NCT01309789

Brief Summary

The purpose of this study is to assess the safety profile of brentuximab vedotin sequentially and in combination with multi-agent chemotherapy in front-line treatment for CD30-positive mature T-cell and NK-cell neoplasms, including systemic anaplastic large cell lymphoma. It is a phase 1, open-label, dose escalation study in three arms designed to define the MTD, PK, immunogenicity, and anti-tumor activity of brentuximab vedotin in sequence and in combination with multi-agent front-line chemotherapy.

Trial Health

90
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
39

participants targeted

Target at P50-P75 for phase_1

Timeline
Completed

Started Feb 2011

Longer than P75 for phase_1

Geographic Reach
2 countries

11 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

February 1, 2011

Completed
24 days until next milestone

First Submitted

Initial submission to the registry

February 25, 2011

Completed
10 days until next milestone

First Posted

Study publicly available on registry

March 7, 2011

Completed
2.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2013

Completed
3.9 years until next milestone

Study Completion

Last participant's last visit for all outcomes

February 28, 2017

Completed
Last Updated

June 28, 2017

Status Verified

June 1, 2017

Enrollment Period

2.2 years

First QC Date

February 25, 2011

Last Update Submit

June 27, 2017

Conditions

Keywords

Antibodies, MonoclonalAntibody-Drug ConjugateAntigens, CD30Drug TherapyHematologic DiseasesLymphomamonomethyl auristatin ELymphoma, Large-Cell, AnaplasticLymphoma, T-cellLymphoma, NK-cell

Outcome Measures

Primary Outcomes (1)

  • Incidence of adverse events and laboratory abnormalities

    Through 1 month after last dose

Secondary Outcomes (5)

  • Brentuximab vedotin concentration in blood

    Through 1 month after last dose

  • Antitherapeutic antibodies in blood

    Through 1 month after last dose

  • Best clinical response

    Through 1 month after last dose

  • Progression-free survival

    Until disease progression or study closure

  • Overall survival

    Every 3 months until death or study closure

Study Arms (3)

1

EXPERIMENTAL

Sequential

Drug: brentuximab vedotinDrug: cyclophosphamideDrug: prednisoneDrug: doxorubicinDrug: vincristine

2

EXPERIMENTAL

Combination

Drug: brentuximab vedotinDrug: cyclophosphamideDrug: doxorubicinDrug: prednisone

3 Brentuximab vedotin/CH-P

EXPERIMENTAL

Combination

Drug: brentuximab vedotinDrug: cyclophosphamideDrug: doxorubicinDrug: prednisone

Interventions

1.2-1.8 mg/kg IV every 3 weeks (Cycles 1-2 and if response, Cycles 9-16)

Also known as: SGN-35
1

750 mg/m2 IV every 3 weeks (Cycles 3-8)

1

100 mg daily PO on Days 1-5 every 3 weeks (Cycles 3-8)

1

50 mg/m2 IV every 3 weeks (Cycles 3-8)

1

1.4 mg/m2 IV every 3 weeks (Cycles 3-8)

1

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Treatment-naive CD30-positive mature T-cell and NK-cell neoplasms, including systemic anaplastic large cell lymphoma
  • Measurable disease of at least 1.5 cm
  • ECOG performance status less than or equal to 2

You may not qualify if:

  • Known cerebral/meningeal disease, including history of progressive multifocal leukoencephalopathy
  • Current diagnosis of primary cutaneous anaplastic large cell lymphoma, mycosis fungoides, Sezary syndrome or other primary cutaneous lymphomas; extranodal NK/T-cell lymphoma, nasal type
  • History of another primary malignancy that has not been in remission for at least 3 years
  • Left ventricular ejection fraction \<45% or symptomatic cardiac disease, or myocardial infarction within the past 12 months
  • Viral, bacterial, or fungal infection within two weeks prior to the first dose of brentuximab vedotin
  • Known human immunodeficiency virus (HIV), hepatitis B virus, or hepatitis C virus positive status

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (11)

UAB Comprehensive Cancer Center

Birmingham, Alabama, 35294-3300, United States

Location

City of Hope National Medical Center

Duarte, California, 91010, United States

Location

Stanford Cancer Center

Stanford, California, 94305, United States

Location

Washington University School of Medicine

St Louis, Missouri, 63110, United States

Location

Memorial Sloan Kettering Cancer Center

New York, New York, 10021, United States

Location

Fox Chase Cancer Center

Philadelphia, Pennsylvania, 19111, United States

Location

St. Francis Hospital

Greenville, South Carolina, 29601, United States

Location

MD Anderson Cancer Center / University of Texas

Houston, Texas, 77030-4000, United States

Location

Seattle Cancer Care Alliance / University of Washington Medical Center

Seattle, Washington, 98109, United States

Location

Christie Hospital NHS Foundation Trust

Manchester, M20 4BX, United Kingdom

Location

Southampton General Hospital

Southampton, SO16 6YD, United Kingdom

Location

Related Publications (2)

  • Fanale MA, Horwitz SM, Forero-Torres A, Bartlett NL, Advani RH, Pro B, Chen RW, Davies A, Illidge T, Huebner D, Kennedy DA, Shustov AR. Brentuximab vedotin in the front-line treatment of patients with CD30+ peripheral T-cell lymphomas: results of a phase I study. J Clin Oncol. 2014 Oct 1;32(28):3137-43. doi: 10.1200/JCO.2013.54.2456. Epub 2014 Aug 18.

  • Fanale MA, Horwitz SM, Forero-Torres A, Bartlett NL, Advani RH, Pro B, Chen RW, Davies A, Illidge T, Uttarwar M, Lee SY, Ren H, Kennedy DA, Shustov AR. Five-year outcomes for frontline brentuximab vedotin with CHP for CD30-expressing peripheral T-cell lymphomas. Blood. 2018 May 10;131(19):2120-2124. doi: 10.1182/blood-2017-12-821009. Epub 2018 Mar 5.

MeSH Terms

Conditions

Lymphoma, Large-Cell, AnaplasticLymphomaLymphoma, T-CellHematologic Diseases

Interventions

Brentuximab VedotinCyclophosphamidePrednisoneDoxorubicinVincristine

Condition Hierarchy (Ancestors)

Lymphoma, Non-HodgkinNeoplasms by Histologic TypeNeoplasmsLymphoproliferative DisordersLymphatic DiseasesHemic and Lymphatic DiseasesImmunoproliferative DisordersImmune System Diseases

Intervention Hierarchy (Ancestors)

OligopeptidesPeptidesAmino Acids, Peptides, and ProteinsAntibodies, Monoclonal, HumanizedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsSerum GlobulinsGlobulinsPhosphoramide MustardsNitrogen Mustard CompoundsMustard CompoundsHydrocarbons, HalogenatedHydrocarbonsOrganic ChemicalsPhosphoramidesOrganophosphorus CompoundsPregnadienediolsPregnadienesPregnanesSteroidsFused-Ring CompoundsPolycyclic CompoundsDaunorubicinAnthracyclinesNaphthacenesPolycyclic Aromatic HydrocarbonsHydrocarbons, AromaticHydrocarbons, CyclicAminoglycosidesGlycosidesCarbohydratesVinca AlkaloidsSecologanin Tryptamine AlkaloidsIndole AlkaloidsAlkaloidsHeterocyclic CompoundsIndolesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingIndolizidinesIndolizines

Study Officials

  • Dana Kennedy, PharmD, BCOP

    Seagen Inc.

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR
Expanded Access
Yes

Study Record Dates

First Submitted

February 25, 2011

First Posted

March 7, 2011

Study Start

February 1, 2011

Primary Completion

April 1, 2013

Study Completion

February 28, 2017

Last Updated

June 28, 2017

Record last verified: 2017-06

Locations