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Study Summary
No. 2012-0626:.......Leukemia......Susan O'Brien......Leukemia
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Study Summary Title
Study Summary
Number:
2012-0626
Study Title:A Phase 1b, Single-Arm, Open Label Study to Evaluate the Safety and Efficacy of TRU-016 in Combination with Rituximab in Patients with Previously Untreated 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:Emergent Product Development Seattle, LLC
Phase of Study:Phase I/Phase IIReturn
Visit:
Treatment
Agents:
Rituximab
TRU-016
Home 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 learn more about how safe the
drug TRU-016 is to give in combination with rituximab to patients with CLL.
The potential effects of this drug will also be studied.

TRU-016 is a protein made to act like an antibody that is designed to find and
destroy certain cells. TRU-016 works against a certain kind of white blood
cell (a "B cell"). This means that it may decrease the number of B cells in
your blood. Decreasing the number of these B cells may slow the growth of CLL.

Rituximab is also an antibody that is designed to work against B cells and
decrease the number of B cells in your blood, which may slow the growth of CLL.
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Study Objectives / Outcomes
To evaluate the efficacy and safety of TRU-016 in combination with rituximab in patients with previously untreated chronic lymphocytic leukemia (CLL).
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Study Status Information
Study Activation / Registration Date:
IRB Review and Approval Date:02/22/2013
Study Type:Phase I
Recruitment Status:Open
Projected Accrual:24
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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) Patients with a diagnosis of CLL by the 2008 IWCLL Criteria and with Rai stage intermediate or high risk CLL.

2) No prior therapy for CLL

3) At least one of the following criteria for active disease requiring treatment: Progressive splenomegaly and/or lymphadenopathy; Anemia (hemoglobin < 11 g/dL) or thrombocytopenia (platelets <100 x 10^9/L) due to bone marrow involvement; Progressive lymphocytosis with an incrase of >50% over a 2-month period or an anticipated doubling time of less than 6 months

4) Contraindication to chemotherapy (e.g., fludarabine, bendamustine, cyclophosphamide) as first-line therapy due to patient age, comorbidity, or patient preference.

5) Age >/= 18 years

6) ECOG performance status of </= 2

7) Life expectancy greater than 6 months in the opinion of the Investigator

8) Serum creatinine, total bilirubin, alanine aminotransferase/serum glutamate pyruvate transaminase (ALT/SGPT) of </= 2.0 x upper limit of normal (ULN)

9) ANC >/=800/mm^3 (800/uL); patients with lymphocyte count >50,000/mm^3 (50 x 10^9/L) may be enrolled irrespective of ANC because the ANC cannot be reliably assessed at very high lymphocyte levels

10) Platelets >/=30,000/mm^3 (>/=30,000/uL)

11) Patient must be capable of understanding and provide written, voluntary informed consent

12) Patients must have discontinued any previous anticancer or investigational therapy for any other disease at least 30 days prior to screening and have recovered fully from the toxic effects of that treatment, if any

13) A period of >30 days must have elapsed after major surgery

14) For women of childbearing potential, negative serum pregnancy test within 14 days of treatment and use of physician approved method of birth control throughout the study.

Exclusion Criteria:1) Has received treatment with rituximab, alemtuzumab, ofatumumab, or any other chemotherapeutic agent for CLL

2) Has received an investigational therapy within 30 days of first dose of study drug or has not fully recovered from any toxic effect of that therapy.

3) Previous or concurrent additional malignancy except noninvasive, nonmelanomatous skin cancer, in situ carcinoma of the cervix, or other solid tumor treated curatively, or currently controlled (in remission or on hormonal therapy, e.g. prostate or breast cancer) with estimated survival in excess of 2 years.

4) Has any significant concurrent medical diseases or conditions, including: a. Clinically significant pulmonary dysfunction requiring oxygen therapy. b. Active infection (viral, bacterial, or fungal) requiring systemic therapy. Patients who are on prophylactic therapy are eligible. c. Prior allogeneic bone marrow transplant. d. Active autoimmune disease requiring immunosuppressive therapy. If the patient has an autoimmune complication secondary to CLL and it is controlled by immunosuppressive therapy then the patient may be enrolled (i.e., AIHA with no RBC transfusion and stable corticosteroid dose for 6 weeks prior to study entry). If the disease is active and uncontrolled with medication then they are to be excluded. If the patient has autoimmune disease not related to CLL they may not be enrolled if they are on any immunosuppressive therapy.

5) Has known positive serology for human immunodeficiency virus (HIV) or hepatitis C.

6) Is hepatitis B surface antigen or hepatitis B core antibody positive. Patients positive for hepatitis B surface antibody may be enrolled if both hepatitis B surface antigen and hepatitis B core antibody are negative. If the hepatitis B core antibody is the only test positive and it is the result of immunoglobulin treatment, then the patient may be enrolled if the HBV DNA is negative.

7) Is a female patient who is pregnant or breastfeeding.

8) Has known current drug or alcohol abuse.

9) Has current psychiatric disease that would interfere with the patient's ability to comply with the study protocol.

10) Has other severe, acute, or chronic medical or psychiatric condition, laboratory abnormality, or difficulty complying with protocol requirements that may increase the risk associated with study participation or study drug administration or may interfere with safety

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Links
Registration Number: NCT01644253
Study Information on Clinical Trials Registry (clinicaltrials.gov)

Other Links:
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Results


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