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Monoclonal Antibody Therapy in Treating Patients With T-Cell Large Granular Lymphocyte Leukemia
This study is currently recruiting participants.
Verified by National Cancer Institute (NCI), December 2008
First Received: March 8, 2004   Last Updated: February 6, 2009   History of Changes
Sponsored by: National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00079196
  Purpose

RATIONALE: Monoclonal antibodies can locate cancer cells and either kill them or deliver cancer-killing substances to them without harming normal cells.

PURPOSE: This phase I trial is studying the side effects and best dose of a monoclonal antibody in treating patients with T-cell large granular lymphocyte leukemia.


Condition Intervention Phase
Leukemia
Biological: monoclonal antibody Mik-beta-1
Phase I

MedlinePlus related topics: Cancer Leukemia, Adult Acute Leukemia, Adult Chronic
Drug Information available for: Immunoglobulins Globulin, Immune
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Open Label
Official Title: Phase I Open-Lable Single-Dose Study of Humanized MIK-BETA-1 Monoclonal Antibody Directed Toward the IL-2R/IL-15R Beta Subunit (CD122) in T Cell Large Granular Lymphocytic Leukemia

Further study details as provided by National Cancer Institute (NCI):

Primary Outcome Measures:
  • Response rate at 9 months [ Designated as safety issue: No ]

Estimated Enrollment: 18
Study Start Date: December 2004
Estimated Primary Completion Date: July 2009 (Final data collection date for primary outcome measure)
Detailed Description:

OBJECTIVES:

Primary

  • Determine the adverse effects, dose-limiting toxicity, and maximum tolerated dose of humanized monoclonal antibody MiK-beta-1 in patients with T-cell large granular lymphocyte leukemia.
  • Determine the dose of this drug that is required to saturate and maintain saturation of the IL-2R/IL-15Rβ receptor antibody binding sites in these patients.
  • Determine the IL-2/IL-15Rβ saturation/desaturation kinetics on circulating T-cell large granular lymphocytes after a single dose of this drug in these patients.
  • Determine the tolerability of this drug in these patients.

Secondary

  • Determine the pharmacokinetics of this drug in these patients.
  • Determine the immunogenicity of this drug in these patients.
  • Determine, preliminarily, the antileukemic activity of this drug, in terms of response rate, time to progression, and overall survival, in these patients.
  • Determine the effect of this drug on the number of polymorphonuclear leukocytes, red blood cells, and platelets in these patients.

OUTLINE: This is an open-label, dose-escalation study.

Patients receive a single dose of humanized monoclonal antibody MiK-beta-1 IV over 90 minutes on day 1.

Cohorts of 3-6 patients receive escalating doses of humanized monoclonal antibody MiK-beta-1 until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity.

Patients are followed at 2, 3, 4, and 6 weeks and then every 3 months for 9 months.

PROJECTED ACCRUAL: A total of 3-18 patients will be accrued for this study within 2.5-3 years.

  Eligibility

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

DISEASE CHARACTERISTICS:

  • Histologically or cytologically confirmed T-cell large granular lymphocyte leukemia (T-LGL) as defined by the following:

    • Peripheral blood smear or bone marrow biopsy/aspirate with morphological findings consistent with LGL
    • Absolute CD3+, CD8+, and usually CD57+ cell (T-LGL) count ≥ 1,000/mm^3 in the peripheral blood or bone marrow by flow cytometry
    • At least 50% of the CD3+/CD8+ cells must also express CD122
  • T-LGL-associated hemocytopenia, defined by at least 1 of the following:

    • Absolute granulocyte count < 1,000/mm^3
    • Platelet count < 100,000/mm^3
    • Hemoglobin < 9.0 g/dL
    • Received at least 3 red blood cell product transfusions within the past 6 months
  • No symptomatic CNS involvement by leukemia

PATIENT CHARACTERISTICS:

Age

  • Over 18

Performance status

  • Karnofsky 70-100%

Life expectancy

  • More than 2 months

Hematopoietic

  • See Disease Characteristics
  • Platelet count ≥ 10,000/mm^3 (no transfusion)

Hepatic

  • Bilirubin < 2.0 mg/dL
  • SGOT and SGPT ≤ 2.5 times upper limit of normal
  • Hepatitis B surface antigen negative
  • Hepatitis C antibody negative

Renal

  • Creatinine < 1.5 mg/dL

Cardiovascular

  • No acute myocardial infarction within the past 6 months
  • No unstable angina
  • No New York Heart Association class III or IV congestive heart failure
  • No uncontrolled hypertension
  • No symptomatic cerebrovascular disease
  • No stroke within the past 6 months

Pulmonary

  • No respiratory insufficiency requiring oxygen therapy

Other

  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception during and for 3 months after study participation
  • HIV negative
  • Human T cell lymphotrophic virus I/II negative
  • No prior grade III or greater toxicity or allergic reaction attributed to humanized monoclonal antibodies or study drug
  • No other serious medical condition that would preclude study participation
  • No other malignancy within the past 5 years requiring treatment except basal cell skin cancer, curatively treated carcinoma in situ of the cervix, or any other prior malignancy with a ≤ 10% probability of recurrence
  • No serious active infection requiring systemic anti-infective therapy
  • No other physical or psychological condition that would preclude study participation

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • Prior humanized monoclonal antibody MiK-beta-1 allowed provided patient has not developed human anti-mouse or human anti-human antibodies
  • Prior epoetin alfa, interleukin-11 (IL-11), filgrastim (G-CSF), or sargramostim (GM-CSF)
  • At least 4 weeks since prior interferon
  • Concurrent epoetin alfa, G-CSF, GM-CSF, or IL-11 allowed provided dose has been stable for more than 4 weeks before study entry
  • No other concurrent monoclonal antibody therapy
  • No concurrent interferon

Chemotherapy

  • At least 4 weeks since prior chemotherapy
  • No concurrent chemotherapy

Endocrine therapy

  • Prior corticosteroids allowed
  • Concurrent steroids allowed provided dose has been stable (< 25 mg/day of prednisone or equivalent) for at least 3 weeks before study entry

Radiotherapy

  • Not specified

Surgery

  • Prior splenectomy allowed

Other

  • At least 4 weeks since prior cyclosporine
  • No concurrent immunosuppression for an organ graft
  • No other concurrent investigational agents
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00079196

Locations
United States, Maryland
Warren Grant Magnuson Clinical Center - NCI Clinical Trials Referral Office Recruiting
Bethesda, Maryland, United States, 20892-1182
Contact: Clinical Trials Office - Warren Grant Magnusen Clinical Center     888-NCI-1937        
Sponsors and Collaborators
Investigators
Study Chair: Thomas A. Waldmann, MD NCI - Metabolism Branch;MET
Principal Investigator: John C. Morris, MD NCI - Metabolism Branch;MET
  More Information

Additional Information:
No publications provided

Study ID Numbers: CDR0000355111, NCI-04-C-0089
Study First Received: March 8, 2004
Last Updated: February 6, 2009
ClinicalTrials.gov Identifier: NCT00079196     History of Changes
Health Authority: Unspecified

Keywords provided by National Cancer Institute (NCI):
refractory chronic lymphocytic leukemia
stage III chronic lymphocytic leukemia
stage IV chronic lymphocytic leukemia
T-cell large granular lymphocyte leukemia

Study placed in the following topic categories:
Leukemia, Lymphoid
Immunoproliferative Disorders
Immunologic Factors
Large Granular Lymphocyte Leukemia
Antibodies, Monoclonal
Leukemia
Lymphatic Diseases
Chronic Lymphocytic Leukemia
Antibodies
Leukemia, Lymphocytic, Chronic, B-Cell
Leukemia, T-Cell
Lymphoproliferative Disorders
Leukemia, B-cell, Chronic
Immunoglobulins
Leukemia, Large Granular Lymphocytic

Additional relevant MeSH terms:
Leukemia, Lymphoid
Neoplasms by Histologic Type
Immunoproliferative Disorders
Immune System Diseases
Immunologic Factors
Physiological Effects of Drugs
Pharmacologic Actions
Antibodies, Monoclonal
Leukemia
Lymphatic Diseases
Neoplasms
Antibodies
Leukemia, T-Cell
Lymphoproliferative Disorders
Leukemia, Large Granular Lymphocytic

ClinicalTrials.gov processed this record on May 07, 2009