Safety Study of XmAb®2513 to Treat Hodgkin Lymphoma or Anaplastic Large Cell Lymphoma
Primary Purpose
Hodgkin Lymphoma, Anaplastic Large Cell Lymphoma
Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
XmAb2513
Sponsored by
About this trial
This is an interventional treatment trial for Hodgkin Lymphoma
Eligibility Criteria
Inclusion Criteria:
- Diagnosed with HL or ALCL.
- Patients must have received two or more prior therapeutic regimens, one of which should include hematopoietic cell transplant, either autologous or allogeneic transplant.
- If a hematopoietic cell transplant was refused, or the patient was not eligible to receive a transplant, the patient is still eligible to participate in the trial if the patient has received two or more prior chemotherapy based regimens.
- Patients who have received allogeneic transplant must not have relapsed less than 6 months after their transplant and they must be at least 200 days post-transplant prior to enrollment, and with no evidence of GVHD
- Patients should have at least one radiographically measurable site of disease of 1.5 cm in the largest dimension.
- Patients must have completed all anti-cancer treatment > 4 weeks prior to enrollment.
- Patients must have completed any palliative corticosteroid therapy (e.g. for management of Type B symptoms) > 2 weeks prior to enrollment.
- Patients must be 18 years of age.
Required baseline laboratory data:
- Platelet count 80,000/mm3 (patients must not be platelet transfusion-dependent as evidenced by maintenance of platelet count above 50,000/mm3 in the 28 days prior to enrollment without transfusion)
- Absolute neutrophil count > 1,500/mm3
- Creatinine ≤ 1.5 times ULN
- ALT (SGPT) /AST (SGOT) ≤ 2.5 times upper limit of normal (ULN)
- Total bilirubin ≤ 1.5 times ULN
- Patients must have an Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.
Exclusion Criteria:
- Patients with known HL or ALCL involvement of either the leptomeningeal or central nervous system.
- Patients requiring treatment with oral or intravenous corticosteroids or other oral or intravenous immunosuppressive agents.
- Patients that have been designated Class III or IV by the New York Heart Association criteria.
- Patients with a history of myocardial infarction or stroke within the last 6 months.
- Patients with active infection are not eligible. This includes patients requiring anti-infective treatment during the 4 week period prior to enrollment. Patients on prophylactic anti-infective agents will be eligible provided they have no signs of active infection.
- Patients who are known to be HIV, Hepatitis B, or Hepatitis C positive.
- Patients with a history of prior malignancy other than HL or ALCL that have not been in remission for greater than 5 years, with the exception of basal or squamous skin carcinoma, cervical carcinoma in situ on biopsy, or localized prostate cancer (Gleason score < 5).
- Patients who are pregnant or breastfeeding.
- Patients with major surgery or radiation therapy within four weeks prior to enrollment.
Sites / Locations
- Rush University Medical Center
- Ohio State University
- Fox Chase Cancer Center
- MD Anderson Cancer Center
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
1
Arm Description
XmAb2513
Outcomes
Primary Outcome Measures
Identification of the maximum tolerated dose and identification of the recommended dose of XmAb®2513 for evaluation in future studies.
Secondary Outcome Measures
Safety and tolerability
Assessment of immunogenicity
Objective response rate, disease control rate, and progression free survival.
Change in solCD30
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT00606645
Brief Title
Safety Study of XmAb®2513 to Treat Hodgkin Lymphoma or Anaplastic Large Cell Lymphoma
Official Title
A Phase 1 Study of Every Other Week XmAb®2513 to Evaluate the Safety, Tolerability, and Pharmacokinetics in Patients With Hodgkin Lymphoma or Anaplastic Large Cell Lymphoma
Study Type
Interventional
2. Study Status
Record Verification Date
April 2014
Overall Recruitment Status
Completed
Study Start Date
December 2007 (undefined)
Primary Completion Date
April 2010 (Actual)
Study Completion Date
April 2010 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Xencor, Inc.
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
An open-label, multi-dose, single-arm, Phase 1 dose escalation study of XmAb®2513 was conducted to define the MTD or recommended dose(s) for further study, to determine safety and tolerability, to characterize PK and immunogenicity, and to evaluate antitumor activity of XmAb2513 in patients with HL and ALCL (non-cutaneous) and who have received two or more prior therapeutic regimens. There will be no intra-patient dose escalation.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hodgkin Lymphoma, Anaplastic Large Cell Lymphoma
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
23 (Actual)
8. Arms, Groups, and Interventions
Arm Title
1
Arm Type
Experimental
Arm Description
XmAb2513
Intervention Type
Biological
Intervention Name(s)
XmAb2513
Intervention Description
Intravenous infusion of XmAb2513 administered at a dose of 0.3, 1.0, 3.0, 6.0, 9.0, or 12 mg/kg in sequential dose cohorts.
Primary Outcome Measure Information:
Title
Identification of the maximum tolerated dose and identification of the recommended dose of XmAb®2513 for evaluation in future studies.
Time Frame
1 year
Secondary Outcome Measure Information:
Title
Safety and tolerability
Time Frame
1 year
Title
Assessment of immunogenicity
Time Frame
1 year
Title
Objective response rate, disease control rate, and progression free survival.
Time Frame
1 year
Title
Change in solCD30
Time Frame
1 year
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Diagnosed with HL or ALCL.
Patients must have received two or more prior therapeutic regimens, one of which should include hematopoietic cell transplant, either autologous or allogeneic transplant.
If a hematopoietic cell transplant was refused, or the patient was not eligible to receive a transplant, the patient is still eligible to participate in the trial if the patient has received two or more prior chemotherapy based regimens.
Patients who have received allogeneic transplant must not have relapsed less than 6 months after their transplant and they must be at least 200 days post-transplant prior to enrollment, and with no evidence of GVHD
Patients should have at least one radiographically measurable site of disease of 1.5 cm in the largest dimension.
Patients must have completed all anti-cancer treatment > 4 weeks prior to enrollment.
Patients must have completed any palliative corticosteroid therapy (e.g. for management of Type B symptoms) > 2 weeks prior to enrollment.
Patients must be 18 years of age.
Required baseline laboratory data:
Platelet count 80,000/mm3 (patients must not be platelet transfusion-dependent as evidenced by maintenance of platelet count above 50,000/mm3 in the 28 days prior to enrollment without transfusion)
Absolute neutrophil count > 1,500/mm3
Creatinine ≤ 1.5 times ULN
ALT (SGPT) /AST (SGOT) ≤ 2.5 times upper limit of normal (ULN)
Total bilirubin ≤ 1.5 times ULN
Patients must have an Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.
Exclusion Criteria:
Patients with known HL or ALCL involvement of either the leptomeningeal or central nervous system.
Patients requiring treatment with oral or intravenous corticosteroids or other oral or intravenous immunosuppressive agents.
Patients that have been designated Class III or IV by the New York Heart Association criteria.
Patients with a history of myocardial infarction or stroke within the last 6 months.
Patients with active infection are not eligible. This includes patients requiring anti-infective treatment during the 4 week period prior to enrollment. Patients on prophylactic anti-infective agents will be eligible provided they have no signs of active infection.
Patients who are known to be HIV, Hepatitis B, or Hepatitis C positive.
Patients with a history of prior malignancy other than HL or ALCL that have not been in remission for greater than 5 years, with the exception of basal or squamous skin carcinoma, cervical carcinoma in situ on biopsy, or localized prostate cancer (Gleason score < 5).
Patients who are pregnant or breastfeeding.
Patients with major surgery or radiation therapy within four weeks prior to enrollment.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Anas Younes, MD
Organizational Affiliation
M.D. Anderson Cancer Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Rush University Medical Center
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60612
Country
United States
Facility Name
Ohio State University
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43210
Country
United States
Facility Name
Fox Chase Cancer Center
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19111
Country
United States
Facility Name
MD Anderson Cancer Center
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
12. IPD Sharing Statement
Learn more about this trial
Safety Study of XmAb®2513 to Treat Hodgkin Lymphoma or Anaplastic Large Cell Lymphoma
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