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CompletedNCT03478995Updated May 11, 2020

Study to Evaluate Safety and Tolerability of GX-I7 in Patients With Locally Advanced or Metastatic Solid Tumors

A Phase 1 interventional study of GX-I7 in Locally Advanced or Metastatic Solid Tumors, sponsored by Genexine, Inc.. Completed at 3 sites in Korea, Republic of. Open to participants aged 19 Years and older. Per ClinicalTrials.gov, last updated 2020-05-11.

Sponsored by Genexine, Inc. · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
35
Ages
19 Years and older
Sex
All
01

Study summary

Patients will be enrolled in two stages:

  • Dose-escalation stage: Approximately 15-30 patients will be enrolled.
  • Dose-expansion stage: 6-12 patients will be enrolled. Dose-escalation slots will be filled first, then dose-expansion slots.
Read the detailed description
  • Dose-escalation stage : designed as classical 3+3 to determine MTD or RP2D to evaluate approximately GX-I7.
  • Dose-expansion stage : designed to enroll additional 6-12 patients to acquire additional safety and pharmacodynamic data to more fully inform the dose selection for RP2D
02

Conditions studied

  • Locally Advanced or Metastatic Solid Tumors

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Keywords

  • Phase1b
03

Who can participate

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

Inclusion criteria

  • Signed Informed Consent Form (ICF)
  • Age ≥ 19 years
  • Able to comply with the study protocol, in the investigator's judgment
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • Life expectancy ≥ 12 weeks
  • Adequate hematologic and end organ function, defined by the following laboratory results obtained within 14 days prior to the first study treatment (Cycle 1, Day 1)
  • Serum pregnancy test for women of childbearing potential (including women who have had a tubal ligation) must be performed and documented as negative within 14 days prior to Cycle 1, Day 1
  • For men: agreement to remain abstinent (refrain from heterosexual intercourse) or use contraceptive measures, and agreement to refrain from donating sperm
  • Patients with histologic documentation of locally advanced, recurrent, or metastatic incurable solid tumors that has progressed after at least one available standard therapy; or for whom standard therapy has proven to be ineffective or intolerable, or is considered inappropriate
  • Patients with measurable disease per RECIST v1.1

Exclusion criteria

Exclusion Criteria:

  • Inability to comply with study and follow-up procedures
  • Pregnancy, lactation, or breastfeeding
  • Significant cardiovascular disease, such as New York Heart Association cardiac disease (Class II or greater), myocardial infarction within the previous 3 months, unstable arrhythmias, and/or unstable angina
  • Known clinically significant liver disease, including active viral, alcoholic, or other hepatitis, cirrhosis, and inherited liver disease or current alcohol abuse
  • Poorly controlled Type 2 diabetes mellitus defined as a screening hemoglobin A1C ≥ 8% or a fasting plasma glucose ≥ 160 mg/dL (or 8.8 mmol/L)
  • Major surgical procedure within 28 days prior to Cycle 1, Day 1, or anticipation of need for a major surgical procedure during the study
  • Any anti-cancer therapy, whether investigational or approved, including chemotherapy, hormonal therapy, and/or radiotherapy, within 3 weeks prior to initiation of study treatment
  • Adverse events from prior anti-cancer therapy that have not resolved to Grade ≤ 1 except for alopecia, vitiligo, or endocrinopathy managed with replacement therapy
  • History of autoimmune disease, including but not limited to systemic lupus erythematosus, rheumatoid arthritis, inflammatory bowel disease, vascular thrombosis associated with antiphospholipid syndrome, Wegener's granulomatosis, Sjögren's syndrome, Bell's palsy, Guillain-Barre syndrome, multiple sclerosis, vasculitis, or glomerulonephritis
  • Primary CNS malignancy, untreated CNS metastases, or active CNS metastases (progressing or requiring corticosteroids for symptomatic control)
  • History of severe allergic, anaphylactic, or other hypersensitivity reactions to chimeric or humanized antibodies or fusion proteins
04

Study design

Phase
Phase 1
Primary purpose
Treatment
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
35 participants (actual)

Study arms

  • Experimental
    GX-I7

    Determined dose of GX-I7 on Day1 of each cycle

    Drug: GX-I7

Interventions

  • DrugGX-I7

    GX-I7 25mg/ml/vial

05

What researchers measure

Primary outcomes

  1. DLT

    Incidence of nature of DLTs

    Time frame: up to 24 months

  2. AE

    Incidence, nature and severity of adverse events graded according to NCI CTCAEv4.0

    Time frame: up to 24 months

  3. ECG test evaluated by QTc

    Change QTc from baseline (\> 500 msec)

    Time frame: up to 24 months

Secondary outcomes

  1. Pharmacokinetic (PK) profile

    Serum concentration of GX-I7 at specified timepoints for the Area under the concentration time-curve (AUC)

    Time frame: up to cycle 3 day 1(approximately 9 weeks)

  2. Anti-tumor activity

    Objective response, defined as a complete response (CR) or partial response (PR) per RECIST v.1.1, as determined by the investigator

    Time frame: up to 24 months

  3. Immunogenicity

    Incidence of anti-drug antibodies (ADAs) during the study

    Time frame: up to 24 months

  4. Exploratory Biomarker

    Changes in immune infiltrates, immune-related gene expression in tumor tissue prior to and during study treatment

    Time frame: up to 24 months

06

Study locations

3 sites
  • Severance Hospital
    Seoul, 03722, Korea, Republic of
  • Asan Medical Center
    Seoul, 05505, Korea, Republic of
  • Seoul St. Mary's Hospital, of the Catholic University
    Seoul, Korea, Republic of
07

Registry details

Key details

Study ID
NCT03478995
Lead sponsor
Genexine, Inc.
Responsible party
Sponsor
First posted
Mar 27, 2018
Start date
Mar 5, 2018
Primary completion
Mar 16, 2020
Completion
Mar 16, 2020
Last update
May 11, 2020

Study contacts

Joo Hyuk Sohn, MD
principal investigator · Yonsei University Health System, Severance Hospital
Tae Won Kim, MD
principal investigator · Medical Oncology, Asan Medical Center
Myoung-Ah Lee, MD
principal investigator · Medical Oncology, Seoul St. Mary's Hospital, of the Catholic University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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