Safety Study of NHL With 90Y-hLL2 IgG
Primary Purpose
NHL, B-cell NHL, Non-Hodgkins Lymphoma
Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
90Y-hLL2
Sponsored by
About this trial
This is an interventional treatment trial for NHL focused on measuring NHL, B-cell NHL, Non-Hodgkins lymphoma
Eligibility Criteria
Inclusion Criteria:
- All patients must have a histologic or cytological diagnosis of B-cell lymphoma, and have failed at least one regimen of standard chemotherapy. All histologic grades of non-Hodgkin's lymphoma (NHL) will be eligible for these studies.
- Patients must be > 18 years of age
- Measurable disease by CT, with at least one lesion > 1.5 cm in one or both dimensions
- less than 25% bone marrow involvement as determined by bone marrow biopsy
- Patient must have greater than 15% cellularity of the bone marrow.
- Patients must be at least 4 weeks beyond any major surgery.
- Patients must be at least 4 weeks beyond any radiation therapy to the index lesion and must have recovered from radiation induced toxicity.
- Patients must be at least 4 weeks beyond prior chemotherapy and/or immunotherapy, or 2-weeks after corticosteroids, and their blood counts must be within the eligibility criteria. Corticosteroids may, however, be given concomitantly if used to treat adrenal insufficiency
- Patients must have a performance status of 70 or greater on the Karnofsky scale equivalent to ECOG 0-1 (See Appendix A) and a minimal life expectancy of 6 months.
- Patients must be able to give cognizant informed consent.
Exclusion Criteria:
- Patients with a significant concurrent medical complication including severe anorexia, nausea or vomiting that in the judgement of the Investigator could affect the patient's ability to tolerate or complete this study.
- Patients with metastasis to the brain.
- Patients with extensive irradiation to more than 25% of their red marrow will be excluded, except those who had total body irradiation in the context of bone marrow or stem cell transplantation regimen with subsequent engraftment of a functional marrow (i.e., resulting in normal peripheral blood counts). Subjects who have received external radiation to specific organs or areas at the maximum tolerated level are also excluded.
- Women who test positive for pregnancy.
- Patients with splenomegaly.
- Patients with > 4 treatment regimens prior to this protocol, including chemotherapy, radiotherapy and/or other immunotherapy.
- Patients with prior radioimmunotherapy treatments (unless for retreatment under this protocol).
- Patients receiving rituximab within 3 months, unless progressing after treatment.
- Patients with <50% LVEF by required MUGA or 2-D ECHO.
- Patients with <60% of predicted value by required pulmonary function tests.
- Patients who have active Hepatitis B or C or are known HIV positive.
- Patients with another primary malignancy (except basal/squamous cell carcinoma of the skin or carcinoma in-situ of the cervix.
- Patients with other serious medical, surgical, or psychiatric history, unless currently stable and well controlled, without significant increase in treatment medications for at least 30 days preceding study entry.
Sites / Locations
- Research Unit 463 INSERM
- Service des Maladies du Sang
- University Hospital Dresden
- Klinikum der Georg-August-Universitat Gottingen
- Universitatsklinikum University of Saarland
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
multi
Arm Description
escalating in increments of 2.5 mCi/m2
Outcomes
Primary Outcome Measures
Safety will be evaluated from physical examinations, hematology and chemistry testing and toxicity evaluation
Secondary Outcome Measures
Determine maximum tolerated dose (MTD)
Evaluate the immunogenicity and safety of repeated infusions of 90Y-hLL2 in NHL patients.
Determine the therapeutic effects, in terms of objective response rate and duration, of the therapeutic agent in NHL patients.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT00421395
Brief Title
Safety Study of NHL With 90Y-hLL2 IgG
Official Title
Phase I/II Radioimmunotherapy of Non-Hodgkin's Lymphoma With Radiolabeled Humanized IMMU-LL2: Treatment With 90Y-hLL2 IgG
Study Type
Interventional
2. Study Status
Record Verification Date
January 2008
Overall Recruitment Status
Completed
Study Start Date
August 2002 (undefined)
Primary Completion Date
October 2007 (Actual)
Study Completion Date
October 2007 (Actual)
3. Sponsor/Collaborators
Name of the Sponsor
Gilead Sciences
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
This will be an open label, multiple center, non-randomized, dose-escalation Phase I/II trial, designed to evaluate the safety and effectiveness of a repeated, outpatient regimen utilizing IMMU-hLL2 intact monoclonal antibody IgG labeled with different doses of 90Y for the treatment of patients B-cell lymphoma (NHL).
Detailed Description
90Y-labeled hLL2 will be administered according to a schedule based upon whether or not a patient had prior high-dose chemotherapy with a marrow or stem cell transplant. Patients with both indolent and aggressive types of NHL will be enrolled at each dose level without segregation. However, at the conclusion of the trial, with the maximum tolerated dose (MTD) defined, a minimum number of 6 patients with indolent NHL, 6 patients with aggressive NHL, and 6 patients with >25% bone marrow involvement will be studied at that dose level.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
NHL, B-cell NHL, Non-Hodgkins Lymphoma
Keywords
NHL, B-cell NHL, Non-Hodgkins lymphoma
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
59 (Actual)
8. Arms, Groups, and Interventions
Arm Title
multi
Arm Type
Experimental
Arm Description
escalating in increments of 2.5 mCi/m2
Intervention Type
Biological
Intervention Name(s)
90Y-hLL2
Other Intervention Name(s)
epratuzumab, hLL2
Intervention Description
weekly dosing for either 2 or 3 weeks
Primary Outcome Measure Information:
Title
Safety will be evaluated from physical examinations, hematology and chemistry testing and toxicity evaluation
Time Frame
First 12 weeks, total 5 years
Secondary Outcome Measure Information:
Title
Determine maximum tolerated dose (MTD)
Time Frame
first 12 weeks
Title
Evaluate the immunogenicity and safety of repeated infusions of 90Y-hLL2 in NHL patients.
Time Frame
6 weeks, 12 weeks, every 3 months if HAHA elevated
Title
Determine the therapeutic effects, in terms of objective response rate and duration, of the therapeutic agent in NHL patients.
Time Frame
6 wks, 12 wks, every 3 mos for 5 years
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
All patients must have a histologic or cytological diagnosis of B-cell lymphoma, and have failed at least one regimen of standard chemotherapy. All histologic grades of non-Hodgkin's lymphoma (NHL) will be eligible for these studies.
Patients must be > 18 years of age
Measurable disease by CT, with at least one lesion > 1.5 cm in one or both dimensions
less than 25% bone marrow involvement as determined by bone marrow biopsy
Patient must have greater than 15% cellularity of the bone marrow.
Patients must be at least 4 weeks beyond any major surgery.
Patients must be at least 4 weeks beyond any radiation therapy to the index lesion and must have recovered from radiation induced toxicity.
Patients must be at least 4 weeks beyond prior chemotherapy and/or immunotherapy, or 2-weeks after corticosteroids, and their blood counts must be within the eligibility criteria. Corticosteroids may, however, be given concomitantly if used to treat adrenal insufficiency
Patients must have a performance status of 70 or greater on the Karnofsky scale equivalent to ECOG 0-1 (See Appendix A) and a minimal life expectancy of 6 months.
Patients must be able to give cognizant informed consent.
Exclusion Criteria:
Patients with a significant concurrent medical complication including severe anorexia, nausea or vomiting that in the judgement of the Investigator could affect the patient's ability to tolerate or complete this study.
Patients with metastasis to the brain.
Patients with extensive irradiation to more than 25% of their red marrow will be excluded, except those who had total body irradiation in the context of bone marrow or stem cell transplantation regimen with subsequent engraftment of a functional marrow (i.e., resulting in normal peripheral blood counts). Subjects who have received external radiation to specific organs or areas at the maximum tolerated level are also excluded.
Women who test positive for pregnancy.
Patients with splenomegaly.
Patients with > 4 treatment regimens prior to this protocol, including chemotherapy, radiotherapy and/or other immunotherapy.
Patients with prior radioimmunotherapy treatments (unless for retreatment under this protocol).
Patients receiving rituximab within 3 months, unless progressing after treatment.
Patients with <50% LVEF by required MUGA or 2-D ECHO.
Patients with <60% of predicted value by required pulmonary function tests.
Patients who have active Hepatitis B or C or are known HIV positive.
Patients with another primary malignancy (except basal/squamous cell carcinoma of the skin or carcinoma in-situ of the cervix.
Patients with other serious medical, surgical, or psychiatric history, unless currently stable and well controlled, without significant increase in treatment medications for at least 30 days preceding study entry.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
William A Wegener, MD, PhD
Organizational Affiliation
Gilead Sciences
Official's Role
Study Chair
Facility Information:
Facility Name
Research Unit 463 INSERM
City
Nantes
State/Province
Cedex
ZIP/Postal Code
44035
Country
France
Facility Name
Service des Maladies du Sang
City
Lille
ZIP/Postal Code
59037
Country
France
Facility Name
University Hospital Dresden
City
Dresden
ZIP/Postal Code
01307
Country
Germany
Facility Name
Klinikum der Georg-August-Universitat Gottingen
City
Gottingen
ZIP/Postal Code
37075
Country
Germany
Facility Name
Universitatsklinikum University of Saarland
City
Homburg/Saar
ZIP/Postal Code
D-66421
Country
Germany
12. IPD Sharing Statement
Citations:
PubMed Identifier
16033839
Citation
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PubMed Identifier
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Citation
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PubMed Identifier
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Citation
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Citation
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URL
http://www.immunomedics.com
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URL
http://www.lrfa.org
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Safety Study of NHL With 90Y-hLL2 IgG
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