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| Sponsor: | MedImmune LLC |
|---|---|
| Collaborator: |
National Cancer Institute (NCI) |
| Information provided by: | MedImmune LLC |
| ClinicalTrials.gov Identifier: | NCT00659425 |
Purpose
To estimate highest dose (MTD), or the highest dose of CAT-8015 that can be safely administered to a patient.
| Condition | Intervention | Phase |
|---|---|---|
|
Acute Lymphoblastic Leukemia Non-Hodgkin's Lymphoma |
Drug: CAT-8015 |
Phase I |
| Study Type: | Interventional |
| Study Design: | Treatment, Non-Randomized, Open Label, Dose Comparison, Single Group Assignment, Pharmacokinetics/Dynamics Study |
| Official Title: | A Phase 1, Multicenter, Dose Escalation Study of CAT-8015 in Children, Adolescents and Young Adults With Refractory CD22+ Acute Lymphoblastic Leukemia (ALL) or Non-Hodgkin's Lymphoma (NHL) |
| Estimated Enrollment: | 38 |
| Study Start Date: | September 2008 |
| Estimated Study Completion Date: | December 2012 |
| Estimated Primary Completion Date: | March 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
1: Experimental
CAT-8015
|
Drug: CAT-8015
The dose level of the initial cohort will be 5 µg/kg. Cohorts will be at doses of 5, 10, 20, 30, 40, 50, 60.... µg/kg until toxicity supervenes. Following the identification of the MTD, the MTD cohort will be expanded to 12 subjects. Dose escalation to a new cohort may not occur until authorization by the medical monitor, which will require all patients from the prior cohorts have reached cycle 1 day 21 without dose limiting toxicity (DLT) if eligible for retreatment
|
To estimate the maximum tolerated dose (MTD), defined as the highest dose that can be safely administered to a patient, and to establish a safe dose, based on the MTD, for subsequent clinical testing.
Eligibility| Ages Eligible for Study: | 6 Months to 25 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Stage of disease:
Performance status:
Subjects with the following CNS status, are eligible only in the absence of neurologic symptoms suggestive of CNS leukemia, such as cranial nerve palsy:
Ability to give informed consent. For subjects < 18 years old their legal guardian must give informed consent. Pediatric subjects will be included in age appropriate discussion and verbal assent will be obtained for those > 7 years of age;
Must be between the ages of greater than or equal to 6 months and < 25 years;
Female and male subjects with childbearing potential and their sexual partners must agree to use an approved method of contraception during the study.
Exclusion Criteria:
Subjects meeting any of the following criteria are not eligible for participation in the study:
- Isolated testicular or Central Nervous System (CNS) ALL;
Hepatic function:
Renal function:
With greater than age-adjusted normal serum creatinine (see Table below) and a creatinine clearance > 60 mL/min/1.73 m2.
Age(Years)- Maximum Serum Creatinine (mg/dl)[<5,0.8] [5 < age less than or equal to 10,1.0] [10 < age less than or equal to 15,1.2 [> 15, 1.5]
Hematologic function:
Subjects with CNS 3 disease (presence of ≥ 5/µL WBCs in CSF and cytospin positive for blasts [in the absence of a traumatic lumbar puncture] and/or clinical signs of CNS leukemia);
Radiologically-detected CNS lymphoma;
Laboratory findings consistent with Grade ≥ 3 disseminated intravascular coagulation (DIC) or any Grade 2 DIC that does not correct;
Hyperleukocytosis (≥ 50,000 blasts/µL) or rapidly progressive disease that in the estimation of the investigator and sponsor would compromise ability to complete study therapy;
Pregnant or breast-feeding females;
Prior treatment with CAT-3888 (BL22) or any pseudomonas-exotoxin-containing compound;
Recent prior therapy:
Systemic chemotherapy ≤ 2 weeks (6 weeks for nitrosoureas) and radiation therapy ≤ 3 weeks prior to starting study drug;
Exceptions:
Subjects with contraindication to corticosteroid administration;
HIV positive serology (due to increased risk of severe infection and unknown interaction of CAT-8015 with antiretroviral drugs);
Active hepatitis B or C infection as defined by seropositive for hepatitis B (HBsAg) or hepatitis C and elevated liver transaminases;
Uncontrolled, symptomatic, intercurrent illness including but not limited to infection, congestive heart failure, unstable angina pectoris, cardiac arrhythmia, psychiatric illness, or social situations that would limit compliance with study requirements;
Second malignancy other than non-basal cell carcinoma of the skin or in situ carcinoma of the cervix, unless the tumor was treated with curative intent at least two years previously and subject is in remission.
Contacts and Locations| Contact: Radhika Parikh | 301-398-4851 | Oncologyresearchstud@Medimmune.com |
| Contact: Aimee Montagno | 301-398-5240 | Oncologyresearchstud@Medimmune.com |
| United States, Maryland | |
| National Institutes of Health Clinical Center/PHAR/PDS | Recruiting |
| Bethesda, Maryland, United States, 20892-1196 | |
| Contact: Cindy Delbrook 301-496-4256 delbrookc@mail.nih.gov | |
| Contact: Kelly Richards (301) 402-1387 krichards@mail.nih.gov | |
| Principal Investigator: Alan S. Wayne, M.D. | |
| United States, Tennessee | |
| St. Jude Children's Research Hospital | Recruiting |
| Memphis, Tennessee, United States, 38105 | |
| Contact: Linda Holloway 901-595-3300 | |
| Principal Investigator: Deepa Bhojwani, M.D. | |
| Study Director: | Alan S. Wayne, M.D. | National Cancer Institute (NCI) |
More Information
| Responsible Party: | Pediatric Oncology Branch, NCI, NIH, Bethesda, MD 20892 ( Alan S. Wayne, M.D. ) |
| Study ID Numbers: | CAT-8015-1004 |
| Study First Received: | April 10, 2008 |
| Last Updated: | January 26, 2010 |
| ClinicalTrials.gov Identifier: | NCT00659425 History of Changes |
| Health Authority: | United States: Food and Drug Administration |
|
Lymphatic Diseases Leukemia Neoplasms Leukemia, Lymphoid Immunoproliferative Disorders Neoplasms by Histologic Type |
Precursor Cell Lymphoblastic Leukemia-Lymphoma Immune System Diseases Lymphoproliferative Disorders Lymphoma, Non-Hodgkin Lymphoma |