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Study of EB10 in Patients With Leukemia
This study is currently recruiting participants.
Verified by ImClone LLC, December 2009
First Received: April 23, 2009   Last Updated: December 14, 2009   History of Changes
Sponsor: ImClone LLC
Information provided by: ImClone LLC
ClinicalTrials.gov Identifier: NCT00887926
  Purpose

The purpose of this study is to determine if IMC-EB10 is safe for patients with leukemia, and also to determine the best dose of IMC-EB10 to give to patients.


Condition Intervention Phase
Myeloid Leukemia
Biological: IMC-EB10
Phase I

Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Pharmacokinetics/Dynamics Study
Official Title: An Open-label, Dose Escalation, Phase I Study of IMC-EB10 in Patients With Relapsed or Refractory Acute Myeloid Leukemia

Resource links provided by NLM:


Further study details as provided by ImClone LLC:

Primary Outcome Measures:
  • Maximum Tolerate Dose (MTD) of IMC-EB10 [ Time Frame: 4 weeks ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Pharmacokinetic Profile (PK) of IMC-EB10 [ Time Frame: 4 weeks ] [ Designated as safety issue: No ]
  • Safety profile of IMC-EB10 [ Time Frame: 4 weeks ] [ Designated as safety issue: Yes ]
  • Define a recommended Phase 2 dose (RP2D [ Time Frame: 4 weeks ] [ Designated as safety issue: No ]
  • Screen for the development of antibodies against IMC-EB10 [ Time Frame: 4 weeks ] [ Designated as safety issue: No ]
  • Assess the antileukemic response to IMC-EB 10 as monotherapy [ Time Frame: 4 weeks ] [ Designated as safety issue: No ]
  • Describe the hematologic response to IMC-EB10 in relation to the FLT3 status [ Time Frame: 4 weeks ] [ Designated as safety issue: No ]

Estimated Enrollment: 30
Study Start Date: June 2009
Estimated Study Completion Date: December 2010
Estimated Primary Completion Date: May 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
IMC-EB10 is 5 mg/kg: Experimental
All patients will receive intravenous infusions of IMC-EB10, with the dose depending on which cohort they are enrolled into.
Biological: IMC-EB10
Cohort 1 will receive IMC-EB10 intravenously for 3 weekly infusions, followed by a 1-week observation period. The starting dose in Cohort 1 will be 5mg/kg. After all patients in Cohort 1 complete the first cycle of therapy, dose escalation for subsequent cohorts will proceed as follows: Cohort 2 - 10mg/kg, Cohort 3 - 20mg/kg, Cohort 4 - 30mg/kg. Patients who experience a dose limiting toxicity (DLT) will not receive further IMC-EB10 treatment, but will continue to be followed on the protocol. Patients may continue to receive IMC-EB10 therapy, in the absence of treatment failure, treatment intolerance, or other withdrawal criteria for additional 28-day cycles at the same dose that they initially received. Dosing for cycle 2 and beyond will be administered on Days 1, 8, 15, and 22 of a 28-day treatment cycle

Detailed Description:

The purpose of this study is to define the maximum tolerated dose (MTD) and the pharmacokinetic (PK) profile of the anti-FLT3 monoclonal antibody IMC-EB10, administered weekly in patients with AML who have failed to achieve complete remission to a standard induction regimen, relapsed after response to previous antileukemia therapy, or are not eligible for potentially curative or approved salvage options.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. The patient has cytopathologically documented AML in the bone marrow or blood that has relapsed with or without a prior complete remission.
  2. The patient is not regarded to be a candidate for a potentially curative, higher priority treatment for AML.
  3. The patient has resolution of all clinically significant toxic effects of any prior antitumor therapy to Grade ≤ 1 by NCI-CTCAE v 3.0. Exceptions include alopecia, hematologic parameters, and any other study-specific clinical or laboratory parameter specified in the entry criteria.
  4. The patient has not had major surgery, an open biopsy, a significant injury, and/or prior antitumor therapy (except antileukemia therapy) within 21 days prior to the first infusion of IMC-EB10.
  5. The patient has an Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2 at study entry.
  6. The patient is age 18 years or older.
  7. The patient has a life expectancy of > 3 months.
  8. The patient has adequate hepatic function, as defined by the following criteria:

    • total bilirubin level ≤ 2.0 times the upper limit of normal (ULN)
    • aspartate transaminase (AST) and alanine transaminase (ALT) levels ≤ 2.5 times the ULN
    • alkaline phosphatase level ≤ 2.5 times the ULN
  9. The patient has adequate renal function, as defined by the following criteria:

    • a serum creatinine level ≤ 1.5 mg/dL.
    • urinalysis with no clinically significant findings
  10. The patient is using an effective contraception (per the institutional standard), if procreative potential exists.
  11. The patient is able to give written informed consent.
  12. The patient is willing and able to comply with study procedures, scheduled visits, and treatment plans.

Exclusion Criteria:

  1. The patient has had prior allogenic or autologous stem cell transplant within < 3 months of the first infusion of IMC-EB10.
  2. The patient has had an organ transplant (nonhematologic) within 3 years of study entry.
  3. The patient has active central nervous system leukemia.
  4. The patient has extramedullary disease without peripheral/and or bone marrow involvement.
  5. The patient is disease-free from a previous or concurrent malignancy for a period ≤ 1 year. A patient who has basal cell carcinoma or carcinoma in situ of the cervix will not be excluded from the study. The presence of other localized cancers need to be discussed with the ImClone Medical Monitor prior to enrollment in the study.
  6. The patient is currently receiving antileukemia therapy. Concurrent treatment with hydroxyurea is permitted.
  7. The patient has uncontrolled intercurrent illness including, but not limited to the following:

    • an ongoing or active infection requiring parenteral antibiotics
    • symptomatic congestive heart failure (class III or IV of the New York Heart Association classification for heart disease)
    • unstable angina pectoris, angioplasty, stenting, or myocardial infarction within 6 months prior to the first dose of study medication
    • uncontrolled hypertension
    • uncontrolled or clinically significant cardiac arrhythmia
    • uncontrolled diabetes
    • uncontrolled psychiatric illness or social situations that would compromise patient safety or limit compliance with study requirements
    • uncontrolled central nervous system metastases
    • active or chronic viral hepatitis
    • known advanced or uncontrolled human immunodeficiency virus infection.
  8. The patient is receiving chronic steroid or other immunosuppressive medications. Occasional use of steroid-containing medications, eg, for asthma exacerbation or for skin lesions, is permitted.
  9. The patient is receiving full-dose heparin (including low molecular weight heparin) or warfarin. (The patient is permitted to use low-dose warfarin to maintain patency of preexisting, permanent, indwelling I.V. catheters.)
  10. The patient is pregnant (confirmed by urine or serum pregnancy test) or breast feeding.
  11. The patient has received treatment with monoclonal antibodies within 6 weeks prior to first infusion of IMC-EB10.
  12. The patient has a history of clinically significant allergic reactions to monoclonal antibodies or other therapeutic proteins.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00887926

Contacts
Contact: Shawen F Ilaria, R.N., B.S 407-343-6113 shawen.ilaria@imclone.com
Contact: Sarah Cappello, MPH 908-927-8395 sarah.cappello@imclone.com

Locations
United States, Ohio
The Ohio State University Medical Center Recruiting
Columbus, Ohio, United States, 43210
Contact: William Blum, MD     614-293-7526     William.blum@osumc.edu    
Contact: Shawna Oxier, RN     614-366-8309     Shawna.Oxier@osumc.edu    
Principal Investigator: William Blum, MD            
United States, Texas
MD Anderson Cancer Center Not yet recruiting
Houston, Texas, United States, 77030
Contact: Jorge Cortes-Franco, MD     713-792-8393     jcortes@mdanderson.org    
Contact: Jody L Hiteshew, R.N     713-792-9192     hiteshew@mdanderson.org    
Principal Investigator: Jorge Cortes-Franco, MD            
Sponsors and Collaborators
ImClone LLC
Investigators
Principal Investigator: Jorge Cortes, MD M.D. Anderson Cancer Center
  More Information

No publications provided

Responsible Party: ImClone LLC ( Chief Medical Officer )
Study ID Numbers: CP17-0801
Study First Received: April 23, 2009
Last Updated: December 14, 2009
ClinicalTrials.gov Identifier: NCT00887926     History of Changes
Health Authority: United States: Food and Drug Administration

Keywords provided by ImClone LLC:
AML
Leukemia
Acute Myeloid Leukemia
Antibodies, Monoclonal

Additional relevant MeSH terms:
Leukemia
Neoplasms
Neoplasms by Histologic Type
Leukemia, Myeloid
Leukemia, Myeloid, Acute

ClinicalTrials.gov processed this record on February 08, 2010