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Study Summary
No. 2008-0155:.......Lymphoma; Skin......Madeleine Duvic......Dermatology
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Study Summary Title
Study Summary
Number:
2008-0155
Study Title:Open-Label, Multi-Center, Dose Escalation Phase 1/2 Study of Anti-CCR4 Monoclonal Antibody KW-0761 as Monotherapy in Subjects with Previously Treated Peripheral T-Cell Lymphoma or Cutaneous T-Cell Lymphoma
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Physician New Patient Referral
Name:Madeleine DuvicPatients Call:800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Dept:DermatologyReferring MD
Call:
800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Phone:713-792-4578
Contact us about clinical trials
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General Information
Disease Group:Lymphoma
Skin
Supported By:Biowa
Biowa
Phase of Study:Phase I/Phase IIReturn
Visit:
First treatment course: pre-tx visit, 6 clinic visits; subsequent TX courses: 3
clinic visits and Final Visit.
Treatment
Agents:
KW-0761Home Care:n/a
Treatment Loc:Both at MDACC & outside MDACC at one or more Collaborating Sites or Institutions
Estimated
Length of Stay
in Houston:
n/a
Description/
Intervention:
The goal of the Phase 1 portion of this clinical research study is to find the
highest tolerable of 3 doses of KW-0761 that can be given to patients with PTCL
and/or CTCL.

The goal of the Phase 2 portion of this study is to learn if KW-0761 can help
to control PTCL and/or CTCL.

The safety of this drug will be studied in both phases.
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Study Objectives / Outcomes
    Primary Objectives
  • Phase 1: to establish the safety profile, pharmacokinetic profile, maximum tolerated dose (MTD) if achieved and dose-limiting toxicity (DLT) of KW-0761 administered intravenously in subjects with previously treated PTCL (peripheral T-cell lymphoma) or CTCL (cutaneous T-cell lyphoma).
  • Phase 2: to determine the safety and preliminary efficacy of KW-0761 administered intravenously in subjects with previously treated PTCL or CTCL.

Secondary Objectives
  • Phase 1: to describe the, immunogenicity and preliminary efficacy of KW-0761 at different dose levels.
  • Phase 2: to determine the response rate, response duration and time-to-progression of subjects treated with KW-0761.
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Study Status Information
Study Activation / Registration Date:
IRB Review and Approval Date:06/24/2009
Study Type:Phase Ii Or Phase I/Ii
Recruitment Status:Closed
Projected Accrual:47
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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) The subject has a histologically/cytologically confirmed diagnosis of PTCL including CTCL (including Mycosis Fungoides and Sezary Syndrome) but excluding ATLL (adult T-cell leukemia/ lymphoma). The complete WHO/REAL classification of T-cell lymphoma.

2) The subject has failed at least one prior systemic therapy for PTCL or CTCL

3) The subject has an Eastern Cooperative Oncology Group (ECOG) performance status score of </= 2 at study entry.

4) The subject is >/= 18 years of age.

5) The subject has completed any prior therapy at least four weeks prior to entry; however, patients with rapidly progressive malignant disease may be enrolled prior to this period after discussion with the KKP medical monitor.

6) The subject has resolution of all clinically significant toxic effects of prior cancer therapy to grade </= 1.

7) The subject has adequate hematological function: absolute neutrophil count (ANC) >/= 1,500 cells/microL and platelets >/= 100,000 cells/microL except in patients with known bone marrow involvement where absolute neutrophil count [ANC] must be >/= 1,000 cells/microL and platelets >/= 75,000 cells/microL.

8) The subject has adequate hepatic function: bilirubin </= 1.5 times the specific institutional upper limit of normal (ULN); aspartate transaminase (AST) and alanine transaminase (ALT) each </= 2.5 x ULN or </= 5.0 x ULN in the presence of known hepatic malignancy.

9) The subject has serum creatinine </= 1.5 x ULN or a calculated creatinine clearance > 60 mL/min.

10) CTCL subjects previously treated with zanolimumab are eligible provided their CD4+ cell counts have recovered to pre-treatment levels.

11) Subjects with MF and a history of staphylococcus colonization are eligible provided they continue to receive stable doses of prophylactic antibiotics.

12) The subject or his/her legal representative has provided signed informed consent. Written informed consent must be obtained prior to performing any study-related procedure.

13) Women of childbearing potential (WOCBP) must have a negative pregnancy test within 7 days of receiving study medication.

14) WOCBP must agree to use effective contraception, defined as oral contraceptives, double barrier method (condom plus spermicide or diaphragm) or abstain from sexual intercourse. WOCBP includes any female who has experienced menarche and who has not undergone successful surgical sterilization or is not postmenopausal (defined as amenorrhea >/= 12 consecutive months).

15) Male subjects must be willing to use an appropriate method of contraception (e.g., condoms) or abstain from sexual intercourse and inform any sexual partners that they must also use a reliable method of contraception (e.g., birth control pills) during the study.

Exclusion Criteria:1) The subject has a significant uncontrolled intercurrent illness including, but not limited to: uncontrolled infection requiring antibiotics; clinically significant cardiac disease (class III or IV of the New York Heart Association classification);^39 unstable angina pectoris; angioplasty, stenting, or myocardial infarction within 6 months; (continues in next exclusion criteria)

2) (Continued from exclusion #1) uncontrolled hypertension (systolic blood pressure >160 mm Hg, diastolic BP > 100 mmHg, found on two consecutive measurements separated by a 1-week period) despite two anti-hypertensive medications; clinically significant cardiac arrhythmia; or uncontrolled diabetes.

3) The subject has known or tests positive for human immunodeficiency virus (HIV), human T-cell leukemia virus (HTLV-1), hepatitis B or hepatitis C.

4) The subject has evidence of central nervous system (CNS) metastasis.

5) The subject has received monoclonal antibodies within 6 weeks of study entry.

6) The subject is pregnant (confirmed by beta human chorionic gonadotrophin [betaHCG]) or lactating.

7) Subjects on any immunomodulatory drug, (other than low dose corticosteroids equivalent to a daily dose of 10 mg of prednisone), including but not limited to the following, will be excluded: pharmacologic doses of systemic steroids except as used to treat or prevent an infusion or allergic reaction to KW-0761 (topical steroids, inhalation steroids and replacement doses of systemic steroids are permitted); (continues in exclusion 8).

8) (continued from exclusion #7) methotrexate; azathioprine; intravenous immunoglobulin; cyclophosphamide; cyclosporine; mycophenolate; infliximab; etanercept; leflunomide; adalimumab; abatacept; rituximab; anakinra; interferon-alpha; interferon-beta; IL-2 and natalizumab. Subjects on any of the foregoing agents within 4 weeks of their first dose of KW-0761 are also excluded.

9) The subject has a psychiatric illness, disability or social situation that would compromise the subject's safety or ability to provide consent, or limit compliance with study requirements.

10) The subject has experienced allergic reactions to monoclonal antibodies or other therapeutic proteins.

11) Subjects with active herpes simplex or herpes zoster. Subjects with a history of herpes zoster who have had an outbreak within the last year will also be excluded. Subjects on prophylaxis for herpes who started taking medication at least 30 days prior to study entry, should continue to take the prescribed medication for the duration of the study.

12) Subjects with known autoimmune diseases, including, but not limited to the following, will be excluded: multiple sclerosis; Grave's disease; vasculitis; systemic lupus erythematosis; rheumatoid arthritis; systemic sclerosis; myasthenia gravis; ankylosing spondilitis; Wegener's granulomatosis; ulcerative colitis; Crohn's disease; psoriasis requiring systemic therapy; pemphigus; temporal arteritis; uveitis; dermatomyositis; Sjogren's syndrome; (continues in exclusion 13)

13) (Continued from exclusion # 12) Goodpasture's syndrome; interstitial pneumonitis; interstitial nephritis; and Henoch-Schoenlein purpura. Subjects with a history of any of these disorders will also be excluded. Subjects with Hashimoto's thyroiditis controlled with medication are eligible for enrollment.

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Links
Registration Number: NCT00888927
Study Information on Clinical Trials Registry (clinicaltrials.gov)

Other Links:
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Results


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