Clinical trial · Interventional
Evaluation of M40403 for the Prevention of Dose Limiting Toxicities of High Dose IL-2
Phase I/II Open Label Dose Escalation and Double-Blind, Placebo-Controlled Evaluation of M40403, for the Prevention of the Dose Limiting Toxicities of High Dose IV Bolus IL-2 Treatment of Metastatic Melanoma or Renal Cell Carcinoma.
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
The clinical use of IL-2 is currently limited by development of dose-dependent hypotension (systolic blood pressure (SBP) \< 90 mm Hg). The overall outcome is constant across sites with 20-50% of the patients requiring ICU management because of unresponsive hypotension and hyporeactivity (loss of response to vasoconstrictors). Because of the dose-limiting side effects, the duration of IL-2 dosing is frequently curtailed. Thus, hemodynamic toxicities have limited the usefulness of IL-2 therapy. M40403 has prevented both the hypotension and hyporeactivity associated with IL-2 treatment in preclinical studies. This trial will study the safety and efficacy of M40403 in the prevention or reduction of hypotension in patients receiving IL-2 therapy.
Conditions
Conditions (1)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| IL-2 Induced Hypotension | — | UNRESOLVED | — |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| M40403 | Drug | — | UNRESOLVED |
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria: * Patient has given signed informed consent. * Patient has documented histologically confirmed malignant melanoma or renal cell carcinoma which is metastatic. * Patient is eligible for high dose IV IL-2 therapy. * Tumor dimension of at least one lesion is measurable in two dimensions. * Patient is at least 18 years of age. * Patient is ambulatory with good performance status (ECOG PS 0,1; Karnofsky 100-70%). * If the patient is a woman of child bearing potential, patient is not lactating and ahs a negative pregnancy test (beta-HCG test obtained within 72 hours of enrollment) and agrees to use an adequate method of contraception for the duration of the study. * Patient has adequate organ function as defined by: * WBC count \>3,500 per cubic millimeter; platelet count\> 100,000 per cubic millimeter; * Bilirubin within institutional normal range; creatinine less than or equal to 2.0 mg/dl or creatinine clearance \> 50 ml/min; * No evidence of congestive heart failure, symptoms of coronary artery disease, serious cardiac arrhythmias or evidence of prior myocardial infarction. A pretreatment cardiac stress test must be performed within 42 days of IL-2 treatment. Patients with documented ischemia on the pretreatment cardiac stress test will be excluded from the study; * Adequate pulmonary reserve. Pulmonary function tests (PFTs) must be performed within 42 days of IL-2 treatment and an FEV1 \> 2.0 liters or 75% of predicted for height and age is the minimum acceptable criteria for patient entry. PAtients unable to perform PFTs will be excluded from the study. * Patient has recovered from all toxic effects of prior therapy. * Patient has a life expectancy, in the opinion of the investigator, of at least 4 months. Exclusion Criteria: * Patient has an organ allograft. * Patient has brain metastases. A Brain CT or MRI scan should be performed within 42 days of IL-2 treatment. * Patient is know to be HIV antibody positive. HIV testing is not required for enrollment into this study. * Patient has evidence of active infection which requires antibiotic therapy. * Patient has received systemic corticosteroids in the four weeks prior to the first dose of study drug, or requires or is anticipated to require corticosteroids for intercurrent disease. * Patient has received radiotherapy, chemotherapy, or immunotherapy in the four weeks prior to the first dose of study drug, or is scheduled to receive concurrent radiotherapy, chemotherapy, or immunotherapy. * Patient has contraindication to treatment with pressor agents. * Patient currently receives chronic medication for asthma. * Patient has a history of another malignancy other than basal cell skin cancer within 5 years prior to the first dose of study drug. * Patient has any significant medical disease other than the malignancy which, in the opinion of the investigator, may interfere with completion of the study. * Patient has previously received any IL-2 therapy. * Patient has received another investigational medication within 4 weeks prior to M40403 administration or is scheduled to receive an investigational drug other than M40403 during the course of the study.
References
Publications (0)
Data not yet available