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Study Summary
No. 2010-0509:.......Leukemia......Jorge Cortes......Leukemia
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Study Summary Title
Study Summary
Number:
2010-0509
Study Title:Study of the Anti-EphA3 Monoclonal Antibody KB004 in Subjects with EphA3-Expressing Hematologic Malignancies
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Physician New Patient Referral
Name:Jorge CortesPatients 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:713-794-5783
Contact us about clinical trials
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General Information
Disease Group:LeukemiaSupported By:KaloBios Pharmaceuticals, Inc.
Phase of Study:N/AReturn
Visit:
Treatment
Agents:
KB004Home Care:
Treatment Loc:Both at MDACC & and Other Sites
Estimated
Length of Stay
in Houston:
Description/
Intervention:
The goal of this clinical research study is to find the highest tolerable dose
of KB004 that can be given safely to patients with leukemia or another type of
blood cancer.
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Study Objectives / Outcomes
Primary:
The primary objective of this study is to determine a possible maximum tolerated dose (MTD) for KB004 when administered up to 700 mg once weekly by IV infusion to subjects with hematologic malignancies

Secondary:
•Examine the safety and tolerability profile of KB004
•Describe the pharmacokinetic profile of KB004
•Assess the immunogenicity profile of KB004
•Examine the clinical activity of KB004

Exploratory:
•Evaluate the expression of EphA3 on tumor cells, stromal cells, and endothelial cells
•Describe the expression level of EphA3 on tumor cell subpopulations and PD effects of KB004 as assessed by flow cytometry
•Evaluate the impact of KB004 on the marrow microenvironment, including microvessel density
•Assess the ability of KB004 to kill leukemic cells by triggering apoptosis or ADCC and the ability to reduce the number of malignant cell colonies formed in ex vivo culture
• Explore potential diagnostics for EphA3 expression using peripheral blood, bone marrow aspirates, and/or bone marrow biopsies (e.g., IHC)
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Study Status Information
Study Activation / Registration Date:12/22/2010
IRB Review and Approval Date:12/22/2010
Study Type:Phase I
Recruitment Status:Open
Projected Accrual:106
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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) Age >/=18 years

2) Confirmed hematologic malignancy including but not limited to AML, CLL, CML, ALL, MDS, MM, MPN, or Intermediate-2 or high-risk MDS/MPN overlap diseases

3) Peripheral blood sample, bone marrow aspirate, and bone marrow biopsy obtained for measurement of EphA3 expression unless prior approval is obtained from the Sponsor.

4) Refractory to or progressed following standard treatments, or elderly subjects (age >65 years) not considered medically suitable to receive standard of care treatment or who refuse standard of care treatment

5) Eastern Cooperative Oncology Group (ECOG) performance status </=1

6) The following local laboratory results: Platelets >10 x 10(9) for >/= 7 days without transfussions or growth factor support; Serum creatinine </= 1.5 × upper limit of normal (ULN) or glomerular filtration rate (GFR) >/= 60 mL/min; Serum aspartate aminotransferase (AST)/alanine aminotransferase (ALT) </= 2.5 × ULN unless there is documented disease involvement in the liver, in which case AST/ALT </= 5.0 × ULN; White blood cell (WBC) blast count < 20 × 10(9)/L; Total bilirubin normal (except for subjects with Gilbert's syndrome who must have total bilirubin < 3.0 mg/dL); Hemoglobin (Hgb) >/= 9 g/dL; International normalized ratio (INR) or PT/PTT </= ULN. Note: methodology to determine eligibility will be used consistently throughout the study for the subject.

7) Corrected Q-T Bazett's formula interval </= 480 msec

8) Nonhematologic toxicity from prior therapy must have declined to </= Grade 2

9) Hematologic toxicity from prior therapy must have stabilized for at least 2 weeks

10) Subject has an estimated life expectancy, in the judgment of the Investigator, that will permit the subject to complete at least 6 weeks of treatment.

Exclusion Criteria:1) History of or current central nervous system disease that might put the subject at increased risk of bleeding (e.g., thrombotic, embolic, or hemorrhagic cerebrovascular accident [CVA]; transient ischemic attack; or known aneurysm). Subjects with a history of migraines or controlled seizure disorder are not excluded. Subjects with symptoms of central nervous system (CNS) involvement (e.g., persistent headaches, confusion) must have documented absence of CNS disease by imaging scan within 4 weeks prior to Screening.

2) Major surgical procedure within 4 weeks prior to Screening.

3) Minor procedures without complications such as placement of central venous catheters, peripherally inserted central catheter (PICC) lines, or biopsies are allowed.

4) Use of hydroxyurea or plasmapheresis within 7 days of starting treatmetn with KB004.

5) Ongoing surgical or wound healing complications

6) Active clinically significant bleeding (e.g., hemoptysis, rectal bleeding, or ulcer disease) within 4 weeks prior to Screening

7) Uncontrolled systemic hypertension (e.g., systolic blood pressure >160 mmHg, diastolic blood pressure >100 mmHg on medication)

8) Clinically significant intercurrent illness (e.g., uncontrolled systemic infection, uncontrolled disseminated intravascular coagulation, myocardial infarction, uncontrolled symptomatic coronary artery disease or congestive heart failure, need for hemodialysis, or psychiatric illness/social situations that would limit compliance with study requirements)

9) Pregnant or breastfeeding women

10) Unable to understand and unwilling to provide written informed consent

11) Known history of prolonged bleeding times or platelet dysfunction

12) Secondary primary malignancy that in the judgment of the Investigator and the Sponsor may affect study participation or interpretation of results

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Links
Registration Number: NCT01211691
Study Information on Clinical Trials Registry (clinicaltrials.gov)

Other Links:
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Results


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