Study of SGN-40 in Patients With Refractory or Recurrent Multiple Myeloma

NCT ID: NCT00079716

Last Updated: 2014-12-18

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

Total Enrollment

44 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-03-31

Study Completion Date

2007-11-30

Brief Summary

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The purpose of this study is to determine the safety and activity of SGN-40 in a weekly dosage schedule as a single agent.

Detailed Description

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This is an open-label, multi-dose, single-arm, phase I, dose-escalation study to define the toxicity profile, maximum tolerated dose (MTD), pharmacokinetics, and antitumor activity of SGN-40 in patients with refractory or recurrent multiple myeloma.

A minimum of three patients will be entered into each dose-level cohort. All patients will receive a dose-loading schedule during the first two weeks. The maximum weekly dose will be 16mg/kg.

Conditions

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Multiple Myeloma

Keywords

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Antigens, CD40 Antibody, Monoclonal Blood Coagulation Disorders Hematologic Diseases Hemorrhagic Disorders Hemostatic Disorders Immunoproliferative Disorders Lymphoproliferative Disorders Paraproteinemias Vascular Diseases Antibody-Dependent Cell Cytotoxicity

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

Group Type EXPERIMENTAL

SGN-40 (anti-huCD40 mAb)

Intervention Type DRUG

0.5-8 mg/kg IV (in the vein) on Day 1; 0-8 mg/kg on Day 4; 0.5-16 mg/kg on Days 8 and 15; 0-16 mg/kg on Day 29.

Interventions

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SGN-40 (anti-huCD40 mAb)

0.5-8 mg/kg IV (in the vein) on Day 1; 0-8 mg/kg on Day 4; 0.5-16 mg/kg on Days 8 and 15; 0-16 mg/kg on Day 29.

Intervention Type DRUG

Other Intervention Names

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dacetuzumab

Eligibility Criteria

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Inclusion Criteria

1. Patients must have refractory or recurrent secretory multiple myeloma (MM).
2. Patients must have failed at least two different prior systemic therapies for MM.
3. Patients may have received a maximum of five cytotoxic regimens.
4. Patients who have received any of the following must complete within the specified time frame below:

* Autologous stem cell transplant - 12 weeks prior to first dose
* Nitrogen Mustard agents, Melphalan, BCNU, IVIG, or monoclonal antibody therapy - 6 weeks prior to first dose
* Chemotherapy, Radiation, or other therapies for MM - 4 weeks prior to first dose
5. Patients who have not undergone autologous stem cell transplantation must be either ineligible for stem cell transplantation or, if eligible, must have refused treatment by autologous stem cell transplantation.
6. Patients must have an ECOG performance status of ≤ 2 and a life expectancy \> three months.
7. Patients must be available for periodic blood sampling, study-related assessments, and management of toxicity at the treating institution for the entire duration of the study.
8. Patients must be at least 18 years of age.
9. Females of childbearing potential must have a negative β-HCG pregnancy test result within three days of enrollment. All patients must plan to use an effective contraceptive method during the course of the study.
10. Patients must meet baseline lab data requirements.
11. Patients must give written informed consent.

Exclusion Criteria

1. Patients with non-secretory MM or solitary plasmacytoma or plasma cell leukemia.
2. Patients with a history of allogeneic transplantation.
3. Patients receiving plasmapheresis within four weeks prior to enrollment.
4. Patients undergoing major surgery within four weeks prior to enrollment.
5. Patients with a known hypersensitivity to recombinant proteins or any excipient contained in the drug formulation.
6. Patients with a history of other malignancies during the past five years with the exception of adequately treated basal or squamous cell skin cancer or cervical carcinoma in situ.
7. Patients with any active viral, bacterial, or systemic fungal infection within four weeks of enrollment.
8. Patients with a history of significant chronic or recurrent infections requiring treatment.
9. Patients with a history of active thrombosis within three months of enrollment.
10. Patients with a history of pulmonary embolism.
11. Patients with a history of migraines or severe headaches requiring medical therapy within 12 months of enrollment.
12. Patients who are pregnant or breastfeeding.
13. Patients with uncontrolled hypercalcemia.
14. Patients with any serious underlying medical condition that would impair their ability to receive or tolerate the planned treatment.
15. Patients with dementia or altered mental status that would preclude understanding and rendering of informed consent.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Genentech, Inc.

INDUSTRY

Sponsor Role collaborator

Seagen Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Seattle Genetics, Inc.

Principal Investigators

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Nancy Whiting, PharmD

Role: STUDY_DIRECTOR

Seagen Inc.

Locations

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James R. Berenson M.D., Inc.

West Hollywood, California, United States

Site Status

Rocky Mountain Cancer Center

Denver, Colorado, United States

Site Status

Dana Farber Cancer Institute

Boston, Massachusetts, United States

Site Status

Cornell University

New York, New York, United States

Site Status

The Cleveland Clinic

Cleveland, Ohio, United States

Site Status

Countries

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United States

References

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Hayashi T, Treon SP, Hideshima T, Tai YT, Akiyama M, Richardson P, Chauhan D, Grewal IS, Anderson KC. Recombinant humanized anti-CD40 monoclonal antibody triggers autologous antibody-dependent cell-mediated cytotoxicity against multiple myeloma cells. Br J Haematol. 2003 May;121(4):592-6. doi: 10.1046/j.1365-2141.2003.04322.x.

Reference Type RESULT
PMID: 12752100 (View on PubMed)

Hussein M, Berenson JR, Niesvizky R, Munshi N, Matous J, Sobecks R, Harrop K, Drachman JG, Whiting N. A phase I multidose study of dacetuzumab (SGN-40; humanized anti-CD40 monoclonal antibody) in patients with multiple myeloma. Haematologica. 2010 May;95(5):845-8. doi: 10.3324/haematol.2009.008003. Epub 2010 Feb 4.

Reference Type RESULT
PMID: 20133895 (View on PubMed)

Related Links

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Other Identifiers

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SG040-0001

Identifier Type: -

Identifier Source: org_study_id