Phase 1-2 Study of ADI plus FOLFOX in GI cancer focusing on HCC

  • Research type

    Research Study

  • Full title

    Phase 1-2 Study of ADI-PEG 20 plus FOLFOX in Subjects with Advanced Gastrointestinal Malignancies Focusing on Hepatocellular Carcinoma

  • IRAS ID

    236848

  • Contact name

    Tim Meyer

  • Contact email

    t.meyer@ucl.ac.uk

  • Sponsor organisation

    Polaris Pharmaceuticals, Inc.

  • Eudract number

    2017-004112-19

  • Clinicaltrials.gov Identifier

    NCT02102022

  • Clinicaltrials.gov Identifier

    IND9420, Investigational New Drug Application

  • Duration of Study in the UK

    2 years, 0 months, 1 days

  • Research summary

    The study will determine the effectiveness of the study drug, ADI-PEG 20 given in combination with chemotherapy drugs folinic acid (leucovorin), fluorouracil and oxaliplatin (FOLFOX), while also looking at safety and tolerability. FOLFOX has been approved in China for advanced liver cancer (hepatocellular carcinoma, HCC) patients who have not been treated before. The phase 1 portion of the study is closed. Both ADI-PEG 20 and FOLFOX have been well tolerated in HCC patients. In the phase 2 portion, HCC patients with at least 2 prior systemic therapies will be considered. While on treatment, patients will have weekly visits for dosing of ADI-PEG 20 and other routine care. FOLFOX will be dosed every 2 weeks. Some patients may only be on folinic acid and fluorouracil (FOLF) after 4 weeks of treatment if they have adverse events associated with oxaliplatin. Blood collections and CT/MRI scans are at study-specific timepoints. The phase 2 portion is anticipated to last 2 years. The anticipated treatment period 24 weeks with a possible extension for patients with stable disease or better for up to 104 weeks. Currently 30 sites are projected to take part in the study globally, with about 5 in UK and 9 other sites in the EU, as well as 16 sites in the US, China and Taiwan.

  • REC name

    London - City & East Research Ethics Committee

  • REC reference

    18/LO/0515

  • Date of REC Opinion

    10 Jul 2018

  • REC opinion

    Further Information Favourable Opinion