120 Participants Needed

TCMCB07 for Cachexia

Recruiting at 15 trial locations
LA
Overseen ByLynette Aleman, RN, BSN
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new treatment called TCMCB07 for cachexia, a condition causing significant weight and muscle loss in patients with newly diagnosed metastatic colorectal cancer. The goal is to determine if different doses of TCMCB07 can maintain body weight and muscle mass during chemotherapy. Participants will receive daily injections for 12 weeks and will be compared to those receiving a placebo (a non-active treatment). This trial may suit individuals with a BMI of 29 or less who are about to start their second cycle of chemotherapy for metastatic colorectal cancer. As a Phase 2 trial, the research focuses on measuring the treatment's effectiveness in an initial, smaller group of people.

Do I need to stop my current medications to join the trial?

The trial does not specify if you need to stop your current medications. However, you cannot use new agents designed to affect weight, certain THC agents, or high-dose corticosteroids. Stable, low-dose corticosteroids are allowed.

Is there any evidence suggesting that TCMCB07 is likely to be safe for humans?

Research has shown that TCMCB07 is generally safe. In earlier human studies, safety was a primary focus, and participants tolerated the treatment well, reporting no serious adverse reactions. In animal studies, TCMCB07 addressed issues like appetite loss and weight stability without causing harm. In dogs, both low and high doses proved safe, with no major side effects observed. This evidence suggests that TCMCB07 might be a safe option for humans based on these earlier findings.12345

Why do researchers think this study treatment might be promising for cachexia?

Researchers are excited about TCMCB07 for treating cachexia because it offers a new approach compared to existing treatments like appetite stimulants and corticosteroids. Unlike these standard options, TCMCB07 is administered subcutaneously, which might improve patient compliance and effectiveness. Additionally, TCMCB07 has a unique mechanism of action that targets the underlying metabolic issues in cachexia rather than just alleviating symptoms. This potential to directly address the metabolic imbalance could lead to more significant improvements in patients' quality of life.

What evidence suggests that TCMCB07 might be an effective treatment for cachexia?

Research has shown that TCMCB07 might help treat cachexia, a condition causing weight and muscle loss in cancer patients. Studies indicate that administering TCMCB07 outside the brain can boost appetite, stabilize body weight, and maintain muscle mass. In animal studies, it reduced cachexia symptoms linked to cancer and other diseases, such as chronic kidney disease. Reports from individuals who have taken TCMCB07 suggest it improves appetite and helps maintain weight. This treatment works by blocking a specific receptor in the body that controls hunger and energy use. Participants in this trial will receive different dosages of TCMCB07 or a placebo to evaluate its effectiveness and safety.14678

Are You a Good Fit for This Trial?

This trial is for up to 100 patients with newly diagnosed metastatic colorectal cancer who have a BMI between 18 and ≤29 kg/m2. Participants will receive treatment alongside their first round of chemotherapy, aiming to preserve muscle and fat mass.

Inclusion Criteria

Fertile men and women must agree to use adequate contraception for the duration of the trial
NT-Pro-BNP and Troponins within institutional normal limits
Willing and able to sign informed consent
See 10 more

Exclusion Criteria

I have had weight loss surgery, such as gastric stapling or bypass.
I am undergoing my second or later round of treatment for stage IV disease.
Nothing is stopping me from participating in the study.
See 14 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive TCMCB07 or placebo daily by subcutaneous injection during the first 28 days of chemotherapy

4 weeks
Daily administration

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks
Regular clinic visits

What Are the Treatments Tested in This Trial?

Interventions

  • TCMCB07
Trial Overview The study tests TCMCB07, given daily by injection, against a placebo. It's randomized and double-blind, meaning neither the researchers nor participants know who gets the real drug or placebo. The focus is on how different doses affect weight and body composition.
How Is the Trial Designed?
4Treatment groups
Experimental Treatment
Placebo Group
Group I: TCMCB07 50 mg administered subcutaneously daily for 12 weeksExperimental Treatment1 Intervention
Group II: TCMCB07 25 mg administered subcutaneously daily for 12 weeksExperimental Treatment1 Intervention
Group III: TCMCB07 12.5 mg administered subcutaneously daily for 12 weeksExperimental Treatment1 Intervention
Group IV: Placebo administered subcutaneously daily for 12 weeksPlacebo Group1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Endevica Bio

Lead Sponsor

Trials
1
Recruited
80+

Citations

Melanocortin-4 receptor antagonist TCMCB07 ameliorates ...Our data show that peripheral treatment using TCMCB07 with intraperitoneal, subcutaneous, and oral administration increased food intake and body weight and ...
Preliminary data from the phase I study of TCMCB07, a ...Pre-clinical animal trials show significant results in ameliorating cancer and chronic kidney disease-associated cachexia. Based on these data, ...
Melanocortin-4 receptor antagonist TCMCB07 alleviates ...Our results indicate that peripheral administration of TCMCB07 improved appetite, stabilized body weight, preserved fat and heart mass, and ...
Melanocortin-4 receptor antagonist TCMCB07401. Our assessment of the effectiveness of TCMCB07 in reversing chemotherapy-induced. 402 adverse effects, including anorexia and weight loss, ...
TCMCB07 Enters Phase 2 for Weight Loss in Stage IV ...0195). Patients receiving TCMCB07 in these cohorts reported a 15% greater ease in eating, as measured by a visual analog scale for hunger, ...
Safety of TCMCB07, a melanocortin‐4 antagonist peptide, in ...The melanocortin 4 antagonist TCMCB07 is safe and effective in reversing cachexia caused by sepsis or cancer in rodents.
NCT05529849 | A Study to Assess the Safety, Tolerability ...This study will test an experimental drug named TCMCB07 for the treatment of cancer cachexia. Cachexia is a syndrome characterized by weight loss, anorexia ...
Pharmacokinetics and safety of TCMCB07, a melanocortin‐4 ...Melanocortin-4 receptor (MC4R) antagonistic peptide TCMCB07 is safe at both low and high doses in dogs. Therapy was tolerated well as determined by physical ...
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