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Monoclonal Antibodies in Treating Patients With Relapsed or Refractory Follicular Non-Hodgkin's Lymphoma
This study is ongoing, but not recruiting participants.
Study NCT00056043   Information provided by National Cancer Institute (NCI)
First Received: March 6, 2003   Last Updated: February 6, 2009   History of Changes

March 6, 2003
February 6, 2009
January 2003
 
 
 
Complete list of historical versions of study NCT00056043 on ClinicalTrials.gov Archive Site
 
 
 
Monoclonal Antibodies in Treating Patients With Relapsed or Refractory Follicular Non-Hodgkin's Lymphoma
A Phase I/II Trial Of IDEC-114 (Anti-CD80 Monoclonal Antibody) In Combination With Rituximab For Patients With Relapsed Or Refractory, Follicular Lymphoma

RATIONALE: Monoclonal antibodies can locate cancer cells and either kill them or deliver cancer-killing substances to them without harming normal cells. Combining more than one monoclonal antibody may kill more cancer cells.

PURPOSE: Phase I/II trial to study the effectiveness of combining two different monoclonal antibodies in treating patients who have relapsed or refractory follicular non-Hodgkin's lymphoma.

OBJECTIVES:

  • Determine the safety profile and recommended phase II dose of IDEC-114 monoclonal antibody and rituximab in patients with relapsed or refractory follicular non-Hodgkin's lymphoma.
  • Determine the pharmacokinetics of this regimen in these patients.
  • Determine the efficacy of this regimen in these patients.
  • Determine the immunogenicity of this regimen in these patients.

OUTLINE: This is an open-label, multicenter, dose-escalation study of IDEC-114 monoclonal antibody (IDEC-114).

  • Phase I: Patients receive IDEC-114 IV over 1 hour on days 3, 8, 15, and 22 and rituximab IV on days 1, 8, 15, and 22.

Cohorts of 3-6 patients receive escalating doses of IDEC-114 until the maximum tolerated dose (MTD) is determined. The MTD is the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity.

  • Phase II: Patients receive IDEC-114 at the MTD and rituximab as in phase I. Patients are followed at days 29, 36, 43, and 50; months 3 and 6; every 3 months for 1.5 years; and then every 6 months thereafter.

PROJECTED ACCRUAL: A total of 39-48 patients (9-18 patients for phase I and 30 patients for phase II) will be accrued for this study.

Phase I, Phase II
Interventional
Treatment, Open Label
Lymphoma
  • Biological: galiximab
  • Biological: rituximab
 
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Active, not recruiting
 
 
 

DISEASE CHARACTERISTICS:

  • Histologically confirmed follicular non-Hodgkin's lymphoma (NHL)

    • Relapsed after or refractory to primary therapy
  • Progressive disease after at least 1 prior standard therapy, including chemotherapy, radiotherapy, biologic therapy, or bone marrow or stem cell transplantation
  • Bidimensionally measurable disease

    • At least one lesion at least 2.0 cm
  • No disease refractory to prior rituximab
  • No pleural or peritoneal effusion with positive cytology for lymphoma
  • No prior aggressive NHL or mantle cell lymphoma
  • No chronic lymphocytic leukemia
  • No CNS lymphoma

PATIENT CHARACTERISTICS:

Age

  • 18 and over

Performance status

  • WHO 0-2

Life expectancy

  • At least 3 months

Hematopoietic

  • Hemoglobin at least 8.0 g/dL
  • Absolute neutrophil count at least 1,500/mm^3
  • Platelet count at least 75,000/mm^3

Hepatic

  • Bilirubin no greater than 2.0 mg/dL
  • AST and/or ALT no greater than 2 times upper limit of normal

Renal

  • Creatinine no greater than 2.0 mg/dL
  • No hydronephrosis

Cardiovascular

  • No congestive heart failure
  • No New York Heart Association class III or IV heart disease
  • No myocardial infarction within the past 6 months

Other

  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception during and for 12 months after study participation
  • HIV negative
  • No other primary malignancy requiring active treatment (except hormonal therapy)
  • No active uncontrolled bacterial, viral, or fungal infection
  • No other medical condition that would preclude study participation

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • See Disease Characteristics
  • More than 3 weeks since prior biologic therapy for cancer
  • More than 6 months since prior antibody therapy for lymphoma
  • More than 6 months since prior bone marrow or stem cell transplantation
  • No prior IDEC-114 or other anti-CD80 antibody

Chemotherapy

  • See Disease Characteristics
  • More than 3 weeks since prior chemotherapy for cancer (6 weeks for nitrosoureas or mitomycin)

Endocrine therapy

  • More than 3 weeks since prior prednisone

Radiotherapy

  • See Disease Characteristics
  • More than 3 weeks since prior radiotherapy for cancer
  • More than 6 months since prior radioimmunotherapy for lymphoma

Surgery

  • More than 4 weeks since prior major surgery (except diagnostic surgery)

Other

  • Recovered from prior therapy
  • More than 3 weeks since other prior immunosuppressive therapy
  • Prior investigational drugs allowed
Both
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00056043
 
CDR0000271926, UCLA-0207122, IDEC-114-21, UNMC-04703
Jonsson Comprehensive Cancer Center
National Cancer Institute (NCI)
Principal Investigator: Christos E. Emmanouilides, MD Jonsson Comprehensive Cancer Center
National Cancer Institute (NCI)
May 2004

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP