Study of MEDI-507 in With Steroid-Resistant Acute Graft-Versus-Host Disease

NCT ID: NCT00806728

Last Updated: 2008-12-11

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

17 participants

Study Classification

INTERVENTIONAL

Study Start Date

1998-05-31

Study Completion Date

1998-12-31

Brief Summary

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A clinical trial to assess safety and two regimens of (MEDI-507) a drug given to stem cell and bone marrow recipients who have a mid-grade acute Graft-versus-Host Disease.

Detailed Description

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To assess the safety of two regimens of MEDI-507 administered to stem cell and bone marrow allograft recipients who have at least grade II acute GVHD and who have not achieved a satisfactory response to at least three days of corticosteroid therapy (2 mg/kg/day of methylprednisolone or its equivalent).

Conditions

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Cancer Graft-Versus-Host Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

MEDI-507

Group Type EXPERIMENTAL

MEDI-507

Intervention Type DRUG

0.12 mg/kg of MEDI-507 given every third day for 4 doses followed by doses of normal saline on Days 16, 23, 30, and 37.

2

MEDI-507

Group Type EXPERIMENTAL

MEDI-507

Intervention Type DRUG

0.12 mg/kg of MEDI-507 given every third day for 4 doses followed by doses of MEDI-507 on Days 16, 23, 30, and 37.

Interventions

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MEDI-507

0.12 mg/kg of MEDI-507 given every third day for 4 doses followed by doses of normal saline on Days 16, 23, 30, and 37.

Intervention Type DRUG

MEDI-507

0.12 mg/kg of MEDI-507 given every third day for 4 doses followed by doses of MEDI-507 on Days 16, 23, 30, and 37.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Allogeneic bone marrow or hematopoietic stem cell graft recipients
* Acute GVHD of at least grade II severity
* Failure of GVHD to improve on at least 2 mg/kg/day of methylprednisolone or prednisone for at least three days or recurrence of acute GVHD as corticosteroids are tapered from initial treatment of the initial episode of GVHD
* Evidence of engraftment (ANC over 1000 cells/mm3)
* Histologic evidence of GVHD from biopsy performed during the current episode
* Received GVHD prophylaxis of methotrexate, tacrolimus or cyclosporine
* Age at least 18 years
* Body weight under 130 kg
* Both males and females are eligible but females of childbearing potential will use an accepted method of avoiding pregnancy for at least 60 days after the end of treatment (which includes oral or implanted contraceptives, IUD, female condom, diaphragm with spermicide, cervical cap, abstinence, use of a condom by the sexual partner or a sterile sexual partner)

Exclusion Criteria

* Previous receipt of MEDI-507
* Clinical or histologic manifestation of chronic GVHD
* Previous treatment with any anti-T-cell antibodies such as OKT®3 or daclizumab (Zenapax®)
* Receipt of antithymocyte globulin (ATGAM® or other ATG) since the day of transplant
* More than one allogeneic bone marrow or hematopoietic stem cell allograft
* Moribund and unlikely (in the opinion of the investigator) to survive 15 days
* Use of other investigational agents within 30 days (this does not include the use of licensed agents for indications not listed in the package insert)
* Any of the following clinical settings or diagnoses:

Ø documented or presumed significant active infection Ø pregnancy or nursing mother Ø evidence of infection with HIV-1, hepatitis B or C virus Ø hemodialysis or chronic peritoneal dialysis Ø use of a ventilator

* Histologically confirmed veno-occlusive disease of the liver
* Ascites on physical examination (this does not include small amounts of ascitic fluid detected only on ultrasound)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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MedImmune LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Medimmune Inc.

Principal Investigators

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J. Bruce McClain, M.D.

Role: STUDY_DIRECTOR

MedImmune LLC

Locations

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City of Hope National Medical Center

Duarte, California, United States

Site Status

University of Colorado Health Sciences Center

Denver, Colorado, United States

Site Status

University of Michigan Hospital

Ann Arbor, Michigan, United States

Site Status

Washington University Medical Center

St Louis, Missouri, United States

Site Status

University of Nebraska Medical Center

Omaha, Nebraska, United States

Site Status

University Hospital-University of Oklahoma

Oklahoma City, Oklahoma, United States

Site Status

Western Pennsylvania Hospital - Western Pennsylvania Cancer Center

Pittsburgh, Pennsylvania, United States

Site Status

Baylor University Medical Center

Dallas, Texas, United States

Site Status

M.D. Anderson Cancer Center

Houston, Texas, United States

Site Status

South Texas Cancer Institute at Methodist Hospital

San Antonio, Texas, United States

Site Status

Countries

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United States

Other Identifiers

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MI-CP042

Identifier Type: -

Identifier Source: org_study_id