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Study Summary
No. 2004-0178:.......Leukemia......Susan O'Brien......Leukemia
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Study Summary Title
Study Summary
Number:
2004-0178
Study Title:A Phase I/II Study of Lumiliximab in Combination with Fludarabine, Cyclophosphamide, and Rituximab in Subjects with Relapsed Chronic Lymphocytic Leukemia
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Physician New Patient Referral
Name:Susan O'BrienPatients Call:800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Dept:LeukemiaReferring MD
Call:
800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Phone:713-792-7543
Contact us about clinical trials
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General Information
Disease Group:LeukemiaSupported By:N/A
Phase of Study:Phase I/Phase IIReturn
Visit:
For all therapy (3 days monthly x 6), monthly on months 8-12, every 3 months
from months 12-24, then every 6 months until month 48.
Treatment
Agents:
Cyclophosphamide
Fludarabine
Lumiliximab
Rituximab
Home Care:None
Treatment Loc:Independent Multicenter Arrangements
Estimated
Length of Stay
in Houston:
No hospitalization.
Description/
Intervention:
The goal of this clinical research study is to find the highest safe dose of
the new drug lumiliximab that can be given in combination with fludarabine,
cyclophosphamide, and rituximab in the treatment of CLL. The safety and effect
of this combination therapy will also be studied.
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Study Objectives / Outcomes
1. Characterize the safety profile and determine a recommended Phase II dose (RP2D) of lumiliximab given in combination with fludarabine, cyclophosphamide, and rituximab.

2. Evaluate the PK of lumiliximab and rituximab.

3. Evaluate the potential efficacy of lumiliximab given in combination with fludarabine, cyclophosphamide, and rituximab.

4. Evaluate the immunogenicity of lumiliximab by monitoring for human antilumiliximab antibody formation.
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Study Status Information
Study Activation / Registration Date:06/29/2004
IRB Review and Approval Date:04/07/2004
Study Type:Therapeutic
Recruitment Status:Terminated
Projected Accrual:30-37
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Enrollment Eligibility
If you do not meet the enrollment eligibility, there may be other treatment options for you. Please Contact the Referral Office for more information.

Inclusion Criteria:1) Diagnosis of B-cell CLL by IWCLL response criteria

2) Relapsed CD23+ B-cell CLL

3) Rai Stage III or IV, or Rai Stage I or II if determined to have disease progression as evidenced by rapid doubling of peripheral lymphocyte count, progressive lymphadenopathy, progressive splenomegaly, or B symptoms

4) Prestudy WHO Performance Status </= 2.

5) Signed, written IRB-approved informed consent.

6) Age > 18 years.

7) Men and women of reproductive potential must agree to follow accepted birth control methods during treatment and for 3 months after completion of treatment.

8) Acceptable liver function: Bilirubin </= 2.0 mg/dL (26 µmol/L). AST (SGOT) and/or ALT (SGPT) </= 2 times upper limit of normal.

9) Acceptable hematologic status: Platelet count >/= 50 x 10 superscript 9/L. ANC >/= 1 x 10 superscript 9/L.

10) Acceptable renal function: Serum creatinine </= 1.5 times upper limit of normal.

Exclusion Criteria:1) Cancer radiotherapy, radioimmunotherapy, biological therapy, chemotherapy, or other investigational therapy within 4 weeks prior to Study Day 1

2) Previous exposure to lumiliximab or other anti-CD23 antibodies

3) Patients who have had a prior allogeneic BMT or autologous BMT or peripheral stem-cell transplant (PBSCT).

4) Known infection with HIV, hepatitis B, or hepatitis C

5) Uncontrolled diabetes mellitus

6) Uncontrolled hypertension

7) Transformation to aggressive B-cell malignancy (e.g., large B-cell lymphoma, Richter's Syndrome, or prolymphocyte leukemia [PLL])

8) Patients with secondary malignancy requiring active treatment (except hormonal therapy)

9) Patients with medical conditions currently requiring long-term use (> 1 month) of systemic corticosteroids

10) Serious nonmalignant disease or laboratory abnormality, which, in the opinion of the investigator and/or sponsor, would compromise protocol objectives

11) Active uncontrolled bacterial, viral, or fungal infections

12) New York Heart Association Class III or IV cardiac disease, myocardial infarction within the past 6 months prior to Study Day 1, unstable arrhythmia, or evidence of ischemia on ECG within 14 days prior to Study Day 1

13) Seizure disorders requiring anticonvulsant therapy

14) Severe chronic obstructive pulmonary disease with hypoxemia

15) Major surgery, other than diagnostic surgery, within 4 weeks prior to Study Day 1

16) Clinically active autoimmune disease

17) Patients with a history of fludarabine-induced autoimmune cytopenia

18) Pregnant or currently breast feeding

19) Patients who did not respond to prior FCR therapy (relapsed within 6 months of the last dose)

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Links
Registration Number: NCT00103558
Study Information on Clinical Trials Registry (clinicaltrials.gov)

Other Links:
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Results


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