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A Study of SGN-40 in Combination With Rituximab in Patients With CD20-Positive, Follicular and Marginal Zone B-Cell Non-Hodgkin's Lymphoma

Primary Purpose

Non-Hodgkin's Lymphoma

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
rituximab
SGN-40
Sponsored by
Genentech, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Non-Hodgkin's Lymphoma focused on measuring NHL, Rituxan, anti-CD40

Eligibility Criteria

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

Inclusion Criteria:

  • Documented history of histologically confirmed CD20-positive, follicular NHL or marginal zone NHL
  • At least one previous treatment with rituxan monotherapy or a rituximab-containing regimen
  • Measurable disease
  • Either fresh or archived tumor specimen must be available for central confirmation of diagnosis and correlative studies
  • Life expectancy of > 3 months
  • For patients of reproductive potential, use of a reliable means of contraception

Exclusion Criteria:

  • Chemotherapy or radiotherapy within 28 days of Day 1
  • Prior treatment with a monoclonal antibody directed against CD40
  • Radioimmunotherapy or immunotherapy with a monoclonal antibody other than rituximab within 3 months of Day 1
  • Prior treatment with an investigational drug within 28 days of Day 1
  • Prior allogeneic bone marrow transplant
  • Prior autologous hematopoietic stem cell transplant within 12 weeks of Day 1
  • Concurrent systemic corticosteroid therapy
  • Prior anaphylactoid or other serious reaction to rituximab that resulted in hospitalization or discontinuation of therapy, or both
  • Evidence of clinically detectable ascites on Day 1
  • Other invasive malignancies within 3 years prior to Day 1 except for adequately treated basal cell or squamous cell skin cancer, in situ carcinoma of the cervix, in situ breast cancer, in situ prostate cancer, or other cancer of which the patient has been disease-free for at least 3 years
  • History or evidence on physical examination of CNS disease
  • Active infection requiring parenteral antibiotics within 14 days of Day 1
  • Major surgical procedure (excluding lymph node biopsy) or significant traumatic injury within 28 days prior to Day 1
  • Pregnancy (positive pregnancy test) or lactation
  • Serious, nonhealing wound, ulcer, or bone fracture
  • Clinically significant cardiovascular disease, congestive heart failure, serious cardiac arrhythmia requiring medication within 1 year prior to Day 1. Grade II or greater peripheral vascular disease at study entry.
  • Known human immunodeficiency virus (HIV) infection
  • Known serious medical conditions, including cirrhosis, hepatitis C infection, and chronic obstructive or chronic restrictive pulmonary disease

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    1

    Arm Description

    Outcomes

    Primary Outcome Measures

    Incidence and nature of dose-limiting toxicities in order to determine the maximum tolerated dose

    Secondary Outcome Measures

    Changes in vital signs, physical examination findings, and clinical laboratory results
    Incidence, nature, and severity of adverse events
    Pharmacokinetic parameters
    Patient's best response as assessed by the investigator
    Duration of response
    Event-free survival

    Full Information

    First Posted
    November 9, 2007
    Last Updated
    March 18, 2014
    Sponsor
    Genentech, Inc.
    Collaborators
    Seagen Inc.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00556699
    Brief Title
    A Study of SGN-40 in Combination With Rituximab in Patients With CD20-Positive, Follicular and Marginal Zone B-Cell Non-Hodgkin's Lymphoma
    Official Title
    An Open-Label, Phase Ib Study of the Safety, Pharmacokinetics, and Activity of the Anti-CD40 Monoclonal Antibody SGN-40 Administered in Combination With Rituximab in Patients With CD20-Positive, Follicular and Marginal Zone B-Cell Non-Hodgkin's Lymphoma Who Have Relapsed Following Previous Rituximab Therapy
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    November 2011
    Overall Recruitment Status
    Completed
    Study Start Date
    December 2007 (undefined)
    Primary Completion Date
    November 2010 (Actual)
    Study Completion Date
    November 2010 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Genentech, Inc.
    Collaborators
    Seagen Inc.

    4. Oversight

    5. Study Description

    Brief Summary
    This is an open-label, multicenter Phase Ib study designed to evaluate the safety, pharmacokinetics, and preliminary efficacy of SGN-40 when combined with rituximab in patients with relapsed CD20-positive, follicular or marginal zone NHL who have received at least one prior rituximab-containing regimen.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Non-Hodgkin's Lymphoma
    Keywords
    NHL, Rituxan, anti-CD40

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    Non-Randomized
    Enrollment
    22 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    1
    Arm Type
    Experimental
    Intervention Type
    Drug
    Intervention Name(s)
    rituximab
    Intervention Description
    Escalating intravenous repeating dose
    Intervention Type
    Drug
    Intervention Name(s)
    SGN-40
    Intervention Description
    Escalating intravenous repeating dose
    Primary Outcome Measure Information:
    Title
    Incidence and nature of dose-limiting toxicities in order to determine the maximum tolerated dose
    Time Frame
    Length of study
    Secondary Outcome Measure Information:
    Title
    Changes in vital signs, physical examination findings, and clinical laboratory results
    Time Frame
    Length of study
    Title
    Incidence, nature, and severity of adverse events
    Time Frame
    Length of study
    Title
    Pharmacokinetic parameters
    Time Frame
    Length of study
    Title
    Patient's best response as assessed by the investigator
    Time Frame
    Length of study
    Title
    Duration of response
    Time Frame
    Length of study
    Title
    Event-free survival
    Time Frame
    Length of study

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Documented history of histologically confirmed CD20-positive, follicular NHL or marginal zone NHL At least one previous treatment with rituxan monotherapy or a rituximab-containing regimen Measurable disease Either fresh or archived tumor specimen must be available for central confirmation of diagnosis and correlative studies Life expectancy of > 3 months For patients of reproductive potential, use of a reliable means of contraception Exclusion Criteria: Chemotherapy or radiotherapy within 28 days of Day 1 Prior treatment with a monoclonal antibody directed against CD40 Radioimmunotherapy or immunotherapy with a monoclonal antibody other than rituximab within 3 months of Day 1 Prior treatment with an investigational drug within 28 days of Day 1 Prior allogeneic bone marrow transplant Prior autologous hematopoietic stem cell transplant within 12 weeks of Day 1 Concurrent systemic corticosteroid therapy Prior anaphylactoid or other serious reaction to rituximab that resulted in hospitalization or discontinuation of therapy, or both Evidence of clinically detectable ascites on Day 1 Other invasive malignancies within 3 years prior to Day 1 except for adequately treated basal cell or squamous cell skin cancer, in situ carcinoma of the cervix, in situ breast cancer, in situ prostate cancer, or other cancer of which the patient has been disease-free for at least 3 years History or evidence on physical examination of CNS disease Active infection requiring parenteral antibiotics within 14 days of Day 1 Major surgical procedure (excluding lymph node biopsy) or significant traumatic injury within 28 days prior to Day 1 Pregnancy (positive pregnancy test) or lactation Serious, nonhealing wound, ulcer, or bone fracture Clinically significant cardiovascular disease, congestive heart failure, serious cardiac arrhythmia requiring medication within 1 year prior to Day 1. Grade II or greater peripheral vascular disease at study entry. Known human immunodeficiency virus (HIV) infection Known serious medical conditions, including cirrhosis, hepatitis C infection, and chronic obstructive or chronic restrictive pulmonary disease
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Deborah Hurst, M.D.
    Organizational Affiliation
    Genentech, Inc.
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Learn more about this trial

    A Study of SGN-40 in Combination With Rituximab in Patients With CD20-Positive, Follicular and Marginal Zone B-Cell Non-Hodgkin's Lymphoma

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