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This is an open-label Phase 1a dose escalation study of single-agent OMP-52M51 in subjects with relapsed or refractory lymphoid malignancies. Study includes a dose escalation phase and expansion phase. Subjects will be assessed for safety, immunogenicity, pharmacokinetics, biomarkers, and efficacy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| OMP-52M51 | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| OMP-52M51 | Drug |
|
| Measure | Description | Time Frame |
|---|---|---|
| Safety profile of OMP-52M51 in subjects with relapsed or refractory lymphoid malignancies | Subjects will be assessed for DLTs from Days 0-29. Adverse events will be reported through 30 days after the last dose |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetics (PK) of OMP-52M51 in subjects with relapsed or refractory lymphoid malignancies | Apparent half life, AUC, clearance, volume of distribution | PK analyses at various time points following the 1st and 2nd doses, immediately pre and post-dose for all subsequent doses at treatment term, every 4 weeks after discontinuation of study drug or 12 weeks |
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Inclusion Criteria:
Lymphoid malignancy that has relapsed or is refractory after two or more treatments that are FDA approved or are commonly used clinically.
Subjects must have progressive disease requiring therapy. Subjects who are candidates for observation only are not eligible.
Subjects are either not currently considered to be candidates or refuse potentially curative therapies including peripheral stem cell or bone marrow transplant
Subjects must have measurable disease as per disease specific criteria
Must have received their last chemotherapy, biologic, radiotherapy, or investigational therapy at least 4 weeks prior to enrollment; 12 weeks from their last radioimmunotherapy; 3 months if the last therapy was bone marrow/ peripheral stem cell transplant.
Age >18 years
ECOG performance status <2
Normal Ejection Fraction on ECHO scan
Subjects must have normal organ and marrow function as defined below:
Absolute neutrophil count >1000/mL Platelets >75,000/mL For subjects with known marrow infiltration, ANC ≥500 and platelets ≥30,000 Total bilirubin <1.5 X institutional upper limit of normal (ULN) (<2X ULN for subjects with Gilbert's syndrome) AST (SGOT) and ALT (SGPT) <3 X institutional ULN (for subjects with hepatic involvement <5 X institutional ULN) PT/INR and aPTT within 1.5 X institutional ULN Creatinine <1.5 X institutional ULN OR Creatinine clearance >60 mL/min/1.73 m2 for subjects with creatinine levels above institutional normal
Women of childbearing potential must have had a prior hysterectomy or have a negative serum pregnancy test and be using adequate contraception prior to study entry and must agree to use adequate contraception from study entry through at least 6 months after discontinuation of study drug. Men must also agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry and from study entry through at least 6 months after discontinuation of study drug. Should a woman enrolled in the study or a female partner of a man enrolled in the study become pregnant or suspect she is pregnant while participating in this study or within 6 months after discontinuation of study, she should inform the Investigator immediately.
Ability to understand and the willingness to sign a written informed consent document
Exclusion Criteria:
Subjects who meet any of the following criteria will not be eligible for participation in the study:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| UC San Diego Moores Cancer Center | La Jolla | California | 92093 | United States | ||
| University of Colorado Hospital, Anschutz Cancer Pavilion |
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| Immunogenicity of OMP-52M51 in subjects with relapsed or refractory lymphoid malignancies | At baseline, every 4 weeks, at treatment termination and every 4 weeks after the discontinuation of the study drug for 12 weeks. |
| Preliminary efficacy of OMP-52M51 in subjects with relapsed or refractory lymphoid malignancies | Evaluation for response will be assessed every 56 days and will be based on disease specific criteria. |
| Aurora |
| Colorado |
| 80045 |
| United States |
| UF Health Davis Cancer Pavilion and Shands Med Plaza | Gainesville | Florida | 32608 | United States |
| University of Nebraska Medical Center | Omaha | Nebraska | 68198-7680 | United States |
| University of Nebraska Medical Center | Omaha | Nebraska | 68198 | United States |
| Cornell University Division of Hematology and Medical Oncology | New York | New York | 10065 | United States |
| NYU Clinical Cancer Center | New York | New York | 97219 | United States |
| University of Rochester Medical Center | Rochester | New York | 14642 | United States |
| Duke Cancer Institute | Durham | North Carolina | 27710 | United States |
| Sara Cannon Research Institute | Nashville | Tennessee | 37203 | United States |
| ID | Term |
|---|---|
| D012008 | Recurrence |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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