A Phase I, Open-label Trial to Investigate the Safety, Tolerability, and Pharmacokinetics of EMD525797 After Single Dose and Repeated Dosing at Different Dose Levels in Japanese Patients With Advanced or Metastatic Solid Tumors and Progressive Diseases Following Prior Chemotherapy
Inclusion Criteria:
- Age ≥ 20 years;
- Histologically or cytologically proven advanced or metastatic solid tumor;
- Evidence of progressive disease after standard chemotherapy or no standard
chemotherapy;
- Confirmation of availability of formalin-fixed paraffin-embedded (FFPE) tumor
block(s) or tissue sections;
- Presence of at least one measurable lesion according to RECIST version 1.0. Complete
tumor assessment to be performed within the 30 days prior to the first EMD 525797
administration;
- ECOG performance status of 0 to 1;
- Estimated life expectancy of at least 3 months;
- Absolute Neutrophil Count (ANC) ≥ 1.5 x 109/L;
- Platelets ≥ 100 x 109/L;
- Hemoglobin ≥ 9.0 g/dL (without transfusions);
- Total bilirubin ≤ 1.5 x upper limit of normal (ULN);
- Aspartate transaminase (AST), alanine transaminase (ALT) ≤ 3 x ULN;
- In subjects with hepatic metastasis, total bilirubin ≤ 3 x UNL, AST and ALT ≤ 5 x
UNL;
- Prothrombin time (PT), prothrombin time/international normalized ratio (PT/INR), and
activated partial thromboplastin time (APTT) within normal limits;
- Creatinine clearance ≥ 50 mL/min
Exclusion Criteria:
- Previous treatment with anti-integrin therapy;
- Radiotherapy to bone lesions, systemic surgery, orthopedic surgery (all within the 4
week prior to treatment with EMD 525797), clinically significant unhealed wound, or
unrecovered bone fracture;
- Chronic doses of oral steroids, defined as ≥ 10 mg of prednisone equivalents per day;
- Confirmed or clinically suspected brain or leptomeningeal metastases;
- Known hypersensitivity to EMD 525797 or its excipients;
- History of allergic reactions to other monoclonal antibody therapy;
- Antibody treatment within the past 8 weeks or chemotherapy within the 4 weeks prior
to treatment with EMD 525797;
- Uncontrolled diabetes;
- Uncontrolled hypertension defined as systolic blood pressure ≥ 160 mmHg and/or
diastolic blood pressure ≥ 100 mmHg under resting conditions;
- Autoimmune diseases;
- Current history of chronic daily acetylsalicylic acid (ASS) therapy (ASS at doses ≤
100 mg is permitted);
- Bleeding disorders;
- History of thromboembolic events (history of superficial thrombophlebitis is not an
exclusion
- Anticoagulants within the past 10 days prior to the first treatment and during
treatment period;
- Severe peripheral vascular disease or ulceration;
- Unstable angina pectoris, or myocardial infarction or other severe heart diseases
within the past 6 months before treatment with EMD 525797;
- Clinical significant abnormal ECG at screening;
- Dementia, altered mental status, or any psychiatric condition that would prohibit the
understanding or rendering of informed consent;
- Known HIV infection, active or chronic carrier of hepatitis B virus (HBV antigen
positive or HBV DNA positive) or hepatitis C virus (HCV antibody positive)