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Study of Human Monoclonal Antibody to Treat Mycosis Fungoides and Sezary Syndrome

Primary Purpose

Mycosis Fungoides, Sezary Syndrome

Status
Terminated
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
HuMax-CD4 (zanolimumab)
Sponsored by
Emergent Product Development Seattle LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Mycosis Fungoides focused on measuring Refractory or intolerant to Mycosis Fungoides and sezary syndrome, Cutaneous T-cell Lymphoma, To evaluate the efficacy and safety of zanolimumab in Mycosis Fungoides and sezary syndrome

Eligibility Criteria

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

Inclusion Criteria: A biopsy compatible with the diagnosis of MF and sezary syndrome with a CD4 positive phenotype within 6 months of study entry Refractory to or intolerant to at least two prior therapies, one being Targretin® (or combinations hereof). Signed informed consent Exclusion Criteria: Prior treatment with Total Skin Electron Beam (TSEB) therapy within six months Prior treatment with Campath (alemtuzumab) Prior treatment with more than three regimens of single agent chemotherapy Prior treatment with pentostatin within 6 months Treatment within 4 weeks prior to visit 2 with topical Targretin®, skin directed therapies or systemic anticancer therapies, such as, but not limited to: Targretin® , UV-light therapy, local Electron Beam Therapy (EBT), extracorporal photo chemotherapy, methotrexate, bleomycin, cyclophosphamide, combination chemotherapy, oral retinoids, systemic glucocorticosteroids , carmustine, nitrogen mustard, systemic vitamin A or etretinate Treatment with topical glucocorticosteroids within 2 weeks prior to visit 2 Unwillingness or inability to avoid prolonged exposure to the sun or UV light sufficient to produce a mild erythema or thought by the investigator to likely modify the patient's disease Concurrent or previous malignancies within the past five years except adequately treated in situ carcinoma of the uterine cervix or basal or squamous cell skin carcinoma Significant concurrent, uncontrolled, or active medical condition including, but not limited to renal, hepatic, hematological, gastrointestinal, endocrine, pulmonary, cardiac, neurological, cerebral or psychiatric disease Known or suspected positive serology for HIV Known or suspected positive serology for hepatitis B or C Patients who are currently participating in any other trials or having received treatment with any experimental agent within 4 weeks prior to visit 1 (screening) Prior treatment with anti-CD4 monoclonal antibodies Breast feeding women or women with a positive pregnancy test at Visit 1 Women of childbearing potential not willing to use either hormonal birth control, an intrauterine device or double-barrier method for the entire study period

Sites / Locations

  • University of Alabama at Birmingham
  • Stanford University Medical Center
  • University of Colorado
  • H. Lee Moffitt Cancer Center
  • The Emory Clinic
  • Northwestern University
  • Tulane University Health Science Center
  • Boston Medical Center
  • University of Michigan Medical Center
  • Memorial Sloan Kettering
  • New York Medical Center
  • SUNY Upstate Medical University
  • Duke University Medical Center
  • University Hospital of Cleveland
  • Ohio State University
  • Oregon Health & Science University
  • University of Pennsylvania Health System
  • Middle Tennessee Research Institute
  • MD Anderson Cancer Center
  • Hopital de I'Hotel-Dieu
  • Consultation Dermatologie Niveau moins 1 Hopital Archet 2
  • Hopital Saint-Louis Service de Dermatologie
  • Centre Hospitalier Lyon Sud Bat. 1F 1er etage service Hematologie
  • Skin Cancer Center Charite Mitte Dermatologie Fran Ramona Kursawa
  • University of Essen - Universitatsklinikum Essen z. Hd. Frau Desire Zieling
  • University of kiel, Klinik Fur Dermotologie, Christian-Albrechts-Universitat Zu
  • Klinikum Minden / Hautklinik Minden
  • University of Wurzburg - Universitatsklinikum Wurzburg dermato-onkologische studien
  • Instituto di Ematologia e Oncologia Medica "L. & A. Seragnoli"
  • Day Hospital Oncologico-Presidio Ospedaliero Firenze Centro Ospedale Santa Maria Nuova Azienda Sanitaria di Firenze, University of Florence
  • University of Milan-Fondazione IRCCS di Natura Pubblica Ospedale Maggiore Policlinico Mangiagalli e Regina Elena di Milano via Francesco Sforza
  • Instituto Dermopatico dell'Immacolata IRCCS via Monti di Creta
  • University of Turin SCDU Dermosifilopatia 2 A.S.O. Molinette S.Giovanni Battista
  • Hospital Universitario de la Princesa
  • Maternidad Planta Baja, Hospital 12 de Octubre

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Zanolimumab

Arm Description

Outcomes

Primary Outcome Measures

PGA Score

Secondary Outcome Measures

Full Information

First Posted
August 8, 2005
Last Updated
July 24, 2012
Sponsor
Emergent Product Development Seattle LLC
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1. Study Identification

Unique Protocol Identification Number
NCT00127881
Brief Title
Study of Human Monoclonal Antibody to Treat Mycosis Fungoides and Sezary Syndrome
Official Title
Open Label, Dose Escalation, Followed by Open Label,Single Arm Clinical Trial of HuMax-CD4 in Patients With Mycosis Fungoides Type CTCL (Stage IB-IVB) or Sezary Syndrome Who Are Refractory or Intolerant to Targretin® (Bexarotene) and One Other Standard Therapy
Study Type
Interventional

2. Study Status

Record Verification Date
July 2012
Overall Recruitment Status
Terminated
Why Stopped
New sponsor, other treatments available
Study Start Date
July 2005 (undefined)
Primary Completion Date
February 2014 (Anticipated)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Emergent Product Development Seattle LLC

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to determine the efficacy of the drug, HuMax-CD4, in patients with mycosis fungoides(MF) and sezary syndrome who are intolerant to or do not respond to treatment with Targretin® and one other standard therapy.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Mycosis Fungoides, Sezary Syndrome
Keywords
Refractory or intolerant to Mycosis Fungoides and sezary syndrome, Cutaneous T-cell Lymphoma, To evaluate the efficacy and safety of zanolimumab in Mycosis Fungoides and sezary syndrome

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
76 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Zanolimumab
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
HuMax-CD4 (zanolimumab)
Intervention Description
Monoclonal Antibody, 12 weekly infusions.
Primary Outcome Measure Information:
Title
PGA Score
Time Frame
Duration of Study

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: A biopsy compatible with the diagnosis of MF and sezary syndrome with a CD4 positive phenotype within 6 months of study entry Refractory to or intolerant to at least two prior therapies, one being Targretin® (or combinations hereof). Signed informed consent Exclusion Criteria: Prior treatment with Total Skin Electron Beam (TSEB) therapy within six months Prior treatment with Campath (alemtuzumab) Prior treatment with more than three regimens of single agent chemotherapy Prior treatment with pentostatin within 6 months Treatment within 4 weeks prior to visit 2 with topical Targretin®, skin directed therapies or systemic anticancer therapies, such as, but not limited to: Targretin® , UV-light therapy, local Electron Beam Therapy (EBT), extracorporal photo chemotherapy, methotrexate, bleomycin, cyclophosphamide, combination chemotherapy, oral retinoids, systemic glucocorticosteroids , carmustine, nitrogen mustard, systemic vitamin A or etretinate Treatment with topical glucocorticosteroids within 2 weeks prior to visit 2 Unwillingness or inability to avoid prolonged exposure to the sun or UV light sufficient to produce a mild erythema or thought by the investigator to likely modify the patient's disease Concurrent or previous malignancies within the past five years except adequately treated in situ carcinoma of the uterine cervix or basal or squamous cell skin carcinoma Significant concurrent, uncontrolled, or active medical condition including, but not limited to renal, hepatic, hematological, gastrointestinal, endocrine, pulmonary, cardiac, neurological, cerebral or psychiatric disease Known or suspected positive serology for HIV Known or suspected positive serology for hepatitis B or C Patients who are currently participating in any other trials or having received treatment with any experimental agent within 4 weeks prior to visit 1 (screening) Prior treatment with anti-CD4 monoclonal antibodies Breast feeding women or women with a positive pregnancy test at Visit 1 Women of childbearing potential not willing to use either hormonal birth control, an intrauterine device or double-barrier method for the entire study period
Facility Information:
Facility Name
University of Alabama at Birmingham
City
Birmingham
State/Province
Alabama
Country
United States
Facility Name
Stanford University Medical Center
City
Stanford
State/Province
California
ZIP/Postal Code
94305
Country
United States
Facility Name
University of Colorado
City
Aurora
State/Province
Colorado
ZIP/Postal Code
80045
Country
United States
Facility Name
H. Lee Moffitt Cancer Center
City
Tampa
State/Province
Florida
ZIP/Postal Code
33612
Country
United States
Facility Name
The Emory Clinic
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30322
Country
United States
Facility Name
Northwestern University
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611
Country
United States
Facility Name
Tulane University Health Science Center
City
New Orleans
State/Province
Louisiana
ZIP/Postal Code
70112
Country
United States
Facility Name
Boston Medical Center
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02118
Country
United States
Facility Name
University of Michigan Medical Center
City
Ann Arbor
State/Province
Michigan
ZIP/Postal Code
48109
Country
United States
Facility Name
Memorial Sloan Kettering
City
New York City
State/Province
New York
ZIP/Postal Code
10021
Country
United States
Facility Name
New York Medical Center
City
New York
State/Province
New York
ZIP/Postal Code
10016
Country
United States
Facility Name
SUNY Upstate Medical University
City
Syracuse
State/Province
New York
ZIP/Postal Code
13210
Country
United States
Facility Name
Duke University Medical Center
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27710
Country
United States
Facility Name
University Hospital of Cleveland
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44106
Country
United States
Facility Name
Ohio State University
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43201
Country
United States
Facility Name
Oregon Health & Science University
City
Portland
State/Province
Oregon
ZIP/Postal Code
97239
Country
United States
Facility Name
University of Pennsylvania Health System
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104
Country
United States
Facility Name
Middle Tennessee Research Institute
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37212-2637
Country
United States
Facility Name
MD Anderson Cancer Center
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
Hopital de I'Hotel-Dieu
City
Lyon Cedex 02
ZIP/Postal Code
69288
Country
France
Facility Name
Consultation Dermatologie Niveau moins 1 Hopital Archet 2
City
Nice
ZIP/Postal Code
06220
Country
France
Facility Name
Hopital Saint-Louis Service de Dermatologie
City
Paris Cedex 10
ZIP/Postal Code
75475
Country
France
Facility Name
Centre Hospitalier Lyon Sud Bat. 1F 1er etage service Hematologie
City
Pierre Benite Cedex
ZIP/Postal Code
69495
Country
France
Facility Name
Skin Cancer Center Charite Mitte Dermatologie Fran Ramona Kursawa
City
Berlin
ZIP/Postal Code
10117
Country
Germany
Facility Name
University of Essen - Universitatsklinikum Essen z. Hd. Frau Desire Zieling
City
Essen
ZIP/Postal Code
45122
Country
Germany
Facility Name
University of kiel, Klinik Fur Dermotologie, Christian-Albrechts-Universitat Zu
City
Kiel
ZIP/Postal Code
D-24105
Country
Germany
Facility Name
Klinikum Minden / Hautklinik Minden
City
Minden
ZIP/Postal Code
32427
Country
Germany
Facility Name
University of Wurzburg - Universitatsklinikum Wurzburg dermato-onkologische studien
City
Wurzburg
ZIP/Postal Code
97080
Country
Germany
Facility Name
Instituto di Ematologia e Oncologia Medica "L. & A. Seragnoli"
City
Bologna
ZIP/Postal Code
40138
Country
Italy
Facility Name
Day Hospital Oncologico-Presidio Ospedaliero Firenze Centro Ospedale Santa Maria Nuova Azienda Sanitaria di Firenze, University of Florence
City
Florence
ZIP/Postal Code
50121
Country
Italy
Facility Name
University of Milan-Fondazione IRCCS di Natura Pubblica Ospedale Maggiore Policlinico Mangiagalli e Regina Elena di Milano via Francesco Sforza
City
Milan
ZIP/Postal Code
20122
Country
Italy
Facility Name
Instituto Dermopatico dell'Immacolata IRCCS via Monti di Creta
City
Roma
ZIP/Postal Code
00167
Country
Italy
Facility Name
University of Turin SCDU Dermosifilopatia 2 A.S.O. Molinette S.Giovanni Battista
City
Turin
ZIP/Postal Code
10126
Country
Italy
Facility Name
Hospital Universitario de la Princesa
City
Madrid
ZIP/Postal Code
28006
Country
Spain
Facility Name
Maternidad Planta Baja, Hospital 12 de Octubre
City
Madrid
ZIP/Postal Code
28041
Country
Spain

12. IPD Sharing Statement

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Study of Human Monoclonal Antibody to Treat Mycosis Fungoides and Sezary Syndrome

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