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MDX-060 in Patients With Relapsed or Refractory Classic Systemic or Primary Cutaneous Anaplastic Large Cell Lymphoma

23 april 2010 uppdaterad av: Bristol-Myers Squibb

An Open-label, Fixed-dose, Multicenter, Phase II Study of MDX-060 in Patients With Relapsed or Refractory Classic Systemic or Primary Cutaneous Anaplastic Large Cell Lymphoma

This study is an open-label, fixed-dose, multicenter study of MDX-060 in patients with ALCL who have relapsed or refractory disease. There will be 3 phases of this study: Induction, Maintenance, and Follow-up. Patients will be required to attend all protocol-required visits in the 4-week Induction Phase, in which administration of MDX-060 will occur, as well as other testing. Patients who complete the Induction Phase may be eligible for additional MDX-060 treatment ever 2 months for 1 year in the Maintenance Phase. Patients who complete the Maintenance Phase with a response of stable disease or better will be followed every 2 months for 1 year or until disease progression. The purpose of this study is to determine objective response rate at Day 50 in patients with relapsed or refractory classic systemic ALCL or primary cutaneous ALCL treated with MDX-060. Other objectives will be evaluated.

Studieöversikt

Status

Indragen

Betingelser

Intervention / Behandling

Detaljerad beskrivning

This study is an open-label, fixed-dose, multicenter study of MDX-060 in patients with ALCL who have relapsed or refractory disease. There will be 3 phases of this study: Induction, Maintenance, and Follow-up. Patients will be required to attend all protocol-required visits in the 4-week Induction Phase, in which administration of MDX-060 will occur, as well as other testing. Patients who complete the Induction Phase may be eligible for additional MDX-060 treatment ever 2 months for 1 year in the Maintenance Phase. Patients who complete the Maintenance Phase with a response of stable disease or better will be followed every 2 months for 1 year or until disease progression.

The primary objective of the study is to determine the objective response rate (ORR) at Day 50 in patients with relapsed or refractory classic systemic anaplastic large cell lymphoma (csALCL) or primary cutaneous ALCL (pcALCL) treated with MDX-060. The ORR will be based on an adaption of the NCI Response Criteria for Non-Hodgkin's Lymphoma (NHL) for patients with csALCL and will be based on the Physician's Global Assessment (PGA) for patient with pcALCL.

Secondary objectives include 1) characterizing progression-free survival (PFS); 2) determining response duration (RD); 3) characterizing the effect of MDX-060 on health-related Quality of Life (QoL); 4) evaluating patients with pcALCL using an adaption of the NCI Response Criteria for NHL; 5) characterizing the immunogenicity of MDX-060; 6) characterizing the safety of MDX-060; and 7) determining the best objective response rate (BORR) during the Maintenance Phase of the study.

Studietyp

Interventionell

Inskrivning (Förväntat)

45

Fas

  • Fas 2

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

      • Lille, Frankrike, 59037
        • Centre Hospitalier Regional Unv. de Lille, Hopital Claude Huriez
    • California
      • Duarte, California, Förenta staterna, 91010
        • City of Hope, National Medical Center
      • Fresno, California, Förenta staterna, 93710
        • California Oncology of the Central Valley
      • La Jolla, California, Förenta staterna, 92093
        • Moores UCSD Cancer Center
    • Minnesota
      • Rochester, Minnesota, Förenta staterna, 55905
        • Mayo Clinic
    • New Jersey
      • New Brunswick, New Jersey, Förenta staterna, 08901
        • The Cancer Institute of New Jersey - Robert Wood Johnson Unv. Hosp.
    • New York
      • Buffalo, New York, Förenta staterna, 14263
        • Roswell Park Cancer Center
    • North Carolina
      • Huntersville, North Carolina, Förenta staterna, 28078
        • Carolina BioOncology Institute

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

12 år och äldre (Barn, Vuxen, Äldre vuxen)

Tar emot friska volontärer

Nej

Kön som är behöriga för studier

Allt

Beskrivning

Inclusion Criteria:

  • signed informed consent
  • confirmed diagnosis of ALCL
  • patient with csALCL must be confirmed CD30+
  • patients with csALCL must have failed or relapsed following second line (i.e. salvage) chemotherapy or relapsed or failed following autologous stem cell transplant.
  • patients with pcALCL must have progressed after treatment with local radiation therapy or surgical excision or failed systemic therapy with a single agent or multi-agent regimen.
  • patients with pcALCL must be confirmed CD30+
  • ECOG performance of 0 to 2
  • at least 12 years of age
  • life expectancy 12 weeks or greater
  • must meet screening laboratory values
  • women must be post-menopausal for at least 1 year; surgically incapable of bearing children; or utilizing a reliable form of contraception. All women must have a negative pregnancy test.
  • men must agree to the use of male contraception for the duration of the study
  • patients on corticosteroids must be tapered off the medication 2 weeks prior to the first MDX-060 administration and remain off corticosteroids until day 365.

Exclusion Criteria:

  • previous treatment with any anti-CD30 antibody
  • history of allogenic transplantation
  • any tumor lesion 10 cm or greater in diameter
  • any other malignancy, excluding basal or squamous cell carcinoma of the skin, or cervical carcinoma in situ. Any cancer from which the patient has been disease free for at least 5 years is permissible.
  • any significant acter or chronic infection.
  • prior known serum positivity for HIV, hepatitis B or C as determined at screening.
  • treatment with an investigational agent within 30 days or 5 half-lives (whichever is longer) of study screening.
  • apparent active or latent tuberculosis infection (TB).
  • patients who are pregnant or nursing
  • any underlying medical condition which, in the investigator's opinion, will make the administration of MDX-060 hazardous or obscure the interpretation of adverse events.
  • concomitant chemotherapy, corticosteroids, investigational agents, other anti-ALCL biologics, or radiation therapy
  • patients with mycosis fungoides, or
  • patients with recurrent, self-healing papulonodular eruptions only or any other lymphoma other than ALCL.

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Behandling
  • Tilldelning: Icke-randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Ingen (Open Label)

Vad mäter studien?

Primära resultatmått

Resultatmått
Livskvalité
säkerhet
Objektiv svarsfrekvens
Progressionsfri överlevnad
Immunogenicitet
svarslängd
best objective response rate

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart

1 februari 2006

Studieregistreringsdatum

Först inskickad

1 mars 2006

Först inskickad som uppfyllde QC-kriterierna

1 mars 2006

Första postat (Uppskatta)

2 mars 2006

Uppdateringar av studier

Senaste uppdatering publicerad (Uppskatta)

26 april 2010

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

23 april 2010

Senast verifierad

1 april 2010

Mer information

Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .

Kliniska prövningar på Lymfom, storcelligt

Kliniska prövningar på MDX-060

3
Prenumerera