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Study of Immune Response Modifier in the Treatment of Hematologic Malignancies

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT00276159
Recruitment Status : Terminated (Drug was not available.)
First Posted : January 13, 2006
Results First Posted : May 5, 2010
Last Update Posted : September 4, 2019
Sponsor:
Collaborator:
Pfizer
Information provided by (Responsible Party):
Masonic Cancer Center, University of Minnesota

Study Description
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Brief Summary:
The purpose of this study is to evaluate the anti-tumor activity of 852A when used to treat certain hematologic malignancies not responding to standard treatment.

Condition or disease Intervention/treatment Phase
Acute Lymphoblastic Leukemia Acute Myeloid Leukemia Non-Hodgkin's Lymphoma Hodgkin's Lymphoma Multiple Myeloma Chronic Lymphocytic Leukemia Drug: 852A Phase 2

Detailed Description:
852A will be administered as a subcutaneous injection (SC) 2 times per week for 12 weeks (24 doses) with provisions for dose escalation or reduction based on tolerability
Study Design
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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 6 participants
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Phase II Study of 852A Administered Subcutaneously in Patients With Hematologic Malignancies Not Responding to Standard Treatment
Study Start Date : January 2006
Actual Primary Completion Date : November 2008
Actual Study Completion Date : November 2008

Resource links provided by the National Library of Medicine


Arms and Interventions
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Arm Intervention/treatment
Experimental: 852A Treatment
Patients receiving at least one dose of 852A.
 Drug: 852A
Subcutaneous injection 0.6 mg/m2 2 times/week/12 weeks, may increase by 0.2 mg/m2 up to 1.2 mg/m2.
Other Names:
  • Molecule 852A
  • S-32865


Outcome Measures
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Primary Outcome Measures :
  1. Number of Patients With 852A Response Using Modified Response Evaluation Criteria in Solid Tumors [ Time Frame: Up to Week 12 ]
    Stable disease in Non-Hogkin's Lymphoma = disease that does not satisfy complete (complete regression), partial (> or = 50% reduction) or progressive disease (increase of 25%) by at least a 4-week period. Since Acute Myelogenous Leukemia is not a solid tumor, Complete Response (CR) = <5% blasts with hematopoietic recovery (absolute neutrophil count >500) at 4 weeks.


Secondary Outcome Measures :
  1. Number of Patients Who Received Steroids [ Time Frame: Up to Week 12 ]
    Number of patients who received steroids allowing successful continuation of therapy.

  2. Measure of Immune Activation With Correlative Laboratory Studies [ Time Frame: Up to Week 12 ]
  3. Peak Concentrations of 852A [ Time Frame: Up to Week 12 ]
    Measurement of peak concentrations of 852A to correlate the side effects of tolerability in patients.


Eligibility Criteria
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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Subjects are eligible for the study if they meet all of the following

Inclusion Criteria:

  • Diagnosis of one of the following hematologic malignancies not responding to at least 2 standard treatment regimens. Any criteria for persistent or recurrent disease acceptable, i.e. ≥5% blasts for acute leukemia.

    • acute lymphoblastic leukemia (ALL)
    • acute myeloid leukemia (AML)
    • non-Hodgkin's lymphoma (NHL)
    • Hodgkin's lymphoma (HL)
    • multiple myeloma (MM)
    • chronic lymphocytic leukemia (CLL)
  • Performance status - Karnofsky > 50% for patients > 10 years of age or Lansky >50% for patients < 10 year of age
  • Normal organ function within 14 days of study entry
  • If female and of childbearing potential, are willing to use adequate contraception (hormonal, barrier method, abstinence) prior to study entry and for the duration of study participation. A female is considered to be of childbearing potential unless she has had her uterus removed, had a double oophorectomy, or has been amenorrheic for at least 6 months after chemotherapy

Exclusion Criteria:

  • Had/have the following prior/concurrent therapy:

    • Systemic corticosteroids (oral or injectable) within 7 days of first dose of 852A (topical or inhaled steroids are allowed)
    • Investigational drugs/agents within 14 days of first dose of 852A
    • Immunosuppressive therapy, including cytotoxic agents within 14 days of first dose of 852A (nitrosoureas within 30 days of first dose)
    • Drugs known to induce QT interval prolongation and/or induce Torsades De Pointes unless best available drug required to treat life-threatening conditions
    • Radiotherapy within 4 weeks of the first dose of 852A
    • Hematopoietic cell transplantation 4 weeks of first dose of 852A
  • Active infection or fever > 38.5°C within 3 days of first dose of 852A
  • Cardiac ischemia, cardiac arrhythmias or congestive heart failure uncontrolled by medication
  • History of, or clinical evidence of, a condition which, in the opinion of the investigator, could confound the results of the study or put the subject at undue risk
  • Uncontrolled intercurrent or chronic illness
  • Active autoimmune disease requiring immunosuppressive therapy within 30 days
  • Active hepatitis B or C with evidence of ongoing viral replication
  • Hyperthyroidism
  • Uncontrolled seizure disorder
  • Active coagulation disorder not controlled with medication
  • Pregnant or lactating
  • Concurrent malignancy (if in remission, at least 5 years disease free) except for localized (in-situ) disease, basal carcinomas and cutaneous squamous cell carcinomas adequately treated
  • Proven active central nervous system (CNS) disease
  • Human Immunodeficiency Virus (HIV) positive
  • Congenital long QT syndrome or abnormal baseline QTc interval (> 450 msec in males and > 470 msec in females) after Bazett's correction (QTc msec = QT msec / square root of the RR interval in seconds) on screening electrocardiogram (ECG).
Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00276159


Locations
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United States, Minnesota
Masonic Cancer Center, University of Minnesota
Minneapolis, Minnesota, United States, 55455
Sponsors and Collaborators
Masonic Cancer Center, University of Minnesota
Pfizer
Investigators
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Principal Investigator: Sarah Cooley, MD Masonic Cancer Center, University of Minnesota
More Information
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Responsible Party: Masonic Cancer Center, University of Minnesota
ClinicalTrials.gov Identifier: NCT00276159    
Obsolete Identifiers: NCT00326937
Other Study ID Numbers: 05US02IMP-852A
MT2005-20 ( Other Identifier: Blood and Marrow Transplantation Program )
2005LS057 ( Other Identifier: Clinical Trials Office, University of Minnesota )
0509M73467 ( Other Identifier: IRB, University of Minnesota )
First Posted: January 13, 2006    Key Record Dates
Results First Posted: May 5, 2010
Last Update Posted: September 4, 2019
Last Verified: August 2019
Keywords provided by Masonic Cancer Center, University of Minnesota:
Leukemia
Lymphoma
Myeloma
Hematology
 852A
IRM
Oncology
Additional relevant MeSH terms:
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Lymphoma
Leukemia
Multiple Myeloma
Precursor Cell Lymphoblastic Leukemia-Lymphoma
Leukemia, Lymphocytic, Chronic, B-Cell
Hematologic Neoplasms
Neoplasms by Histologic Type
Neoplasms
Lymphoproliferative Disorders
Lymphatic Diseases
Immunoproliferative Disorders
Immune System Diseases
Neoplasms, Plasma Cell
 Hemostatic Disorders
Vascular Diseases
Cardiovascular Diseases
Paraproteinemias
Blood Protein Disorders
Hematologic Diseases
Hemorrhagic Disorders
Leukemia, Lymphoid
Leukemia, B-Cell
Chronic Disease
Disease Attributes
Pathologic Processes
Neoplasms by Site