Refractory Lymphoid Malignancy Clinical Trial
Official title:
A Phase 1 Study Evaluating Safety, Tolerability, and Pharmacokinetics of Escalating Doses of AGS67E Given as Monotherapy in Subjects With Refractory or Relapsed Lymphoid Malignancies
| Verified date | November 2020 |
| Source | Astellas Pharma Inc |
| Contact | n/a |
| Is FDA regulated | No |
| Health authority | |
| Study type | Interventional |
The purpose of this study is to evaluate the safety, tolerability and pharmacokinetics of AGS67E both without and with myeloid growth factor (GF) in subjects with refractory or relapsed lymphoid malignancies. Immunogenicity and anticancer activity of AGS67E will also be assessed.
| Status | Completed |
| Enrollment | 71 |
| Est. completion date | October 29, 2019 |
| Est. primary completion date | October 29, 2019 |
| Accepts healthy volunteers | No |
| Gender | All |
| Age group | 18 Years and older |
| Eligibility | Inclusion Criteria: - Refractory or relapsed chronic lymphocytic leukemia (CLL), prolymphocytic leukemia (PLL), hairy cell leukemia (HCL) or non-Hodgkin lymphoma (NHL) (including those of T cell origin) - Eastern Cooperative Oncology Group performance score (ECOG) = 2 - Negative pregnancy test (women of childbearing potential) - Hematologic function, as follows (no platelet transfusion within 2 weeks and no RBC transfusion within 4 days before the first dose of study drug) - Absolute neutrophil count (ANC) = 1,000/µL - Platelets = 75,000/µL - Hemoglobin = 8 g/dL (may be transfused = 5 days) - Renal function: serum creatinine = 2.0 mg/dL and estimated creatinine clearance of = 45 mL/min by the Cockcroft-Gault equation - Direct bilirubin = 1.5 x upper limit of normal (ULN) - Serum albumin = 2.5 g/dL - Aspartate aminotransferase (AST) = 1.5 x ULN unless there is hepatic involvement, then 3 x ULN - Alanine aminotransferase (ALT) = 1.5 x ULN unless there is hepatic involvement, then 3 x ULN - Sexually active fertile subjects, and their partners, must agree to use medically accepted double-barrier methods of contraception (e.g., barrier methods, including male condom, female condom, or diaphragm with spermicidal gel) during the study and at least 6 weeks after termination of study therapy Exclusion Criteria: - Preexisting sensory and/or motor neuropathy Grade = 2 - Small molecule therapy, radiotherapy, immunotherapy, monoclonal antibodies, or chemotherapy within 2 weeks before first dose of study drug - Radioimmunotherapy within 4 weeks before first dose of study drug - Use of any investigational drug (including marketed drugs not approved for this indication) within 14 days prior to the first dose of study drug - Any P-gp inducers/inhibitors or strong CYP3A inhibitors within 2 weeks before the first dose of study drug (See Appendix F for list of excluded drugs) - Anti Graft-Versus-Host Disease (GVHD) therapy within 12 weeks before the first dose of study drug - Platelet transfusion within 2 weeks and RBC transfusion within 4 days before the first dose of study drug - Known central nervous system (CNS) disease - History of other primary malignancy (including myeloid malignancy, e.g., myelodysplastic syndrome), unless - Curatively resected nonmelanomatous skin cancer - Other malignancy curatively treated with no known active disease present and no systemic treatment administered for 3 years before the first dose of study drug - Active angina or Class III or IV Congestive Heart Failure (CHF) (New York Heart Association CHF Functional Classification System) or clinically significant cardiac disease within 12 months of the first dose of study drug, including myocardial infarction, unstable angina, Grade 2 or greater peripheral vascular disease, congestive heart failure, uncontrolled hypertension, or arrhythmias not controlled by outpatient medication - Women who are pregnant or lactating - Known HIV positive or AIDS - Positive Hepatitis B surface antigen test - Decompensated liver disease as evidenced by clinically significant ascites refractory to diuretic therapy, hepatic encephalopathy, or coagulopathy - Known sensitivity to any of the components of the investigational product AGS67E: - AGS67E - L-Histidine - a-trehalose dihydrate or - polysorbate 20 - History of thromboembolic events (e.g., deep vein thrombosis (DVT) or pulmonary embolism (PE)) = 2 weeks before the first dose of study drug and/or clinical diffuse intravascular coagulation (DIC) - Active infection requiring treatment =7 days before the first dose of study drug - Condition or situation which may put the subject at significant risk, may confound the study results, or may interfere significantly with subject's participation in the study - Any medical, psychiatric, addictive or other disorder which compromises the ability of the subject to give written informed consent and/or to comply with procedures. |
| Country | Name | City | State |
|---|---|---|---|
| Canada | Site CA0005 | Vancouver | British Columbia |
| United States | Site US0006 | Duarte | California |
| United States | Site US0004 | Fairway | Kansas |
| United States | Site US0001 | New York | New York |
| United States | Site US0002 | Stanford | California |
| Lead Sponsor | Collaborator |
|---|---|
| Astellas Pharma Global Development, Inc. |
United States, Canada,
| Type | Measure | Description | Time frame | Safety issue |
|---|---|---|---|---|
| Primary | Incidence and nature of adverse events | up to 34 months | ||
| Primary | Pharmacokinetic parameter for total antibody (TAb), antibody drug conjugate (ADC), and Monomethyl Auristatin E (MMAE): Concentration at the end of infusion (CEOI) | Escalation: Days 1-4, 8, 15, 22, 43-46, 50, 64 for Cycles 1-4 and predose once every 3 weeks in subsequent cycles. Expansion: Days 1, 3, 8, 22, 43, 45, 64 in Cycles 1-4 and predose once every 3 weeks in subsequent Cycles up to an average of 4 months | ||
| Primary | Pharmacokinetic parameter for total antibody (TAb), antibody drug conjugate (ADC), and Monomethyl Auristatin E (MMAE): Maximum observed concentration (Cmax) | Escalation: Days 1-4, 8, 15, 22, 43-46, 50, 64 for Cycles 1-4 and predose once every 3 weeks in subsequent cycles. Expansion: Days 1, 3, 8, 22, 43, 45, 64 in Cycles 1-4 and predose once every 3 weeks in subsequent Cycles up to an average of 4 months | ||
| Primary | Pharmacokinetic parameter for Monomethyl Auristatin E (MMAE): Time to maximum concentration (Tmax) | Escalation: Days 1-4, 8, 15, 22, 43-46, 50, 64 for Cycles 1-4 and predose once every 3 weeks in subsequent cycles. Expansion: Days 1, 3, 8, 22, 43, 45, 64 in Cycles 1-4 and predose once every 3 weeks in subsequent Cycles up to an average of 4 months | ||
| Primary | Pharmacokinetic parameter for total antibody (TAb), antibody drug conjugate (ADC), and Monomethyl Auristatin E (MMAE): Partial area under the serum concentration-time curve after first dose and as appropriate (AUC0-21) | Escalation: Days 1-4, 8, 15, 22, 43-46, 50, 64 for Cycles 1-4 and predose once every 3 weeks in subsequent cycles. Expansion: Days 1, 3, 8, 22, 43, 45, 64 in Cycles 1-4 and predose once every 3 weeks in subsequent Cycles up to an average of 4 months | ||
| Primary | Pharmacokinetic parameter for total antibody (TAb), antibody drug conjugate (ADC), and Monomethyl Auristatin E (MMAE): Terminal or apparent terminal half-life (t1/2) | Escalation: Days 1-4, 8, 15, 22, 43-46, 50, 64 for Cycles 1-4 and predose once every 3 weeks in subsequent cycles. Expansion: Days 1, 3, 8, 22, 43, 45, 64 in Cycles 1-4 and predose once every 3 weeks in subsequent Cycles up to an average of 4 months | ||
| Primary | Pharmacokinetic parameter for total antibody (TAb), antibody drug conjugate (ADC), and Monomethyl Auristatin E (MMAE): Systemic clearance (CL) | Escalation: Days 1-4, 8, 15, 22, 43-46, 50, 64 for Cycles 1-4 and predose once every 3 weeks in subsequent cycles. Expansion: Days 1, 3, 8, 22, 43, 45, 64 in Cycles 1-4 and predose once every 3 weeks in subsequent Cycles up to an average of 4 months | ||
| Primary | Pharmacokinetic parameter for total antibody (TAb), antibody drug conjugate (ADC), and Monomethyl Auristatin E (MMAE): Volume of distribution at steady state (Vss) | Escalation: Days 1-4, 8, 15, 22, 43-46, 50, 64 for Cycles 1-4 and predose once every 3 weeks in subsequent cycles. Expansion: Days 1, 3, 8, 22, 43, 45, 64 in Cycles 1-4 and predose once every 3 weeks in subsequent Cycles up to an average of 4 months | ||
| Secondary | Incidence of Anti-Drug Antibody (ADA) formation to the fully human monoclonal antibody (AGS67C) and antibody-drug conjugate (AGS67E) | Up to 34 months | ||
| Secondary | Incidence of tumor response | Tumor response is defined as either a complete response (CR) or partial response (PR) | Up to 34 months | |
| Secondary | Objective response rate (ORR) | ORR for a cohort is defined as the percentage of subjects who experience a best response of either complete response (CR) or partial response (PR) in that cohort. | Up to 34 months |