Malignant AscitesPhase 1NCT04051112
Study With SCB-313 (Recombinant Human TRAIL-Trimer Fusion Protein) for Treatment of Malignant Ascites
A Phase 1 study testing SCB-313 in people with Malignant Ascites, run by Sichuan Clover Biopharmaceuticals, Inc. at 1 site in China.
Trial summary
1. The safety and tolerability of single-dose of SCB-313 will be evaluated by intraperitoneal injection; 2. The safety and tolerability of repeated-dose of SCB-313 will be evaluated by intraperitoneal injection once a day for 3 days, and the maximum tolerated dose (MTD) of SCB-313 will be determined; Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Malignant Ascites
- What is being tested?
- SCB-313
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 13 participants
- Where
- 1 siteChina
- Study dates
- 28 Sep 2019to 21 Apr 2022
- Phase
- Phase 1
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Histologically or cytologically confirmed as malignant solid tumor.
- Malignant ascites requiring puncture drainage evaluated by investigators, defined as:
- if tumor cells are detectable in the ascites ,
- if previous surgical operation reveals extensive abdominal cavity metastasis,
- if there is image evidence of extensive metastasis in the abdominal cavity,
- if it is determined by ascites routine and ascites biochemical examination as exudate.
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- Eastern Cooperative Oncology Group (ECOG) performance status: 0 to 3.
- Life expectancy of at least 12 weeks.
- Age ≥ 18 years.
- Body weight ≥ 45 kg and body mass index (BMI) >17 kg/m2
- Adequate hematological function, defined as: (a) Platelet count ≥100×109/L, (b) Prothrombin time and activated partial thromboplastin time ≤ 1.5 times the upper limit of normal (ULN), (c) Absolute neutrophil count ≥1.5×109/L, and (d) Hemoglobin ≥ 9 g/dL.
- Adequate renal function, defined as serum creatinine ≤ 2.0 times ULN and creatinine clearance > 50 mL/minute.
- Adequate liver function, defined as: (a) Aspartate aminotransferase and alanine aminotransferase ≤ 3 times ULN for patients without liver metastases, or ≤ 5 times ULN in the presence of liver metastases, and (b) Bilirubin ≤ 2.0 times ULN, unless patient has known Gilberts syndrome.
- Albumin ≥ 2.8 g / dL (patient can use albumin to meet the standard)
- If the serum pregnancy test of a female patient with fertility is negative within 7 days prior to the initial administration, and she is willing to use effective birth control/contraception method for contraception within 6 months after discontinuation of SCB-313.( Female patients with fertility exclude women who have undergone sterilization or menopause, which is defined as a menstrual period that lasts for one year or more without any other medical reason.) All male and female patients with reproductive potential must agree to take effective contraceptive measures during the study period and within 6 months after discontinuation of SCB-313.
- Note: Contraceptive methods considered to be effective include: complete abstinence, intrauterine devices, double barrier contraceptive methods (such as condom plus spermicide diaphragm), implanted contraceptives, hormonal contraceptives (contraceptives, implants agent, transdermal patch, hormonal vaginal device or injection for extended release), or the partner has removed the vas deferens and confirmed that it is azoospermia
- Willing to attend follow-up visits according to study protocol.
Who cannot join
- Loculated ascites not amenable to full drainage or benefit from abdominal treatment
- Acute or chronic infection (such as tuberculosis) requiring antiviral or intravenous antibiotics within 2 weeks prior to enrollment.
- Untreated central nervous system metastatic disease, leptomeningeal disease, or cord compression.
- Residual adverse events (AEs) ≤ Grade 1 from previous treatment except alopecia.
- Evidence or suspicion of relevant psychiatric impairment including alcohol or recreational drug abuse.
- Myocardial infarction within 6 months prior to treatment, and/or prior diagnoses of congestive heart failure (New York Heart Association Class III or IV), unstable angina, unstable cardiac arrhythmia requiring medication, and/or long QT syndrome or QT/QTc interval >480 msec at baseline.
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- Uncontrolled hypertension defined as systolic blood pressure ≥ 140 mmHg and/or diastolic blood pressure ≥ 90 mmHg confirmed upon repeated measures.
- Left ventricular ejection fraction < 50% as determined by echocardiography performed at screening
- Hormone therapy or palliative extra abdominal radiotherapy within 1 week, prior anti-tumor therapy (chemotherapy) within 2 weeks, or other test drug within 4 weeks prior to enrollment.
- Major surgery within 4 weeks prior to enrollment.
- Patient with ileus within 30 days prior to screening.
- Known portal vein obstruction (due to either prehepatic, hepatic, or posthepatic condition) which per Investigators judgement, is the primary or significant cause of ascites.
- Positive serology test for human immunodeficiency virus type 1 and 2, or known history of other immunodeficiency disease.
- Uncontrolled active hepatitis.
- Scheduled participation in another clinical study involving an investigational product or device during the course of this study.
- Previous treatment with a TRAIL-based therapy or Death Receptor (DR) 4/5 agonist therapy.
- Known or suspected hypersensitivity to any component of the SCB 313.
- Any further condition which, according to the investigator, may result in undue risk of the patient by participating in the present study.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: A Phase I Study Evaluating the Safety, Tolerability, Efficacy, and Pharmacokinetics of SCB-313, a Fully-Human TRAIL-Trimer Fusion Protein, for the Treatment of Malignant Ascites
- The safety and tolerability of single-dose of SCB-313 will be evaluated by intraperitoneal injection;
- The safety and tolerability of repeated-dose of SCB-313 will be evaluated by intraperitoneal injection once a day for 3 days, and the maximum tolerated dose (MTD) of SCB-313 will be determined;
- Conditions
- Malignant Ascites
- Being tested
- SCB-313
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SCB-313Drug
Also called recombinant human TRAIL-Trimer fusion protein
10mg group: Intraperitoneal injection single dose on Day 0, safety observation for 7 days, then 3 continuous doses on Day7, Day8, Day9, 21 days for 1 cycle
| Study group | Role | What they receive |
|---|---|---|
| SCB-313 | Experimental | Not described Receives: Drug: SCB-313 |
What is being measured
The primary outcome is the main question the study is designed to answer.
MTD
MTD for single and multiple doses of SCB-313
Measured: 28 days after first dosing
DLT
Dose Limiting Toxicity (DLT)
Measured: 28 days after first dosing
AE/SAE
The severity of the adverse events associated with SCB-313 treatment, the incidence of serious adverse events (SAE), and the severity and incidence of adverse events (TEAE) during the DLT-observation period developed in patients, and the classification is based on the National Cancer Institute General Adverse Event Terminology
Measured: 28 days after first dosing
Secondary outcomes (5)
Immunogenicity
Occurrence of binding and neutralizing anti-SCB-313 antibodies
Measured: Up to 28 days after first dosing
Pharmacokinetics (Cmax)
Maximum SCB-313 concentration
Measured: Pre-dose(0 hour[hr]), 1 hr, 2 hr, 4 hr, 6 hr, 8 hr, 12 hr, 16 hr, 24 hr post-dose on Day 1 and Day 10
Pharmacokinetics (tmax)
Time to Cmax of SCB-313
Measured: Pre-dose(0 hour[hr]), 1 hr, 2 hr, 4 hr, 6 hr, 8 hr, 12 hr, 16 hr, 24 hr post-dose on Day 1 and Day 10
Pharmacokinetics ([AUC]0-24)
Area under SCB-313 concentration time curve from zero to 24 hours
Measured: Pre-dose(0 hour[hr]), 1 hr, 2 hr, 4 hr, 6 hr, 8 hr, 12 hr, 16 hr, 24 hr post-dose on Day 1 and Day 10
Pharmacokinetics (AUC 0-inf)
Area under curve from time 0 extrapolated to infinity
Measured: Pre-dose(0 hour[hr]), 1 hr, 2 hr, 4 hr, 6 hr, 8 hr, 12 hr, 16 hr, 24 hr post-dose on Day 1 and Day 10
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Aug 2019
- Study start28 Sep 2019
- Primary completion24 Dec 2021
- Study completion21 Apr 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Malignant AscitesStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Sequential
- Masking
- None (open label)
- Enrolment
- 13 participants (actual)
Sponsor and investigators
- Lead sponsor
- Sichuan Clover Biopharmaceuticals, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04051112
- Sponsor's protocol ID
- CLO-SCB-313-CHN-001
- Status last verified
- May 2022
- First submitted
- 4 Aug 2019
- Last updated
- 6 May 2022
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 6 May 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase I Study Evaluating the Safety, Tolerability, Efficacy, and Pharmacokinetics of SCB-313, a Fully-Human TRAIL-Trimer Fusion Protein, for the Treatment of Malignant Ascites
- ClinicalTrials.gov ID
- NCT04051112
- Acronym / sponsor ID
- CLO-SCB-313-CHN-001
- Conditions
- Malignant Ascites
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 13 participants (actual)
- Lead sponsor
- Sichuan Clover Biopharmaceuticals, Inc.Industry (pharma, biotech, devices)
- Study start
- 28 Sep 2019 (actual)
- Primary completion
- 24 Dec 2021 (actual)
- Study completion
- 21 Apr 2022 (actual)
- First posted
- 9 Aug 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
- The safety and tolerability of single-dose of SCB-313 will be evaluated by intraperitoneal injection;
- The safety and tolerability of repeated-dose of SCB-313 will be evaluated by intraperitoneal injection once a day for 3 days, and the maximum tolerated dose (MTD) of SCB-313 will be determined;
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| SCB-313 | Experimental | Drug: SCB-313 |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (17 listed)
- Histologically or cytologically confirmed as malignant solid tumor.
- Malignant ascites requiring puncture drainage evaluated by investigators, defined as:
- Eastern Cooperative Oncology Group (ECOG) performance status: 0 to 3.
- Life expectancy of at least 12 weeks.
- Age ≥ 18 years.
Key exclusion criteria (18 listed)
- Loculated ascites not amenable to full drainage or benefit from abdominal treatment
- Acute or chronic infection (such as tuberculosis) requiring antiviral or intravenous antibiotics within 2 weeks prior to enrollment.
- Untreated central nervous system metastatic disease, leptomeningeal disease, or cord compression.
- Residual adverse events (AEs) ≤ Grade 1 from previous treatment except alopecia.
- Evidence or suspicion of relevant psychiatric impairment including alcohol or recreational drug abuse.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| SCB-313Also: recombinant human TRAIL-Trimer fusion protein10mg group: Intraperitoneal injection single dose on Day 0, safety observation for 7 days, then 3 continuous doses on Day7, Day8, Day9, 21 days for 1 cycle | Drug | SCB-313 |
Primary outcome
MTD
Time frame: 28 days after first dosing
MTD for single and multiple doses of SCB-313
DLT
Time frame: 28 days after first dosing
Dose Limiting Toxicity (DLT)
AE/SAE
Time frame: 28 days after first dosing
The severity of the adverse events associated with SCB-313 treatment, the incidence of serious adverse events (SAE), and the severity and incidence of adverse events (TEAE) during the DLT-observation period developed in patients, and the classification is based on the National Cancer Institute General Adverse Event Terminology
5 secondary outcomes
Immunogenicity
Time frame: Up to 28 days after first dosing
Pharmacokinetics (Cmax)
Time frame: Pre-dose(0 hour[hr]), 1 hr, 2 hr, 4 hr, 6 hr, 8 hr, 12 hr, 16 hr, 24 hr post-dose on Day 1 and Day 10
Pharmacokinetics (tmax)
Time frame: Pre-dose(0 hour[hr]), 1 hr, 2 hr, 4 hr, 6 hr, 8 hr, 12 hr, 16 hr, 24 hr post-dose on Day 1 and Day 10
Pharmacokinetics ([AUC]0-24)
Time frame: Pre-dose(0 hour[hr]), 1 hr, 2 hr, 4 hr, 6 hr, 8 hr, 12 hr, 16 hr, 24 hr post-dose on Day 1 and Day 10
Pharmacokinetics (AUC 0-inf)
Time frame: Pre-dose(0 hour[hr]), 1 hr, 2 hr, 4 hr, 6 hr, 8 hr, 12 hr, 16 hr, 24 hr post-dose on Day 1 and Day 10
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 May 2022.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing SCB-313 in people with Malignant Ascites, run by Sichuan Clover Biopharmaceuticals, Inc. at 1 site in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 17 inclusion and 18 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 6 May 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
MTD (time frame: 28 days after first dosing). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 May 2022.