A Phase 1 Single Dose Escalation Trial of ch806 in Patients With Advanced Tumours Expressing the 806 Antigen
This clinical research study explores the activity of the new experimental antibody ch806 in
humans for the first time.
Cancers arising from an organ can be cured in some cases with various combinations of
surgery, chemotherapy and radiotherapy. However, once some cancers spread to other organs,
treatment with commonly used methods is unlikely to cure the cancer and so treatment is then
designed to control the growth of the cancer and the problems it is causing. One newer
treatment approach involves targeting a marker (antigen) called the epidermal growth factor
receptor (EGFR), which is found on the tumour cell’s surface, with a specially constructed
monoclonal antibody called “ch806”.
Antibodies are proteins that are found in the blood. Antibodies normally protect us from
foreign invaders, such as bacteria or viruses. They help destroy these foreign substances by
binding to them and activating white blood cells or blood proteins, resulting in their
destruction. Tumour cells also have antigens which can be targeted by antibodies. A
receptor expressed in high amounts (over-expressed) on various cancer cells, called the
epidermal growth factor (EGFR) has been identified, studied and targeted with a variety of
One of these antibodies, mAb806, was originally made from mouse protein. Because mAb806 is a
mouse antibody, if it were given to humans the body would see it as a foreign protein and
would be likely to react to it with an unwanted immune response. To overcome this, the
structure of the original mouse antibody called mAb 806 was changed to appear more
“human-like”. And the chimeric antibody (part mouse part human) called ch806 was produced.
The study is open to patients whose tumour is shown to express the 806 antigen by a special
test. Further tests are required to determine eligibility for the study. These tests
determine general health and include: physical examination; blood samples for routine tests;
routine tests to determine the extent of tumour prior to starting treatment with 111
In-ch806 (eg. X-ray, CT scan, etc.)
On study, 111In-ch806 is given by infusion into a vein over one hour. Blood samples to
determine the amount of drug in the blood (pharmacokinetics), are taken a number of times on
the day of the 111 In-ch806 infusion; about every 2nd day for the first week; then 1 week, 2
weeks and 3 weeks after the infusion. Blood tests are also used to monitor general health
and to see if the immune system recognises the infused antibody by making another antibody
against it. Such a response is called “anti-ch806 antibody” or “HACA”. Gamma camera scans
to see where 111 In-ch806 goes in the body are done right after the first infusion, and 3
more times over the next seven days. The scan takes about one hour each time. Visits for
weekly follow up examinations and blood tests until 30 days after the infusion are combined
with further gamma camera scans. Tumour is reassessed 30 days after the infusion using the
same type of scans as at study entry.
Further treatment with a course of 111In-ch806 is not be available at this time, as this
study is to test the safety of a single infusion only.
Allocation: Non-Randomized, Endpoint Classification: Safety Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Toxicity as defined by NCI Common Terminology Criteria for Adverse Events (CTCAE).
A/Prof Andrew M Scott, MBBS MD DDU
Ludwig Institute for Cancer Research
Australia: Department of Health and Ageing Therapeutic Goods Administration