Recurrent Small Lymphocytic Lymphoma Clinical Trial
Official title:
A Phase I/II Study of Intratumoral Injection of SD-101, an Immunostimulatory CpG, and Intratumoral Injection of Ipilimumab, an Anti-CTLA4 Monoclonal Antibody, in Combination With Local Radiation in Low-Grade B-Cell Lymphomas
This phase 1-2 trial studies the side effects and best dose of ipilimumab in combination with toll-like receptor 9 (TLR9) agonist SD-101 and radiation therapy in treating patients with recurrent low-grade B-cell lymphoma.
Monoclonal antibodies, such as ipilimumab, may block cancer growth in different ways by
targeting certain cells. Biological therapies, such as TLR9 agonist SD-101, use substances
made from living organisms that may stimulate or suppress the immune system in different ways
and stop cancer cells from growing. Radiation therapy uses high energy x-rays to kill cancer
cells and shrink tumors. Giving ipilimumab in combination with TLR9 agonist SD-101 and
radiation therapy may be a better treatment for B-cell lymphoma.
Study objectives are dose-limiting toxicity (DLT) and the treatment assessments tumor
response and time-to-progression. Cohort 1 dose level is 10 mg ipilimumab, subsequent cohort
is 5 or 25 mg ipilimumab.
- If 2 out of 6 patients experience a DLT in the first cohort (10 mg ipilimumab), the dose
will be de-escalated to 5 mg ("Cohort -1").
- If 2 out of 6 patients experience a DLT at the 5 mg dose level, then the study will be
stopped.
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