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Study of the Safety of GCS-100 in Subjects With Chronic Lymphocytic Leukemia (PR-CS008)

Primary Purpose

Chronic Lymphocytic Leukemia

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
GCS-100
Sponsored by
La Jolla Pharmaceutical Company
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Lymphocytic Leukemia focused on measuring Cancer, Leukemia, GCS-100, CLL

Eligibility Criteria

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

Inclusion Criteria:

Eligible subjects must meet all of the following criteria:

  1. Subject is capable of understanding the purpose and risks of the study and is able to provide written Informed Consent.
  2. Subject is male or female, aged at least 18 years.
  3. Subject has been diagnosed with chronic lymphocytic leukemia.
  4. Subject has Stage II or higher, chronic lymphocytic leukemia that currently requires therapy due to the severity of the disease symptoms and/or to the presence of increasing anemia and/or increasing splenomegaly.
  5. Subject has received 2 or fewer prior therapies for his/her chronic lymphocytic leukemia.
  6. Subject does not currently require blood transfusions.
  7. Subject's peripheral blood leukocyte count is > 10,000 cells/mm3.
  8. Subject's Karnofsky performance status is > 60%.
  9. Subject's life expectancy is at least 3 months.
  10. Female subjects of childbearing potential (i.e., women who have not been surgically sterilized or have not been post-menopausal for at least 1 year), and male subjects with partners of childbearing potential, must agree to use medically acceptable methods of contraception throughout the entire study period.
  11. Subject is willing and able to comply with the prescribed treatment protocol and evaluations.

Exclusion Criteria:

Subjects will be ineligible for study participation if they meet any of the following criteria:

  1. Subject received biologic therapy and/or chemotherapy that may be active against chronic lymphocytic leukemia within the 4 weeks prior to Study Day 1.
  2. Subject is anticipated to require steroid therapy within the next 21 days.
  3. Subject received an investigational (i.e., experimental) therapy within the 4 weeks prior to Study Day 1.
  4. Subject's clinical laboratory values meet any of the following criteria within the 7 days prior to Study Day 1:

    • Platelet count < 25,000 cells/mm3
    • Absolute neutrophil count < 500 cells/mm3
    • Hemoglobin < 8.0 g/dL and with an autoimmune hemolytic component to the subject's anemia
    • AST and/or ALT > 2.5 X the upper limit of normal
    • Total bilirubin > 1.5 X the upper limit of normal
    • Serum creatinine > 2 mg/dL
  5. Subject has a known history of human immunodeficiency virus (HIV), hepatitis B, and/or hepatitis C infection.
  6. Subject has a clinically relevant active infection and/or a serious co-morbid medical condition, such as recent myocardial infarction, unstable angina, difficult-to-control congestive heart failure, uncontrolled hypertension, difficult-to-control cardiac arrhythmias, chronic obstructive or chronic restrictive pulmonary disease, cirrhosis, inflammatory bowel disease.
  7. Subject had major surgery within the 4 weeks prior to Study Day 1.
  8. Subject had another malignancy within the 3 years prior to study entry, with the exception of adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, in situ breast cancer, in situ prostate cancer, or other cancer for which the subject has been disease-free for at least 3 years.
  9. If female, subject is pregnant or breast-feeding.
  10. Subject has a concomitant disease or condition, including laboratory abnormalities, which in the opinion of the Investigator could interfere with the conduct of the study or could put the subject at unacceptable risk.

Sites / Locations

  • Rocky Mountain Cancer Centers
  • Cancer Centers of Florida
  • Central Indiana Cancer Centers
  • Dayton Oncology & Hematology
  • Tyler Cancer Center
  • Virginia Oncology Associates
  • Northwest Cancer Specialists - Vancouver Cancer Center
  • Yakima Cancer Center

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

GCS-100

Arm Description

GCS-100: 160 mg/m2 IV (in the vein) Study Days 1-5 of each 21-day cycle

Outcomes

Primary Outcome Measures

To Evaluate the effect of GCS-100 on markers of apoptosis in subjects with chronic lymphocytic leukemia using physical examinations, vital signs, lab assessments, and adverse event reporting

Secondary Outcome Measures

To evaluate the effect of GCS-100 on peripheral blood leukocyte count in subjects with chronic lymphocytic leukemia using complete blood count, leukocyte count and circulating cells for apoptosis

Full Information

First Posted
August 8, 2007
Last Updated
June 14, 2013
Sponsor
La Jolla Pharmaceutical Company
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1. Study Identification

Unique Protocol Identification Number
NCT00514696
Brief Title
Study of the Safety of GCS-100 in Subjects With Chronic Lymphocytic Leukemia
Acronym
PR-CS008
Official Title
Open Label Phase 2 Study of the Safety and Biological Activity of GCS-100 in Subjects With Chronic Lymphocytic Leukemia
Study Type
Interventional

2. Study Status

Record Verification Date
June 2013
Overall Recruitment Status
Completed
Study Start Date
February 2007 (undefined)
Primary Completion Date
April 2009 (Actual)
Study Completion Date
April 2009 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
La Jolla Pharmaceutical Company

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to evaluate the safety of GCS-100 and the biologic activity of GCS-100 in subjects with chronic lymphocytic leukemia.
Detailed Description
The primary objective of this study is to evaluate the safety of GCS-100, and effect of GCS-100 on markers of apoptosis in subjects with chronic lymphocytic leukemia. The secondary objective of this study is to evaluate the effect of GCS-100 on peripheral blood leukocyte count in subjects with chronic lymphocytic leukemia.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Lymphocytic Leukemia
Keywords
Cancer, Leukemia, GCS-100, CLL

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
12 (Actual)

8. Arms, Groups, and Interventions

Arm Title
GCS-100
Arm Type
Experimental
Arm Description
GCS-100: 160 mg/m2 IV (in the vein) Study Days 1-5 of each 21-day cycle
Intervention Type
Drug
Intervention Name(s)
GCS-100
Intervention Description
GCS-100: 160 mg/m2 IV (in the vein) Study Days 1-5 of each 21-day cycle
Primary Outcome Measure Information:
Title
To Evaluate the effect of GCS-100 on markers of apoptosis in subjects with chronic lymphocytic leukemia using physical examinations, vital signs, lab assessments, and adverse event reporting
Time Frame
Up to 15 cycles X 21 days
Secondary Outcome Measure Information:
Title
To evaluate the effect of GCS-100 on peripheral blood leukocyte count in subjects with chronic lymphocytic leukemia using complete blood count, leukocyte count and circulating cells for apoptosis
Time Frame
Hour 6 after Day 1 dosing, and Days 4 and 8

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Eligible subjects must meet all of the following criteria: Subject is capable of understanding the purpose and risks of the study and is able to provide written Informed Consent. Subject is male or female, aged at least 18 years. Subject has been diagnosed with chronic lymphocytic leukemia. Subject has Stage II or higher, chronic lymphocytic leukemia that currently requires therapy due to the severity of the disease symptoms and/or to the presence of increasing anemia and/or increasing splenomegaly. Subject has received 2 or fewer prior therapies for his/her chronic lymphocytic leukemia. Subject does not currently require blood transfusions. Subject's peripheral blood leukocyte count is > 10,000 cells/mm3. Subject's Karnofsky performance status is > 60%. Subject's life expectancy is at least 3 months. Female subjects of childbearing potential (i.e., women who have not been surgically sterilized or have not been post-menopausal for at least 1 year), and male subjects with partners of childbearing potential, must agree to use medically acceptable methods of contraception throughout the entire study period. Subject is willing and able to comply with the prescribed treatment protocol and evaluations. Exclusion Criteria: Subjects will be ineligible for study participation if they meet any of the following criteria: Subject received biologic therapy and/or chemotherapy that may be active against chronic lymphocytic leukemia within the 4 weeks prior to Study Day 1. Subject is anticipated to require steroid therapy within the next 21 days. Subject received an investigational (i.e., experimental) therapy within the 4 weeks prior to Study Day 1. Subject's clinical laboratory values meet any of the following criteria within the 7 days prior to Study Day 1: Platelet count < 25,000 cells/mm3 Absolute neutrophil count < 500 cells/mm3 Hemoglobin < 8.0 g/dL and with an autoimmune hemolytic component to the subject's anemia AST and/or ALT > 2.5 X the upper limit of normal Total bilirubin > 1.5 X the upper limit of normal Serum creatinine > 2 mg/dL Subject has a known history of human immunodeficiency virus (HIV), hepatitis B, and/or hepatitis C infection. Subject has a clinically relevant active infection and/or a serious co-morbid medical condition, such as recent myocardial infarction, unstable angina, difficult-to-control congestive heart failure, uncontrolled hypertension, difficult-to-control cardiac arrhythmias, chronic obstructive or chronic restrictive pulmonary disease, cirrhosis, inflammatory bowel disease. Subject had major surgery within the 4 weeks prior to Study Day 1. Subject had another malignancy within the 3 years prior to study entry, with the exception of adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, in situ breast cancer, in situ prostate cancer, or other cancer for which the subject has been disease-free for at least 3 years. If female, subject is pregnant or breast-feeding. Subject has a concomitant disease or condition, including laboratory abnormalities, which in the opinion of the Investigator could interfere with the conduct of the study or could put the subject at unacceptable risk.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
David Smith, MD
Organizational Affiliation
US Oncology
Official's Role
Principal Investigator
Facility Information:
Facility Name
Rocky Mountain Cancer Centers
City
Denver
State/Province
Colorado
ZIP/Postal Code
80218
Country
United States
Facility Name
Cancer Centers of Florida
City
Winter Park
State/Province
Florida
ZIP/Postal Code
32789
Country
United States
Facility Name
Central Indiana Cancer Centers
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46219
Country
United States
Facility Name
Dayton Oncology & Hematology
City
Kettering
State/Province
Ohio
ZIP/Postal Code
45409
Country
United States
Facility Name
Tyler Cancer Center
City
Tyler
State/Province
Texas
ZIP/Postal Code
75702
Country
United States
Facility Name
Virginia Oncology Associates
City
Norfolk
State/Province
Virginia
ZIP/Postal Code
23502
Country
United States
Facility Name
Northwest Cancer Specialists - Vancouver Cancer Center
City
Vancouver
State/Province
Washington
ZIP/Postal Code
98684
Country
United States
Facility Name
Yakima Cancer Center
City
Yakima
State/Province
Washington
ZIP/Postal Code
98902
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Study of the Safety of GCS-100 in Subjects With Chronic Lymphocytic Leukemia

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