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Study was terminated due to lack of efficacy, as a result, the stability program for the drug product was discontinued
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The primary objectives are to evaluate the safety and tolerability of hLL1-DOX, and to determine the maximum tolerated dose (MTD) regimen (in terms of a dose and its associated dosing schedule). The secondary objectives are to obtain information on efficacy, pharmacodynamics, pharmacokinetics, and immunogenicity, and to determine the optimal dose for subsequent studies.
Patients receive hLL1-DOX at one of 4 dose levels administered on Days 1, 4, 8 and 11 of 21-day treatment cycles which are continued in the absence of progression or unacceptable toxicity up to a total of 8 cycles. After treatment, follow-up will be done at 4, 8 and 12 weeks post-treatment and will continue to be done every 3 months for up to 2 years.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| hLL1-DOX | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| hLL1-DOX (IMMU-115) | Drug | hLL1-DOX is administered intravenously at one of 4 dose levels on days 1, 4, 8 and 11 of 21-day treatment cycles, with up to 8 cycles administered. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Evaluate the safety and tolerability of hLL1-DOX | NCI CTCAE version 4.0 is used to grade all adverse events | These assessments will be done routinely during treatment & changes at 4, 8 & 12 weeks after treatment |
| All patients who were treated and meet the efficacy criteria for response assessment will be included in the analysis of efficacy | For the primary efficacy evaluations, the proportion of responders (defined as patients with a best response of PR or CR) will be tabulated for each dose level. In addition, the progression-free survival (PFS, as measured from start of treatment to disease progression, death or last follow-up) will be summarized using Kaplan-Meier survival analysis methods. Similarly, for responders at each dose level, the duration of response (DR, as measured from time of first response to relapse or last follow-up) will also be summarized using Kaplan- Meier survival analysis methods, if appropriate. | During treatment and the changes at 4, 8 and 12 weeks after treatment and then every 3 months for up to 2 years |
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Inclusion Criteria:
Male or female, age ≥ 18 years
Able to provide signed, informed consent
Histologically confirmed diagnosis of recurrent B-cell non-Hodgkin's lymphoma (any histology by WHO criteria) or recurrent chronic lymphocytic leukemia (by NCI criteria) (Reference Appendix C)
Received at least one prior treatment with standard therapy (previous antibody therapy is acceptable)
Measurable disease at least one lesion ≥ 1.5 cm for NHL and ALC > 5,000 for CLL
Adequate performance status (≥ 70 Karnofsky scale) with an estimated life expectancy of at least 6 months
--Documented negative hepatitis B screen, per NCCN guidelines (hepatitis B surface antigen/antibodies, core antigen/antibodies, hepatitis B e-antigen)
At least 12 weeks beyond stem cell transplant and 4 weeks beyond chemotherapy or immunotherapy, major surgery, other experimental treatments, or radiation therapy to the index lesions, and with all acute toxicities from prior therapy resolved to less than Grade 2 toxicity by NCI CTC version 4.0
Laboratory parameters:
Adequate hematology without ongoing transfusional support Hemoglobin >/= 10 g/dL Absolute neutrophil count >/= 1.5 x 10 9/L Platelets >/= 75 x 10 9/L Creatinine and bilirubin </= 1.5 x IULN AST and ALT </= 2.5 x IULN
-Adequate cardiac function (MUGA scan or 2-D ECHO with LVEF ≥ 55%, EKG with no medically relevant arrhythmia uncontrolled on medications)
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Pius P Maliakal, PhD | Gilead Sciences | Study Director |
| Francois Wilhelm, MD,PhD | Gilead Sciences | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Helen F. Graham Cancer Center | Newark | Delaware | 19713 | United States | ||
| MD Anderson Cancer Center Orlando |
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| ID | Term |
|---|---|
| D008228 | Lymphoma, Non-Hodgkin |
| D015451 | Leukemia, Lymphocytic, Chronic, B-Cell |
| ID | Term |
|---|---|
| D008223 | Lymphoma |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D008232 | Lymphoproliferative Disorders |
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| ID | Term |
|---|---|
| C540932 | milatuzumab |
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|
| Orlando |
| Florida |
| 32806 |
| United States |
| IU Health Goshen Center for Cancer Care | Goshen | Indiana | 46526 | United States |
| UMass Memorial Cancer Center of Excellence | Worcester | Massachusetts | 01605 | United States |
| John Theurer Cancer Center Hackensack University Medical Center | Hackensack | New Jersey | 07601 | United States |
| U.T. MD Anderson Cancer Center Houston | Houston | Texas | 77030 | United States |
| D008206 |
| Lymphatic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
| D015448 | Leukemia, B-Cell |
| D007945 | Leukemia, Lymphoid |
| D007938 | Leukemia |
| D006402 | Hematologic Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |