NGR013: Phase I and Pharmacodynamic Study of NGR-hTNF Administered at High Doses in Patients With Advanced or Metastatic Solid Tumour
Pre-clinical studies provide the support that NGR-TNF is endowed with a higher therapeutic
index in animal models and studies of the mechanism of action showed that NGR-TNF can induce
tumour necrosis when used at relatively high doses.
Recently, a phase I dose-escalation study of NGR-hTNF has explored the dose range between
0.2 and 60 µg/m2, showing DLT at 60 mcg/m2 experienced as transient acute infusion reaction
few minutes after the first administration start. Considering the relationship with the
infusion of these events, a further dose escalation will be explored in the present phase I
study by using both a longer infusion time (i.e., 120 minutes instead of 60 minutes) and a
mild premedication.
The first cohort (n=4) of patients will be treated with NGR-hTNF administered at 60 mcg/m2
IV every three weeks, that is a dose level 33% higher than MTD and recommended dose selected
in the previous phase I trial (i.e., 45 mcg/m2). If ≤1 of 4 patients experience DLT during
the first cycle, following cohorts will be treated with escalating doses (from 80 to 325
mcg/m2) of NGR-hTNF IV every three weeks.
Interventional
Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Optimal Biologic Dose (OBD)
Evaluating both the safety in terms of maximum tolerated dose (MTD) and the antivascular effect in terms of changes documented with dynamic imaging (DCE-MRI)
Before treatment, every 3-6 wks and end of treatment
Yes
Antonio Lambiase, MD
Study Director
MolMed S.p.A.
Italy: National Institute of Health
NGR013
NCT00878111
April 2009
June 2013
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