Humanized Monoclonal Antibody 3F8 (Hu3F8) With Granulocyte-Macrophage Colony Stimulating Factor (GM-CSF) in the Treatment of Recurrent Osteosarcoma
A Phase II Study of Humanized Monoclonal Antibody 3F8 (Hu3F8) With Granulocyte-Macrophage Colony Stimulating Factor (GM-CSF) in the Treatment of Recurrent Osteosarcoma
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: Filemon Dela Cruz, MD
- Phone Number: 646-888-2275
Study Contact Backup
- Name: Emily Slotkin, MD
- Phone Number: 212-639-8856
Study Locations
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California
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Los Angeles, California, United States, 90027
- Children's Hospital of Los Angeles (Data Collection Only)
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New York
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New York, New York, United States, 10065
- Memorial Sloan Kettering Cancer Center
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Texas
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Houston, Texas, United States, 77030
- MD Anderson Cancer Center (Data Collection Only)
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patients must have recurrent OS. OS must be verified by histopathology review by the site's Department of Pathology. (Patients registered at MSK must have pathology confirmed by MSK Department of Pathology.)
- Patients must be in a ≥2nd complete remission as indicated by appropriate radiologic evaluations at the time of study entry.
- Patients must be ≥ 1 year of age and ≤ to 40 years of age at the time of enrollment.
- Prior therapy: ≥3 weeks should have elapsed since last cytotoxic therapy, immunotherapy or radiation therapy. More than one week should have elapsed since major surgery.
NOTE: Minor surgery (e.g. minor biopsy, central venous catheter placement, shunt revision) is permitted within 1 week prior to enrollment)
Adequate hematopoietic function defined as:
- Absolute neutrophil count ≥ 500/ul
- Absolute lymphocyte count ≥ 500/ul
- Platelet count ≥ 50,000/ul (transfusion independent)
Adequate hepatic function as defined by:
- Total bilirubin of ≤ 1.5 times upper limit of normal (exception is made for patients with Gilbert's syndrome who may be considered eligible if total bilirubin is ≤ 3 times upper limit of normal).
- AST (SGOT) of ≤ 3 times upper limit of normal
- ALT (SGPT) of ≤ 3 times upper limit of normal
- Adequate renal function as defined by a serum creatinine of ≤ 1.5 times upper limit of normal
- Adequate cardiac function as defined by a shortening fraction of ≥ 28% or an ejection fraction ≥ 50%
- Adequate pulmonary function as defined by no evidence of dyspnea at rest at no history of exercise intolerance
- Adequate performance status as defined by ECOG score of ≤ 2 or Karnofsky/Lansky score ≥ 50%
- Prior treatment with other anti-GD2 antibodies is allowed (prior treatment with Hu3F8 is NOT allowed), but HAHA antibody titer must be negative
- Women of child-bearing potential must be willing to practice an effective method of birth control while on treatment
- Signed informed consent indicating awareness of the investigational nature of this program
Exclusion Criteria:
- Patients with OS in first complete remission.
- Presence of overt metastatic disease at any site.
- Active life-threatening infection.
- Pregnant women or women who are breast-feeding.
- Inability to comply with protocol requirements.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: humanized anti-GD2 antibody, hu3F8, when combined with GM-CSF
One cycle consists of treatment with hu3F8 at a dose of 2.4mg/kg/dose for 3 days (day 1, 3, and 5) in the presence of subcutaneous (sc) GM-CSF (day -4 through 5).
These 3 doses of hu3F8 and 10 days of GM-CSF constitute a treatment cycle.
Cycles are repeated at ~2-4 week intervals between first days of hu3F8, through 5 cycles.
A maximum of 5 cycles will be administered on protocol.
If elevations of amylase and/or lipase (>Grade 1) or clinical signs suggestive of pancreatitis (e.g.
upper abdominal pain) occurs, naxitamab and GM-CSF doses should be held until improvement of toxicity to ≤Grade 1 if laboratory elevations and/or pancreatitis is possibly related to either naxitamab or GM-CSF.
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Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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event free survival (EFS)
Time Frame: 12 months
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EFS is defined as the time from surgery to relapse or death from any cause, recurrence of tumor or second malignancy.
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12 months
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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time to recurrence
Time Frame: 12 months
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Time to recurrence will be estimated using Kaplan-Meier methods.
Very few patients are expected to die without relapse (<5%).
Recurrence is defined as the radiographic presence of any new lesion that is not attributable to differences in scanning techniques, change in imaging modality or findings thought to represent something other than osteosarcoma, or if a biopsy is performed which shows osteosarcoma.
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12 months
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Filemon Dela Cruz, MD, Memorial Sloan Kettering Cancer Center
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
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
- Neoplasms
- Neoplasms by Histologic Type
- Sarcoma
- Neoplasms, Connective and Soft Tissue
- Neoplasms, Bone Tissue
- Neoplasms, Connective Tissue
- Osteosarcoma
- Peptides
- Amino Acids, Peptides, and Proteins
- Proteins
- Biological Factors
- Carbohydrates
- Intercellular Signaling Peptides and Proteins
- Glycoproteins
- Glycoconjugates
- Colony-Stimulating Factors
- Hematopoietic Cell Growth Factors
- Cytokines
- Granulocyte-Macrophage Colony-Stimulating Factor
- naxitamab
- humanized 3F8 anti-GD2 monoclonal antibody
Other Study ID Numbers
Other Study ID Numbers
- 15-096
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