Lumiliximab in Combination With FCR in Subjects With Relapsed Chronic Lymphocytic Leukemia (CLL)

NCT ID: NCT00103558

Last Updated: 2015-10-02

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

31 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-03-31

Study Completion Date

2010-03-31

Brief Summary

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This is an open label, Phase I/II, dose escalation research study of an investigational product called lumiliximab, given with FDA (Food and Drug Administration) approved products fludarabine, cyclophosphamide, and rituximab (FCR). The study duration is 17 visits over 42 months or until your disease progresses and you require additional CLL therapy. The total duration of participation in the study will be approximately 4 years, however your disease status will be followed indefinitely (forever).

Detailed Description

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Conditions

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Chronic Lymphocytic Leukemia

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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Lumiliximab with FCR

Dose, schedule, and duration specified in protocol

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age: 18 years and older
* Diagnosis of B-cell CLL by International Workshop on CLL (IWCLL) response criteria
* Relapsed CD23+ B-cell CLL
* Rai Stage III or IV, or Rai Stage I or II if determined to have disease progression as evidenced by rapid doubling or peripheral lymphocyte count, progressive lymphadenopathy, progressive splenomegaly, or B symptoms
* Prestudy WHO Performance Status less than or equal to 2
* Signed, written Institutional Review Board (IRB)-approved informed consent
* Men \& women of reproductive potential must agree to follow accepted birth control methods during treatment for 3 months after completion of treatment
* Acceptable liver function: Bilirubin less than or equal to 2.0 mg/dL (26 µmol/L), AST (SGOT) \&/or ALT (SGPT) less than or equal to 2 times upper limit of normal
* Acceptable hematologic status: Platelet count less than or equal to 50 x 10\^9/L, ANC less than or equal to 1 x 109/L
* Acceptable renal function: Serum creatinine less than or equal to 1.5 times upper limit of normal

Exclusion Criteria

* Subjects who did not respond to prior FCR therapy (relapsed within 6 months of the last dose).
* Cancer radiotherapy, radioimmunotherapy, biological therapy, chemotherapy, or other investigational therapy within 4 weeks prior to Study Day 1
* Previous exposure to lumiliximab or other anti-CD23 antibodies
* Subjects who have had a prior allogenic bone marrow transplant (BMT) or autologous BMT or peripheral stem-cell transplant (PBSCT)
* Known infection with HIV, hepatitis B, or hepatitis C
* Uncontrolled diabetes mellitus
* Uncontrolled hypertension
* Transformation to aggressive B-cell malignancy (e.g., larger B-cell lymphoma, Richter's Syndrome, or prolymphocyte leukemia (PLL)
* Subjects with secondary malignancy requiring active treatment (except hormonal therapy)
* Subjects with medical conditions currently requiring long-term use (less than 1 month) of systemic corticosteroids
* Serious nonmalignant disease or laboratory abnormality, which, in the opinion of the investigator \&/or sponsor, would compromise protocol objectives
* Active uncontrolled bacteria, viral, or fungal infections
* New York Heart Association Class III or IV cardiac disease, myocardial infarction within the past 6 months prior to Study Day 1, unstable arrhythmia, or evidence of ischemia on ECG within 14 days prior to Study Day 1
* Seizure disorders requiring anticonvulsant therapy
* Severe chronic obstructive pulmonary disease with hypoxemia
* Major surgery, other than diagnostic surgery, within 4 weeks prior to Study Day 1
* Clinically active autoimmune disease
* Subjects with a history of fludarabine-induced autoimmune cytopenia
* Pregnant or currently breast-feeding
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Biogen

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director

Role: STUDY_DIRECTOR

Biogen

Locations

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Research Site

Birmingham, Alabama, United States

Site Status

Research Site

San Diego, California, United States

Site Status

Research Site

Baltimore, Maryland, United States

Site Status

Research Site

Columbus, Ohio, United States

Site Status

Research Site

Houston, Texas, United States

Site Status

Countries

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United States

References

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Pathan NI, Chu P, Hariharan K, Cheney C, Molina A, Byrd J. Mediation of apoptosis by and antitumor activity of lumiliximab in chronic lymphocytic leukemia cells and CD23+ lymphoma cell lines. Blood. 2008 Feb 1;111(3):1594-602. doi: 10.1182/blood-2007-03-082024. Epub 2007 Nov 21.

Reference Type BACKGROUND
PMID: 18032710 (View on PubMed)

Byrd JC, O'Brien S, Flinn IW, Kipps TJ, Weiss M, Rai K, Lin TS, Woodworth J, Wynne D, Reid J, Molina A, Leigh B, Harris S. Phase 1 study of lumiliximab with detailed pharmacokinetic and pharmacodynamic measurements in patients with relapsed or refractory chronic lymphocytic leukemia. Clin Cancer Res. 2007 Aug 1;13(15 Pt 1):4448-55. doi: 10.1158/1078-0432.CCR-06-1463.

Reference Type BACKGROUND
PMID: 17671129 (View on PubMed)

Byrd JC, Kipps TJ, Flinn IW, Castro J, Lin TS, Wierda W, Heerema N, Woodworth J, Hughes S, Tangri S, Harris S, Wynne D, Molina A, Leigh B, O'Brien S. Phase 1/2 study of lumiliximab combined with fludarabine, cyclophosphamide, and rituximab in patients with relapsed or refractory chronic lymphocytic leukemia. Blood. 2010 Jan 21;115(3):489-95. doi: 10.1182/blood-2009-08-237727. Epub 2009 Oct 20.

Reference Type DERIVED
PMID: 19843887 (View on PubMed)

Other Identifiers

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152-30

Identifier Type: -

Identifier Source: org_study_id

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