The classic website will no longer be available as of June 25, 2024. Please use the modernized ClinicalTrials.gov.
Working…
ClinicalTrials.gov
ClinicalTrials.gov Menu

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

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT02191878
Recruitment Status : Completed
First Posted : July 16, 2014
Last Update Posted : January 16, 2019
Sponsor:
Information provided by (Responsible Party):
Arbutus Biopharma Corporation

Brief 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

Condition or disease Intervention/treatment Phase
Hepatocellular Carcinoma Hepatoma Liver Cancer, Adult Liver Cell Carcinoma, Adult Drug: TKM-080301 Phase 1 Phase 2

Detailed 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.

Layout table for study information
Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 43 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
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
Study Start Date : June 2014
Actual Primary Completion Date : May 2016
Actual Study Completion Date : July 2016

Arm Intervention/treatment
Experimental: Phase 1 Escalation / Phase 2 Expansion

Phase 1 - dose escalation with intravenous infusion of TKM-080301 to determine MTD.

Phase 2 - dose expansion at the MTD.

Drug: TKM-080301
TKM-080301 intravenous infusion
Other Name: PLK1-HCC




Primary Outcome Measures :
  1. Maximum tolerated dose (MTD) [ Time Frame: Up to 6 months after initial dose. ]
    Laboratory assessments


Secondary Outcome Measures :
  1. Preliminary assessment of anti-tumor activity by Response Evaluation Criteria In Solid Tumors version 1.1 (RECIST 1.1) [ Time Frame: Upon every 2 cycles of treatment for up to 6 months ]
    Obtain preliminary assessment of anti-tumor activity by Response Evaluation Criteria In Solid Tumors version 1.1 (RECIST 1.1)

  2. Clinical Benefit Rate at maximum tolerated dose (MTD) in Expansion Cohort [ Time Frame: Upon completion of treatment of expansion cohort; up to 6 months after last participant is dosed. ]
    Assessed after completion of Phase 2.


Other Outcome Measures:
  1. Assessment of Pharmacodynamic Effect [ Time Frame: Upon completion of cycle 1 and cycle 2 treatment; 1 and 2 months after last participant is dosed in expansion cohort. ]
    Assessment of target mRNA reduction in participants consenting to pre- and post-treatment tumor biopsies.



Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


Layout table for eligibility information
Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

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.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02191878


Locations
Layout table for location information
United States, Arizona
Arizona Clinical Research Center
Tucson, Arizona, United States, 85715
United States, California
University of California San Francisco
San Francisco, California, United States, 94115
United States, Missouri
Kansas City Research Institute
Kansas City, Missouri, United States, 64131
United States, New York
Memorial Sloan Kettering Cancer Center
New York, New York, United States, 10065
United States, Texas
Mary Crowley Cancer Research Centers
Dallas, Texas, United States, 75230
Canada, Ontario
Princess Margaret Hospital
Toronto, Ontario, Canada
China
Queen Mary Hospital
Hong Kong, China
Korea, Republic of
Seoul National University Hospital
Seoul, Gyeonggi-do, Korea, Republic of, 110744
Samsung Medical Center
Seoul, Gyeonggi-do, Korea, Republic of, 135-710
ASAN Medical Center
Seoul, Gyeonggi-do, Korea, Republic of, 138-736
Severence Hospital, Yonsei, University Health System
Seoul, Korea, Republic of
Singapore
National University Hospital
Singapore, Singapore
Taiwan
National Taiwan University Hospital
Taipei, Taiwan
Taipei Medical University Hospital, Shuang-Ho Hospital
Taipei, Taiwan
Taipei Veterans General Hospital
Taipei, Taiwan
Sponsors and Collaborators
Arbutus Biopharma Corporation
Investigators
Layout table for investigator information
Study Director: Mark Kowalski, M.D., Ph.D. Tekmira Pharmaceuticals
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Layout table for additonal information
Responsible Party: Arbutus Biopharma Corporation
ClinicalTrials.gov Identifier: NCT02191878    
Other Study ID Numbers: TKM-HCC-001
First Posted: July 16, 2014    Key Record Dates
Last Update Posted: January 16, 2019
Last Verified: January 2019
Keywords provided by Arbutus Biopharma Corporation:
Liver Cancer
Liver Neoplasms
Liver Epithelial Neoplasms
Liver Cancer, malignant
Additional relevant MeSH terms:
Layout table for MeSH terms
Carcinoma
Carcinoma, Hepatocellular
Liver Neoplasms
Neoplasms, Glandular and Epithelial
Neoplasms by Histologic Type
Neoplasms
Adenocarcinoma
Digestive System Neoplasms
Neoplasms by Site
Digestive System Diseases
Liver Diseases
TKM-080301
Protein Kinase Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action