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ADH-1

Phase 2

Neoplasms | Small molecule | Oncology |Fennec Pharmaceuticals Inc.|Last Updated: Dec 28, 2023

Target and mechanism

ModalitySmall molecule

Also known as ADH -1 (Exherin™)

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLEDBiomarker
Total Trials4
Total Enrollment56

FDA Designations

No designations recorded

Clinical trial landscape

ADH-1 · 5 trials · 21 indications

Phase 2 1Phase 1 4
NCT00264433A Study of the Safety and Effects of ADH-1 Given Intravenously as a Single AgentNeoplasms
COMPLETED- Analytics
PHASE2COMPLETED
A Study of the Safety and Effects of ADH-1 Given Intravenously as a Single Agent
NeoplasmsUnlock trial analytics

Study Endpoints

Primary Endpoints

Recommended dose of ADH-1, defined as the highest dose tested which results in dose-limiting toxicities in no more than 1 of 6 evaluable patients based on the National Cancer Institute Common Terminology Criteria for Adverse Events version 4.0
21 days

The incidence rates of adverse events will be described by dose level. The frequency of occurrence of overall toxicity, categorized by toxicity grades, will be described.

To tabulate the Best Overall Response according to unconfirmed RECIST, modified for cutaneous lesions
By Week 12

Secondary Endpoints

Changes in the levels of ICAM-1, E-selectin, VEGF, soluble VEGFR and B-FGF
After all patients complete cycle 1, about 2 years after initial patient enrolled
Progression-free survival
From the first date of therapy until the first notation of clinical progression, relapse or death from any cause, assessed up to 2 years
Survival
From the first date of therapy until the date of death from any cause, assessed up to 2 years
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Treatment (ADH-1, cisplatin, gemcitabine hydrochloride)EXPERIMENTALPatients receive ADH-1 IV over 20-80 minutes on days 1, 4, 8, 11, 15, and 18, cisplatin IV and gemcitabine hydrochloride IV over 30 minutes on days 1 and 8. Treatment repeats every 3 weeks for 3 courses in the absence of disease progression or unacceptable toxicity. Patients with stable or responsive disease may receive maintenance therapy with cisplatin and gemcitabine hydrochloride.

Interventions

NameTypeDescription
ADH -1 (Exherin™)DRUG -
ADH-1DRUGGiven IV
CisplatinDRUGGiven IV
Gemcitabine HydrochlorideDRUGGiven IV
Laboratory Biomarker AnalysisOTHERCorrelative studies
melphalanDRUGBy Isolated Limb Infusion (ILI), Lower Extremity: 7.5 mg/L (Limb Volume), Day 1 or Upper Extremity: 10 mg/L (Limb Volume), Day 1
ADH -1 and carboplatinDRUG -
ADH -1 and docetaxelDRUG -
ADH -1 and capecitabineDRUG -
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites11

Inclusion Criteria: * Signed written informed consent * Male and female patients \> or = 18 years of age with a solid tumor(s) refractory to standard curative therapy or for which no curative therapy exists * Histologically proven advanced and/or metastatic solid tumor of one of the following histo...

Countries:United StatesCanadaItalySwitzerland
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Frequently asked questions about ADH-1

What is ADH-1?

ADH-1 is an investigational small molecule developed by Fennec Pharmaceuticals Inc. (ticker FENC) for oncology indications. It has been studied in Phase 1 clinical trials in patients with solid tumors, including ampulla of Vater adenocarcinoma and other neoplasms. All four of its recorded trials are completed, and it is not currently approved.

What is ADH-1 used for in ampulla of Vater adenocarcinoma?

ADH-1 has been studied in Phase 1 trials for ampulla of Vater adenocarcinoma and other neoplasms. One trial, NCT01825603, evaluated ADH-1 with gemcitabine hydrochloride and cisplatin in metastatic pancreatic or biliary tract cancer, a group that includes ampulla of Vater adenocarcinoma. The drug remains investigational and is not approved for this use.

Who makes ADH-1?

ADH-1 is developed by Fennec Pharmaceuticals Inc., which trades under the ticker FENC. The company has sponsored Phase 1 studies of the agent in solid tumors and in combination regimens. ADH-1 is also referred to as Exherin.

What phase is ADH-1 in?

ADH-1 is in Phase 1 clinical development. All four of its recorded trials are Phase 1 studies, and all four are completed, with no active trials. The studies enrolled a total of 56 patients across the reported trials. ADH-1 is investigational and has not been approved by the FDA.

What clinical trials is ADH-1 in?

ADH-1 has been evaluated in four completed Phase 1 trials: NCT01825603 with gemcitabine and cisplatin in pancreatic or biliary tract cancer, NCT00421811 with normothermic isolated limb infusion of melphalan, NCT00390676 with carboplatin, docetaxel or capecitabine, and NCT00265057 given intravenously to patients with solid tumors.

Is ADH-1 the same as Exherin?

Yes, ADH-1 is also known as Exherin. The names ADH-1 and Exherin refer to the same investigational agent. It has also been studied in combination regimens, including ADH-1 with carboplatin, which appear in trial listings under those combination names.