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Study Summary
No. 2007-0796:.......Lymphoma......Anas Younes......Lymphoma/Myeloma
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Study Summary Title
Study Summary
Number:
2007-0796
Study Title:A Phase I Study of Every Other Week XmAb®2513 to Evaluate the Safety, Tolerability, and Pharmacokinetics in Patients with Hodgkin Lymphoma or Anaplastic Large Cell Lymphoma
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Physician New Patient Referral
Name:Anas YounesPatients Call:800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Dept:Lymphoma/MyelomaReferring MD
Call:
800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Phone:713-792-2860
Contact us about clinical trials
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General Information
Disease Group:LymphomaSupported By:Xencor, Inc.
Phase of Study:Phase IReturn
Visit:
Baseline visit 28 days prior to Day1. Days 1, 2, 4, 8, 15, 29, 43, 55 (or 57),
71, 85, 99. Efficacy evaluation between day 106 -113. End of treatment visit 28
days after final dose. And follow-up 3 months after final dose.
Treatment
Agents:
XmAb™2513Home 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 this clinical research study is to find the highest tolerable dose
of XmAb®2513 that can be given to patients with HL or ALCL. The safety of this
drug will also be studied. This is the first time XmAb®2513 has been given to
humans.
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Study Objectives / Outcomes
PRIMARY
• To identify the maximum tolerated dose (MTD) and/or recommended dose(s) for further study;

SECONDARY
• To determine the safety and tolerability profile of every other week or every 2 weeks (QOW) dosing of XmAb2513;
• To characterize the PK and immunogenicity of every other week or every 2 weeks (QOW) dosing of XmAb2513;
• To evaluate preliminary antitumor activity.
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Study Status Information
Study Activation / Registration Date:04/21/2008
IRB Review and Approval Date:04/21/2008
Study Type:Phase I
Recruitment Status:Open
Projected Accrual:48 patients
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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 must have a histological diagnosis of Hodgkin Lymphoma (HL) or Anaplastic Large Cell Lymphoma (ALCL) (non-cutaneous).

2) Pts must provide tumor tissue for confirmation of histologic diagnosis and assessment of CD30 expression in tumor tissue. Archived paraffin embedded samples are acceptable for pts. If pt has had multiple biopsies, the original biopsy for diagnosis, and most recent biopsy are requested. Pts who have previously received anti-CD30 txt, the best biopsy for analysiss of CD30 antigen expression is the specimen collected after anti-CD30 txt.

3) (#2 continued) If no archival specimens are available, pt will be asked to voluntarily consent for another biopsy; however, if tissue cannot be obtained due to size, location, contraindication, or pt refusal, the pt will remain eligible to participate in study.

4) Patients must have received two or more prior therapeutic regimens, one of which should include hematopoietic cell transplant, either autologous or allogeneic transplant. a. If a hematopoietic cell transplant was refused, or the patient was not eligible to receive a transplant, the patient is still eligible to participate in the trial if the patient has received two or more prior chemotherapy based regimens.

5) (Continued from Inclusion #4) b. Patients who have received allogeneic transplant must not have relapsed less than 6 months after their transplant and they must be at least 200 days post-transplant prior to enrollment. Additionally, there must be no evidence of graft-versus-host disease (GVHD) and the patient must be stable without immunosuppressive treatment, including systemic corticosteroids (per os [po] or iv), for > 3 months prior to enrollment.

6) Patients who have previously received any targeted anti-CD30 therapies are eligible provided that the therapy was completed at least 6 months prior to enrollment, there is no residual toxicity (see Inclusion Criteria #2 above for biopsy requirements). Additionally, these patients must be negative for anti-XmAb2513 antibodies.

7) Patients must be able to receive outpatient treatment and follow-up at the treating institution.

8) Patients should have at least one radiographically measurable site of disease of >/= 1.5 cm in the largest dimension. a. If there is only one site of disease and its longest diameter is from 1.5 to 2.0 cm radiographically, there must be evidence of clinically active disease by either positive FDG-PET imaging or by biopsy of the site of disease prior to enrollment.

9) Patients must have completed all anti-cancer treatment (e.g. immunosuppressive medications, antineoplastic therapy, vaccination, chemotherapy, and radiation therapy) > 4 weeks prior to enrollment. Patients who have received a hematopoietic cell transplant must have completed immunosuppressive treatment, including systemic corticosteroids (po or iv), for > 3 months prior to enrollment.

10) Patients must be >/= 18 years of age.

11) Female patients capable of reproduction, and male patients who have partners capable of reproduction, must agree to use an effective contraceptive method during the course of the study and 2 months following the completion of their last treatment. Females of childbearing potential must have a negative beta human chorionic gonadotropin (Beta-hCG) pregnancy test result within 3 days prior to first study dose. Female patients who are surgically sterilized or who are > 45 years old and have not experienced menses for > 2 years may have the Beta-hCG pregnancy test waived.

12) Required baseline laboratory data: Platelet count >/= 80,000/mm^3 (patients must not be platelet transfusion-dependent as evidenced by maintenance of platelet count above 50,000/mm^3 in the 28 days prior to enrollment without transfusion) ; Absolute neutrophil count >/= 1,500/mm^3 ; Creatinine </= 1.5 times ULN ; ALT (SGPT) /AST (SGOT) </= 2.5 times upper limit of normal (ULN) ; Total bilirubin </= 1.5 times ULN

13) Patients must have an Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.

14) Patients must give written informed consent. A copy of the signed informed consent form will be retained in the patient's chart.

15) Patients must have completed any palliative corticosteroid therapy (e.g. for management of Type B symptoms) > 2 weeks prior to enrollment.

Exclusion Criteria:1) Patients receiving treatment with an investigational agent, concurrently or within 28 days prior to dosing in this study.

2) Patients with known HL or ALCL involvement of either the leptomeningeal or central nervous system.

3) Patients who received prior anti-CD30 therapy AND with anti-XmAb2513 antibodies in serum detected by the Xencor screening assay.

4) Patients requiring treatment with oral or intravenous corticosteroids or other oral or intravenous immunosuppressive agents.

5) Patients that have been designated Class III or IV by the New York Heart Association criteria.

6) Patients with a history of myocardial infarction or stroke within the last 6 months.

7) Patients with known hypersensitivity to any excipient contained in the drug formulation.

8) Patients with active infection are not eligible. This includes patients requiring anti-infective treatment during the 4 week period prior to enrollment. Patients on prophylactic anti-infective agents will be eligible provided they have no signs of active infection.

9) Patients who are known to be HIV, Hepatitis B, or Hepatitis C positive.

10) Patients with a history of prior malignancy other than HL or ALCL that have not been in remission for greater than 5 years, with the exception of basal or squamous skin carcinoma, cervical carcinoma in situ on biopsy, or localized prostate cancer (Gleason score < 5).

11) Patients who are pregnant or breastfeeding.

12) Patients with major surgery or radiation therapy within four weeks prior to enrollment.

13) Patients with any serious underlying medical condition that would impair their ability to receive or tolerate the planned treatment at the investigational site.

14) Patients with dementia or altered mental status that would preclude understanding and rendering of informed consent.

15) Patients may take multivitamins provided they are documented as concomitant medications. No other vitamins or supplements will be permitted during the course of this study without prior notification and approval of the Medical Monitor.

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Links
Registration Number: NCT00606645
Study Information on Clinical Trials Registry (clinicaltrials.gov)

Other Links:
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Results


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