- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03587844
Dosing of Brentuximab Vedotin for Mycosis Fungoides, Sezary Syndrome Patients
Optimizing Dosing of Brentuximab Vedotin for Mycosis Fungoides, Sezary Syndrome, and Lymphomatoid Papulosis
Study Overview
Status
Intervention / Treatment
Study Type
Enrollment (Estimated)
Phase
- Phase 2
Contacts and Locations
Study Contact
- Name: Patricia Myskowski, MD
- Phone Number: 646-608-2351
Study Contact Backup
- Name: Alison Moskowitz, MD
- Phone Number: 646-608-3726
- Email: moskowia@mskcc.org
Study Locations
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California
-
Stanford, California, United States, 94305-5408
- Recruiting
- Stanford University Medical Center
-
Contact:
- Youn Kim, MD
- Phone Number: 650-498-6000
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New Jersey
-
Basking Ridge, New Jersey, United States, 07920
- Recruiting
- Memorial Sloan Kettering Basking Ridge
-
Contact:
- Alison Moskowitz, MD
- Phone Number: 646-608-3726
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Middletown, New Jersey, United States, 07748
- Recruiting
- Memorial Sloan Kettering Monmouth
-
Contact:
- Alison Moskowitz, MD
- Phone Number: 646-608-3726
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Montvale, New Jersey, United States, 07645
- Recruiting
- Memorial Sloan Kettering Bergen
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Contact:
- Alison Moskowitz, MD
- Phone Number: 646-608-3726
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New York
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Commack, New York, United States, 11725
- Recruiting
- Memorial Sloan Kettering Commack
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Contact:
- Alison Moskowitz, MD
- Phone Number: 646-608-3726
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Harrison, New York, United States, 10604
- Recruiting
- Memorial Sloan Kettering Westchester
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Contact:
- Alison Moskowitz, MD
- Phone Number: 646-608-3726
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New York, New York, United States, 10065
- Recruiting
- Memorial Sloan Kettering Cancer Center
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Contact:
- Patricia Myskowski, MD
- Phone Number: 646-608-2351
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Contact:
- Alison Moskowitz, MD
- Phone Number: 646-608-3726
-
Principal Investigator:
- Alison Moskowitz, MD
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Uniondale, New York, United States, 11553
- Recruiting
- Memorial Sloan Kettering Nassau
-
Contact:
- Alison Moskowitz, MD
- Phone Number: 646-608-3726
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
Mycosis fungoides (MF) and Sezary Syndrome (SS)
Pathologically confirmed mycosis fungoides/sezary syndrome at the enrolling institution, disease stage IB (defined as patches, plaque, or papules that involve 10% of the skin surface viscera) or higher
° CD30 negative mycosis fungoides patients are eligible.
- Age ≥ 18 years
- ECOG Performance Score ≤ 2
- For Cohort 1, patients who have not received brentuximab vedotin are eligible.
- For Cohort 2, patients who have previously had brentuximab vedotin for MF/SS are eligible. Patients previously treated on Cohort 1 who were discontinued due to toxicity are not eligible for Cohort 2.
Previous systemic anti-cancer therapy must have been discontinued at least 2 weeks prior to treatment.
° See section 6.2 Subject Exclusion Criteria for guidelines regarding adjuvant and maintenance therapy for prior malignancy.
- Topical or systemic steroids (equivalent to ≤ 10 mg/day of prednisone) may be considered if dose has been constant and discontinuation may lead to rebound flare in disease, adrenal insufficiency, and/or unnecessary suffering, after discussion with PI.
- If HIV+, patient must be on stable anti-retroviral treatment for 12 weeks prior to C1D1, with CD4 count >200 within 7 days prior to C1D1.
- Females of childbearing potential must be on acceptable form of birth control per instutional standard.
Lymphomatoid papulosis (LyP)
- Pathologically confirmed lymphomatoid papulosis at the enrolling institution
- Requiring systemic treatment per investigator's discretion
- Age ≥ 18 years
- ECOG Performance Score ≤ 2
- Previous systemic anti-cancer therapy must have been discontinued at least 2 weeks prior to treatment.
- Topical or systemic steroids (equivalent to ≤ 10 mg/day of prednisone) may be considered if dose has been constant and discontinuation may lead to rebound flare in disease, adrenal insufficiency, and/or unnecessary suffering.
- If HIV+, patient must be on stable anti-retroviral treatment for 12 weeks prior to C1D1, with CD4 count >200 within 7 days prior to C1D1.
- Females of childbearing potential must be on acceptable form of birth control per institutional standard
Exclusion Criteria:
- Concurrent use of other systemic anti-cancer agents or treatments for mycosis fungoides/sezary syndrome, or lymphomatoid papulosis.
- Grade 2 or greater neuropathy
- Severe renal impairment (CrCL <30 mL/min)
Moderate or severe hepatic impairment (Child-Pugh B or Child-Pugh C)
° See Appendix E for Child Pugh Classification chart
- Women of reproductive potential† must have a negative Serum ß human chorionic gonadotropin (ß-HCG) pregnancy test within 1 week of C1D1. They should discuss contraception with treating provider.
- Previous use of brentuximab vedotin (for Cohort 1 ONLY)
Receiving systemic therapy for another primary malignancy (other than T-cell lymphoma).
- Patients with more than one type of lymphoma may be enrolled after discussion with the MSK Principal Investigator.
- Adjuvant or maintenance therapy to reduce the risk of recurrence of other malignancy (other than T-cell lymphoma) is permissible after discussion with the MSK Principal Investigator.
For Cohort 2, patients who previously progressed on the standard 1.8mg/kg dose and schedule of brentuximab vedotin are ineligible.
- A female of reproductive potential is a sexually mature female who: has not undergone a hysterectomy or bilateral oophorectomy; or has not been naturally postmenopausal for at least 24 consecutive months (i.e. has had menses at any time in the preceding 24 consecutive months).
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: not been previously treated with brentuximab vedotin.
Patients with MF/SS who have not been previously treated with brentuximab vedotin.
For MF patients: Treatment delays lasting longer than 8 weeks for toxicity will result in removal from study.
As of October 2020, the Simon two stage design for Cohort 1 has restarted at the 1.2 mg/kg dose.
|
MF/SS Brentuximab vedotin 0.9 mg/kg 0R 1.2 mg/kg.
LyP Brentuximab vedotin 0.9 mg/kg2
MF/SS prior brentuximab vedotin-Brentuximab vedotin dose to be determined from Cohort 1
|
Experimental: treated with reduced dose brentuximab vedotin
Patients with MF/SS who were previously treated with brentuximab vedotin.
Up to 10 patients will be enrolled onto this cohort.
Following identification of a promising dose after the completion of the full Cohort 1 Simon two stage design, enrollment will initiate onto cohort 2 at the dose found to be promising in cohort 1.
For MF patients: Treatment delays lasting longer than 8 weeks for toxicity will result in removal from study.
The 0.9mg/kg dose did not meet the primary endpoint for response, therefore 1.2 mg/kg has been chosen as the dose for Cohort 2. As of October 2020, enrollment on our exploratory Cohort 2 has opened at the 1.2 mg/kg dose.
|
MF/SS Brentuximab vedotin 0.9 mg/kg 0R 1.2 mg/kg.
LyP Brentuximab vedotin 0.9 mg/kg2
MF/SS prior brentuximab vedotin-Brentuximab vedotin dose to be determined from Cohort 1
|
Experimental: Patients with LyP
Patients with LyP patients with lymphomatoid papulosis will receive brentuximab vedotin 0.9 mg/kg as an intravenous infusion over 30 minutes every three weeks.
Cohort 3 will enroll patients concurrently with Cohort 1. Treatment may be held if felt to be in patient's best interest (for example: for toxicity or no active disease).
Treatment can be reinitiated after discussion with MSK PI as long as the study is still open and patient has not received alternate systemic therapy.
|
MF/SS Brentuximab vedotin 0.9 mg/kg 0R 1.2 mg/kg.
LyP Brentuximab vedotin 0.9 mg/kg2
MF/SS prior brentuximab vedotin-Brentuximab vedotin dose to be determined from Cohort 1
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
overall response
Time Frame: 1 year
|
measure best overall response during treatment by the global response score, which incorporates the mSWAT, as well as CT scan for patients with baseline nodal/visceral involvement and flow cytometry for patients with baseline positive peripheral flow cytometry
|
1 year
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Alison Moskowitz, MD, Memorial Sloan Kettering Cancer Center
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Pathologic Processes
- Infections
- Immune System Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Lymphoproliferative Disorders
- Lymphatic Diseases
- Immunoproliferative Disorders
- Lymphoma, Non-Hodgkin
- Disease
- Bacterial Infections and Mycoses
- Lymphoma
- Lymphoma, T-Cell, Cutaneous
- Lymphoma, T-Cell
- Syndrome
- Mycoses
- Mycosis Fungoides
- Sezary Syndrome
- Lymphomatoid Papulosis
- Physiological Effects of Drugs
- Antineoplastic Agents
- Immunologic Factors
- Antineoplastic Agents, Immunological
- Immunoconjugates
- Immunotoxins
- Antibodies, Monoclonal
- Brentuximab Vedotin
Other Study ID Numbers
- 18-147
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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National Cancer Institute (NCI)CompletedRecurrent Mycosis Fungoides and Sezary Syndrome | Refractory Mycosis Fungoides and Sezary Syndrome | Stage IB Mycosis Fungoides and Sezary Syndrome AJCC v7 | Stage IIA Mycosis Fungoides and Sezary Syndrome AJCC v7 | Stage IIB Mycosis Fungoides and Sezary Syndrome AJCC v7 | Stage IIIA Mycosis... and other conditionsUnited States
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Northwestern UniversityAmgenTerminatedRecurrent Cutaneous T-cell Non-Hodgkin Lymphoma | Recurrent Mycosis Fungoides/Sezary Syndrome | Stage III Cutaneous T-cell Non-Hodgkin Lymphoma | Stage IV Cutaneous T-cell Non-Hodgkin Lymphoma | Stage I Cutaneous T-cell Non-Hodgkin Lymphoma | Stage IA Mycosis Fungoides/Sezary Syndrome | Stage... and other conditionsUnited States
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National Cancer Institute (NCI)CompletedRecurrent Mycosis Fungoides and Sezary Syndrome | Refractory Mycosis Fungoides and Sezary Syndrome | Stage IB Mycosis Fungoides and Sezary Syndrome AJCC v7 | Stage IIA Mycosis Fungoides and Sezary Syndrome AJCC v7 | Stage IIB Mycosis Fungoides and Sezary Syndrome AJCC v7 | Stage IIIA Mycosis... and other conditionsUnited States
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