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Safety Study Using Weekly Infusions of BB-10901 in Patients With Small Cell Lung Cancer

Primary Purpose

Small Cell Lung Cancer

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
BB-10901
Sponsored by
ImmunoGen, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Small Cell Lung Cancer

Eligibility Criteria

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

Inclusion: Histologically or Cytologically proven SCLC, CD 56+ small cell carcinoma of unknown origin, or CD56+ non-pulmonary small cell carcinoma Relapsed disease; defined as patients with an initial response (partial or complete) to first-line therapy, then relapse more than 3 months after completion of last chemotherapy. Patients must have received no more than 3 prior chemotherapy regimen. Patients must have measurable disease defined as: Lesions that can be measured in at least one dimension according to RECIST Predicted survival of 3 months or more Zubrod performance status 0-2 Patients must not have received chemotherapy or radiation therapy within 4 weeks of study entry, nor have planned surgery. Absolute neutrophils greater than or equal to 1.5 x 10^9/l, hemoglobin greater than or equal to 9g/dl and platelets greater than or equal to 100 x 10^9/l. Creatinine less than or equal to 1.5 times the upper limit of normal AST/ALT less than or equal to 3 times the upper limit of normal without liver metastases; less than or equal to 5 times the upper limit of normal with liver metastases and bilirubin less than or equal to 1.5 times the upper limit of normal. Patients must have normal thyroid function (patients receiving thyroxin replacement therapy who are biochemically euthyroid may be enrolled). Women of childbearing potential must provide a negative pregnancy test at screening and use adequate contraception in the opinion of the investigator, for the duration of study. Patients must be capable of understanding the nature of the trial and must give written witnessed informed consent prior to any screening procedure. Exclusion: Significant residual neurological or cardiac toxicity (grade 3 or 4) following previous chemotherapy Patients who are concurrently receiving other anti-neoplastic treatment (chemotherapy, radiotherapy, or immunotherapy including steroid therapy). Myocardial infarction within 6 months of study entry, unstable angina pectoris, uncontrolled congestive heart failure, uncontrolled arrythmia, severe aortic stenosis, a history of multiple sclerosis, or other demyelinating disease, Eaton-Lambert Syndrome, history of hemorrhagic stroke, any CNS injury with residual neurologic deficit, ischaemic stroke within the last 6 months, current known herpes zoster (shingles), or cytomegalovirus infection, or a history of recurrent infections with these viruses, chronic alcoholism, serious concomitant infection, or any other concomitant illness considered significant enough to interfere with the study outcome. Other investigational agents must not be taken during the study or within 4 weeks of study entry. Previous monoclonal antibody therapy Patients must not have known central nervous system metastases Previous malignancy with < 5 year disease free interval from the last therapeutic intervention, except for adequately treated basal cell carcinoma of the skin or carcinoma in situ of the cervix. Patient unwilling or unable to tolerate and comply with the requirements of the study. Pregnant or lactating females.

Sites / Locations

  • Rocky Mountain Cancer Centers
  • Cancer Center of Florida
  • Baystate Medical Center
  • New York Oncology Hematology
  • The Ohio State University
  • Greater Dayton Cancer Center
  • Cancer Centers of the Carolinas
  • MD Anderson Cancer Center
  • Tyler Cancer Center
  • Virginia Oncology Associates
  • Northwest Cancer Specialists

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

BB-10901, 5mg/m2 - Phase I

BB-10901, 10 mg/m2 - Phase I

BB-10901, 20 mg/m2 - Phase I

BB-10901, 40 mg/m2 - Phase I

BB-10901, 60 mg/m2 - Phase I & Phase II

BB-10901, 67.5 mg/m2 - Phase I

BB-10901, 75 mg/m2 - Phase I

Arm Description

Phase I and Phase II were consecutive and sequential. Different patients received the 60mg/m2 dose in Phase I and in Phase II.

Outcomes

Primary Outcome Measures

Phase I Toxicity Based Upon Adverse Events Clasified by the NCI Common Terminology Ctireria Version 2.0 (Phase I)
Dose limiting toxicities graded according to common terminology criteria for advers events, version 2.0 and defined as AEs (probably/definitely related to study drug) meeting the NCI CTC criteria, assessed on the basis of the first cycle of therapy (4 weeks of weekly dosing/2 week fu): Hematologic Tox (Grade 4 neutropenia ≥ 5 days, Grade 4 thrombocytopenia, neutropenic infection); Non-Hem Toxicity: (Any grade 3 or 4 non-hematologic toxicity, excluding nausea, vomiting, diarrhea and alopecia); Toxicity present at Screening (concurrent conditions), an increase in severity of 2 or more grades.
Response Evaluation Criteria in Solid Tumors (RESIST) [Phase I and II]
Response was evaluated by RESIST and Investigator assessment at baseline and every 6 weeks. CR: all target lesions disappear with no clinical or radiographic evidence of disease progression in 2 observations. PR: At least 30% decrease in sum of the longest diameters of target lesions shown in 2 observations. SD: does not qalify for PR or PD based on 2 observations. PD: Either a) the appearance of one or more new lesions, or b) at least a 20% increase in the sum of longest diameters of target lesions

Secondary Outcome Measures

Full Information

First Posted
July 23, 2003
Last Updated
July 9, 2012
Sponsor
ImmunoGen, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT00065429
Brief Title
Safety Study Using Weekly Infusions of BB-10901 in Patients With Small Cell Lung Cancer
Official Title
A Phase I, Open-Label, Dose Escalation Study of Weekly Dosing With BB-10901, Followed by a Phase II Efficacy Expansion
Study Type
Interventional

2. Study Status

Record Verification Date
July 2012
Overall Recruitment Status
Completed
Study Start Date
April 2003 (undefined)
Primary Completion Date
November 2008 (Actual)
Study Completion Date
December 2008 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
ImmunoGen, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study was a Phase I/II trial primarily focused on efficacy of BB-10901 in relapsed small cell lung cancer and other solid tumors.
Detailed Description
The Phase II efficacy expansion was restricted to SCLC patients with relapsed disease and the MTD was determined by the Phase I portion of the trial (60mg/m2).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Small Cell Lung Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
64 (Actual)

8. Arms, Groups, and Interventions

Arm Title
BB-10901, 5mg/m2 - Phase I
Arm Type
Experimental
Arm Title
BB-10901, 10 mg/m2 - Phase I
Arm Type
Experimental
Arm Title
BB-10901, 20 mg/m2 - Phase I
Arm Type
Experimental
Arm Title
BB-10901, 40 mg/m2 - Phase I
Arm Type
Experimental
Arm Title
BB-10901, 60 mg/m2 - Phase I & Phase II
Arm Type
Experimental
Arm Description
Phase I and Phase II were consecutive and sequential. Different patients received the 60mg/m2 dose in Phase I and in Phase II.
Arm Title
BB-10901, 67.5 mg/m2 - Phase I
Arm Type
Experimental
Arm Title
BB-10901, 75 mg/m2 - Phase I
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
BB-10901
Intervention Description
I.V. Infusion - See "Arms" for dosage - Once/Week for three weeks - Until Progression of disease.
Primary Outcome Measure Information:
Title
Phase I Toxicity Based Upon Adverse Events Clasified by the NCI Common Terminology Ctireria Version 2.0 (Phase I)
Description
Dose limiting toxicities graded according to common terminology criteria for advers events, version 2.0 and defined as AEs (probably/definitely related to study drug) meeting the NCI CTC criteria, assessed on the basis of the first cycle of therapy (4 weeks of weekly dosing/2 week fu): Hematologic Tox (Grade 4 neutropenia ≥ 5 days, Grade 4 thrombocytopenia, neutropenic infection); Non-Hem Toxicity: (Any grade 3 or 4 non-hematologic toxicity, excluding nausea, vomiting, diarrhea and alopecia); Toxicity present at Screening (concurrent conditions), an increase in severity of 2 or more grades.
Time Frame
every 6 weeks
Title
Response Evaluation Criteria in Solid Tumors (RESIST) [Phase I and II]
Description
Response was evaluated by RESIST and Investigator assessment at baseline and every 6 weeks. CR: all target lesions disappear with no clinical or radiographic evidence of disease progression in 2 observations. PR: At least 30% decrease in sum of the longest diameters of target lesions shown in 2 observations. SD: does not qalify for PR or PD based on 2 observations. PD: Either a) the appearance of one or more new lesions, or b) at least a 20% increase in the sum of longest diameters of target lesions
Time Frame
6 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion: Histologically or Cytologically proven SCLC, CD 56+ small cell carcinoma of unknown origin, or CD56+ non-pulmonary small cell carcinoma Relapsed disease; defined as patients with an initial response (partial or complete) to first-line therapy, then relapse more than 3 months after completion of last chemotherapy. Patients must have received no more than 3 prior chemotherapy regimen. Patients must have measurable disease defined as: Lesions that can be measured in at least one dimension according to RECIST Predicted survival of 3 months or more Zubrod performance status 0-2 Patients must not have received chemotherapy or radiation therapy within 4 weeks of study entry, nor have planned surgery. Absolute neutrophils greater than or equal to 1.5 x 10^9/l, hemoglobin greater than or equal to 9g/dl and platelets greater than or equal to 100 x 10^9/l. Creatinine less than or equal to 1.5 times the upper limit of normal AST/ALT less than or equal to 3 times the upper limit of normal without liver metastases; less than or equal to 5 times the upper limit of normal with liver metastases and bilirubin less than or equal to 1.5 times the upper limit of normal. Patients must have normal thyroid function (patients receiving thyroxin replacement therapy who are biochemically euthyroid may be enrolled). Women of childbearing potential must provide a negative pregnancy test at screening and use adequate contraception in the opinion of the investigator, for the duration of study. Patients must be capable of understanding the nature of the trial and must give written witnessed informed consent prior to any screening procedure. Exclusion: Significant residual neurological or cardiac toxicity (grade 3 or 4) following previous chemotherapy Patients who are concurrently receiving other anti-neoplastic treatment (chemotherapy, radiotherapy, or immunotherapy including steroid therapy). Myocardial infarction within 6 months of study entry, unstable angina pectoris, uncontrolled congestive heart failure, uncontrolled arrythmia, severe aortic stenosis, a history of multiple sclerosis, or other demyelinating disease, Eaton-Lambert Syndrome, history of hemorrhagic stroke, any CNS injury with residual neurologic deficit, ischaemic stroke within the last 6 months, current known herpes zoster (shingles), or cytomegalovirus infection, or a history of recurrent infections with these viruses, chronic alcoholism, serious concomitant infection, or any other concomitant illness considered significant enough to interfere with the study outcome. Other investigational agents must not be taken during the study or within 4 weeks of study entry. Previous monoclonal antibody therapy Patients must not have known central nervous system metastases Previous malignancy with < 5 year disease free interval from the last therapeutic intervention, except for adequately treated basal cell carcinoma of the skin or carcinoma in situ of the cervix. Patient unwilling or unable to tolerate and comply with the requirements of the study. Pregnant or lactating females.
Facility Information:
Facility Name
Rocky Mountain Cancer Centers
City
Denver
State/Province
Colorado
ZIP/Postal Code
80218
Country
United States
Facility Name
Cancer Center of Florida
City
Ocoee
State/Province
Florida
ZIP/Postal Code
34761
Country
United States
Facility Name
Baystate Medical Center
City
Springfield
State/Province
Massachusetts
ZIP/Postal Code
01107
Country
United States
Facility Name
New York Oncology Hematology
City
Albany
State/Province
New York
ZIP/Postal Code
12208
Country
United States
Facility Name
The Ohio State University
City
Colombus
State/Province
Ohio
ZIP/Postal Code
43221
Country
United States
Facility Name
Greater Dayton Cancer Center
City
Kettering
State/Province
Ohio
ZIP/Postal Code
45409
Country
United States
Facility Name
Cancer Centers of the Carolinas
City
Greenville
State/Province
South Carolina
ZIP/Postal Code
29605
Country
United States
Facility Name
MD Anderson Cancer Center
City
Houston
State/Province
Texas
ZIP/Postal Code
77030-7095
Country
United States
Facility Name
Tyler Cancer Center
City
Tyler
State/Province
Texas
ZIP/Postal Code
75702
Country
United States
Facility Name
Virginia Oncology Associates
City
Norfolk
State/Province
Virginia
ZIP/Postal Code
23502
Country
United States
Facility Name
Northwest Cancer Specialists
City
Vancouver
State/Province
Washington
ZIP/Postal Code
98684
Country
United States

12. IPD Sharing Statement

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Safety Study Using Weekly Infusions of BB-10901 in Patients With Small Cell Lung Cancer

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