- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT00006009
Monoclonal Antibody Therapy in Treating Patients With Advanced or Recurrent Lymphoma
A Phase I, Multiple Dose Escalation Trial of Intravenous Humanized Anti-CD3 Antibody (HuM291) in Patients With CD3+ T-cell Lymphomas
RATIONALE: Monoclonal antibodies can locate tumor cells and either kill them or deliver tumor-killing substances to them without harming normal cells.
PURPOSE: Phase I trial to study the effectiveness of monoclonal antibody therapy in treating patients who have advanced or recurrent lymphoma.
Studieoversikt
Detaljert beskrivelse
OBJECTIVES:
- Determine the safety and tolerability of monoclonal antibody HuM291 in patients with advanced or recurrent CD3+ T-cell lymphomas.
- Evaluate the pharmacokinetics and pharmacodynamics of this treatment regimen in this patient population.
- Determine the response in these patients treated with this regimen.
OUTLINE: This is a dose-escalation study.
Patients receive monoclonal antibody HuM291 IV over 3 hours on days 1-4 in the absence of unacceptable toxicity. Patients achieving a partial response, complete response with recurrence, or stable disease may receive further therapy.
Cohorts of 3-6 patients receive escalating doses of monoclonal antibody HuM291 until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose at which 2 of 6 patients experience dose-limiting toxicity.
Patients are followed weekly for 1 month and then monthly for 3 months.
PROJECTED ACCRUAL: A total of 12-15 patients will be accrued for this study.
Studietype
Fase
- Fase 1
Kontakter og plasseringer
Studiesteder
-
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California
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Stanford, California, Forente stater, 94305-5408
- Stanford University Medical Center
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Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Beskrivelse
DISEASE CHARACTERISTICS:
Histologically confirmed CD3+ T-cell lymphoma for which no standard curative therapy exists
Peripheral T-cell lymphoma
- Recurrent and/or progressive disease after at least 1 prior therapy
Mycosis fungoides
Stage IB/IIA
- Recurrent and/or progressive disease after at least 2 prior therapies
Stage IIB-IVB
- Recurrent and/or progressive disease after at least 1 prior therapy
All other T-cell lymphomas
- Recurrent and/or progressive disease after at least 1 prior therapy
Evaluable disease
- Any nodal site or mass lesion at least 1.5 cm in longest axis on physical exam or CT scan
- Skin lesions at least 1 cm in longest axis for cutaneous lymphoma
- High numbers of circulating T-cells allowed
PATIENT CHARACTERISTICS:
Age:
- 18 and over
Performance status:
- ECOG 0-2
- Karnofsky 50-100%
Life expectancy:
- Not specified
Hematopoietic:
- WBC at least 2,000/mm^3*
- Absolute neutrophil count at least 1,000/mm^3*
- Platelet count at least 75,000/mm^3* NOTE: * Unless due to lymphoma
Hepatic:
- Bilirubin no greater than 2.0 times normal*
- AST/ALT no greater than 2.5 times upper limit of normal*
- Hepatitis B and C negative NOTE: * Unless due to lymphoma
Renal:
- Not specified
Cardiovascular:
- No symptomatic congestive heart failure
- No unstable angina pectoris
- No cardiac arrhythmia
Other:
- No other uncontrolled illness
- No ongoing or active infection
- No other active malignancies except basal cell skin cancer or carcinoma in situ of the cervix
- HIV-1 negative
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception
PRIOR CONCURRENT THERAPY:
- See Disease Characteristics
Biologic therapy:
- At least 60 days since prior humanized or chimeric antibody therapy
Chemotherapy:
- At least 3 weeks since prior chemotherapy
Endocrine therapy:
- Not specified
Radiotherapy:
- At least 3 weeks since prior radiotherapy
Surgery:
- Not specified
Other:
- At least 30 days since prior investigational drugs or therapies
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
Samarbeidspartnere og etterforskere
Sponsor
Samarbeidspartnere
Etterforskere
- Studiestol: Youn H. Kim, MD, Stanford University
Studierekorddatoer
Studer hoveddatoer
Studiestart
Studiet fullført (Faktiske)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Anslag)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Anslag)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
- stadium I kutant T-celle non-Hodgkin lymfom
- stadium I mycosis fungoides/Sezary syndrom
- stadium III kutant T-celle non-Hodgkin lymfom
- stadium IV kutant T-celle non-Hodgkin lymfom
- tilbakevendende kutant T-celle non-Hodgkin lymfom
- tynntarms lymfom
- stadium III voksen T-celle leukemi/lymfom
- stadium IV voksen T-celle leukemi/lymfom
- tilbakevendende voksen T-celle leukemi/lymfom
- angioimmunoblastisk T-celle lymfom
- anaplastisk storcellet lymfom
- stadium III mycosis fungoides/Sezary syndrom
- stadium IV mycosis fungoides/Sezary syndrom
- tilbakevendende mycosis fungoides/Sezary syndrom
- stadium II kutant T-celle non-Hodgkin lymfom
- stadium II mycosis fungoides/Sezary syndrom
Ytterligere relevante MeSH-vilkår
- Sykdommer i fordøyelsessystemet
- Sykdommer i immunsystemet
- Neoplasmer etter histologisk type
- Neoplasmer
- Lymfoproliferative lidelser
- Lymfesykdommer
- Immunproliferative lidelser
- Neoplasmer etter nettsted
- Gastrointestinale neoplasmer
- Neoplasmer i fordøyelsessystemet
- Gastrointestinale sykdommer
- Tarmsykdommer
- Lymfom
- Intestinale neoplasmer
- Fysiologiske effekter av legemidler
- Immunologiske faktorer
- Visilizumab
Andre studie-ID-numre
- SUMC-NCI-102
- CDR0000068017 (Registeridentifikator: PDQ (Physician Data Query))
- NCI-102
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