Monoclonal Antibody Plus Interleukin-2 in Treating Patients With Leukemia or Lymphoma

NCT ID: NCT00002681

Last Updated: 2011-06-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

25 participants

Study Classification

INTERVENTIONAL

Study Start Date

1995-07-31

Study Completion Date

2003-12-31

Brief Summary

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RATIONALE: Monoclonal antibodies can locate cancer cells and either kill them or deliver cancer-killing substances to them without harming normal cells. Interleukin-2 may stimulate a person's white blood cells to kill leukemia or lymphoma cells. Combining these two therapies may be an effective treatment for leukemia and lymphoma.

PURPOSE: Phase I/II trial to study the effectiveness of monoclonal antibody therapy plus interleukin-2 in treating patients who have leukemia or lymphoma.

Detailed Description

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OBJECTIVES:

* Assess the safety and tolerability of a multidose regimen of humanized anti-Tac monoclonal antibody (HAT) and interleukin-2 (IL-2) in patients with leukemia and lymphoma.
* Describe the pharmacokinetics/pharmacodynamics of HAT and IL-2 in a multidose schedule, including serum half-life of free HAT, area under the curve, and volume of distribution.
* Evaluate the immunogenicity of HAT.
* Identify immunologic parameters that correlate with efficacy.
* Evaluate the preliminary efficacy of HAT in these patients.
* Monitor patients receiving indium-111-labeled HAT for circulating infused antibody for pharmacokinetics, tumor imaging, and bioactivity (binding ability).

OUTLINE: Patients are stratified according to disease (Hodgkin's lymphoma vs acute myelogenous leukemia vs chronic myelogenous leukemia).

Patients receive humanized anti-TAC monoclonal antibody (HAT) IV over 30 minutes on day 1, then IV over 30 minutes every 7 days and interleukin-2 subcutaneously daily. Treatment continues for up to 1 year in the absence of disease progression, unacceptable toxicity, or development of neutralizing antibodies.

Patients are followed weekly for 2 months.

PROJECTED ACCRUAL: A total of 25 patients with Hodgkin's lymphoma and 14 each with AML and CML will be accrued for this study.

Conditions

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Leukemia Lymphoma

Study Design

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Primary Study Purpose

TREATMENT

Interventions

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aldesleukin

Intervention Type BIOLOGICAL

daclizumab

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Measurable disease
* No symptomatic CNS disease

PATIENT CHARACTERISTICS:

Age:

* 18 and over

Performance status:

* 0-2

Life expectancy:

* Greater than 2 months

Hematopoietic:

* Not specified

Hepatic:

* Bilirubin no greater than 3 times normal
* No significant hepatic disease

Renal:

* Creatinine no greater than 3 times normal
* No significant renal disease

Cardiovascular:

* No significant cardiovascular disease

Pulmonary:

* No significant pulmonary disease

Other:

* No significant endocrine, rheumatologic, or allergic disease
* No HIV-I antibody
* No active disease due to any of the following:
* Cytomegalovirus Herpes simplex virus I/II
* Hepatitis B or C Tuberculosis
* Negative pregnancy test required of fertile women

PRIOR CONCURRENT THERAPY:

Biologic therapy:

* No prior murine anti-Tac monoclonal antibody

Chemotherapy:

* At least 4 weeks since chemotherapy

Endocrine therapy:

* Not specified

Radiotherapy:

* At least 4 weeks since radiotherapy

Surgery:

* Not specified

Other:

* Concurrent treatment allowed for complications of primary disease
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

Beth Israel Deaconess Medical Center

OTHER

Sponsor Role collaborator

Roger Williams Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Roger Williams Medical Center

Principal Investigators

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Richard P. Junghans, MD, PhD

Role: STUDY_CHAIR

Beth Israel Deaconess Medical Center

Locations

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Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States

Site Status

Countries

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United States

Other Identifiers

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BIDMC-92020534

Identifier Type: -

Identifier Source: secondary_id

NEDH-92020534

Identifier Type: -

Identifier Source: secondary_id

BIDMC-FDR001054

Identifier Type: -

Identifier Source: secondary_id

NCI-H95-0732

Identifier Type: -

Identifier Source: secondary_id

CDR0000064351

Identifier Type: -

Identifier Source: org_study_id

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