closed to enrollment due to slow patient accrual
Phase I/II Study of Combination Veltuzumab (Anti-CD20) and Fractionated 90Y- Epratuzumab (Anti-CD22) Radioimmunotherapy in Patients With Follicular Lymphoma
Sponsor study identifier
interventional
4
1 country
1
Study Start
October 2010
Actual (reported)Primary Completion
August 6, 2013
Actual (reported)Study Completion
July 31, 2015
Actual (reported)A Phase I/II clinical trial using a fractionated dosing regimen of 90Y-epratuzumab (anti-CD22) has showed encouraging responses in follicular and aggressive NHL with an ability to administer safely 2 injections of 20 mCi/m2 spaced 1 week apart. The investigators propose to combine this active 90Y-epratuzumab treatment with a regimen of veltuzumab that was also found active in Phase I/II trials. The goal of this study is to determine the safety and efficacy of 90Y-epratuzumab when used in combination with veltuzumab. The primary objective is to determine the response rate of this combination treatment. Secondary objectives are to assess safety, pharmacokinetics and targeting of 90Y-epratuzumab . Veltuzumab blood levels and anti-antibody responses will also be monitored at various times.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
July 31, 2015
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Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
June 16, 2010
Actual (reported)June 22, 2010
Actual (reported)October 2010
Actual (reported)August 6, 2013
Actual (reported)July 31, 2015
Actual (reported)June 2, 2017
Actual (reported)Determine the Maximum Tolerated 90Y Dose
Dose-limiting Toxicity
NCI CTC version 3.0 is used to grade all adverse events and to provide management guidelines for infusional toxicity. Dose-limiting toxicity (DLT) is defined as follows: Hematologic: Grade 4 toxicity \>7 days, as specified by hemoglobin levels, platelet counts or absolute neutrophil count (ANC) or failure of hemoglobin levels, platelet counts or ANC to recover to Grade 1 levels within 12 weeks of completing the treatment cycle (with the use of RBC and platelet transfusions or growth factors during the 12 weeks if necessary, but at least one week without any support prior to qualifying Grade 1 levels). Non-Hematologic: Any Grade 3 or Grade 4. Other: Any Grade 2 autoimmune reactions, or the occurrence of Grade 2 immediate-type allergic/hypersensitivity reactions (e.g., urticaria, wheezing, hypoxia and dyspnea) will be considered DLT and will also require the infusion to be permanently terminated. Occurrence of DLT requires a patient's treatment to be permanently discontinued
Safety
The Primary Objective of the Phase II Portion of the Study is to Determine the Anti-tumor Efficacy, as Measured by Response Rate, of Fractionated 90Y-epratutumab IgG Given in Combination With Veltuzumab Anti-CD20 IgG Therapy
two weekly infusions of 90Y-epratuzumab tetraxetan in combination with four weekly infusions of 200 mg/m2 veltuzumab.
The 90Y-epratuzumab treatment will begin one week after the 4th veltuzumab injection. Patients will receive unlabeled, unconjugated epratuzumab (1.5 mg/kg) that will be infused over \~30 minutes. All patients will then receive a 90Y-epratuzumab dose. Dose will be escalated by patient cohort either at 15 mCi/m2 or 20 mCi/m2. The second 90Y-epratuzumab treatment will be given at the same dose, 1 week after the first 90Y-epratuzumab dose.
Weill Cornell Medical College
New York, New York, 10065, United States
Peter Martin, MD
Weill Medical College of Cornell University
4 participants (actual enrollment reported by the registry).
First Submitted
June 16, 2010
First Posted
June 22, 2010
Study Start
October 2010
Actual (reported)Primary Completion
Veltuzumab is given in 4 weekly doses, each 200 mg/m2.
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Contact the study team to confirm eligibility.
August 6, 2013
Actual (reported)Study Completion
July 31, 2015
Actual (reported)Last Updated
February 22, 2018
Results First Posted
June 2, 2017
Record last verified: 2018-01
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Source: ClinicalTrials.gov.
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