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A Study of APO2L/TRAIL in Combination With Rituximab in Subjects With Follicular and Other Low Grade, CD20+, Non-Hodgkin's Lymphomas
This study is ongoing, but not recruiting participants.
First Received: November 15, 2006   Last Updated: June 1, 2009   History of Changes
Sponsors and Collaborators: Genentech
Amgen
Information provided by: Genentech
ClinicalTrials.gov Identifier: NCT00400764
  Purpose

This Phase Ib/II, open-label, multicenter trial is designed to evaluate the safety, pharmacokinetics, and efficacy of Apo2L/TRAIL when combined with rituximab in subjects with follicular, CD20+, B-cell NHL that has progressed following a response of ≥ 6 months duration to a prior rituximab-containing therapy. The multicenter, international, randomized Phase II part of this study will commence only after the safety and available pharmacokinetic data from the Phase Ib part of the study have been evaluated by the Sponsor and have been provided to participating investigators and the FDA.

At this point in time, the Phase Ib portion of the study is complete and the Phase II portion of the study is active.


Condition Intervention Phase
Non-Hodgkin's Lymphoma
Drug: APO2L/TRAIL
Drug: rituximab
Phase I
Phase II

Study Type: Interventional
Study Design: Treatment, Open Label, Uncontrolled, Single Group Assignment
Official Title: A Phase Ib/II, Open-Label, Multicenter Study of the Safety, Pharmacokinetics, and Efficacy of APO2L/TRAIL Administered Intravenously in Combination With Rituximab to Subjects With Follicular and Other Low-Grade, CD20+, B-Cell Non-Hodgkin's Lymphomas That Have Progressed Following Previous Rituximab Therapy

Resource links provided by NLM:


Further study details as provided by Genentech:

Primary Outcome Measures:
  • Adverse events [ Time Frame: Length of study ] [ Designated as safety issue: No ]
  • Change in vital signs and laboratory results [ Time Frame: Length of study ] [ Designated as safety issue: No ]
  • Dose-limiting toxicities (Phase Ib only) [ Time Frame: First two cycles of study treatment ] [ Designated as safety issue: No ]
  • Objective response, as determined by independent review facility (Phase II only) [ Time Frame: Length of study ] [ Designated as safety issue: No ]
  • Pharmacokinetic parameters (Phase Ib only) [ Time Frame: Length of study ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Progression free survival (Phase II only) [ Time Frame: Length of study ] [ Designated as safety issue: No ]
  • Overall survival (Phase II only) [ Time Frame: 36 months ] [ Designated as safety issue: No ]
  • Clinical laboratory results (Phase II only) [ Time Frame: Length of study ] [ Designated as safety issue: No ]
  • Pharmacokinetic parameters [ Time Frame: Length of study ] [ Designated as safety issue: No ]
  • Objective response and duration of response (Phase II only), as determined by the investigator [ Time Frame: Length of study ] [ Designated as safety issue: No ]

Estimated Enrollment: 132
Study Start Date: June 2006
Estimated Primary Completion Date: January 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Placebo Comparator Drug: rituximab
Intravenous repeating dose
2: Experimental Drug: APO2L/TRAIL
Intravenous repeating dose
Drug: rituximab
Intravenous repeating dose
3: Experimental Drug: APO2L/TRAIL
Intravenous repeating dose

  Eligibility

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

Inclusion Criteria:

  • Signed Informed Consent Form
  • Age ≥ 18 years
  • History of histologically confirmed CD20+ follicular NHL Grade 1, 2, or 3a
  • Progression of disease following the most recent treatment with rituximab-containing therapy that resulted in stable disease or a partial or complete response lasting ≥ 6 months
  • Measurable disease
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • For subjects of reproductive potential (males and females), use of a reliable means of contraception (e.g., contraceptive pill, intrauterine device [IUD], physical barrier throughout the trial and for 1 year following their final exposure to study treatment).
  • Life expectancy of > 3 months

Exclusion Criteria:

  • Prior radiotherapy to a measurable, metastatic lesion(s) to be used to measure response unless that lesion shows unequivocal progression at baseline
  • Radiation therapy to a peripheral lesion within 14 days prior to Day 1; Radiation therapy to a thoracic, abdominal, or pelvic field within 28 days prior to Day 1
  • Chemotherapy, hormonal therapy, radiotherapy, or immunotherapy within 4 weeks prior to Day 1
  • Patients who have received radioimmunotherapy for relapsed or refractory, follicular NHL are eligible for the study if they received this therapy at least 1 year prior to Day 1, they have adequate bone marrow function, and they have no evidence of myelodysplastic syndrome on bone marrow aspirate/biopsy
  • Prior treatment with Apo2L/TRAIL or an agonist antibody to DR4 or DR5
  • Concurrent systemic corticosteroid therapy
  • Evidence of clinically detectable ascites on Day 1
  • Other invasive malignancies within 5 years prior to Day 1
  • History or evidence upon physical examination of CNS disease within 1 year prior to study entry
  • Active infection requiring parenteral antibiotics on Day 1
  • Major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to Day 1 or anticipation of need for major surgical procedure during the course of the study and fine needle aspirations within 7 days prior to Day 1
  • Pregnancy or lactation
  • Serious nonhealing wound, ulcer, or bone fracture
  • Current or recent participation in another experimental drug study
  • Clinically significant cardiovascular disease
  • Known positive test result for HIV, hepatitis B surface antigen (sAg), hepatitis B IgG or IgM core antibody, or hepatitis C antibody
  • Known sensitivity to murine or human antibodies
  • History of other disease, metabolic dysfunction, physical examination finding, or clinical laboratory finding giving reasonable suspicion of a disease or condition that contraindicates use of an investigational drug or that might affect interpretation of the results of the study or render the subject at high risk from treatment complications
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00400764

Sponsors and Collaborators
Genentech
Amgen
Investigators
Study Director: Gordon Bray, M.D. Genentech
  More Information

No publications provided

Responsible Party: Genentech, Inc. ( Clinical Trials Posting Group )
Study ID Numbers: APO3585g
Study First Received: November 15, 2006
Last Updated: June 1, 2009
ClinicalTrials.gov Identifier: NCT00400764     History of Changes
Health Authority: United States: Food and Drug Administration

Keywords provided by Genentech:
NHL
Follicular NHL
Rituxan

Study placed in the following topic categories:
Lymphoma, Small Cleaved-cell, Diffuse
Lymphoma, B-Cell
Lymphatic Diseases
Immunoproliferative Disorders
Immunologic Factors
B-cell Lymphomas
Rituximab
Antirheumatic Agents
Lymphoproliferative Disorders
Lymphoma, Non-Hodgkin
Lymphoma

Additional relevant MeSH terms:
Neoplasms by Histologic Type
Immunoproliferative Disorders
Immune System Diseases
Immunologic Factors
Antineoplastic Agents
Rituximab
Physiological Effects of Drugs
Pharmacologic Actions
Lymphatic Diseases
Neoplasms
Therapeutic Uses
Lymphoma, Non-Hodgkin
Lymphoproliferative Disorders
Antirheumatic Agents
Lymphoma

ClinicalTrials.gov processed this record on September 03, 2009