Safety, Pharmacokinetics and Preliminary Anti-Tumor Activity of Intravenous TKM-080301 in Subjects With Advanced Hepatocellular Carcinoma

Hepatocellular Carcinoma Clinical Trial

Official title:

Open-Label, Multi-Center, Phase 1, Dose Escalation Study With Phase 2 Expansion Cohort to Determine the Safety, Pharmacokinetics and Preliminary Anti-Tumor Activity of Intravenous TKM-080301 in Subjects With Advanced Hepatocellular Carcinoma

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02191878
• Other study ID #: TKM-HCC-001
• Status: Completed
• Phase: Phase 1/Phase 2
• Start date: June 2014
• Est. completion date: July 2016

Study information

• Verified date: January 2019
• Source: Arbutus Biopharma Corporation
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study is an open-label, multi-center, phase 1, dose escalation study with a phase 2 expansion cohort to determine the safety, pharmacokinetics and preliminary anti-tumor activity of intravenous TKM-080301 in subjects with advanced hepatocellular carcinoma (HCC).

This study is being done to:

• Test the safety and tolerability of TKM-080301 in subjects with advanced hepatocellular carcinoma

• Find the highest dose of TKM-080301 that can be given without causing side effects, called the maximum tolerated dose (MTD).

• Provide a preliminary assessment of anti-tumor activity of TKM-080301

Description:

Study design: Open label, multi-center, 3 + 3 dose-escalation study with an expansion cohort at the maximum tolerated dose (MTD) to investigate safety, tolerability, PK, and preliminary anti-tumor activity of TKM 080301 in subjects with HCC.

Sequential cohorts of 3 to 6 subjects will receive escalating doses of TKM 080301 according to a pre-specified dose escalation scheme. Assessment of dose-limiting toxicities (DLTs) will be made during Cycle 1 to determine the maximum tolerated dose (MTD). Once the MTD level is established, approximately 20 subjects will be enrolled in an expansion cohort to further confirm the safety and tolerability of TKM-080301 at the MTD.

Study Population: A minimum of 9 and up to approximately 18 adult male or female subjects with histologically or cytologically confirmed metastatic or locally advanced inoperable HCC and a life expectancy of 3 months or more are planned in the dose escalation phase. Approximately 20 subjects are planned in the expansion cohort.

Study Treatment: TKM-080301 will be administered by intravenous (IV) infusion, once weekly for 3 consecutive weeks followed by a 1 week rest period. This 28-day treatment period constitutes 1 cycle.

Subjects who demonstrate clinical benefit without progression per RECIST 1.1 guidelines may receive treatment beyond 6 cycles if the Investigator considers it is in the best interest of the subject, and only with the approval of the Medical Monitor. Subjects would then continue TKM 080301 therapy until withdrawal of consent, disease progression or unacceptable toxicity occurs.

Pharmacokinetics (PK) Subjects will undergo blood sample collection for PK analysis during cycles 1 and 2.

Study Duration: Each treatment cycle will have duration of 28 days and each subject will typically receive up to 6 cycles of treatment. The total duration of the study is expected to be approximately 28 months.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 43
• Est. completion date: July 2016
• Est. primary completion date: May 2016
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Key Inclusion Criteria:

• Child-Pugh class of A

• Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1

• Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) =5.0 × ULN

• Total bilirubin =3.0 mg/dL

• Platelets =75,000 /mL

• International Normalized Ratio (INR) =1.7

• Subjects must meet the protocol-defined criteria for both hepatitis B virus (HBV) and hepatitis C virus (HCV) status

Key Exclusion Criteria:

• History of significant cardiovascular disease will be excluded

• History of liver transplant.

• Diagnosis of fibrolamellar HCC or tumors of mixed histology.

• Subjects known to be positive for Human immunodeficiency virus (HIV) infection.

• Known central nervous system (CNS) or brain metastases.

• Poorly controlled ascites and/or requirement for therapeutic paracentesis more frequently than once every 3 months.

• Symptomatic encephalopathy within 3 months prior to the first dose of TKM-080301 and/or requirement for medication for encephalopathy.

• Esophageal variceal bleeding within 2 weeks prior to the first dose of TKM-080301.

• Asthma or chronic obstructive pulmonary disease (COPD) requiring daily medication.

• Prior therapy with nitrosoureas or mitomycin within 6 weeks prior to the first dose of TKM-080301.

• Prior therapy with any biologic chemotherapeutic or investigational drug within 5 half-lives or 3 weeks, whichever is longer prior to the first dose of TKM 080301.

Related Conditions & MeSH terms

• Carcinoma
• Carcinoma, Hepatocellular
• Hepatocellular Carcinoma
• Hepatoma
• Liver Cancer, Adult
• Liver Cell Carcinoma, Adult
• Liver Neoplasms

Intervention

Drug:
• TKM-080301
TKM-080301 intravenous infusion

Locations

Country	Name	City	State
Canada	Princess Margaret Hospital	Toronto	Ontario
China	Queen Mary Hospital	Hong Kong
Korea, Republic of	ASAN Medical Center	Seoul	Gyeonggi-do
Korea, Republic of	Samsung Medical Center	Seoul	Gyeonggi-do
Korea, Republic of	Seoul National University Hospital	Seoul	Gyeonggi-do
Korea, Republic of	Severence Hospital, Yonsei, University Health System	Seoul
Singapore	National University Hospital	Singapore
Taiwan	National Taiwan University Hospital	Taipei
Taiwan	Taipei Medical University Hospital, Shuang-Ho Hospital	Taipei
Taiwan	Taipei Veterans General Hospital	Taipei
United States	Mary Crowley Cancer Research Centers	Dallas	Texas
United States	Kansas City Research Institute	Kansas City	Missouri
United States	Memorial Sloan Kettering Cancer Center	New York	New York
United States	University of California San Francisco	San Francisco	California
United States	Arizona Clinical Research Center	Tucson	Arizona

Sponsors (1)

Lead Sponsor	Collaborator
Arbutus Biopharma Corporation

Countries where clinical trial is conducted

United States,  Canada,  China,  Korea, Republic of,  Singapore,  Taiwan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Assessment of Pharmacodynamic Effect	Assessment of target mRNA reduction in participants consenting to pre- and post-treatment tumor biopsies.	Upon completion of cycle 1 and cycle 2 treatment; 1 and 2 months after last participant is dosed in expansion cohort.
Primary	Maximum tolerated dose (MTD)	Laboratory assessments	Up to 6 months after initial dose.
Secondary	Preliminary assessment of anti-tumor activity by Response Evaluation Criteria In Solid Tumors version 1.1 (RECIST 1.1)	Obtain preliminary assessment of anti-tumor activity by Response Evaluation Criteria In Solid Tumors version 1.1 (RECIST 1.1)	Upon every 2 cycles of treatment for up to 6 months
Secondary	Clinical Benefit Rate at maximum tolerated dose (MTD) in Expansion Cohort	Assessed after completion of Phase 2.	Upon completion of treatment of expansion cohort; up to 6 months after last participant is dosed.