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Trial of AB-205 in Adults With Lymphoma Undergoing High-Dose Therapy and Autologous Stem Cell Transplantation

Primary Purpose

Hodgkin Lymphoma, Non-hodgkin Lymphoma

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
AB-205
Sponsored by
Angiocrine Bioscience
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hodgkin Lymphoma

Eligibility Criteria

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

INCLUSION CRITERIA

  • Diagnosis of Hodgkin lymphoma (HL) or non-Hodgkin lymphoma (NHL) who are candidates for HDT-ASCT with one of the following conditioning regimens:

    • carmustine, etoposide, cytarabine, melphalan (BEAM)
    • cyclophosphamide, carmustine, etoposide (CBV)
    • thiotepa, busulphan, cyclophosphamide (TBC)
    • additional myeloablative chemotherapy-based conditioning regimens may be permitted with the approval of the medical monitor
  • Adjunct radiation therapy to HDT will be allowed.
  • Adequate organ function is required, defined as follows:

    • Serum bilirubin ≤ 2 mg/dL, unless benign congenital hyperbilirubinemia
    • AST, ALT, and alkaline phosphatase < 3 times the upper limit of normal
    • Creatinine clearance ≥ 40 ml/min (calculated by Cockcroft Gault)
    • LVEF ≥ 45% by MUGA or resting echocardiogram
    • Pulmonary function (FEV1 and corrected DLCO) ≥ 45% predicted
    • Adequate performance status ECOG ≤1
  • For female subjects of childbearing potential:

    • A negative serum or urine pregnancy test at screening.
    • Subject must be willing to use a recommended method of contraception from the start of the screening period and throughout the study period.
  • For males who can father a child and are having intercourse with females of childbearing potential who are not using adequate contraception:

    - Subject must be willing to use a recommended method of contraception and refrain from sperm donation from the start of conditioning therapy for at least 1 year after completion and discussion with a treating physician.

  • Willingness and ability to comply with scheduled visits, drug administration plan, protocol-specified laboratory tests, other study procedures, and study restrictions.
  • Ability to provide written informed consent.

EXCLUSION CRITERIA

  • History of prior ASCT.
  • Active malignancy other than the one for which the subject is undergoing HDT-ASCT. (Subjects with cervical carcinoma in situ or localized basal or squamous cell carcinoma treated with definitive surgery are eligible.)
  • Subjects with a serious concomitant medical condition that could interfere with the conduct of the clinical trial, such as unstable angina, renal failure requiring hemodialysis, or active infection requiring IV antibiotics.
  • Active Human Immunodeficiency Virus (HIV) infection and Acquired Immunodeficiency Syndrome (AIDS).
  • Females who are pregnant or breastfeeding or planning to become pregnant or breastfeed during treatment and for an additional 30 days or longer after chemotherapy treatment discontinuation if required by prescribing information for chemotherapy agents received during the study.
  • Subjects who have known hypersensitivity reactions to bovine (cow) proteins or documented allergy to DMSO.
  • Subject has other conditions that in the opinion of the investigator would place the subject at increased risk for toxicity by participation in the study.

Sites / Locations

  • City of Hope Comprehensive Cancer Center
  • UC Davis Comprehensive Cancer Center
  • UC San Diego Moores Cancer Center
  • The University of California San Francisco
  • University of Michigan
  • Hackensack University Medical Center
  • Memorial Sloan Kettering Cancer Center
  • Vanderbilt-Ingram Cancer Center
  • MD Anderson

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Experimental

Arm Description

Up to 3 sequential dose escalation cohorts of AB-205

Outcomes

Primary Outcome Measures

Occurrence of adverse events grade ≥ 3 as assessed by CTCAEv5

Secondary Outcome Measures

Occurrence of adverse events grade ≥ 3 as assessed by CTCAEv5
Severity and duration of grade ≥ 3 mucosal toxicities including oropharyngeal mucositis, nausea, vomiting, and/or diarrhea.
Time to neutrophil engraftment
Time to platelet engraftment
Time to lymphoid recovery
Progression-free survival
Non-relapse mortality
Overall survival

Full Information

First Posted
April 22, 2019
Last Updated
March 1, 2022
Sponsor
Angiocrine Bioscience
Collaborators
California Institute for Regenerative Medicine (CIRM)
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1. Study Identification

Unique Protocol Identification Number
NCT03925935
Brief Title
Trial of AB-205 in Adults With Lymphoma Undergoing High-Dose Therapy and Autologous Stem Cell Transplantation
Official Title
A Phase 1, Open Label, Non-randomized, Multi-Center Trial of AB-205 in Adults With Lymphoma Undergoing High-Dose Therapy and Autologous Stem Cell Transplantation
Study Type
Interventional

2. Study Status

Record Verification Date
March 2022
Overall Recruitment Status
Completed
Study Start Date
May 7, 2019 (Actual)
Primary Completion Date
November 18, 2020 (Actual)
Study Completion Date
November 8, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Angiocrine Bioscience
Collaborators
California Institute for Regenerative Medicine (CIRM)

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
A phase 1, open label, multi-center trial of AB-205 in adults with Hodgkin or non-Hodgkin lymphoma who are in chemo-sensitive remission undergoing high-dose therapy, with or without radiation, and autologous stem cell transplantation (HDT-ASCT). Subjects will receive AB-205 infusion following autologous stem cell transfusion on Day 0.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hodgkin Lymphoma, Non-hodgkin Lymphoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Model Description
AB-205 dose escalation based on safety.
Masking
None (Open Label)
Allocation
N/A
Enrollment
42 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Experimental
Arm Type
Experimental
Arm Description
Up to 3 sequential dose escalation cohorts of AB-205
Intervention Type
Biological
Intervention Name(s)
AB-205
Intervention Description
Engineered human umbilical vein endothelial cells
Primary Outcome Measure Information:
Title
Occurrence of adverse events grade ≥ 3 as assessed by CTCAEv5
Time Frame
24 hours
Secondary Outcome Measure Information:
Title
Occurrence of adverse events grade ≥ 3 as assessed by CTCAEv5
Time Frame
100 days
Title
Severity and duration of grade ≥ 3 mucosal toxicities including oropharyngeal mucositis, nausea, vomiting, and/or diarrhea.
Time Frame
Day 0 to hospital discharge
Title
Time to neutrophil engraftment
Time Frame
First of three consecutive days after ASCT of absolute neutrophil count (ANC) > 500/μL
Title
Time to platelet engraftment
Time Frame
First of seven consecutive days after ASCT of platelet count ≥ 20,000/μL without transfusion support
Title
Time to lymphoid recovery
Time Frame
14, 28 and 100 days post-ASCT
Title
Progression-free survival
Time Frame
100 and 365 days post-ASCT
Title
Non-relapse mortality
Time Frame
100 and 365 days post-ASCT
Title
Overall survival
Time Frame
100 and 365 days post-ASCT

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
INCLUSION CRITERIA Diagnosis of Hodgkin lymphoma (HL) or non-Hodgkin lymphoma (NHL) who are candidates for HDT-ASCT with one of the following conditioning regimens: carmustine, etoposide, cytarabine, melphalan (BEAM) cyclophosphamide, carmustine, etoposide (CBV) thiotepa, busulphan, cyclophosphamide (TBC) additional myeloablative chemotherapy-based conditioning regimens may be permitted with the approval of the medical monitor Adjunct radiation therapy to HDT will be allowed. Adequate organ function is required, defined as follows: Serum bilirubin ≤ 2 mg/dL, unless benign congenital hyperbilirubinemia AST, ALT, and alkaline phosphatase < 3 times the upper limit of normal Creatinine clearance ≥ 40 ml/min (calculated by Cockcroft Gault) LVEF ≥ 45% by MUGA or resting echocardiogram Pulmonary function (FEV1 and corrected DLCO) ≥ 45% predicted Adequate performance status ECOG ≤1 For female subjects of childbearing potential: A negative serum or urine pregnancy test at screening. Subject must be willing to use a recommended method of contraception from the start of the screening period and throughout the study period. For males who can father a child and are having intercourse with females of childbearing potential who are not using adequate contraception: - Subject must be willing to use a recommended method of contraception and refrain from sperm donation from the start of conditioning therapy for at least 1 year after completion and discussion with a treating physician. Willingness and ability to comply with scheduled visits, drug administration plan, protocol-specified laboratory tests, other study procedures, and study restrictions. Ability to provide written informed consent. EXCLUSION CRITERIA History of prior ASCT. Active malignancy other than the one for which the subject is undergoing HDT-ASCT. (Subjects with cervical carcinoma in situ or localized basal or squamous cell carcinoma treated with definitive surgery are eligible.) Subjects with a serious concomitant medical condition that could interfere with the conduct of the clinical trial, such as unstable angina, renal failure requiring hemodialysis, or active infection requiring IV antibiotics. Active Human Immunodeficiency Virus (HIV) infection and Acquired Immunodeficiency Syndrome (AIDS). Females who are pregnant or breastfeeding or planning to become pregnant or breastfeed during treatment and for an additional 30 days or longer after chemotherapy treatment discontinuation if required by prescribing information for chemotherapy agents received during the study. Subjects who have known hypersensitivity reactions to bovine (cow) proteins or documented allergy to DMSO. Subject has other conditions that in the opinion of the investigator would place the subject at increased risk for toxicity by participation in the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Paul Finnegan, MD
Organizational Affiliation
Angiocrine Bioscience
Official's Role
Study Director
Facility Information:
Facility Name
City of Hope Comprehensive Cancer Center
City
Duarte
State/Province
California
ZIP/Postal Code
91010
Country
United States
Facility Name
UC Davis Comprehensive Cancer Center
City
Sacramento
State/Province
California
ZIP/Postal Code
95817
Country
United States
Facility Name
UC San Diego Moores Cancer Center
City
San Diego
State/Province
California
ZIP/Postal Code
92093
Country
United States
Facility Name
The University of California San Francisco
City
San Francisco
State/Province
California
ZIP/Postal Code
94117
Country
United States
Facility Name
University of Michigan
City
Ann Arbor
State/Province
Michigan
ZIP/Postal Code
48109
Country
United States
Facility Name
Hackensack University Medical Center
City
Hackensack
State/Province
New Jersey
ZIP/Postal Code
07601
Country
United States
Facility Name
Memorial Sloan Kettering Cancer Center
City
New York
State/Province
New York
ZIP/Postal Code
10065
Country
United States
Facility Name
Vanderbilt-Ingram Cancer Center
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Facility Name
MD Anderson
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Trial of AB-205 in Adults With Lymphoma Undergoing High-Dose Therapy and Autologous Stem Cell Transplantation

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