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Apolizumab in Treating Patients With Relapsed or Refractory Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma

Primary Purpose

Noncontiguous Stage II Small Lymphocytic Lymphoma, Recurrent Small Lymphocytic Lymphoma, Refractory Chronic Lymphocytic Leukemia

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
apolizumab
laboratory biomarker analysis
pharmacological study
Sponsored by
National Cancer Institute (NCI)
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Noncontiguous Stage II Small Lymphocytic Lymphoma

Eligibility Criteria

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

Inclusion Criteria: Histologically confirmed hematologic malignancy of 1 of the following histologies: Chronic lymphocytic leukemia (CLL) Small lymphocytic lymphoma (SLL) Noncontiguous stage II or stage III or IV disease Received >= 1 form of prior immunotherapy or chemotherapy Completed therapy at least 4 weeks ago Requires therapy (unless early bone marrow transplantation is planned), as indicated by 1 of the following criteria: Progressively worsening disease (symptoms increasing in severity by 1 toxicity criterion over a period of >= 2 weeks) Progressively worsening anemia or thrombocytopenia Progressively worsening lymphadenopathy Massive splenomegaly or hypersplenism Hyperlymphocytosis (WBC > 200,000/mm^3) OR lymphocyte doubling time < 12 months Marrow failure due to marrow infiltration by leukemia or lymphoma Leukemia cells must express 1D10 antigen > 2 times mean fluorescent intensity of the control by flow cytometry of blood or bone marrow cells Performance status - ECOG 0-2 At least 2 years Platelet count >= 50,000/mm^3 (transfusion independent) Bilirubin =< 3 mg/dL (unless due to tumor involvement) Creatinine =< 2.0 mg/dL No decompensated congestive heart failure No unstable angina No myocardial infarction within the past 6 months not corrected by surgery or percutaneous transluminal coronary angioplasty No active infection requiring oral or IV antibiotics No other malignancy that limits life expectancy to < 2 years or that requires active anticancer therapy within 4 weeks of study entry HIV negative Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception during and for at least 3 months after study treatment Recovered from prior immunotherapy More than 3 months since prior alemtuzumab or rituximab No prior apolizumab Recovered from prior chemotherapy More than 4 weeks since prior anticancer hormonal therapy More than 4 weeks since prior anticancer radiotherapy More than 4 weeks since prior anticancer surgery At least 4 weeks since other prior therapy for CLL or SLL and recovered

Sites / Locations

  • Chronic Lymphocytic Leukemia Research Consortium (CRC)
  • Ohio State University Medical Center

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Treatment (apolizumab)

Arm Description

Patients receive apolizumab IV over 2-4 hours on days 1, 2, 3, 5, 8, 10, 12, 15, 17, 19, 22, 24, and 26 in the absence of disease progression or unacceptable toxicity.

Outcomes

Primary Outcome Measures

Response rate (CR+PR)
Progression-free survival rate
Frequency and severity of treatment-related adverse events

Secondary Outcome Measures

Pharmacokinetic clearance

Full Information

First Posted
August 4, 2004
Last Updated
July 15, 2013
Sponsor
National Cancer Institute (NCI)
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1. Study Identification

Unique Protocol Identification Number
NCT00089154
Brief Title
Apolizumab in Treating Patients With Relapsed or Refractory Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma
Official Title
A Phase II Study of Thrice Weekly Apolizumab in Patients With Chronic Lymphocytic Leukemia : CRC Master Protocol
Study Type
Interventional

2. Study Status

Record Verification Date
June 2013
Overall Recruitment Status
Completed
Study Start Date
August 2004 (undefined)
Primary Completion Date
October 2005 (Actual)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
National Cancer Institute (NCI)

4. Oversight

5. Study Description

Brief Summary
This phase II trial is studying how well apolizumab works in treating patients with chronic lymphocytic leukemia or small lymphocytic lymphoma. Monoclonal antibodies such as apolizumab can locate cancer cells and either kill them or deliver cancer-killing substances to them without harming normal cells.
Detailed Description
PRIMARY OBJECTIVES: I. Determine the response rate and progression-free survival rate in patients with relapsed or refractory chronic lymphocytic leukemia (CLL) or noncontiguous stage II or stage III or IV small lymphocytic lymphoma treated with apolizumab. II. Determine the safety of this drug, in terms of the frequency and severity of treatment-related adverse events, in these patients. SECONDARY OBJECTIVES: I. Determine clinical response to apolizumab varies by genetic subtype of CLL. II. Determine if pharmacokinetic clearance is truly predicted by 1D10 antigen density on the individual patient CLL cell and how apolizumab clearance correlates with response and selected toxicities observed. III. To determine the importance of reactive oxygen species and specific signaling pathways in promoting apolizumab-mediated apoptosis in vitro and in vivo in primary CLL cells and if this correlates with clinical response to therapy. IV. To determine the cellular properties which convey resistance to apolizumab in CLL in vivo. OUTLINE: This is a multicenter study. Patients receive apolizumab IV over 2-4 hours on days 1, 2, 3, 5, 8, 10, 12, 15, 17, 19, 22, 24, and 26 in the absence of disease progression or unacceptable toxicity. Patients are followed at 1 week, at 1 and 2 months, every 3 months for 1 year, and then every 6 months for 3 years.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Noncontiguous Stage II Small Lymphocytic Lymphoma, Recurrent Small Lymphocytic Lymphoma, Refractory Chronic Lymphocytic Leukemia, Stage III Small Lymphocytic Lymphoma, Stage IV Small Lymphocytic Lymphoma

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Treatment (apolizumab)
Arm Type
Experimental
Arm Description
Patients receive apolizumab IV over 2-4 hours on days 1, 2, 3, 5, 8, 10, 12, 15, 17, 19, 22, 24, and 26 in the absence of disease progression or unacceptable toxicity.
Intervention Type
Biological
Intervention Name(s)
apolizumab
Other Intervention Name(s)
1D1O Anti-lymphoma Antibody, MOAB 1D10, MoAb Hu1D10, Monoclonal antibody 1D10, Monoclonal Antibody Hu1D10
Intervention Description
Given IV
Intervention Type
Other
Intervention Name(s)
laboratory biomarker analysis
Intervention Description
Correlative studies
Intervention Type
Other
Intervention Name(s)
pharmacological study
Other Intervention Name(s)
pharmacological studies
Intervention Description
Correlative studies
Primary Outcome Measure Information:
Title
Response rate (CR+PR)
Time Frame
Up to 3 years
Title
Progression-free survival rate
Time Frame
Up to 3 years
Title
Frequency and severity of treatment-related adverse events
Time Frame
Up to 30 days
Secondary Outcome Measure Information:
Title
Pharmacokinetic clearance
Time Frame
Days 1, 2, 3, 5, 8, 15, 22, 26, 27, 29 and 1, 2, 3, and 6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histologically confirmed hematologic malignancy of 1 of the following histologies: Chronic lymphocytic leukemia (CLL) Small lymphocytic lymphoma (SLL) Noncontiguous stage II or stage III or IV disease Received >= 1 form of prior immunotherapy or chemotherapy Completed therapy at least 4 weeks ago Requires therapy (unless early bone marrow transplantation is planned), as indicated by 1 of the following criteria: Progressively worsening disease (symptoms increasing in severity by 1 toxicity criterion over a period of >= 2 weeks) Progressively worsening anemia or thrombocytopenia Progressively worsening lymphadenopathy Massive splenomegaly or hypersplenism Hyperlymphocytosis (WBC > 200,000/mm^3) OR lymphocyte doubling time < 12 months Marrow failure due to marrow infiltration by leukemia or lymphoma Leukemia cells must express 1D10 antigen > 2 times mean fluorescent intensity of the control by flow cytometry of blood or bone marrow cells Performance status - ECOG 0-2 At least 2 years Platelet count >= 50,000/mm^3 (transfusion independent) Bilirubin =< 3 mg/dL (unless due to tumor involvement) Creatinine =< 2.0 mg/dL No decompensated congestive heart failure No unstable angina No myocardial infarction within the past 6 months not corrected by surgery or percutaneous transluminal coronary angioplasty No active infection requiring oral or IV antibiotics No other malignancy that limits life expectancy to < 2 years or that requires active anticancer therapy within 4 weeks of study entry HIV negative Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception during and for at least 3 months after study treatment Recovered from prior immunotherapy More than 3 months since prior alemtuzumab or rituximab No prior apolizumab Recovered from prior chemotherapy More than 4 weeks since prior anticancer hormonal therapy More than 4 weeks since prior anticancer radiotherapy More than 4 weeks since prior anticancer surgery At least 4 weeks since other prior therapy for CLL or SLL and recovered
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
John Byrd
Organizational Affiliation
Ohio State University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Chronic Lymphocytic Leukemia Research Consortium (CRC)
City
La Jolla
State/Province
California
ZIP/Postal Code
92093-0820
Country
United States
Facility Name
Ohio State University Medical Center
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43210
Country
United States

12. IPD Sharing Statement

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Apolizumab in Treating Patients With Relapsed or Refractory Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma

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