ClinicalTrials.gov
 Home    Search    Study Topics    Glossary  
 

  Full Text View  
  Tabular View  
  Contacts and Locations  
  No Study Results Posted  
  Related Studies  
Phase 1,Open Label,Dose-Escalation,Multidose Study in Relapsed/Refractory Chronic Lymphocytic Leukemia and Mantle Cell Lymphoma

This study is not yet open for participant recruitment.
Verified by Medarex, August 2008

Sponsored by: Medarex
Information provided by: Medarex
ClinicalTrials.gov Identifier: NCT00730652
  Purpose

The primary objective is to determine the safety and highest tolerated dose of drug given to patients with Chronic Lymphocytic Leukemia(CLL) and Mantle Cell Lymphoma (MCL)


Condition Intervention Phase
Chronic Lymphocytic Leukemia (CLL)
Mantle Cell Lymphoma (MCL)
Drug: MDX-1411
Phase I

MedlinePlus related topics:   Leukemia, Adult Acute    Leukemia, Adult Chronic    Lymphoma   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Treatment, Open Label, Dose Comparison, Parallel Assignment, Safety Study
Official Title:   A Phase 1,Open-Label,Dose-Escalation,Multidose Study of MDX-1411 Administered Every 7 Days in Subjects With Relapsed/Refractory Chronic Lymphocytic Leukemia and Mantle Cell Lymphoma

Further study details as provided by Medarex:

Primary Outcome Measures:
  • maximum tolerated dose (MTD) and dose-limiting toxicity (DLT) [ Time Frame: five infusions every seven days ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • best overall response rate (BORR)characterize the immunogenicity, PK and PD of MDX-1411 [ Time Frame: 42 days/cycle ] [ Designated as safety issue: No ]

Estimated Enrollment:   50
Study Start Date:   November 2008
Estimated Primary Completion Date:   June 2010 (Final data collection date for primary outcome measure)

Arms Assigned Interventions
cohort: Experimental
Accelerated titration design with 6 dose levels. Primary objectives are determination of the maximum tolerated dose (MTD) and dose-limiting toxicity (DLT). The secondary objectives are determination of best overall response rate (BORR), and characterization of immunogenicity, PK and PD.
Drug: MDX-1411
i.v. infusion 0.2, 0.4, 0.8, 1.5, 3 and 6 mg/kg/dose every 7 days for a total of 5 infusions ( Days 1, 8, 15, 22, and 29)

Detailed Description:

The primary objectives of this study are to determine the safety profile of MDX-1411, the maximum tolerated dose (MTD), and the dose limiting toxicity (DLT)when administered every 7 days to subjects with relapsed/refractory Chronic Lymphocytic Leukemia (CLL) or Mantle Cell Lymphoma (MCL). Secondary objectives are too determine the best overall response rate (BORR), characterize the immunogenicity of MDX-1411 and characterize the preliminary multidose pharmacokinetic profile and pharmacodynamic profile (in subjects with CLL)of MDX-1411.

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

Criteria

Inclusion Criteria:

  1. 18 years of age or older
  2. Life expectancy 12 weeks or greater
  3. Histologically confirmed diagnosis that is not amenable to cure by surgery or other means and has failed at least 1 prior systemic therapy
  4. For MCL, measurable disease with at least 1 bidimensionally measurable lesion
  5. Subjects may have been treated with up to 3 prior systemic therapies for relapsed/refractory disease or have become intolerant to a systemic therapy
  6. MCL subjects with treated brain metastases must be without evidence of progression by magnetic resonance imaging (MRI) for at least 8 weeks and have discontinued steroids for at least 4 weeks prior to receiving the first dose
  7. MCL subjects may have been treated with radiotherapy (RT) provided there are measurable lesions outside the field of RT
  8. At least 4 weeks since the last systemic therapy, including RT, for the treatment of MCL/CLL
  9. At least 4 weeks since any major surgery prior to the first dose of MDX-1411
  10. At least 4 weeks since taking any corticosteroids prior to the first dose of MDX-1411
  11. Eastern Cooperative Oncology Group (ECOG) Performance Status 0 to 1
  12. Screening laboratory values must meet the following criteria:

    • WBC greater then or equal to 1500/uL
    • Neutrophils greater then or equal to 1000/uL
    • Platelets greater then or equal to 50,000/ul
    • Hemoglobin(Hb) greater then or equal to 8.0g/dL
    • Creatinine less then or equal to 1.5mg/dL or creatinine clearance (CrCl)greater then 50mL/min
    • AST less then or equal to 2.5 x ULN
    • ALT less then or equal to 2.5 x ULN
    • Alkaline phosphatase less than or equal to 2.0 x ULN
    • Bilirubin less than 1.5mg/dL ( unless diagnosed with Gilbert's syndrome)
  13. No known positivity for HIV ( no laboratory testing is required), no active infection with Hepatitis B or Hepatitis C
  14. Women must meet 1 of the following criteria:

    • Post-menopausal for at least 24 consecutive months; surgically incapable of bearing children ( have had a hysterectomy or bilateral oophorectomy); or utilizing a reliable form of contraception.
    • Women of child bearing potential (WCBP) must agree to use a reliable form of contraception for at least 70 days following the last dose of study drug; and
  15. Men must agree to the use of male contraception during the study and for at least 180 days after the last dose of study drug.

Exclusion Criteria:

Subjects who fulfill any of the following criteria at Screening will not be eligible for admission into the study.

  1. Previous treatment with any other anti-CD70 antibody
  2. Any other malignancy, excluding basal or squamous cell carcinoma of the skin, cervical carcinoma in situ, or localized prostate cancer, from which the subject has not been disease-free for at least 5 years
  3. Active infection (viral, bacterial, or fungal) requiring i.v. systemic therapy within 4 weeks of receiving the first dose of MDX-1411
  4. Evidence of bleeding diathesis or coagulopathy
  5. Active autoimmune disease requiring immunosuppressive therapy
  6. Known current drug or alcohol abuse
  7. Apparent active or latent tuberculosis (TB) infection (purified protein derivative test is not required) as indicated by any of the following: PPD recently converted to positive; chest x-ray with evidence of infections infiltrate
  8. Women who are pregnant or nursing
  9. Any underlying medical condition which, in the opinion of the Principle Investigator, will make the administration of MDX-1411 hazardous or obscure the interpretation of AE's; or
  10. Psychiatric illness or social situation that would preclude study compliance. -
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00730652

Contacts
Contact: Lewis J Cohen, MD     908-479-2475     lcohen@medarex.com    
Contact: Dave Eardley     908-479-2410     deardley@medarex.com    

Sponsors and Collaborators
Medarex
  More Information


Responsible Party:   Medarex Inc. ( Medarex Inc. )
Study ID Numbers:   MDX1411-02
First Received:   August 4, 2008
Last Updated:   August 6, 2008
ClinicalTrials.gov Identifier:   NCT00730652
Health Authority:   United States: Food and Drug Administration

Study placed in the following topic categories:
Chronic lymphocytic leukemia
Lymphatic Diseases
Leukemia
Leukemia, Lymphoid
Immunoproliferative Disorders
Leukemia, Lymphocytic, Chronic, B-Cell
Lymphoma, Mantle-Cell
Lymphoma, Non-Hodgkin
Lymphoproliferative Disorders
Leukemia, B-Cell
Mantle cell lymphoma
Lymphoma

Additional relevant MeSH terms:
Neoplasms
Neoplasms by Histologic Type
Immune System Diseases

ClinicalTrials.gov processed this record on October 31, 2008




Links to all studies - primarily for crawlers