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Study of L-NDDP (Aroplatin) in Patients With Advanced Solid Malignancies or B-Cell Lymphoma

Primary Purpose

Malignancies, B-Cell Lymphoma

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Aroplatin
Sponsored by
Agenus Inc.
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Malignancies focused on measuring advanced solid malignancies, B-cell lymphoma, Aroplatin, L-NDDP, MTD, advanced solid malignancies or B-cell lymphoma

Eligibility Criteria

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

Inclusion Criteria: Advanced solid malignancies or B-cell lymphoma Less than or equal to 5 anti-cancer treatment regimens, which must be concluded at least four weeks prior to the first planned L-NDDP administration Measurable disease Eastern Cooperative Oncology Group (ECOG) performance score of 0 or 1 New York Heart Association (NYHA) Class I or II Greater than or equal to 18 years of age Absolute neutrophil count greater than or equal to 1.5 x 10^9/L Platelets greater than or equal to 100 x 10^9/L Creatinine less than or equal to 1.5 x upper limit of normal (ULN) ALT less than 3 x ULN in absence of liver metastases; less than 5 x ULN in presence of liver metastases. Hemoglobin greater than or equal to 10 g/dL Total bilirubin less than or equal to 2 x ULN Female of childbearing potential must have a negative serum pregnancy test Male or female patients of child producing potential must agree to use contraception or avoidance of pregnancy measures during the study and for one month after the last L-NDDP dose. Signed written informed consent must be obtained and documented according to ICH-GCP, the local regulatory requirements, and the rules followed at each institution. Exclusion Criteria: Known active or untreated brain metastases Other ongoing systemic cancer therapies Hypersensitivity to platinum compounds Other active malignancies with the exception of adequately treated in-situ carcinoma of the uterine cervix, or non-melanoma skin cancer A marked baseline prolongation of QT/QTc interval (e.g. repeated demonstration [at least two assessments at a minimum of 48 hours apart] of a QTc interval of > 450 for males and > 470 for females) or history of additional risk factors for torsades des pointes or use of concomitant medication prolonging the QT/QTc interval Serious illness which, in the opinion of the Principal Investigator, would prevent study completion Investigational therapy currently or within four weeks prior to planned first dose of L-NDDP Women who are pregnant or breastfeeding will be excluded from participation.

Sites / Locations

Outcomes

Primary Outcome Measures

Determine the maximum tolerated dose and dose-limiting toxicity of L-NDDP
Assess safety of L-NDDP
Determine the pharmacokinetic profile of L-NDDP

Secondary Outcome Measures

Assess clinical activity

Full Information

First Posted
April 19, 2006
Last Updated
October 24, 2008
Sponsor
Agenus Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT00316511
Brief Title
Study of L-NDDP (Aroplatin) in Patients With Advanced Solid Malignancies or B-Cell Lymphoma
Official Title
A Phase 1 Multi-Center, Dose Escalation and Pharmacokinetic Study of L-NDDP (Aroplatin) in Patients With Advanced Solid Malignancies or B-Cell Lymphoma
Study Type
Interventional

2. Study Status

Record Verification Date
October 2008
Overall Recruitment Status
Completed
Study Start Date
March 2006 (undefined)
Primary Completion Date
June 2008 (Actual)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
Agenus Inc.

4. Oversight

5. Study Description

Brief Summary
This is a dose escalation study. Patients will be enrolled in cohorts of three patients each, and escalation of dose to the next cohort will be determined based on dose-limiting toxicity (DLT) in the previous cohort. This study aims to identify the maximum tolerated dose (MTD) of intravenous L-NDDP. Once the MTD has been determined, an additional four patients will be enrolled at that dose level. While the MTD is determined based on safety data from each cohort's first cycle of L-NDDP therapy only, patients may continue treatment with additional cycles of L-NDDP at the same dose as their starting dose until documented progression, unacceptable toxicity, or another off study criterion is met. Patients who have not met any of the off study criteria and continue to receive L-NDDP therapy at the time when MTD is determined may be allowed to change L-NDDP dose to the MTD dose level. The study will also determine the pharmacokinetic profile of L-NDDP administration. Clinical activity of L-NDDP in solid tumor patients will be assessed as tumor response using the Response Evaluation Criteria in Solid Tumors (RECIST) criteria. Clinical activity of L-NDDP in B-cell lymphoma patients will be assessed using the International Working Group recommendations.
Detailed Description
This is a dose escalation study that utilizes a constant incremental dose increase of 50 mg/m2 per cohort. Patients will be enrolled in cohorts of three patients each, and escalation of dose to the next cohort will be determined based on dose-limiting toxicity (DLT) in the previous cohort. DLT is defined as any adverse event (AE) of severity grade 3, 4 or 5 (including serious or life-threatening) considered possibly, probably or definitely related to L-NDDP (CTCAE v3.0), which occurs during cycle 1, excluding those events that occur and are completely resolved within 4-6 hours of the first dose of L-NDDP (infusion-related reactions). This study also aims to identify the maximum tolerated dose (MTD) of intravenous L-NDDP, defined as the dose level at which no more than one out of six patients has any DLT. Once the MTD has been determined, an additional four patients will be enrolled at that dose level (for a total of 10 patients at the MTD dose level). While the MTD is determined based on safety data from each cohort's first cycle of L-NDDP therapy only, patients may continue treatment with additional cycles of L-NDDP at the same dose as their starting dose until documented progression, unacceptable toxicity or another off study criterion is met. Patients who have not met any of the off study criteria and continue to receive L-NDDP therapy at the time when MTD is determined may be allowed to change L-NDDP dose to the MTD dose level. The study will also determine the pharmacokinetic profile of L-NDDP administration through whole blood, plasma, and urine samples drawn before, during, and after L-NDDP administration. Clinical activity of L-NDDP in solid tumor patients will be assessed as tumor response using the RECIST criteria. Clinical activity of L-NDDP in B-Cell lymphoma patients will be assessed using the International Working Group Recommendations.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Malignancies, B-Cell Lymphoma
Keywords
advanced solid malignancies, B-cell lymphoma, Aroplatin, L-NDDP, MTD, advanced solid malignancies or B-cell lymphoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
21 (Actual)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
Aroplatin
Primary Outcome Measure Information:
Title
Determine the maximum tolerated dose and dose-limiting toxicity of L-NDDP
Title
Assess safety of L-NDDP
Title
Determine the pharmacokinetic profile of L-NDDP
Secondary Outcome Measure Information:
Title
Assess clinical activity

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Advanced solid malignancies or B-cell lymphoma Less than or equal to 5 anti-cancer treatment regimens, which must be concluded at least four weeks prior to the first planned L-NDDP administration Measurable disease Eastern Cooperative Oncology Group (ECOG) performance score of 0 or 1 New York Heart Association (NYHA) Class I or II Greater than or equal to 18 years of age Absolute neutrophil count greater than or equal to 1.5 x 10^9/L Platelets greater than or equal to 100 x 10^9/L Creatinine less than or equal to 1.5 x upper limit of normal (ULN) ALT less than 3 x ULN in absence of liver metastases; less than 5 x ULN in presence of liver metastases. Hemoglobin greater than or equal to 10 g/dL Total bilirubin less than or equal to 2 x ULN Female of childbearing potential must have a negative serum pregnancy test Male or female patients of child producing potential must agree to use contraception or avoidance of pregnancy measures during the study and for one month after the last L-NDDP dose. Signed written informed consent must be obtained and documented according to ICH-GCP, the local regulatory requirements, and the rules followed at each institution. Exclusion Criteria: Known active or untreated brain metastases Other ongoing systemic cancer therapies Hypersensitivity to platinum compounds Other active malignancies with the exception of adequately treated in-situ carcinoma of the uterine cervix, or non-melanoma skin cancer A marked baseline prolongation of QT/QTc interval (e.g. repeated demonstration [at least two assessments at a minimum of 48 hours apart] of a QTc interval of > 450 for males and > 470 for females) or history of additional risk factors for torsades des pointes or use of concomitant medication prolonging the QT/QTc interval Serious illness which, in the opinion of the Principal Investigator, would prevent study completion Investigational therapy currently or within four weeks prior to planned first dose of L-NDDP Women who are pregnant or breastfeeding will be excluded from participation.
Facility Information:
City
Boston
State/Province
Massachusetts
Country
United States
City
Houston
State/Province
Texas
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Study of L-NDDP (Aroplatin) in Patients With Advanced Solid Malignancies or B-Cell Lymphoma

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