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This is a multi-center, phase 1b study of AMG 655 in combination with bortezomib or vorinostat in subjects with relapsed or refractory low grade lymphoma, mantle cell lymphoma, diffuse large cell lymphoma, and Hodgkin's disease.
Part 1 is an open-label, dose-escalation phase (3+3 design) to determine the safety, tolerability and maximum tolerated dose of AMG 655 in combination with bortezomib or vorinostat. Subjects will be enrolled into one of two arms based on investigator selection (either the bortezomib + AMG 655 arm or vorinostat + AMG 655 arm).
Part 2 of the study is a dose expansion phase that will commence after dose selection of AMG 655 in combination with bortezomib in Part 1. In Part 2, subjects (n = 20) with mantle cell lymphoma will be given AMG 655 in combination with bortezomib. The dose of AMG 655 used in combination with bortezomib will be based on safety and pharmacokinetic information obtained from Part 1 as well as from ongoing AMG 655 trials.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort 4 | Experimental | AMG 655 (intermediate dose) with Vorinostat |
|
| Cohort 1 | Experimental | AMG 655 (low dose) with Bortezomib |
|
| Cohort 2 | Experimental | AMG 655 (low dose) with vorinostat |
|
| Cohort 5 | Experimental | AMG 655 (high dose) with Bortezomib |
|
| Cohort 6 | Experimental | AMG 655 (high dose) with Vorinostat |
|
| Cohort 7 | Experimental | Part 2 - Mantle Cell Lymphoma subjects only: AMG 655 at dose TBD with Bortezomib |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AMG 655 | Drug | AMG 655 is an investigational, fully human monoclonal agonist antibidy that selectively binds to Death Receptor-5 (DR-5). |
|
| Measure | Description | Time Frame |
|---|---|---|
| Part 1: Safety: Subject incidence of treatment emergent adverse events, Dose Limiting Toxicities, the severity of adverse events and clinically significant changes in safety laboratory tests, physical examinations, or vital signs. | Length of Study | |
| Part 2: Objective response rate of AMG 655 Therapy as determined by using IWG criteria at the dose selected in Part 1, in combination with Bortezomib in subjects with mantle cell lymphoma | Length of Study |
| Measure | Description | Time Frame |
|---|---|---|
| Part 2: Overall survival (OS). | Length of study. | |
| Part 2: Progression-Free Survival (PFS). | Length of treatment phase. | |
| Part 2: PK parameters for AMG 655 on a 3 week dosing schedule. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| MD | Amgen | Study Director |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | Younes A, Sokol L, Ribeiro de Oliveira M, Popplewell L, Romaguera JE, Copeland A, Sabin T, Hsu CP, Pan Y, Gorski K, Hwang Y, Wong S, Beaupre D, Kirschbaum MH.A Phase 1b Study Simultaneously Evaluating Two Novel Conatumumab-Based Combinations in Patients With Relapsed or Refractory Lymphoma.Journal-001239; | ||
| Background | Younes A, Sokol L, Ribeiro de Oliveira M, Popplewell L, Romaguera JE, Copeland A, Sabin T, Hsu CP, Pan Y, Gorski K, Hwang Y, Wong S, Beaupre D, Kirschbaum MH.A Phase 1b Study Simultaneously Evaluating Two Novel Conatumumab-Based Combinations in Patients With Relapsed or Refractory Lymphoma.Journal-004521; |
| Label | URL |
|---|---|
| AmgenTrials clinical trials website | View source |
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| ID | Term |
|---|---|
| D006689 | Hodgkin Disease |
| D008228 | Lymphoma, Non-Hodgkin |
| D008223 | Lymphoma |
| D020522 | Lymphoma, Mantle-Cell |
| D016403 | Lymphoma, Large B-Cell, Diffuse |
| ID | Term |
|---|---|
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
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| ID | Term |
|---|---|
| C554537 | conatumumab |
| D000077337 | Vorinostat |
| D000069286 | Bortezomib |
| ID | Term |
|---|---|
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 | Aniline Compounds |
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|
| Cohort 3 | Experimental | AMG 655 (intermediate dose) with Bortezomib |
|
| Vorinostat | Other | Vorinostat, a second generation polarplanar compound, binds to the catalytic domain of the histone deacetylases (HDAC). |
|
|
| Bortezomib | Other | A dipeptide boronic acid analogue with antineoplastic activity. |
|
|
| Treatment and follow up phase of study. |
| Part 2: Subject incidence of anti-AMG 655 antibody formation. | Treatment and follow up phase of study. |
| Part 2: Duration of response. | Length of treatment phase. |
| Part 1: Subject incidence of anti-AMG 655 antibody formation. | Treatment and follow up phase of study. |
| Part 1: Best tumor response, objective response rate and duration of response. | Length of treatment phase. |
| Part 1: Maximum tolerated dose of AMG 655 administered with bortezomib or vorinostat, if reached. | First 21 days of treatment for each cohort. |
| Part 1: PK parameters for AMG 655 on a 3 week dosing schedule. | Treatment and follow up phase of study. |
| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
| D016393 | Lymphoma, B-Cell |
| D000588 |
| Amines |
| D006877 | Hydroxamic Acids |
| D006898 | Hydroxylamines |
| D006880 | Hydroxy Acids |
| D002264 | Carboxylic Acids |
| D001897 | Boronic Acids |
| D000148 | Acids, Noncarboxylic |
| D000143 | Acids |
| D007287 | Inorganic Chemicals |
| D001896 | Boron Compounds |
| D011719 | Pyrazines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |