal antibodies within 21 days
    • Hormonal therapy (other than gonadal suppression) within 14 days
  • Radiotherapy:

    • to >25% bone marrow
    • to brain within 28 days of baseline
    • other than above within 14 days of baseline
  • Unstable angina, myocardial infarction, transient ischemic events, or stroke within 24 weeks of Screening
  • History of CNS hemorrhage, cerebrovascular hemorrhage, myocardial infarction or reversible posterior leukoencephalopathy syndrome associated with prior anti-VEGF/anti-VEGFR therapy
  • Uncontrolled hypertension of ≥ CTCAE Grade 2
  • Proteinuria at Baseline of ≥2+ or 1.0g/24 hours
  • Prior allergic reaction to a monoclonal antibody
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Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
43 participants (actual)

Study arms

  • Experimental
    Arm A - VGX-100 alone

    Dose escalation of VGX-100 monotherapy

    Drug: VGX-100

  • Experimental
    Arm B - VGX-100 plus bevacizumab

    Dose escalation of VGX-100 in combination with escalating doses of bevacizumab

    Drug: VGX-100 · Drug: Bevacizumab

Interventions

  • DrugVGX-100

    VGX-100 will be administered by IV infusion once every week

  • DrugBevacizumab

    Bevacizumab will be administered by IV infusion once every 2 weeks

    Also known as: Avastin

06

What researchers measure

Primary outcomes

  1. The incidence and severity of adverse events including dose limiting toxicities

    Time frame: Approximately 16 months

Secondary outcomes

  1. Tumor response by RECIST criteria

    Tumor response assessment will be measured by computated tomography (CT) or Magnetic resonance imaging (MRI) every 8 or 12 weeks throughout the study

    Time frame: Approximately 16 months

  2. Pharmacokinetic parameters of VGX-100 alone and co-administered with bevacizumab including Cmax, Cmin, AUC and if feasible half life (t1/2)

    Time frame: 28 days after the last subject in each cohort

  3. Anti-VGX-100 antibody formation

    Time frame: Approximately 16 months

  4. Biomarker levels including VEGF-A, VEGF-C, VEGF-D, soluble VEGFR-2, and soluble VEGFR-3

    Time frame: Approximately 16 months

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Study locations

2 sites
  • UCLA Hematology-Oncology
    Santa Monica, California 90404, United States
  • UT MD Anderson Cancer Center
    Houston, Texas 77030, United States
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References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 17, 2020, 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
NCT01514123
Lead sponsor
Circadian Technologies Ltd.
Responsible party
Sponsor
First posted
Jan 20, 2012
Start date
Dec 29, 2011
Primary completion
Feb 7, 2014
Completion
Nov 16, 2017
Last update
Sep 17, 2020

Study contacts

Clinical Research
study director · Circadian Technologies

Oversight

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

Not currently enrolling

This study is completed, as verified in Sep 2020. You cannot join it, but the record below documents what was studied.

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