Trial Outcomes & Findings for Campath-1H for Treating Adult T-Cell Leukemia/Lymphoma (NCT NCT00061048)

NCT ID: NCT00061048

Last Updated: 2012-10-31

Results Overview

Overall response rate is defined as the percentage of participants with response and utilizes the International Standardized workshop definition. Complete response(CR)-Complete disappearance of all detectable clinical and radiographic evidence of disease and disappearance of all disease related symptoms if present before therapy and normalization of those biochemical abnormalities (for example LDH) definitely assignable to the lymphoma. Please see the protocol Link module for the full criteria if desired.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

29 participants

Primary outcome timeframe

60 months

Results posted on

2012-10-31

Participant Flow

Anticipate enrolling 10-12 patients per year into the Campath-1H trial. Thus, if the trial goes to completion (2nd stage)we anticipate enrolling the 29 patients in approximately 2.5 years.

Participant milestones

Participant milestones
Measure
Campath-1H Treatment of Adult T-cell Leukemia (ATL)
Intravenous Campath-1H 3 mg on day #1, 10mg on day #2, and 30mg on day #3 followed by maintenance Campath-1H 30 mg intravenously three times per week. Patients are eligible to receive a maximum of 12 weeks of maintenance Campath-1H treatment.
Overall Study
STARTED
29
Overall Study
COMPLETED
7
Overall Study
NOT COMPLETED
22

Reasons for withdrawal

Reasons for withdrawal
Measure
Campath-1H Treatment of Adult T-cell Leukemia (ATL)
Intravenous Campath-1H 3 mg on day #1, 10mg on day #2, and 30mg on day #3 followed by maintenance Campath-1H 30 mg intravenously three times per week. Patients are eligible to receive a maximum of 12 weeks of maintenance Campath-1H treatment.
Overall Study
Adverse Event
2
Overall Study
disease progression
20

Baseline Characteristics

Campath-1H for Treating Adult T-Cell Leukemia/Lymphoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Campath-1H Treatment of Adult T-cell Leukemia (ATL)
n=29 Participants
Intravenous Campath-1H 3 mg on day #1, 10mg on day #2, and 30mg on day #3 followed by maintenance Campath-1H 30 mg intravenously three times per week. Patients are eligible to receive a maximum of 12 weeks of maintenance Campath-1H treatment.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
25 Participants
n=5 Participants
Age, Categorical
>=65 years
4 Participants
n=5 Participants
Age Continuous
52.54 years
STANDARD_DEVIATION 13.39 • n=5 Participants
Sex: Female, Male
Female
19 Participants
n=5 Participants
Sex: Female, Male
Male
10 Participants
n=5 Participants
Region of Enrollment
United States
29 participants
n=5 Participants

PRIMARY outcome

Timeframe: 60 months

Overall response rate is defined as the percentage of participants with response and utilizes the International Standardized workshop definition. Complete response(CR)-Complete disappearance of all detectable clinical and radiographic evidence of disease and disappearance of all disease related symptoms if present before therapy and normalization of those biochemical abnormalities (for example LDH) definitely assignable to the lymphoma. Please see the protocol Link module for the full criteria if desired.

Outcome measures

Outcome measures
Measure
Campath-1H Treatment of Adult T-cell Leukemia (ATL)
n=29 Participants
Intravenous Campath-1H 3 mg on day #1, 10mg on day #2, and 30mg on day #3 followed by maintenance Campath-1H 30 mg intravenously three times per week. Patients are eligible to receive a maximum of 12 weeks of maintenance Campath-1H treatment.
Overall Response Rate
52 percentage of participants
Interval 32.5 to 70.6

PRIMARY outcome

Timeframe: 60 months

Time between the first day of treatment to the day of death.

Outcome measures

Outcome measures
Measure
Campath-1H Treatment of Adult T-cell Leukemia (ATL)
n=29 Participants
Intravenous Campath-1H 3 mg on day #1, 10mg on day #2, and 30mg on day #3 followed by maintenance Campath-1H 30 mg intravenously three times per week. Patients are eligible to receive a maximum of 12 weeks of maintenance Campath-1H treatment.
Overall Survival
5.9 months
Interval 4.7 to 8.7

PRIMARY outcome

Timeframe: 60 months

Time between the first day of treatment to the day of disease progression which is defined as a persistent (at least two determinations) doubling of the peripheral blood leukemic cell count, the development of new lesions, or Ca elevations that are uncontrolled by conventional therapeutic procedures.

Outcome measures

Outcome measures
Measure
Campath-1H Treatment of Adult T-cell Leukemia (ATL)
n=29 Participants
Intravenous Campath-1H 3 mg on day #1, 10mg on day #2, and 30mg on day #3 followed by maintenance Campath-1H 30 mg intravenously three times per week. Patients are eligible to receive a maximum of 12 weeks of maintenance Campath-1H treatment.
Time to Progression
2.0 months
Interval 1.0 to 3.9

SECONDARY outcome

Timeframe: 6 months

The CD52 antibody-binding capacity (ABC) value is the measurement of the mean value of the maximum capacity of each cell to bind the anti-CD52 and when determined under conditions of saturating levels of antibody measures number of mean surface CD52 antigens per cell. CD52 ABC is negative when 100% saturation by therapeutic antibody is achieved.

Outcome measures

Outcome measures
Measure
Campath-1H Treatment of Adult T-cell Leukemia (ATL)
n=29 Participants
Intravenous Campath-1H 3 mg on day #1, 10mg on day #2, and 30mg on day #3 followed by maintenance Campath-1H 30 mg intravenously three times per week. Patients are eligible to receive a maximum of 12 weeks of maintenance Campath-1H treatment.
Cell Surface Expression of CD52 on Tumor Cells
82.15 ABC value
Standard Deviation 13.7

SECONDARY outcome

Timeframe: 18 months

Here are the total number of participants with adverse events. For the detailed list of adverse events see the adverse event module.

Outcome measures

Outcome measures
Measure
Campath-1H Treatment of Adult T-cell Leukemia (ATL)
n=29 Participants
Intravenous Campath-1H 3 mg on day #1, 10mg on day #2, and 30mg on day #3 followed by maintenance Campath-1H 30 mg intravenously three times per week. Patients are eligible to receive a maximum of 12 weeks of maintenance Campath-1H treatment.
The Number of Participants With Adverse Events
8 participants

Adverse Events

Campath-1H Treatment of Adult T-cell Leukemia (ATL)

Serious events: 8 serious events
Other events: 29 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Campath-1H Treatment of Adult T-cell Leukemia (ATL)
n=29 participants at risk
Intravenous Campath-1H 3 mg on day #1, 10mg on day #2, and 30mg on day #3 followed by maintenance Campath-1H 30 mg intravenously three times per week. Patients are eligible to receive a maximum of 12 weeks of maintenance Campath-1H treatment.
Vascular disorders
CARDIOVASCULAR (GENERAL):: Hypotension
3.4%
1/29 • Number of events 1 • 5 years
General disorders
CONSTITUTIONAL SYMPTOMS:: Constitutional Symptoms-Other (death)
6.9%
2/29 • Number of events 2 • 5 years
General disorders
CONSTITUTIONAL SYMPTOMS:: Fatigue (lethargy, malaise, asthenia)
3.4%
1/29 • Number of events 1 • 5 years
General disorders
CONSTITUTIONAL SYMPTOMS:: Rigors, chills
3.4%
1/29 • Number of events 1 • 5 years
Endocrine disorders
ENDOCRINE:: Endocrine-Other (Endocrine:hyperthyroidism graves disease)
3.4%
1/29 • Number of events 1 • 5 years
Gastrointestinal disorders
GASTROINTESTINAL:: Vomiting
3.4%
1/29 • Number of events 1 • 5 years
Infections and infestations
INFECTION/FEBRILE NEUTROPENIA:: Infection without neutropenia
3.4%
1/29 • Number of events 1 • 5 years
Metabolism and nutrition disorders
METABOLIC/LABORATORY:: Hypercalcemia
3.4%
1/29 • Number of events 1 • 5 years
Nervous system disorders
NEUROLOGY:: Neurology-Other (Unresponsiveness)
3.4%
1/29 • Number of events 1 • 5 years
Eye disorders
OCULAR/VISUAL:: Vision-blurred vision
3.4%
1/29 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
PULMONARY:: Apnea
3.4%
1/29 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
PULMONARY:: Hypoxia
3.4%
1/29 • Number of events 1 • 5 years

Other adverse events

Other adverse events
Measure
Campath-1H Treatment of Adult T-cell Leukemia (ATL)
n=29 participants at risk
Intravenous Campath-1H 3 mg on day #1, 10mg on day #2, and 30mg on day #3 followed by maintenance Campath-1H 30 mg intravenously three times per week. Patients are eligible to receive a maximum of 12 weeks of maintenance Campath-1H treatment.
Gastrointestinal disorders
GASTROINTESTINAL:: Dysphagia, esophagitis, odynophagia (painful swallowing)
3.4%
1/29 • Number of events 1 • 5 years
Gastrointestinal disorders
GASTROINTESTINAL:: Flatulence
3.4%
1/29 • Number of events 1 • 5 years
Gastrointestinal disorders
GASTROINTESTINAL:: Gastrointestinal-Other (Abdominal distention)
3.4%
1/29 • Number of events 1 • 5 years
Gastrointestinal disorders
GASTROINTESTINAL:: Mouth dryness
3.4%
1/29 • Number of events 1 • 5 years
Gastrointestinal disorders
GASTROINTESTINAL:: Nausea
37.9%
11/29 • Number of events 13 • 5 years
Gastrointestinal disorders
GASTROINTESTINAL:: Stomatitis/pharyngitis (oral/pharyngeal mucositis)
10.3%
3/29 • Number of events 5 • 5 years
Gastrointestinal disorders
GASTROINTESTINAL:: Vomiting
34.5%
10/29 • Number of events 12 • 5 years
Blood and lymphatic system disorders
HEMORRHAGE:: Epistaxis
24.1%
7/29 • Number of events 7 • 5 years
Blood and lymphatic system disorders
HEMORRHAGE:: Vaginal bleeding
3.4%
1/29 • Number of events 1 • 5 years
Hepatobiliary disorders
HEPATIC:: Alkaline phosphatase
27.6%
8/29 • Number of events 10 • 5 years
Hepatobiliary disorders
HEPATIC:: Bilirubin
17.2%
5/29 • Number of events 11 • 5 years
Hepatobiliary disorders
HEPATIC:: GGT (Gamma-Glutamyl transpeptidase)
3.4%
1/29 • Number of events 1 • 5 years
Hepatobiliary disorders
HEPATIC:: Hypoalbuminemia
48.3%
14/29 • Number of events 38 • 5 years
Hepatobiliary disorders
HEPATIC:: SGOT (AST) (serum glutamic oxaloacetic transaminase)
41.4%
12/29 • Number of events 22 • 5 years
Hepatobiliary disorders
HEPATIC:: SGPT (ALT) (serum glutamic pyruvic transaminase)
31.0%
9/29 • Number of events 14 • 5 years
Blood and lymphatic system disorders
INFECTION/FEBRILE NEUTROPENIA:: Catheter-related infection
3.4%
1/29 • Number of events 1 • 5 years
Blood and lymphatic system disorders
INFECTION/FEBRILE NEUTROPENIA:: Febrile neutropenia (fever of unknown origin without clinically or m
3.4%
1/29 • Number of events 1 • 5 years
Blood and lymphatic system disorders
INFECTION/FEBRILE NEUTROPENIA:: Infection (documented clinically or microbiologically) with grade 3
3.4%
1/29 • Number of events 1 • 5 years
Blood and lymphatic system disorders
INFECTION/FEBRILE NEUTROPENIA:: Infection without neutropenia
31.0%
9/29 • Number of events 17 • 5 years
Blood and lymphatic system disorders
INFECTION/FEBRILE NEUTROPENIA:: Infection/Febrile Neutropenia-Other (CMV antigenemia)
17.2%
5/29 • Number of events 5 • 5 years
Blood and lymphatic system disorders
LYMPHATICS:: Lymphatics
3.4%
1/29 • Number of events 1 • 5 years
Blood and lymphatic system disorders
LYMPHATICS:: Lymphatics-Other (Lymphocytes)
3.4%
1/29 • Number of events 1 • 5 years
Investigations
METABOLIC/LABORATORY:: Amylase
6.9%
2/29 • Number of events 3 • 5 years
Investigations
METABOLIC/LABORATORY:: Bicarbonate
6.9%
2/29 • Number of events 2 • 5 years
Investigations
METABOLIC/LABORATORY:: CPK (creatine phosphokinase)
6.9%
2/29 • Number of events 2 • 5 years
Investigations
METABOLIC/LABORATORY:: Hypercalcemia
17.2%
5/29 • Number of events 14 • 5 years
Investigations
METABOLIC/LABORATORY:: Hypercholesterolemia
3.4%
1/29 • Number of events 1 • 5 years
Investigations
METABOLIC/LABORATORY:: Hyperglycemia
44.8%
13/29 • Number of events 34 • 5 years
Investigations
METABOLIC/LABORATORY:: Hyperkalemia
3.4%
1/29 • Number of events 3 • 5 years
Investigations
METABOLIC/LABORATORY:: Hypermagnesemia
24.1%
7/29 • Number of events 12 • 5 years
Investigations
METABOLIC/LABORATORY:: Hypernatremia
3.4%
1/29 • Number of events 1 • 5 years
Investigations
METABOLIC/LABORATORY:: Hyperuricemia
20.7%
6/29 • Number of events 12 • 5 years
Investigations
METABOLIC/LABORATORY:: Hypocalcemia
17.2%
5/29 • Number of events 20 • 5 years
Investigations
METABOLIC/LABORATORY:: Hypoglycemia
13.8%
4/29 • Number of events 4 • 5 years
Investigations
METABOLIC/LABORATORY:: Hypokalemia
31.0%
9/29 • Number of events 18 • 5 years
Investigations
METABOLIC/LABORATORY:: Hypomagnesemia
31.0%
9/29 • Number of events 33 • 5 years
Investigations
METABOLIC/LABORATORY:: Hyponatremia
34.5%
10/29 • Number of events 27 • 5 years
Investigations
METABOLIC/LABORATORY:: Hypophosphatemia
20.7%
6/29 • Number of events 19 • 5 years
Investigations
METABOLIC/LABORATORY:: Lipase
3.4%
1/29 • Number of events 1 • 5 years
Investigations
METABOLIC/LABORATORY:: Metabolic/Laboratory-Other (Lactate)
3.4%
1/29 • Number of events 1 • 5 years
Nervous system disorders
NEUROLOGY:: Dizziness/lightheadedness
13.8%
4/29 • Number of events 4 • 5 years
Psychiatric disorders
NEUROLOGY:: Insomnia
17.2%
5/29 • Number of events 5 • 5 years
Psychiatric disorders
NEUROLOGY:: Mood alteration-anxiety, agitation
3.4%
1/29 • Number of events 1 • 5 years
Psychiatric disorders
NEUROLOGY:: Mood alteration-depression
3.4%
1/29 • Number of events 1 • 5 years
Nervous system disorders
NEUROLOGY:: Neuropathy - cranial
3.4%
1/29 • Number of events 1 • 5 years
Nervous system disorders
NEUROLOGY:: Neuropathy - motor
10.3%
3/29 • Number of events 3 • 5 years
Eye disorders
OCULAR/VISUAL:: Dry eye
3.4%
1/29 • Number of events 1 • 5 years
Eye disorders
OCULAR/VISUAL:: Ocular/Visual-Other (Ocular other: uveitis)
3.4%
1/29 • Number of events 1 • 5 years
Eye disorders
OCULAR/VISUAL:: Tearing (watery eyes)
3.4%
1/29 • Number of events 1 • 5 years
Gastrointestinal disorders
OCULAR/VISUAL:: Vision-blurred vision
6.9%
2/29 • Number of events 2 • 5 years
Eye disorders
OCULAR/VISUAL:: Vision-double vision (diplopia)
6.9%
2/29 • Number of events 2 • 5 years
Eye disorders
OCULAR/VISUAL:: Vision-photophobia
3.4%
1/29 • Number of events 1 • 5 years
Gastrointestinal disorders
PAIN:: Abdominal pain or cramping
6.9%
2/29 • Number of events 2 • 5 years
Musculoskeletal and connective tissue disorders
PAIN:: Arthralgia (joint pain)
10.3%
3/29 • Number of events 3 • 5 years
Musculoskeletal and connective tissue disorders
PAIN:: Bone pain
6.9%
2/29 • Number of events 2 • 5 years
General disorders
PAIN:: Chest pain (non-cardiac and non-pleuritic)
13.8%
4/29 • Number of events 4 • 5 years
Ear and labyrinth disorders
PAIN:: Earache (otalgia)
3.4%
1/29 • Number of events 1 • 5 years
Nervous system disorders
PAIN:: Headache
24.1%
7/29 • Number of events 11 • 5 years
Musculoskeletal and connective tissue disorders
PAIN:: Myalgia (muscle pain)
24.1%
7/29 • Number of events 13 • 5 years
Nervous system disorders
PAIN:: Pain-Other (Dental-anterior pillars tender;Foot, sharp and intermittent;Right eye ache)
20.7%
6/29 • Number of events 7 • 5 years
Reproductive system and breast disorders
PAIN:: Pelvic pain
3.4%
1/29 • Number of events 1 • 5 years
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
PAIN:: Tumor pain (onset or exacerbation of tumor pain due to treatment)
3.4%
1/29 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
PULMONARY:: Cough
17.2%
5/29 • Number of events 7 • 5 years
Respiratory, thoracic and mediastinal disorders
PULMONARY:: Dyspnea (shortness of breath)
10.3%
3/29 • Number of events 3 • 5 years
Respiratory, thoracic and mediastinal disorders
PULMONARY:: Hypoxia
6.9%
2/29 • Number of events 5 • 5 years
Respiratory, thoracic and mediastinal disorders
PULMONARY:: Pneumonitis/pulmonary infiltrates
3.4%
1/29 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
PULMONARY:: Pneumothorax
3.4%
1/29 • Number of events 1 • 5 years
Renal and urinary disorders
RENAL/GENITOURINARY:: Creatinine
10.3%
3/29 • Number of events 5 • 5 years
Renal and urinary disorders
RENAL/GENITOURINARY:: Hemoglobinuria
3.4%
1/29 • Number of events 1 • 5 years
Renal and urinary disorders
RENAL/GENITOURINARY:: Proteinuria
10.3%
3/29 • Number of events 4 • 5 years
Renal and urinary disorders
RENAL/GENITOURINARY:: Renal/Genitourinary-Other (Urine positive for white blood cells)
6.9%
2/29 • Number of events 2 • 5 years
Skin and subcutaneous tissue disorders
DERMATOLOGY/SKIN::Dermatology/Skin-Other(Thumb swelling)
3.4%
1/29 • Number of events 1 • 5 years
Immune system disorders
ALLERGY/IMMUNOLOGY:: Allergic reaction/hypersensitivity (including drug fever)
6.9%
2/29 • Number of events 2 • 5 years
Immune system disorders
ALLERGY/IMMUNOLOGY:: Allergic rhinitis (including sneezing, nasal stuffiness, postnasal drip)
6.9%
2/29 • Number of events 2 • 5 years
Investigations
BLOOD/BONE MARROW:: Hemoglobin
69.0%
20/29 • Number of events 81 • 5 years
Investigations
BLOOD/BONE MARROW:: Leukocytes (total WBC)
51.7%
15/29 • Number of events 106 • 5 years
Investigations
BLOOD/BONE MARROW:: Lymphopenia
62.1%
18/29 • Number of events 26 • 5 years
Investigations
BLOOD/BONE MARROW:: Neutrophils/granulocytes (ANC/AGC)
37.9%
11/29 • Number of events 54 • 5 years
Investigations
BLOOD/BONE MARROW:: Platelets
55.2%
16/29 • Number of events 41 • 5 years
Cardiac disorders
CARDIOVASCULAR (ARRHYTHMIA):: Cardiovascular/Arrhythmia-Other (irregular heartbeat))
3.4%
1/29 • Number of events 1 • 5 years
Cardiac disorders
CARDIOVASCULAR (ARRHYTHMIA):: Sinus bradycardia
3.4%
1/29 • Number of events 2 • 5 years
Cardiac disorders
CARDIOVASCULAR (ARRHYTHMIA):: Sinus tachycardia
17.2%
5/29 • Number of events 13 • 5 years
Cardiac disorders
CARDIOVASCULAR (ARRHYTHMIA):: Vasovagal episode
10.3%
3/29 • Number of events 3 • 5 years
Cardiac disorders
CARDIOVASCULAR (GENERAL):: Edema
17.2%
5/29 • Number of events 7 • 5 years
Vascular disorders
CARDIOVASCULAR (GENERAL):: Hypertension
6.9%
2/29 • Number of events 2 • 5 years
Vascular disorders
CARDIOVASCULAR (GENERAL):: Hypotension
37.9%
11/29 • Number of events 15 • 5 years
Cardiac disorders
CARDIOVASCULAR (GENERAL):: Phlebitis (superficial)
6.9%
2/29 • Number of events 2 • 5 years
Investigations
COAGULATION:: Partial thromboplastin time (PTT)
13.8%
4/29 • Number of events 5 • 5 years
Investigations
COAGULATION:: Prothrombin time (PT)
6.9%
2/29 • Number of events 2 • 5 years
General disorders
CONSTITUTIONAL SYMPTOMS:: Fatigue (lethargy, malaise, asthenia)
17.2%
5/29 • Number of events 6 • 5 years
General disorders
CONSTITUTIONAL SYMPTOMS:: Fever (in the absence of neutropenia, where neutropenia is defined as AGC<
75.9%
22/29 • Number of events 68 • 5 years
General disorders
CONSTITUTIONAL SYMPTOMS:: Rigors, chills
86.2%
25/29 • Number of events 48 • 5 years
General disorders
CONSTITUTIONAL SYMPTOMS:: Sweating (diaphoresis)
3.4%
1/29 • Number of events 1 • 5 years
General disorders
CONSTITUTIONAL SYMPTOMS:: Weight gain
3.4%
1/29 • Number of events 1 • 5 years
General disorders
CONSTITUTIONAL SYMPTOMS:: Weight loss
10.3%
3/29 • Number of events 6 • 5 years
Skin and subcutaneous tissue disorders
DERMATOLOGY/SKIN:: Bruising (in absence of grade 3 or 4 thrombocytopenia)
3.4%
1/29 • Number of events 2 • 5 years
Skin and subcutaneous tissue disorders
DERMATOLOGY/SKIN:: Dry skin
10.3%
3/29 • Number of events 3 • 5 years
Skin and subcutaneous tissue disorders
DERMATOLOGY/SKIN:: Injection site reaction
3.4%
1/29 • Number of events 1 • 5 years
Skin and subcutaneous tissue disorders
DERMATOLOGY/SKIN:: Pruritus
27.6%
8/29 • Number of events 10 • 5 years
Skin and subcutaneous tissue disorders
DERMATOLOGY/SKIN:: Rash/desquamation
27.6%
8/29 • Number of events 12 • 5 years
Skin and subcutaneous tissue disorders
DERMATOLOGY/SKIN:: Urticaria (hives, welts, wheals)
37.9%
11/29 • Number of events 15 • 5 years
Endocrine disorders
ENDOCRINE:: Hypothyroidism
3.4%
1/29 • Number of events 2 • 5 years
Gastrointestinal disorders
GASTROINTESTINAL:: Anorexia
20.7%
6/29 • Number of events 6 • 5 years
Gastrointestinal disorders
GASTROINTESTINAL:: Constipation
31.0%
9/29 • Number of events 13 • 5 years
Gastrointestinal disorders
GASTROINTESTINAL:: Diarrhea patients without colostomy
34.5%
10/29 • Number of events 11 • 5 years
Gastrointestinal disorders
GASTROINTESTINAL:: Dyspepsia/heartburn
10.3%
3/29 • Number of events 3 • 5 years

Additional Information

Thomas A. Waldmann, M.D.

National Cancer Institute, National Institutes of Health

Phone: 301-496-6653

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place