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A Phase 1/2, Multi-Center, Open-Label, Dose-Escalation Study of HuLuc63 (Humanized Anti CS1 Monoclonal IgG1 Antibody) and Bortezomib in Subjects With Multiple Myeloma Following One to Three Prior Therapies. (HuLuc63-1702)
This study is currently recruiting participants.
Verified by PDL BioPharma, Inc., July 2008
Sponsored by: PDL BioPharma, Inc.
Information provided by: PDL BioPharma, Inc.
ClinicalTrials.gov Identifier: NCT00726869
  Purpose

This Phase 1/2, multi-center, open-label, multiple-dose, dose escalation study will evaluate the combination of HuLuc63 and bortezomib in subjects with MM following 1 to 3 prior therapies. For the Phase 1 portion, HuLuc63 will be administered by intravenous (IV) injection at up to 4 dose levels ranging from 2.5 mg/kg to 20.0 mg/kg within 30 minutes following the administration of IV bortezomib at 1.3 mg/m2. Bortezomib will be given in 21 day cycles (twice weekly for 2 weeks on Days 1, 4, 8, and 11 followed by a 10-day rest period). HuLuc63 will be administered as a separate infusion within 30 minutes following the bortezomib infusion on the same days as the first and last dose of each bortezomib cycle (ie, Days 1 and 11).


Condition Intervention Phase
Multiple Myeloma
Drug: HuLuc63
Phase I
Phase II

Genetics Home Reference related topics: aceruloplasminemia hemophilia
MedlinePlus related topics: Cancer Multiple Myeloma
Drug Information available for: Immunoglobulins Globulin, Immune Bortezomib
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Dose Comparison, Parallel Assignment, Safety/Efficacy Study
Official Title: A Phase 1/2, Multi-Center, Open-Label, Dose-Escalation Study of HuLuc63 (Humanized Anti CS1 Monoclonal IgG1 Antibody) and Bortezomib in Subjects With Multiple Myeloma Following One to Three Prior Therapies.

Further study details as provided by PDL BioPharma, Inc.:

Primary Outcome Measures:
  • The incidence of dose-limiting toxicities in the first treatment cycle foreach cohort [ Time Frame: After 3 patients are enrolled into each of the 4 cohorts and have completed the first cycle of treatment within the cohort. ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Frequency, severity, and relationship of adverse events and serious adverse events with the combination of HuLuc63 and bortezomib. [ Time Frame: After 3 patients are enrolled into each of the 4 cohorts and have completed the first cycle of treatment within the cohort. ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 49
Study Start Date: October 2007
Estimated Study Completion Date: October 2009
Estimated Primary Completion Date: October 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
No Arms: Experimental
Various concentrations of HuLuc63 (2.5 mg/kg; 5.0 mg/kg; 10.0 mg/kg; and 20.0 mg/kg)
Drug: HuLuc63
Cohort 1 - 2.5 mg/kg HuLuc63 IV with bortezomib on Days 1 & 11, with only Bortezomib IV on Days 4 & 8; Cohort 2 - 5.0 mg/kg HuLuc63 IV with bortezomib on Days 1 & 11, with only Bortezomib IV on Days 4 & 8; Cohort 3 - 10.0 mg/kg HuLuc63 IV with bortezomib on Days 1 & 11, with only Bortezomib IV on Days 4 & 8; and Cohort 4 - 20.0 mg/kg HuLuc63 IV with bortezomib on Days 1 & 11, with only Bortezomib IV on Days 4 & 8.

  Eligibility

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

Inclusion Criteria:

  1. Males or females, age 18 years or older.
  2. Diagnosis of MM and documentation of 1 to 3 prior therapies.
  3. Measurable disease M protein component in serum (at least 0.5 g/dL) and/or urine (≥0.2 g excreted in a 24-hour collection sample).
  4. Eastern Cooperative Oncology Group (ECOG) performance status 0-2 (Appendix D).
  5. Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) ≤3 x upper limit of normal (ULN).
  6. Total bilirubin ≤2 x ULN.
  7. Serum creatinine ≤2.0 mg/dL (unless related to MM, then ≤3.0 mg/dL).
  8. Must have adequate bone marrow function defined as:

    • Absolute neutrophil count >1,000 cells/mm3 (1.0 x 109 cells/L) without growth factor support for 7 days;
    • Platelets ≥75,000 cells/mm3 (75 x 109 cells/L) without transfusion within 72 hours of screening;
    • Hemoglobin ≥8 g/dL.
  9. Serum calcium (corrected for albumin) level at or below ULN range (treatment of hypercalcemia is allowed and subject may enroll if hypercalcemia returns to normal with standard treatment).
  10. Use of appropriate contraception where applicable.
  11. Negative urine pregnancy test where applicable.
  12. Must have 2-dimensional echocardiogram indicating left ventricular ejection fraction (LVEF) ≥45% within 30 days prior to the first dose of HuLuc63.
  13. Ability to understand the purpose and risks of the study and provide signed and dated informed consent and authorization to use protected health information (in accordance with national and local subject privacy regulations).

Exclusion Criteria:

  1. Life expectancy of less than 3 months.
  2. Prior malignancy, except for adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, or other cancer from which the subject has been disease-free for at least 2 years.
  3. Uncontrolled medical problems such as diabetes mellitus, coronary artery disease, hypertension, unstable angina, arrhythmias, pulmonary, hepatic, and renal diseases unless renal insufficiency is felt to be secondary to MM.
  4. Solitary bone or solitary extramedullary plasmacytoma as the only evidence of plasma cell dyscrasia.
  5. Bortezomib, thalidomide, lenalidomide cytotoxic chemotherapy, or corticosteroids (except prior to infusion of first dose of study drug as prophylaxis for infusion reactions) within 2 weeks of the first dose of HuLuc63.
  6. Prior therapy with anti-CD56+ therapeutics.
  7. Radiotherapy within 4 weeks prior to the first dose of HuLuc63.
  8. Investigational drug within 3 weeks of the first dose of HuLuc63.
  9. Prior peripheral stem cell transplant within 12 weeks of the first dose of HuLuc63.
  10. Nitrogen mustard agents, melphalan, or monoclonal antibodies within 6 weeks of the first dose of HuLuc63.
  11. Neuropathy ≥Grade 2 (NCI CTCAE v3.0).
  12. Current orthostatic hypotension.
  13. Known active infections requiring antibiotic, antiviral, or antifungal therapy.
  14. Serious psychiatric illness, active alcoholism, or drug addiction that may hinder or confuse follow-up evaluation.
  15. Any condition that in the investigator's opinion makes the subject unsuitable for study participation.
  16. Hypersensitivity to recombinant proteins or excipients in HuLuc63 or bortezomib.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00726869

Contacts
Contact: Richard Levine, MD 301-272-3224

Locations
United States, Illinois
The University of Chicago Medical Center Recruiting
Chicago, Illinois, United States, 60637-1470
Contact: Todd Zimmerman, MD     773-702-4159        
Contact: Tamika Harris, CRC     773-702-4367        
Principal Investigator: Todd Zimmerman, MD            
United States, Massachusetts
Dana-Farber Cancer Institute Recruiting
Boston, Massachusetts, United States, 02115
Contact: Ken Anderson, MD     617-632-2145        
Contact: Leslie Lai, CRC     617-632-4950        
Principal Investigator: Ken Anderson, MD            
United States, Michigan
University of Michigan Recruiting
Ann Arbor, Michigan, United States, 48109-5936
Contact: Andrzej Jakubowiak, MD     734-647-8921        
Contact: Charles Leister, CRC     734-936-2740        
Principal Investigator: Andrzej Jakubowiak, MD            
United States, New Jersey
Hackensack University Medical Center Recruiting
Hackensack, New Jersey, United States, 07601
Contact: David Siegel, MD     201-996-5890        
Contact: Sharon Dailey, CRC     201-996-5234        
Principal Investigator: David Siegel, MD            
United States, New York
Roswell Park Cancer Institute Recruiting
Buffalo, New York, United States, 14263
Contact: Asher Chanan-Khan, MD     716-845-1647        
Contact: Deborah Donaldson, CRC     716-845-1647        
Principal Investigator: Asher Chanan-Khan, MD            
United States, Washington
Fred Hutchinson Cancer Research Center Recruiting
Seattle, Washington, United States, 98109
Contact: William Bensinger, MD     206-667-4933        
Contact: Kathy Liliby, CRC     206-667-5836        
Principal Investigator: William Bensinger, MD            
Sponsors and Collaborators
PDL BioPharma, Inc.
Investigators
Principal Investigator: Richard Levine, MD Quintiles
  More Information

Responsible Party: PDL BioPharma, Inc. ( Sheldon Mullins )
Study ID Numbers: HuLuc63-1702
Study First Received: July 29, 2008
Last Updated: July 30, 2008
ClinicalTrials.gov Identifier: NCT00726869  
Health Authority: United States: Food and Drug Administration

Keywords provided by PDL BioPharma, Inc.:
Patients
After
One to three
Prior
Therapies

Study placed in the following topic categories:
Immunoproliferative Disorders
Blood Protein Disorders
Hematologic Diseases
Blood Coagulation Disorders
Bortezomib
Vascular Diseases
Paraproteinemias
Hemostatic Disorders
Multiple Myeloma
Antibodies
Hemorrhagic Disorders
Multiple myeloma
Lymphoproliferative Disorders
Immunoglobulins
Neoplasms, Plasma Cell

Additional relevant MeSH terms:
Neoplasms
Neoplasms by Histologic Type
Molecular Mechanisms of Pharmacological Action
Immune System Diseases
Antineoplastic Agents
Therapeutic Uses
Enzyme Inhibitors
Cardiovascular Diseases
Pharmacologic Actions
Protease Inhibitors

ClinicalTrials.gov processed this record on January 14, 2009