Trial of Single Protein Encapsulated Doxorubicin, SPEDOX-6 in Advanced Malignancies
Phase Ib/IIa Trial of Single Protein Encapsulated Doxorubicin, SPEDOX-6 in Advanced Malignancies
Who can join
As published by the study on ClinicalTrials.gov. "Not stated" means the study hasn't said — ask the study team.
- Age
- 18 Years and older
- Sex
- All sexes
- Healthy volunteers
- Not accepted
- Compensation
- Not stated
Other requirements are listed under Eligibility below. Only the study team can confirm whether you can join.
What to expect
No one can promise a trial will help you personally — that is what the research is trying to find out.
What participation involves
Not stated in the study description — ask the study team about visits and procedures.
- Compensation
- Not stated
- Study-related exams and procedures are typically provided at no cost. This is how many trials work in general — confirm the details for this study with the study team.
- Participants are monitored closely by the research team throughout the study.
- Some participants may receive access to an investigational treatment, which is still being studied.
- Your participation helps researchers learn whether this approach could help future patients.
About this study
In plain language
This study tests SPEDOX-6 to find the dose to use in the next phase of research. It is for adults with certain advanced cancers that have not responded to treatment or have come back after at least two treatments. Participants must not have received doxorubicin or similar drugs called anthracyclines.
This is a Phase 1b/IIa dose escalation clinical trial determining the recommended phase II dose of SPEDOX-6 in subjects with advanced, therapy-refractory soft-tissue sarcoma (STS); triple-negative breast cancer (TNBC); Non-small cell lung cancer (NSCLC); cervical cancer; ovarian cancer; KRAS mutant pancreatic ductal adenocarcinoma. These are subjects who have not previously been treated with anthracyclines.
Compensation is read from the study's own description and may be missing — always confirm with the study team.
Eligibility
Who can join
- Be at least 18 years old.
- Have cancer confirmed by tissue or cell tests: soft-tissue sarcoma, triple-negative breast cancer, non-small cell lung cancer, cervical cancer, ovarian cancer, or pancreatic ductal cancer with a KRAS gene change. Testing for the FcRn protein is not required.
- Have advanced cancer that did not respond to, or came back after, at least two treatments. The cancer must be measurable by study rules.
- Be able to care for yourself and be out of bed or a chair for at least half the day. Be expected to live at least 12 weeks.
- Have a heart pumping measure above 50% and blood counts, liver tests, and kidney tests that meet study rules. Special liver test rules apply to people with Gilbert's disease.
- If you have HIV, have taken HIV medicines for at least 4 weeks and have a virus level below 400 copies/mL.
- Wait at least 3 weeks after chemotherapy and 4 weeks after radiation, immune treatment, targeted treatment, or surgery. Past treatment side effects must be mild or back to their earlier level, except hair loss.
- If you can become pregnant, have a negative pregnancy test within 7 days before treatment and follow birth control rules starting at least 1 month before treatment. People who can become pregnant or father a child must follow birth control rules during the study and for 6 months after the last dose.
Who can't join
- Have a cancer gene change with an effective targeted treatment that you can receive but have not tried. You may qualify if that treatment failed or is unsafe for you.
- Have had unstable chest pain, a heart attack, a procedure to open heart blood vessels, or a heart stent within 6 months before joining.
- Have untreated cancer spread to the brain or spinal cord.
- Have ever received doxorubicin or another anthracycline drug, or had radiation to the middle of the chest or the area around the heart.
- Have a known allergy to albumin, a protein.
- Have HIV with a CD4 immune cell count below 350 cells/µL, or have had an AIDS-related infection in the past 12 months.
- Be pregnant or breastfeeding, or have uncontrolled diabetes.
- Have used an experimental treatment or an unapproved use of a drug or device within 4 weeks before joining, or need certain medicines that strongly change how the body handles drugs through CYP3A4, CYP2D6, or P-gp.
Simplified for readability. The official criteria below are what the study team uses.
Official eligibility criteria
Inclusion Criteria: * Subjects ≥ 18 years at the first screening examination/visit. * Subjects with advanced histologically or cytologically confirmed solid tumors (see below) refractory to or relapse from at least two previous therapies. * Tumor types expected to express lower levels of FcRn relative to normal tissue including: STS, TNBC, cervical cancer, NSCLC, ovarian cancer, and KRAS mutated pancreatic ductal adenocarcinoma without requirement for testing FcRn level. * Disease that is considered measurable by RECIST v1.1. * Eastern Cooperative Oncology Group (ECOG) performance status of 0-2. * Life expectancy of at least 12 weeks. * Human Immunodeficiency Virus (HIV)-positive trial participants should be on established antiretroviral therapy (ART) for at least four weeks and have an HIV viral load less than 400 copies/mL prior to enrollment. * Left ventricular ejection fraction \> 50%. * Adequate organ function: (Hb ≥10 g/dL, ANC ≥1,000/µL3, and platelets ≥100,000/µL3), serum bilirubin ≤.5x the institutional upper limit of normal (ULN) (unless known Gilbert's disease), Aspartate Aminotransferase (AST) and Alanine Aminotransferase (ALT) ≤3x ULN, and creatinine clearance \>50 mL/min as assessed by Cockcroft-Gault equation. * For patients with known Gilbert's disease, serum unconjugated bilirubin must be \< 4 mg/dL. * Patient must have washed out of prior chemotherapy (at least 3 weeks from last end of therapy), radiotherapy (at least 4 weeks from last end of therapy), immunotherapy (at least 4 weeks from last end of therapy), other targeted therapies (at least 4 weeks from last end of therapy), or surgery (at least 4 weeks). * Recovery from toxicities of prior therapy. Toxicities should have recovered to CTCAE grade ≤ 1 or baseline with exception of alopecia. * Females of reproductive potential must have had a negative pregnancy test performed within 7 days prior to the start of treatment. Additionally, female subjects of reproductive potential should agree to use effective acceptable forms of contraception: surgical sterilization (tubal ligation); total abstinence from sexual intercourse with the opposite sex; established hormonal birth control (e.g., oral, transdermal, injection, or implant) plus a barrier method or a double barrier method (intrauterine device, spermicide, or a diaphragm plus condom) for at least 1 month prior to Cycle 1 Day 1 and agreement to use such a method during study participation and for an additional 6 months after the last dose of SPEDOX-6. * For males of reproductive potential: vasectomy or highly effective contraception (e.g., condoms, abstinence) during the study and for an additional 6 months after the last dose of SPEDOX-6. Exclusion Criteria: * Patients with cancers with known driver mutations for which there are known and effective targeted therapies that have not received those therapies, but are able to. If a patient has received appropriate targeted treatment for their mutations and progressed, or those treatments are contraindicated, they will be considered potentially eligible. * Unstable angina pectoris, angioplasty, cardiac stenting, or myocardial infarction 6 months before study entry. * Untreated metastases to the Central Nervous System (CNS). * Have received any prior doxorubicin or anthracycline equivalent. * Previous radiation to the mediastinal or pericardial area. * A known allergy to albumin. * HIV infection with CD4+ count \< 350 cells/µL or Acquired Immunodeficiency (AIDS)-defining opportunistic infection in previous 12 months. * Pregnant (positive serum or urine pregnancy test) or lactating. * Previous treatment with an investigational agent or the non-approved use of a drug or device withing 4 weeks of study entry. * Uncontrolled diabetes mellitus. * Patients who require concomitant use of strong inhibitors or inducers of CYP3A4, CYP2D6 or P-glycoprotein (P-gp).
Study sites (1)
CA
- Chao Family Comprehensive Cancer Center University of California, Irvine · Orange, CA 92868Warren Chow, MD · Study contact · 877-827-8839 · ucstudy@uci.eduMore trials in Orange