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A Trial of GS-9219 in Chronic Lymphocytic Leukemia (CLL), Non-Hodgkin's Lymphoma (NHL) or Multiple Myeloma (MM)
This study is currently recruiting participants.
Verified by Gilead Sciences, April 2009
First Received: July 9, 2007   Last Updated: April 6, 2009   History of Changes
Sponsored by: Gilead Sciences
Information provided by: Gilead Sciences
ClinicalTrials.gov Identifier: NCT00499239
  Purpose

Multi-center, open-label, single-dose, dose-escalating Phase I/II study of GS 9219 in adult patients with relapsed or refractory CLL, NHL or MM. Patients will be enrolled into the study in sequential dose cohorts.

Patients will be administered a single IV infusion of GS 9219 on Day 1 of a 21 day cycle and may receive a total of six treatment cycles based on toxicities and response. Patients who demonstrate disease progression will be discontinued from the study. Patients who, at the completion of six treatment cycles, tolerate treatment and show evidence of disease control (response or stabilization) will be eligible to continue receiving treatment at the same dose.


Condition Intervention Phase
Non-Hodgkin's Lymphoma
Chronic Lymphocytic Leukemia
Multiple Myeloma
Drug: GS-9219
Phase I
Phase II

Genetics Home Reference related topics: aceruloplasminemia hemophilia
MedlinePlus related topics: Cancer Leukemia, Adult Acute Leukemia, Adult Chronic Lymphoma Multiple Myeloma
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Dose Comparison, Single Group Assignment, Safety/Efficacy Study
Official Title: Multi-Center, Open-Label, Dose-Escalating Phase I/II Trial of GS-9219 Administered Once Every Three Weeks Intravenously to Patients With Relapsed or Refractory Chronic Lymphocytic Leukemia, Non-Hodgkin's Lymphoma or Multiple Myeloma

Further study details as provided by Gilead Sciences:

Primary Outcome Measures:
  • Safety- Toxicity will be graded according to the NCI CTCAE. The MTD will be the highest dose level immediately below the dose level where two or more of three to six patients experienced DLT. [ Time Frame: All visits ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Response Evaluation in CLL - NCIWG criteria; in NHL - NCI criteria; Response Evaluation in MM - Int'l Myeloma Working Group criteria. Response Rate, Duration of Response. PK:GS 9219 and its metabolites. [ Time Frame: 1, 3, 6 cycles: CLL/NHL; Each cycle: MM ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 62
Study Start Date: July 2007
Estimated Study Completion Date: October 2010
Estimated Primary Completion Date: September 2009 (Final data collection date for primary outcome measure)
Intervention Details:
    Drug: GS-9219

    GS-9219 Injection is a clear, and colorless to slightly yellow aqueous solution containing 4 mg/mL of GS 9219.

    GS 9219 will be administered via IV infusion over 30 minutes in 100 mL of normal saline solution, q 21 days.

Detailed Description:

The primary objective of this study is as follows:

To assess the safety, toxicity, and maximum tolerated dose (MTD) of GS 9219 administered via IV administration once every three weeks (21 days) for six treatment cycles, i.e. for a total of 18 weeks, in patients with relapsed or refractory Chronic Lymphocytic Leukemia (CLL), Non-Hodgkin's Lymphoma (NHL) or Multiple Myeloma (MM).

The secondary objectives of this study are as follows:

To determine the pharmacokinetic parameters of GS 9219 for this regimen and patient population.

To assess the antitumor activity of GS 9219 based on Response Rate and Duration of Response. Progression-free Survival and Overall Survival will be assessed if applicable.

  Eligibility

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

Inclusion Criteria:

  • Relapsed or refractory CLL, NHL or MM
  • ECOG Performance Status of 0, 1, or 2
  • Adequate organ function (protocol defined)
  • ECG without evidence of clinically significant ventricular arrhythmias

Exclusion Criteria:

  • AIDS-related lymphoma
  • Subjects with NHL who present exclusively with non-measurable lesions
  • Subjects with MM who have non-secretory and/or non-measurable disease
  • Recent anticancer therapy (chemotherapy, radiotherapy, and/or biotherapy)within four weeks prior to starting treatment
  • Evidence of pulmonary fibrosis
  • Other concurrent malignancy
  • Uncontrolled concurrent illness
  • Receiving chronic, systemically administered steroids
  • Known hypersensitivity to nucleoside analogues
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00499239

Locations
United States, California
UCSF Completed
San Francisco, California, United States, 94143
United States, Illinois
Northwestern University Recruiting
Chicago, Illinois, United States, 60611
Contact: Olga Frankfurt, MD     312-695-4441     o-frankfurt@md.northwestern.edu    
United States, Massachusetts
Dana Farber Cancer Institute Completed
Boston, Massachusetts, United States, 02115
United States, Nevada
Nevada Cancer Institute Recruiting
Las Vegas, Nevada, United States, 89135
Contact: Nam Dang, MD     702-822-5445     ndang@nvcancer.org    
United States, Texas
MD Anderson Cancer Center Recruiting
Houston, Texas, United States, 77303
Contact: Stefan Faderl, MD     713-745-4613     sfaderl@mdanderson.org    
The University of Texas Health Science Center at San Antonio (UTHSCSA), Cancer Therapy & Research Center (CTRC) Recruiting
San Antonio, Texas, United States, 78229
Contact: Francis J. Giles, MD     210-450-5882     gilesf@uthscasa.edu    
Czech Republic
Vseobecna fakultni nemocnice Recruiting
Praha, Czech Republic, 2 128 08
Contact: Marek Trneny, MD     420 602 267 253     trneny@cesnet.cz    
Fakultni nemocnice Brno - Bohunice Recruiting
Brno, Czech Republic, 625 00
Contact: Jiri Mayer, MD     420 5 3223 3642     jmayer@fnbrno.cz    
Fakultni nemocnice Hradec Kralove Recruiting
Hradec Kralove, Czech Republic, 500
Contact: David Belada, MD     420 602 128 826     david.belada@seznam.cz    
Fakultni nemocnice Olomouc Recruiting
Olomouc, Czech Republic, 775 20
Contact: Tomas Papajik, MD     420 588 443 200     tomas.papajik@fnol.cz    
Fakultni nemocnice Kralovske Vinohrady Recruiting
Praha, Czech Republic, 10 100 34
Contact: Tomas Kozak, MD     420 267 162 292     kozak@fnkv.cz    
Sponsors and Collaborators
Gilead Sciences
Investigators
Study Director: Michael Hawkins, MD Gilead Sciences
  More Information

No publications provided

Responsible Party: Gilead Sciences ( Michael Hawkins, Senior Director, Clinical Research )
Study ID Numbers: GS-US-193-0101
Study First Received: July 9, 2007
Last Updated: April 6, 2009
ClinicalTrials.gov Identifier: NCT00499239     History of Changes
Health Authority: United States: Food and Drug Administration

Keywords provided by Gilead Sciences:
Hematologic Malignancies
CLL
NHL
Chronic Lymphocytic Leukemia
Non-Hodgkin's Lymphoma
CLL and NHL
Multiple Myeloma
MM

Study placed in the following topic categories:
Leukemia, Lymphoid
Immunoproliferative Disorders
Hematologic Diseases
Blood Protein Disorders
Blood Coagulation Disorders
Vascular Diseases
Paraproteinemias
Hemostatic Disorders
Multiple Myeloma
Lymphoma, Small Cleaved-cell, Diffuse
Leukemia
Lymphatic Diseases
Chronic Lymphocytic Leukemia
Hemorrhagic Disorders
Leukemia, Lymphocytic, Chronic, B-Cell
Leukemia, B-cell, Chronic
Lymphoma, Non-Hodgkin
Leukemia, B-Cell
Lymphoproliferative Disorders
Lymphoma
Neoplasms, Plasma Cell

Additional relevant MeSH terms:
Leukemia, Lymphoid
Neoplasms by Histologic Type
Immunoproliferative Disorders
Immune System Diseases
Hematologic Diseases
Blood Protein Disorders
Vascular Diseases
Paraproteinemias
Hemostatic Disorders
Multiple Myeloma
Leukemia
Lymphatic Diseases
Neoplasms
Hemorrhagic Disorders
Leukemia, Lymphocytic, Chronic, B-Cell
Cardiovascular Diseases
Leukemia, B-Cell
Lymphoma, Non-Hodgkin
Lymphoproliferative Disorders
Lymphoma
Neoplasms, Plasma Cell

ClinicalTrials.gov processed this record on May 07, 2009