A Study of CNTO 328 in Subjects With Metastatic Renal Cell Carcinoma

Centocor Ortho Biotech

Status and phase: Completed; Phase 2; Phase 1

Conditions: Carcinoma, Renal Cell

Treatments: Drug: CNTO 328

Study type: Interventional

Funder types: Industry

Identifiers

NCT00265135

C0328T01 (Other Identifier)

CR005278

Details and patient eligibility

About

The purpose of this study is to better understand the safety, tolerability and distribution of CNTO 328 in the bloodstream.

Full description

This research study uses a type of drug called anti-IL-6 monoclonal antibody, also known as CNTO 328. CNTO 328 is a new experimental drug. This study is trying to better understand the safety, the tolerability (side effects), and the distribution of the drug in the blood stream. The effects of CNTO 328 in patients with renal cell carcinoma are currently unknown. However, recent data has shown that treatment with another anti-IL-6 monoclonal antibody reduces the symptoms of renal cell carcinoma.

The study is divided in 3 parts. Part 1 is the phase I portion of the study and evaluated the safety of CNTO 328 in subjects with metastatic renal cell carcinoma. Part 2 and 3 will evaluate efficacy and safety of the drug in this patient population.

Enrollment: 68 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Clinical diagnosis (histologically confirmed, preferably) of metastatic renal cell carcinoma with documented metastases beyond the level of the regional lymphatics (ie, any T, any N, M1 disease)
• Measurable or evaluable disease (Part 1); measurable disease (Part 2 and Part 3)
• Documented disease progression based on objective tumor assessment (Part 2 and Part 3), proven by tumor measurements on 2 computerized tomography scans within 6 months prior to enrollment
• Life expectancy greater than or equal to 6 months at screening
• Serum C-reactive protein (CRP): detectable ( 4 mg/L or more) according to the standard assay of the core laboratory (Part 1 and Part 2); serum CRP detectable to 30 mg/L or more (Part 3)

Exclusion criteria

• Received any investigational drug within 30 days, whichever is longer
• History of receiving murine or chimeric proteins or human/murine recombination products (such as BE8 and other anti-IL-6 monoclonal antibodies)
• Serious concurrent illness or significant cardiac disease characterized by significant ischemic coronary disease or congestive heart failure
• Chronic infection, prior history of recurrent infection, or clinically important active infection
• Presence of a transplanted solid organ (with the exception of a corneal transplant more than 3 months prior to screening) or having received an allogeneic bone marrow transplant or peripheral blood stem cell transplant

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Single Group Assignment

Masking: None (Open label)

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68 participants in 3 patient groups

Part 1 (CNTO 328)

Experimental group

Description:

In Part 1 of the study, 4 intravenous infusions (IV) \[injection of a substance into a vein\] of CNTO 328 will be administered to patients in 4 dose levels ranging from 1, 3, 6, and 12 mg/kg on days 1, 29, 43, and 57 to determine the maximum tolerated dose for Part 2 of the study.

Treatment:

Drug: CNTO 328

Part 2 (CNTO 328)

Experimental group

Description:

In Part 2 of the study, 2 well tolerated dose levels of CNTO 328 from Part 1 of the study will be administered every 3 weeks as 4 IV infusions to patients.

Treatment:

Drug: CNTO 328

Part 3 (CNTO 328)

Experimental group

Description:

In Part 3 of the study, CNTO 328 at a dose level of 6 mg/kg will be administered as IV infusion every 2 weeks for at least 6 doses.

Treatment:

Drug: CNTO 328