Phase I/II Study of hLL1 in Multiple Myeloma
Primary Purpose
Multiple Myeloma, Myeloma, Plasma-Cell, PLASMACYTOMA
Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
milatuzumab
Sponsored by
About this trial
This is an interventional treatment trial for Multiple Myeloma focused on measuring multiple myeloma, Myeloma, Plasma-Cell, PLASMACYTOMA
Eligibility Criteria
Inclusion Criteria:
- Able to provide signed, informed consent;
- Male or female, >/=18 years old;
- Meets clinical trial criteria for a diagnosis of multiple myeloma (Appendix 1)
- Stage II or III at study entry by Durie-Salmon staging, with either renal function subclassification (A or B) allowed (Appendix 2).
- Secretory multiple myeloma one or more criteria for measurable disease (serum M protein >1.0 gm/dl measured by serum protein electrophoresis, serum free light chain measurement >200 mg/dl, urinary M protein excretion >200 mg/24 hours);
- Refractory or relapsed to at least two prior standard systemic anti-myeloma treatment regimens;
- Adequate performance status (Karnofsky Scale >/= 60%);
- Life expectancy at least 6 months;
- Adequate hematologic status within 2 weeks before study drug administration:
- Hemoglobin >8.0 g/dL and platelets > 50,000/mm3 (both without transfusion or other hematologic support within 7 days of laboratory testing)
- White blood count (WBC) > 2,000/mm3and absolute neutrophil count (ANC) >1,000/mm3 (both without the use of colony stimulating factors within 7 days of laboratory testing)
- Adequate renal function: serum creatinine < 1.5 x the upper limit of normal (ULN);
- Adequate hepatic function AST or ALT < 2.5 x the ULN; Total bilirubin < 1.5 x the ULN
Exclusion Criteria:
- Pregnant or lactating women.
- Women of childbearing potential and fertile men who are not practicing or who are unwilling to practice birth control while enrolled in the study until at least 12 weeks after the last hLL1 infusion;
- Prior chemotherapy, immunotherapy, radiotherapy, plasmapheresis, kyphoplasty, or major surgery within 4 weeks; prior stem cell transplant within 12 weeks; prior treatment with rituximab within 6 months. Must have recovered from all toxicity from prior treatments;
- Prior therapy with other murine, chimeric, human or humanized monoclonal antibodies, unless HAHA tested and negative;
- Prior treatment with any investigational agents within 3 months, unless completed follow-up, off study, and agreed by Sponsor;
- Prior malignancy within 5 years, excluding multiple myeloma, non-melanoma skins cancers and cervical carcinoma in situ;
- Known to be HIV positive, or hepatitis B or C positive;
- Known autoimmune disease or presence of autoimmune phenomena;
- Systemic infection or requiring anti-infectives within 7 days before first dose of study drug;
- Substance abuse or other concurrent medical conditions that, in the investigator's opinion, could confound study interpretation or affect the patient's ability to tolerate or complete the study.
Sites / Locations
- Winship Cancer Institute, Emory University
- Center for Cancer Care
- Hackensack University Medical Center
- Roswell Park Cancer Institute
- New York Presbyterian Hospital/Cornell Medical Center
- Hospital University of Pennsylvania
Arms of the Study
Arm 1
Arm Type
Other
Arm Label
Multiple Doses
Arm Description
Multiple Dose levels
Outcomes
Primary Outcome Measures
safety and tolerability of hLL1 administered twice weekly for 4 consecutive weeks
Secondary Outcome Measures
The secondary objectives are to obtain information on efficacy, pharmacodynamics, pharmacokinetics, and immunogenicity, and to determine the optimal dose for subsequent studies.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT00421525
Brief Title
Phase I/II Study of hLL1 in Multiple Myeloma
Official Title
A Phase I/II Study of Immunotherapy With hLL1 Administered Twice Weekly for 4 Consecutive Weeks in Patients With Multiple Myeloma
Study Type
Interventional
2. Study Status
Record Verification Date
February 2021
Overall Recruitment Status
Completed
Study Start Date
January 2007 (Actual)
Primary Completion Date
June 2009 (Actual)
Study Completion Date
June 2009 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Gilead Sciences
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
This is a Phase I/II, open-label, multi-center study conducted in patients with recurrent or refractory multiple myeloma who have failed at least two prior standard systemic treatments.
Detailed Description
All patients receive hLL1 administered intravenously twice weekly for 4 consecutive weeks. Cohorts of 3-6 patients will receive escalating doses of hLL1 in order to determine the maximum tolerated dose (MTD) for this administration schedule. Up to approximately 30 additional patients will be entered at one or more dose levels at or below the MTD in order to determine the optimal dose for subsequent studies.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Multiple Myeloma, Myeloma, Plasma-Cell, PLASMACYTOMA
Keywords
multiple myeloma, Myeloma, Plasma-Cell, PLASMACYTOMA
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
25 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Multiple Doses
Arm Type
Other
Arm Description
Multiple Dose levels
Intervention Type
Biological
Intervention Name(s)
milatuzumab
Other Intervention Name(s)
CD74, humanized CD74, IMMU-115, hLL1
Intervention Description
twice weekly dosing for 4 weeks, total of 8 doses
Primary Outcome Measure Information:
Title
safety and tolerability of hLL1 administered twice weekly for 4 consecutive weeks
Time Frame
first 12 weeks, then over 2 years
Secondary Outcome Measure Information:
Title
The secondary objectives are to obtain information on efficacy, pharmacodynamics, pharmacokinetics, and immunogenicity, and to determine the optimal dose for subsequent studies.
Time Frame
first 12 weeks, then over 2 years
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Able to provide signed, informed consent;
Male or female, >/=18 years old;
Meets clinical trial criteria for a diagnosis of multiple myeloma (Appendix 1)
Stage II or III at study entry by Durie-Salmon staging, with either renal function subclassification (A or B) allowed (Appendix 2).
Secretory multiple myeloma one or more criteria for measurable disease (serum M protein >1.0 gm/dl measured by serum protein electrophoresis, serum free light chain measurement >200 mg/dl, urinary M protein excretion >200 mg/24 hours);
Refractory or relapsed to at least two prior standard systemic anti-myeloma treatment regimens;
Adequate performance status (Karnofsky Scale >/= 60%);
Life expectancy at least 6 months;
Adequate hematologic status within 2 weeks before study drug administration:
Hemoglobin >8.0 g/dL and platelets > 50,000/mm3 (both without transfusion or other hematologic support within 7 days of laboratory testing)
White blood count (WBC) > 2,000/mm3and absolute neutrophil count (ANC) >1,000/mm3 (both without the use of colony stimulating factors within 7 days of laboratory testing)
Adequate renal function: serum creatinine < 1.5 x the upper limit of normal (ULN);
Adequate hepatic function AST or ALT < 2.5 x the ULN; Total bilirubin < 1.5 x the ULN
Exclusion Criteria:
Pregnant or lactating women.
Women of childbearing potential and fertile men who are not practicing or who are unwilling to practice birth control while enrolled in the study until at least 12 weeks after the last hLL1 infusion;
Prior chemotherapy, immunotherapy, radiotherapy, plasmapheresis, kyphoplasty, or major surgery within 4 weeks; prior stem cell transplant within 12 weeks; prior treatment with rituximab within 6 months. Must have recovered from all toxicity from prior treatments;
Prior therapy with other murine, chimeric, human or humanized monoclonal antibodies, unless HAHA tested and negative;
Prior treatment with any investigational agents within 3 months, unless completed follow-up, off study, and agreed by Sponsor;
Prior malignancy within 5 years, excluding multiple myeloma, non-melanoma skins cancers and cervical carcinoma in situ;
Known to be HIV positive, or hepatitis B or C positive;
Known autoimmune disease or presence of autoimmune phenomena;
Systemic infection or requiring anti-infectives within 7 days before first dose of study drug;
Substance abuse or other concurrent medical conditions that, in the investigator's opinion, could confound study interpretation or affect the patient's ability to tolerate or complete the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
William Wegener, MD, PhD
Organizational Affiliation
Gilead Sciences
Official's Role
Study Chair
Facility Information:
Facility Name
Winship Cancer Institute, Emory University
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30322
Country
United States
Facility Name
Center for Cancer Care
City
Goshen
State/Province
Indiana
ZIP/Postal Code
46526
Country
United States
Facility Name
Hackensack University Medical Center
City
Hackensack
State/Province
New Jersey
ZIP/Postal Code
07601
Country
United States
Facility Name
Roswell Park Cancer Institute
City
Buffalo
State/Province
New York
ZIP/Postal Code
14263
Country
United States
Facility Name
New York Presbyterian Hospital/Cornell Medical Center
City
New York
State/Province
New York
ZIP/Postal Code
10021
Country
United States
Facility Name
Hospital University of Pennsylvania
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104
Country
United States
12. IPD Sharing Statement
Citations:
Citation
Sapra P, et al. In vitro and in vivo targeting and therapy of an antibody-drug conjugate (IMMU-110) in B-cell malignancies. (Abstract #3287) Blood 2004; 104/11:898a.
Results Reference
background
Citation
Stein R, et al. Therapeutic activity of a new antibody-drug immunoconjugate, IMMU-110, in preclinical studies targeted against multiple myeloma. (Abstract #6535) Proceedings of ASCO 2004; 23:564.
Results Reference
background
Citation
Griffiths GL, et al. Promising therapeutic activity of a new drug immunoconjugate, IMMU-110, in a human Burkitt lymphoma model. (Abstract #2381) Blood 2003; 102/11:645a
Results Reference
background
Citation
Sapra P, et al. Preclinical safety and efficacy of two novel immunotoxins consisting of Ranpirnase (Rap) fused to an internalizing anti-CD74 humanized IgG4 antibody in human non-Hodgkin's lymphoma xenografts. (Abstract #346) Blood 2005; 106/11:105a
Results Reference
background
PubMed Identifier
15297317
Citation
Stein R, Qu Z, Cardillo TM, Chen S, Rosario A, Horak ID, Hansen HJ, Goldenberg DM. Antiproliferative activity of a humanized anti-CD74 monoclonal antibody, hLL1, on B-cell malignancies. Blood. 2004 Dec 1;104(12):3705-11. doi: 10.1182/blood-2004-03-0890. Epub 2004 Aug 5.
Results Reference
background
Citation
Vanama SS, et al. Construction and characterization of a novel ribonuclease immunotoxin consisting of two Ranpirnase (Rap) molecules fused to an internalizing anti-CD74 humanized IgG4 antibody. (Abstract #3289) Blood 2004; 104/11:899a.
Results Reference
background
PubMed Identifier
15475450
Citation
Burton JD, Ely S, Reddy PK, Stein R, Gold DV, Cardillo TM, Goldenberg DM. CD74 is expressed by multiple myeloma and is a promising target for therapy. Clin Cancer Res. 2004 Oct 1;10(19):6606-11. doi: 10.1158/1078-0432.CCR-04-0182.
Results Reference
background
PubMed Identifier
14695162
Citation
Griffiths GL, Mattes MJ, Stein R, Govindan SV, Horak ID, Hansen HJ, Goldenberg DM. Cure of SCID mice bearing human B-lymphoma xenografts by an anti-CD74 antibody-anthracycline drug conjugate. Clin Cancer Res. 2003 Dec 15;9(17):6567-71.
Results Reference
background
PubMed Identifier
10540230
Citation
Ong GL, Goldenberg DM, Hansen HJ, Mattes MJ. Cell surface expression and metabolism of major histocompatibility complex class II invariant chain (CD74) by diverse cell lines. Immunology. 1999 Oct;98(2):296-302. doi: 10.1046/j.1365-2567.1999.00868.x.
Results Reference
background
PubMed Identifier
24112026
Citation
Kaufman JL, Niesvizky R, Stadtmauer EA, Chanan-Khan A, Siegel D, Horne H, Wegener WA, Goldenberg DM. Phase I, multicentre, dose-escalation trial of monotherapy with milatuzumab (humanized anti-CD74 monoclonal antibody) in relapsed or refractory multiple myeloma. Br J Haematol. 2013 Nov;163(4):478-86. doi: 10.1111/bjh.12565. Epub 2013 Sep 25.
Results Reference
derived
Links:
URL
http://www.immunomedics.com
Description
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Phase I/II Study of hLL1 in Multiple Myeloma
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