A Phase 1 Study of Brentuximab Vedotin Given Sequentially and Combined With Multi-Agent Chemotherapy for CD30-Positive Mature T-Cell and NK-Cell Neoplasms
A Phase 1 Study of Brentuximab Vedotin Administered Sequentially and Concurrently With Multi-Agent Chemotherapy as Front-Line Therapy in Patients With CD30-Positive Mature T-Cell and NK-Cell Neoplasms, Including Systemic Anaplastic Large Cell Lymphoma
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Expanded Access
Expanded Access
No longer available
- Available: Expanded access is currently available for this investigational treatment, and patients who are not participants in the clinical study may be able to gain access to the drug, biologic, or medical device being studied.
- No longer available: Expanded access was available for this intervention previously but is not currently available and will not be available in the future.
- Temporarily not available: Expanded access is not currently available for this intervention but is expected to be available in the future.
- Approved for marketing: The intervention has been approved by the U.S. Food and Drug Administration for use by the public.
Contacts and Locations
Study Locations
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Manchester, United Kingdom, M20 4BX
- Christie Hospital NHS Foundation Trust
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Southampton, United Kingdom, SO16 6YD
- Southampton General Hospital
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Alabama
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Birmingham, Alabama, United States, 35294-3300
- UAB Comprehensive Cancer Center
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California
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Duarte, California, United States, 91010
- City of Hope National Medical Center
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Stanford, California, United States, 94305
- Stanford Cancer Center
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Missouri
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Saint Louis, Missouri, United States, 63110
- Washington University School of Medicine
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New York
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New York, New York, United States, 10021
- Memorial Sloan Kettering Cancer Center
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19111
- Fox Chase Cancer Center
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South Carolina
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Greenville, South Carolina, United States, 29601
- St. Francis Hospital
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Texas
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Houston, Texas, United States, 77030-4000
- MD Anderson Cancer Center / University of Texas
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Washington
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Seattle, Washington, United States, 98109
- Seattle Cancer Care Alliance / University of Washington Medical Center
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Treatment-naive CD30-positive mature T-cell and NK-cell neoplasms, including systemic anaplastic large cell lymphoma
- Measurable disease of at least 1.5 cm
- ECOG performance status less than or equal to 2
Exclusion Criteria:
- Known cerebral/meningeal disease, including history of progressive multifocal leukoencephalopathy
- Current diagnosis of primary cutaneous anaplastic large cell lymphoma, mycosis fungoides, Sezary syndrome or other primary cutaneous lymphomas; extranodal NK/T-cell lymphoma, nasal type
- History of another primary malignancy that has not been in remission for at least 3 years
- Left ventricular ejection fraction <45% or symptomatic cardiac disease, or myocardial infarction within the past 12 months
- Viral, bacterial, or fungal infection within two weeks prior to the first dose of brentuximab vedotin
- Known human immunodeficiency virus (HIV), hepatitis B virus, or hepatitis C virus positive status
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: NON_RANDOMIZED
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
EXPERIMENTAL: 1
Sequential
|
1.2-1.8
mg/kg IV every 3 weeks (Cycles 1-2 and if response, Cycles 9-16)
Other Names:
750 mg/m2 IV every 3 weeks (Cycles 3-8)
1.2-1.8
mg/kg IV every 3 weeks (Cycles 1-6 and if response, Cycles 7-16)
Other Names:
100 mg daily PO on Days 1-5 every 3 weeks (Cycles 3-8)
750 mg/m2 IV every 3 weeks (Cycles 1-6)
50 mg/m2 IV every 3 weeks (Cycles 3-8)
50 mg/m2 IV every 3 weeks (Cycles 1-6)
100 mg daily PO on Days 1-5 every 3 weeks (Cycles 1-6)
1.4 mg/m2 IV every 3 weeks (Cycles 3-8)
|
|
EXPERIMENTAL: 2
Combination
|
1.2-1.8
mg/kg IV every 3 weeks (Cycles 1-2 and if response, Cycles 9-16)
Other Names:
750 mg/m2 IV every 3 weeks (Cycles 3-8)
1.2-1.8
mg/kg IV every 3 weeks (Cycles 1-6 and if response, Cycles 7-16)
Other Names:
100 mg daily PO on Days 1-5 every 3 weeks (Cycles 3-8)
750 mg/m2 IV every 3 weeks (Cycles 1-6)
50 mg/m2 IV every 3 weeks (Cycles 3-8)
50 mg/m2 IV every 3 weeks (Cycles 1-6)
100 mg daily PO on Days 1-5 every 3 weeks (Cycles 1-6)
|
|
EXPERIMENTAL: 3 Brentuximab vedotin/CH-P
Combination
|
1.2-1.8
mg/kg IV every 3 weeks (Cycles 1-2 and if response, Cycles 9-16)
Other Names:
750 mg/m2 IV every 3 weeks (Cycles 3-8)
1.2-1.8
mg/kg IV every 3 weeks (Cycles 1-6 and if response, Cycles 7-16)
Other Names:
100 mg daily PO on Days 1-5 every 3 weeks (Cycles 3-8)
750 mg/m2 IV every 3 weeks (Cycles 1-6)
50 mg/m2 IV every 3 weeks (Cycles 3-8)
50 mg/m2 IV every 3 weeks (Cycles 1-6)
100 mg daily PO on Days 1-5 every 3 weeks (Cycles 1-6)
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Incidence of adverse events and laboratory abnormalities
Time Frame: Through 1 month after last dose
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Through 1 month after last dose
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Brentuximab vedotin concentration in blood
Time Frame: Through 1 month after last dose
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Through 1 month after last dose
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Antitherapeutic antibodies in blood
Time Frame: Through 1 month after last dose
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Through 1 month after last dose
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Best clinical response
Time Frame: Through 1 month after last dose
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Through 1 month after last dose
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Progression-free survival
Time Frame: Until disease progression or study closure
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Until disease progression or study closure
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Overall survival
Time Frame: Every 3 months until death or study closure
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Every 3 months until death or study closure
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Dana Kennedy, PharmD, BCOP, Seagen Inc.
Publications and helpful links
General Publications
- Fanale MA, Horwitz SM, Forero-Torres A, Bartlett NL, Advani RH, Pro B, Chen RW, Davies A, Illidge T, Huebner D, Kennedy DA, Shustov AR. Brentuximab vedotin in the front-line treatment of patients with CD30+ peripheral T-cell lymphomas: results of a phase I study. J Clin Oncol. 2014 Oct 1;32(28):3137-43. doi: 10.1200/JCO.2013.54.2456. Epub 2014 Aug 18.
- Fanale MA, Horwitz SM, Forero-Torres A, Bartlett NL, Advani RH, Pro B, Chen RW, Davies A, Illidge T, Uttarwar M, Lee SY, Ren H, Kennedy DA, Shustov AR. Five-year outcomes for frontline brentuximab vedotin with CHP for CD30-expressing peripheral T-cell lymphomas. Blood. 2018 May 10;131(19):2120-2124. doi: 10.1182/blood-2017-12-821009. Epub 2018 Mar 5.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (ACTUAL)
Primary Completion
Study Completion (ACTUAL)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
First Posted
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Immune System Diseases
- Neoplasms by Histologic Type
- Lymphoproliferative Disorders
- Lymphatic Diseases
- Immunoproliferative Disorders
- Lymphoma, Non-Hodgkin
- Neoplasms
- Lymphoma
- Lymphoma, T-Cell
- Lymphoma, Large-Cell, Anaplastic
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Anti-Inflammatory Agents
- Antirheumatic Agents
- Antineoplastic Agents
- Immunosuppressive Agents
- Immunologic Factors
- Tubulin Modulators
- Antimitotic Agents
- Mitosis Modulators
- Glucocorticoids
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Antineoplastic Agents, Hormonal
- Antineoplastic Agents, Alkylating
- Alkylating Agents
- Myeloablative Agonists
- Antineoplastic Agents, Phytogenic
- Topoisomerase II Inhibitors
- Topoisomerase Inhibitors
- Antineoplastic Agents, Immunological
- Antibiotics, Antineoplastic
- Cyclophosphamide
- Prednisone
- Doxorubicin
- Liposomal doxorubicin
- Antibodies, Monoclonal
- Vincristine
- Brentuximab Vedotin
Other Study ID Numbers
Other Study ID Numbers
- SGN35-011
- 2010-022839-11
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