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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
Gilead Sciences
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for NHL focused on measuring NHL, B-cell NHL, Non-Hodgkins lymphoma

Eligibility Criteria

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

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

First Posted
January 11, 2007
Last Updated
August 12, 2021
Sponsor
Gilead Sciences
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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
Linden O, Hindorf C, Cavallin-Stahl E, Wegener WA, Goldenberg DM, Horne H, Ohlsson T, Stenberg L, Strand SE, Tennvall J. Dose-fractionated radioimmunotherapy in non-Hodgkin's lymphoma using DOTA-conjugated, 90Y-radiolabeled, humanized anti-CD22 monoclonal antibody, epratuzumab. Clin Cancer Res. 2005 Jul 15;11(14):5215-22. doi: 10.1158/1078-0432.CCR-05-0172.
Results Reference
background
PubMed Identifier
10541377
Citation
Linden O, Tennvall J, Cavallin-Stahl E, Darte L, Garkavij M, Lindner KJ, Ljungberg M, Ohlsson T, Sjogreen K, Wingardh K, Strand SE. Radioimmunotherapy using 131I-labeled anti-CD22 monoclonal antibody (LL2) in patients with previously treated B-cell lymphomas. Clin Cancer Res. 1999 Oct;5(10 Suppl):3287s-3291s.
Results Reference
background
PubMed Identifier
14506200
Citation
Hindorf C, Linden O, Stenberg L, Tennvall J, Strand SE. Change in tumor-absorbed dose due to decrease in mass during fractionated radioimmunotherapy in lymphoma patients. Clin Cancer Res. 2003 Sep 1;9(10 Pt 2):4003S-6S.
Results Reference
background
PubMed Identifier
20477654
Citation
Sharkey RM, Burton J, Goldenberg DM. Radioimmunotherapy of non-Hodgkin's lymphoma: a critical appraisal. Expert Rev Clin Immunol. 2005 May;1(1):47-62. doi: 10.1586/1744666X.1.1.47.
Results Reference
background
PubMed Identifier
14660727
Citation
Sharkey RM, Brenner A, Burton J, Hajjar G, Toder SP, Alavi A, Matthies A, Tsai DE, Schuster SJ, Stadtmauer EA, Czuczman MS, Lamonica D, Kraeber-Bodere F, Mahe B, Chatal JF, Rogatko A, Mardirrosian G, Goldenberg DM. Radioimmunotherapy of non-Hodgkin's lymphoma with 90Y-DOTA humanized anti-CD22 IgG (90Y-Epratuzumab): do tumor targeting and dosimetry predict therapeutic response? J Nucl Med. 2003 Dec;44(12):2000-18.
Results Reference
background
PubMed Identifier
12515879
Citation
Griffiths GL, Govindan SV, Sharkey RM, Fisher DR, Goldenberg DM. 90Y-DOTA-hLL2: an agent for radioimmunotherapy of non-Hodgkin's lymphoma. J Nucl Med. 2003 Jan;44(1):77-84.
Results Reference
background
Citation
Lindén O, et al. Outcome and absorbed dose following 90-yttrium-epratuzumab in B-cell lymphoma, using a dose-fractionation schedule. (Abstract No. 1479) Blood 2003; 102/11:407a.
Results Reference
background
PubMed Identifier
14530488
Citation
Postema EJ, Borjesson PK, Buijs WC, Roos JC, Marres HA, Boerman OC, de Bree R, Lang M, Munzert G, van Dongen GA, Oyen WJ. Dosimetric analysis of radioimmunotherapy with 186Re-labeled bivatuzumab in patients with head and neck cancer. J Nucl Med. 2003 Oct;44(10):1690-9.
Results Reference
background
PubMed Identifier
12743990
Citation
Leonard JP, Siegel JA, Goldsmith SJ. Comparative physical and pharmacologic characteristics of iodine-131 and yttrium-90: implications for radioimmunotherapy for patients with non-Hodgkin's lymphoma. Cancer Invest. 2003 Apr;21(2):241-52. doi: 10.1081/cnv-120016421.
Results Reference
background
Citation
Lindén O, et al. Radioimmunotherapy with Y-90-Epratuzumab in patients with previously treated B-cell lymphoma. A fractionated dose-escalation study. (Abstract 5.05 Hematology) Special Issue: World Congress of Nuclear Medicine, September 2002; 5/17.
Results Reference
background
Citation
Liu, Huaitian, et al. Targeting the CD22 receptor with RNA damaging agents. Cancer Drug Discovery and Development: Tumor Targeting in Cancer Therapy. Edited by: M Pagé, Humana Press Inc., Totowa, NJ: 109-118
Results Reference
background
Citation
Lindén O, et al. Durable response to 90-yttrium-epratuzumab (hLL2) in B-cell lymphoma failing chemotherapy by using dose-fractionation schedule. (Abstract presented at the American Society of Hematology 43rd Annual Meeting) Blood 2001; 98/11: 602a
Results Reference
background
Citation
Hajjar G. et al. Phase I/II radioimmunotherapy trial with 90Y-labeled epratuzumab (LymphoCide; anti-CD22 monoclonal antibody) in relapsed/refractory non-Hodgkin's lymphoma (NHL). (Abstract #583) J Nucl Med Suppl, May 2001; 42/5: 156P.
Results Reference
background
PubMed Identifier
11418316
Citation
Goldenberg DM. The role of radiolabeled antibodies in the treatment of non-Hodgkin's lymphoma: the coming of age of radioimmunotherapy. Crit Rev Oncol Hematol. 2001 Jul-Aug;39(1-2):195-201. doi: 10.1016/s1040-8428(01)00108-1.
Results Reference
background
Citation
Juweid M, Schuster SL, et al. Updated results of radioimmunotherapy of relapsed/refractory non-Hodgkin's lymphoma with conventional and stem cell supported doses of 90Y-labeled humanized LL2 anti-CD22 monoclonal antibody. (Abstract #40) Cancer Biother & Radiopharm 2000, 15/4: 408
Results Reference
background
Citation
Lindén O, Tennvall J, et al. A Phase I/II trial with Y-90 hLL2 in recurrent B-cell lymphomas. Preliminary results. (Abstract #67) Cancer Biother & Radiopharm 2000, 15/4: 413
Results Reference
background
Citation
Bodet-Milin C, et al. FDG-PET predicts response to fractionated radioimmunotherapy with 90Y-epratuzumab anti-CD22 MAb in patients with NHL. (Abstract #4782) Blood 2995; 106/11:275b.
Results Reference
result
Citation
Bodet-Milin C, et al. Positron emission tomography with F-18-fluorodeoxyglucose (PET-FDG) predicts response to fractionated radioimmunotherapy (RIT) using 90Y-epratuzumab in non-Hodgkin's lymphoma (NHL). (Abstract #1234) J Nucl Med Abstract Bk Suppl 2 2005; 46/5:379P.
Results Reference
result
Citation
Chatal J-F, et al. Fractionated radioimmunotherapy in NHL with DOTA-conjugated humanized anti-CD22 epratuzumab at high cumulative 90Y doses. (Abstract #447) J Nucl Med Abstract Bk Suppl 2 2005; 46/5:155P.
Results Reference
result
Citation
Chatal J-F, et al. Radioimmunotherapy in non-Hodgkin's lymphoma (NHL) using a fractionated schedule of DOTA-conjugated, 90Y-radiolabeled, humanized anti-CD22 monoclonal antibody, epratuzumab. (Abstract #2545) Proceedings of ASCO 2004; 23:174.
Results Reference
result
Citation
Chatal J-F, et al. Fractionated-dose radioimmunotherapy in non-Hodgkin's lymphoma (NHL) using DOTA-conjugated, 90Y-radiolabeled, humanized anti-CD22 monoclonal antibody (epratuzumab). Interim results. (Abstract No. 1482) Blood 2003; 102/11:408a.
Results Reference
result
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http://www.immunomedics.com
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http://www.lrfa.org
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Safety Study of NHL With 90Y-hLL2 IgG

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