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Xcellerated T CellsTM for Non-Hodgkin's Lymphoma (NHL) Patients

Primary Purpose

Non-Hodgkin's Lymphoma

Status
Unknown status
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Xcellerated T Cells
Sponsored by
Xcyte Therapies
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Non-Hodgkin's Lymphoma focused on measuring T Cells, Immunotherapy, NHL, Xcellerated T Cells

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Indolent non-Hodgkin's Lymphoma (NHL), with one of the following subtypes according to the REAL Classification: follicular lymphoma, small lymphocytic lymphoma (SLL), extranodal marginal zone B-cell lymphoma (MALT), nodal marginal zone B-cell lymphoma (monocytoid B-cell lymphoma), splenic marginal zone lymphoma (splenic lymphoma with villous lymphocytes) and mantle cell lymphoma. Other subtypes require approval of the Medical Monitor. At least 16 patients with small lymphocytic lymphoma, and no more than eight patients with mantle cell lymphoma will be enrolled. Stage III or IV disease at any time in the past Relapsed or refractory disease following most recent treatment. Patients are considered to have refractory disease if their last treatment course did not result in a complete or partial response, or if time to disease progression was six months or less. Patients are considered to have relapsed disease if time to disease progression is more than six months. Patients who have achieved a partial or complete response following most recent therapy must have demonstrated progressive disease. Patients must have received at least one prior course of systemic therapy for NHL and no more than four prior courses of therapy. Repeat courses of the same therapeutic regimen separated in time by six or more months are considered separate treatment courses, with the exception of single-agent rituximab. Patients with more than four prior courses of therapy may be enrolled at the discretion of the Medical Monitor after discussion with the Investigator. Radiographically bi-dimensionally measurable disease. Imaging need not be performed within 15 days prior to registration. Prior scans are acceptable provided that there has been no intervening therapy for NHL. Scans will be obtained at baseline, following registration. Age of at least 18 years ECOG performance status of 0 to 2 White blood count (WBC) ≥ 3,000/mm3, absolute neutrophil count (ANC) ≥ 1000/mm3 CD3+ > 1% of total peripheral white blood cell count by flow cytometry Platelet count > 50,000/mm3 Hemoglobin ³ 10.0 g/dL. Transfusion with red blood cells or use of erythropoietin is permissible. Serum total bilirubin and alanine aminotransferase (ALT) ≤ 2.0 times the upper limit of normal Serum creatinine ≤ 2.0 mg/dL Serum human anti-mouse antibody (HAMA) titer undetectable or within the normal range, and no history of symptomatic allergic reactions to mice or murine (mouse) proteins. Patients with elevated HAMA levels may be enrolled at the discretion of the Medical Monitor after discussion with the Investigator. Negative test results for current/active infection with HIV-1, HIV-2, HTLV-1, HTLV-2, hepatitis B and hepatitis C within 30 days of registration. (Antibody, antigen and nucleic acid tests acceptable, depending on institutional standards) Women of childbearing potential must have a negative serum pregnancy test. Both men and women agree to use a medically accepted form of contraception from the time of initial screening through completion of the study. Able to comprehend and provide signed informed consent Exclusion Criteria: Evidence of Hodgkin's lymphoma, Burkitt's lymphoma, diffuse large B-cell lymphoma, primary mediastinal B-cell lymphoma, lymphoplasmacytic lymphoma, hairy cell leukemia, primary central nervous system lymphoma or any other aggressive lymphoma Any T cell lymphoma Evidence of primary cutaneous anaplastic large cell lymphoma, Richter's Syndrome, large granular lymphocytosis and Sézary-cell leukemia. Patients with a prior diagnosis of chronic lymphocytic leukemia, as evidenced by absolute peripheral lymphocyte count of greater than 5,000 per mm3 at any time in the past, are not eligible. Leukemic manifestations of non-Hodgkin's lymphoma. Small lymphocytic lymphoma patients with peripheral lymphocyte count greater than 5,000 per mm3 Receipt of any chemotherapy, monoclonal antibody, investigational or other systemic therapy (except glucocorticoids as noted below) for the treatment of NHL within 2 months prior to registration Receipt of glucocorticoids (with the exception of inhaled glucocorticoids) within 1 month prior to registration Receipt of intravenous immunoglobulin (IVIG) within 1 month of registration Registration for, or plans to participate in, any other clinical trial of an investigational agent concurrently with this trial History of malignancy other than NHL within five years of registration, except adequately treated basal or squamous cell skin cancer or in situ carcinoma of the cervix. Other exceptions must be approved by the Xcyte Therapies' Medical Monitor prior to registration. Infection requiring treatment with antibiotics, antifungal, or antiviral agents within seven days of registration Active autoimmune disease requiring systemic treatment Major organ system dysfunction including (but not limited to): New York Heart Association Class III or IV, severe pulmonary, renal, hepatic, gastrointestinal, neurologic or psychiatric dysfunction which would impair patient's ability to participate in the trial Any other pertinent medical or psychological condition which leads the Investigator to believe the study would not be appropriate treatment or in the patient's best interest

Sites / Locations

  • California Cancer CareRecruiting
  • University of Southern California
  • University of California, San DiegoRecruiting
  • Sharp Memorial HospitalRecruiting
  • University of California, San FranciscoRecruiting
  • Rocky Mountain Cancer CentersRecruiting
  • Atlanta Cancer CareRecruiting
  • Johns Hopkins UniversityRecruiting
  • Center for Cancer & Blood DisordersRecruiting
  • Dana-Farber Cancer InstituteRecruiting
  • Washington UniversityRecruiting
  • Cancer Institute of New JerseyRecruiting
  • Ohio State UniversityRecruiting
  • Oregon Health Sciences UniversityRecruiting
  • Cancer Centers of the CarolinasRecruiting
  • MD Anderson Cancer CenterRecruiting
  • Swedish Cancer InstituteRecruiting
  • Virginia MasonRecruiting

Outcomes

Primary Outcome Measures

Secondary Outcome Measures

Full Information

First Posted
April 20, 2004
Last Updated
June 23, 2005
Sponsor
Xcyte Therapies
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1. Study Identification

Unique Protocol Identification Number
NCT00081783
Brief Title
Xcellerated T CellsTM for Non-Hodgkin's Lymphoma (NHL) Patients
Official Title
A Phase II Study of Xcellerated T CellsTM in Patients With Relapsed or Refractory Indolent Non-Hodgkin's Lymphoma (NHL)
Study Type
Interventional

2. Study Status

Record Verification Date
March 2005
Overall Recruitment Status
Unknown status
Study Start Date
March 2004 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
Xcyte Therapies

4. Oversight

5. Study Description

Brief Summary
This is a Phase II single arm study of a novel T cell immunotherapy in patients with indolent non-Hodgkin's lymphoma (NHL). Eligible patients will have relapsed or refractory disease after receiving at least one and no more than four prior regimens. Patients will receive Xcellerated T CellsTM, an ex vivo activated and expanded autologous T cell product, in an attempt to enhance immune responses with anti-tumor activity. The primary endpoint of the study is to evaluate the efficacy of Xcellerated T Cells in patients with indolent NHL. Secondary endpoints are to evaluate the safety of the therapy in this patient population, and to evaluate changes in the number and phenotype of T- and B-lymphocytes, as well as changes in the T cell receptor repertoire, hemoglobin levels, platelet counts and quantitative immunoglobulin levels. In a subset of patients, fine-needle aspirates of malignant lymph nodes will be performed to assess changes in the lymphocyte composition and phenotype. Bone marrow aspirates will be similarly evaluated. Finally, anti-tumor immune responses will be evaluated in patients amenable to biopsy of enlarged lymph nodes.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Non-Hodgkin's Lymphoma
Keywords
T Cells, Immunotherapy, NHL, Xcellerated T Cells

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
40 (false)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
Xcellerated T Cells

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Indolent non-Hodgkin's Lymphoma (NHL), with one of the following subtypes according to the REAL Classification: follicular lymphoma, small lymphocytic lymphoma (SLL), extranodal marginal zone B-cell lymphoma (MALT), nodal marginal zone B-cell lymphoma (monocytoid B-cell lymphoma), splenic marginal zone lymphoma (splenic lymphoma with villous lymphocytes) and mantle cell lymphoma. Other subtypes require approval of the Medical Monitor. At least 16 patients with small lymphocytic lymphoma, and no more than eight patients with mantle cell lymphoma will be enrolled. Stage III or IV disease at any time in the past Relapsed or refractory disease following most recent treatment. Patients are considered to have refractory disease if their last treatment course did not result in a complete or partial response, or if time to disease progression was six months or less. Patients are considered to have relapsed disease if time to disease progression is more than six months. Patients who have achieved a partial or complete response following most recent therapy must have demonstrated progressive disease. Patients must have received at least one prior course of systemic therapy for NHL and no more than four prior courses of therapy. Repeat courses of the same therapeutic regimen separated in time by six or more months are considered separate treatment courses, with the exception of single-agent rituximab. Patients with more than four prior courses of therapy may be enrolled at the discretion of the Medical Monitor after discussion with the Investigator. Radiographically bi-dimensionally measurable disease. Imaging need not be performed within 15 days prior to registration. Prior scans are acceptable provided that there has been no intervening therapy for NHL. Scans will be obtained at baseline, following registration. Age of at least 18 years ECOG performance status of 0 to 2 White blood count (WBC) ≥ 3,000/mm3, absolute neutrophil count (ANC) ≥ 1000/mm3 CD3+ > 1% of total peripheral white blood cell count by flow cytometry Platelet count > 50,000/mm3 Hemoglobin ³ 10.0 g/dL. Transfusion with red blood cells or use of erythropoietin is permissible. Serum total bilirubin and alanine aminotransferase (ALT) ≤ 2.0 times the upper limit of normal Serum creatinine ≤ 2.0 mg/dL Serum human anti-mouse antibody (HAMA) titer undetectable or within the normal range, and no history of symptomatic allergic reactions to mice or murine (mouse) proteins. Patients with elevated HAMA levels may be enrolled at the discretion of the Medical Monitor after discussion with the Investigator. Negative test results for current/active infection with HIV-1, HIV-2, HTLV-1, HTLV-2, hepatitis B and hepatitis C within 30 days of registration. (Antibody, antigen and nucleic acid tests acceptable, depending on institutional standards) Women of childbearing potential must have a negative serum pregnancy test. Both men and women agree to use a medically accepted form of contraception from the time of initial screening through completion of the study. Able to comprehend and provide signed informed consent Exclusion Criteria: Evidence of Hodgkin's lymphoma, Burkitt's lymphoma, diffuse large B-cell lymphoma, primary mediastinal B-cell lymphoma, lymphoplasmacytic lymphoma, hairy cell leukemia, primary central nervous system lymphoma or any other aggressive lymphoma Any T cell lymphoma Evidence of primary cutaneous anaplastic large cell lymphoma, Richter's Syndrome, large granular lymphocytosis and Sézary-cell leukemia. Patients with a prior diagnosis of chronic lymphocytic leukemia, as evidenced by absolute peripheral lymphocyte count of greater than 5,000 per mm3 at any time in the past, are not eligible. Leukemic manifestations of non-Hodgkin's lymphoma. Small lymphocytic lymphoma patients with peripheral lymphocyte count greater than 5,000 per mm3 Receipt of any chemotherapy, monoclonal antibody, investigational or other systemic therapy (except glucocorticoids as noted below) for the treatment of NHL within 2 months prior to registration Receipt of glucocorticoids (with the exception of inhaled glucocorticoids) within 1 month prior to registration Receipt of intravenous immunoglobulin (IVIG) within 1 month of registration Registration for, or plans to participate in, any other clinical trial of an investigational agent concurrently with this trial History of malignancy other than NHL within five years of registration, except adequately treated basal or squamous cell skin cancer or in situ carcinoma of the cervix. Other exceptions must be approved by the Xcyte Therapies' Medical Monitor prior to registration. Infection requiring treatment with antibiotics, antifungal, or antiviral agents within seven days of registration Active autoimmune disease requiring systemic treatment Major organ system dysfunction including (but not limited to): New York Heart Association Class III or IV, severe pulmonary, renal, hepatic, gastrointestinal, neurologic or psychiatric dysfunction which would impair patient's ability to participate in the trial Any other pertinent medical or psychological condition which leads the Investigator to believe the study would not be appropriate treatment or in the patient's best interest
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Vicki M. Mizuno
Phone
206-262-6251
Email
vmizuno@xcytetherapies.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Mark W. Frohlich, MD
Organizational Affiliation
Xcyte Therapies
Official's Role
Study Chair
Facility Information:
Facility Name
California Cancer Care
City
Greenbrae
State/Province
California
ZIP/Postal Code
94904
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jaime Chang
Phone
415-925-5040
Email
JChang@cal-cancer-care.com
First Name & Middle Initial & Last Name & Degree
Jennifer B. Lucas, MD
Facility Name
University of Southern California
City
Los Angeles
State/Province
California
ZIP/Postal Code
90033
Country
United States
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Lynne Smith
Phone
323-865-0371
Email
diansmi@usc.edu
First Name & Middle Initial & Last Name & Degree
Ann Mohrbacher, MD
Facility Name
University of California, San Diego
City
San Diego
State/Province
California
ZIP/Postal Code
92093
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Vineeta Prasad
Phone
858-822-0337
Email
vprasad@ucsd.edu
First Name & Middle Initial & Last Name & Degree
Januario E. Castro, MD
Facility Name
Sharp Memorial Hospital
City
San Diego
State/Province
California
ZIP/Postal Code
92123
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Cathy Wood
Phone
858-939-5062
Email
cathy.wood@sharp.com
First Name & Middle Initial & Last Name & Degree
Charles Redfern, MD
Facility Name
University of California, San Francisco
City
San Francisco
State/Province
California
ZIP/Postal Code
94143
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jenny Zhang
Phone
415-476-3741
Email
jzhang@medicine.ucsf.edu
First Name & Middle Initial & Last Name & Degree
Lawrence D. Kaplan, MD
Facility Name
Rocky Mountain Cancer Centers
City
Denver
State/Province
Colorado
ZIP/Postal Code
80218
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Juli Murphy, BS, CCRC
Phone
303-285-5087
Email
juli.murphy@usoncology.com
First Name & Middle Initial & Last Name & Degree
Peter McSweeney, MD
Facility Name
Atlanta Cancer Care
City
Roswell
State/Province
Georgia
ZIP/Postal Code
30342
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Kathy Andrews
Phone
404-851-2359
Email
kandrews@atlantacancercare.com
First Name & Middle Initial & Last Name & Degree
Ronald G. Steis, MD
Facility Name
Johns Hopkins University
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21231
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Susan Newton, RN
Phone
410-502-7985
Email
meusesu@jhmi.edu
First Name & Middle Initial & Last Name & Degree
Ian W. Flinn, MD, PhD
Facility Name
Center for Cancer & Blood Disorders
City
Bethesda
State/Province
Maryland
ZIP/Postal Code
20817
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Natalie Bongiorno, RN, BSN
Phone
301-571-0019
Email
nbongiorno@ccbdmd.com
First Name & Middle Initial & Last Name & Degree
Ralph V. Boccia, MD
Facility Name
Dana-Farber Cancer Institute
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02115
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Richard Boyajian
Phone
617-632-3352
Ext
42314
Email
Richard_Boyajian@dfci.harvard.edu
First Name & Middle Initial & Last Name & Degree
Arnold Freedman, MD
Facility Name
Washington University
City
St. Louis
State/Province
Missouri
ZIP/Postal Code
63110
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Kelly Bryan
Phone
314-362-6359
Email
kbryan@im.wustl.edu
First Name & Middle Initial & Last Name & Degree
Nancy L. Bartlett, MD
Facility Name
Cancer Institute of New Jersey
City
New Brunswick
State/Province
New Jersey
ZIP/Postal Code
08903
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
John Martin
Phone
732-235-8995
Email
martinj4@umdnj.edu
First Name & Middle Initial & Last Name & Degree
Roger K. Strair, MD, PhD
Facility Name
Ohio State University
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43210
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Mary Weiss
Phone
614-293-3437
Email
Weiss-3@medctr.osu.edu
First Name & Middle Initial & Last Name & Degree
Thomas Lin, MD
Facility Name
Oregon Health Sciences University
City
Portland
State/Province
Oregon
ZIP/Postal Code
97239
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Aubyn Grant, CCRP
Phone
503-494-5074
Email
granta@ohsu.edu
First Name & Middle Initial & Last Name & Degree
Brandon Hayes-Lattin, MD
Facility Name
Cancer Centers of the Carolinas
City
Greenville
State/Province
South Carolina
ZIP/Postal Code
29605
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Kim Williams, RN
Phone
864-241-6251
Email
kimberly.williams@usoncology.com
First Name & Middle Initial & Last Name & Degree
Joe J. Stephenson, MD
Facility Name
MD Anderson Cancer Center
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ana Ayala
Phone
713-792-3610
Email
abayala@mdanderson.org
First Name & Middle Initial & Last Name & Degree
Peter W. McLaughlin, MD
Facility Name
Swedish Cancer Institute
City
Seattle
State/Province
Washington
ZIP/Postal Code
98104
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Toni Oien, CCRC
Phone
206-386-2831
Email
toni.oien@swedish.org
First Name & Middle Initial & Last Name & Degree
Michael S. Milder, MD
Facility Name
Virginia Mason
City
Seattle
State/Province
Washington
ZIP/Postal Code
98111
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Aimee Perrault-Gray
Phone
206-583-6559
Ext
61870
Email
Aimee.PerraultGray@vmmc.org
First Name & Middle Initial & Last Name & Degree
David M. Aboulafia, MD

12. IPD Sharing Statement

Learn more about this trial

Xcellerated T CellsTM for Non-Hodgkin's Lymphoma (NHL) Patients

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