Study Evaluating Chemotherapy in Combination With Inotuzumab Ozogamicin In Subjects With Non-Hodgkin's Lymphoma

NCT ID: NCT01055496

Last Updated: 2019-08-02

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

103 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-03-31

Study Completion Date

2014-03-31

Brief Summary

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This is a phase 1 trial designed to evaluate safety and tolerability of chemotherapy in combination with inotuzumab ozogamicin, an investigational product, in adults with CD22-positive non-Hodgkin's lymphoma. The trial will involve two arms. In one arm, subjects will receive chemotherapy regimen R-CVP (rituximab, cyclophosphamide, vincristine and prednisone). In the other arm, subjects will receive R-GDP (rituximab, gemcitabine, cisplatinum and dexamethasone). Subjects in both arms will also receive inotuzumab ozogamicin.

Detailed Description

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Conditions

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Lymphoma, B-Cell

Study Design

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Allocation Method

NON_RANDOMIZED

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Arm 1 (R-CVP)

Subjects in arm 1 will be enrolled in dose escalation cohorts that will initially evaluate an escalating dose of cyclophosphamide in combination with set doses of inotuzumab ozogamicin, vincristine, prednisone, and rituximab.

Group Type EXPERIMENTAL

inotuzumab ozogamicin+rituximab +cyclophosphamide+vincristine+prednisone

Intervention Type DRUG

Day 1:

Rituximab at 375 mg/m2 Cyclophosphamide at 375 mg/m2 (cohort 1), 550mg/m2 (cohort 2), 750 mg/m2 (cohort 3, 4) Vincristine at 1.4 mg/m2 (max 2 mg)

Day 2 Inotuzumab ozogamicin at 0.8 mg/m2 (cohort 1, 2, 3), 1.3 mg/m2 (cohort 4)

Days 1-5:

Prednisone at 40 mg/m2

Each cycle is 3 weeks, with a maximum of 6 cycles total.

Arm 2 (R-GDP)

Subjects in arm 2 will be enrolled in dose escalation cohorts that will initially evaluate escalating doses of gemcitabine and/or cisplatinum in combination with set doses of inotuzumab ozogamicin, dexamethasone, and rituximab.

Group Type EXPERIMENTAL

inotuzumab ozogamicin+rituximab+gemcitabine+cisplatinum+dexamethasone

Intervention Type DRUG

Day 1:

Rituximab at 375 mg/m2 Gemcitabine at 500 mg/m2 (cohort 1, 2b, 3b), 1000mg/m2 (cohort 2a, 3a, 4, 5) Cisplatin at 37.5 mg/m2 (cohort 1, 2a), 50mg/m2 (cohort 2b, 3a), 75mg/m2 (cohort 3b, 4, 5)

Day 2:

Inotuzumab ozogamicin at 0.8 mg/m2 (cohort 1, 2a, 2b, 3a, 3b, 4), 1.3mg/m2 (cohort 5)

Days 1-4:

Dexamethasone at 40 mg

Each cycle is 3 weeks, with a maximum of 6 cycles total.

Interventions

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inotuzumab ozogamicin+rituximab +cyclophosphamide+vincristine+prednisone

Day 1:

Rituximab at 375 mg/m2 Cyclophosphamide at 375 mg/m2 (cohort 1), 550mg/m2 (cohort 2), 750 mg/m2 (cohort 3, 4) Vincristine at 1.4 mg/m2 (max 2 mg)

Day 2 Inotuzumab ozogamicin at 0.8 mg/m2 (cohort 1, 2, 3), 1.3 mg/m2 (cohort 4)

Days 1-5:

Prednisone at 40 mg/m2

Each cycle is 3 weeks, with a maximum of 6 cycles total.

Intervention Type DRUG

inotuzumab ozogamicin+rituximab+gemcitabine+cisplatinum+dexamethasone

Day 1:

Rituximab at 375 mg/m2 Gemcitabine at 500 mg/m2 (cohort 1, 2b, 3b), 1000mg/m2 (cohort 2a, 3a, 4, 5) Cisplatin at 37.5 mg/m2 (cohort 1, 2a), 50mg/m2 (cohort 2b, 3a), 75mg/m2 (cohort 3b, 4, 5)

Day 2:

Inotuzumab ozogamicin at 0.8 mg/m2 (cohort 1, 2a, 2b, 3a, 3b, 4), 1.3mg/m2 (cohort 5)

Days 1-4:

Dexamethasone at 40 mg

Each cycle is 3 weeks, with a maximum of 6 cycles total.

Intervention Type DRUG

Other Intervention Names

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CMC-544 CMC-544

Eligibility Criteria

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Inclusion Criteria

* Dose escalation cohorts: subjects with diagnosis of CD22-positive Non-Hodgkin's Lymphoma (NHL) who have had at least 1 prior anticancer treatment, including prior treatment with rituximab and chemotherapy.
* Expanded maximum tolerated dose (MTD) confirmation and preliminary efficacy cohorts: subjects with diagnosis of CD22-positive NHL who have had at least 1 prior anticancer treatment, including prior treatment with rituximab and chemotherapy or newly diagnosed subjects who are not candidates for anthracycline-based therapy.
* At least 1 measurable disease lesion that is \> 1 cm in the longest transverse diameter, with a product of the diameters \> 2.25 cm2 by CT or magnetic resonance imaging (MRI).

Exclusion Criteria

* Candidate for potentially curative therapy such as stem cell transplantation.
* Prior allogeneic hematopoietic stem cell transplantation (HSCT).
* Prior autologous transplantation, radioimmunotherapy, or other anti CD22 immunotherapy \<= 6 months before the first dose of investigational product.
* More than 3 previous combination chemotherapy (2 or more cytotoxics) anticancer regimens.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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UCB Pharma

INDUSTRY

Sponsor Role collaborator

Pfizer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pfizer CT.gov Call Center

Role: STUDY_DIRECTOR

Pfizer

Locations

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Davis Cancer Pavillion and Shands Medical Plaza

Gainesville, Florida, United States

Site Status

Shands Cancer Hospital At The University Of Florida

Gainesville, Florida, United States

Site Status

Shands Hospital at the University of Florida

Gainesville, Florida, United States

Site Status

Fox Chase Cancer Center

Philadelphia, Pennsylvania, United States

Site Status

The University of Texas MD Anderson Cancer Center

Houston, Texas, United States

Site Status

Northwest Medical Specialties, PLLC

Federal Way, Washington, United States

Site Status

Northwest Medical Specialties, PLLC

Gig Harbor, Washington, United States

Site Status

Northwest Medical Specialties, PLLC

Lakewood, Washington, United States

Site Status

Rainier Physicians, PC

Puyallup, Washington, United States

Site Status

Northwest Medical Specialties PLLC

Tacoma, Washington, United States

Site Status

UZ Gent

Ghent, , Belgium

Site Status

UZ Gasthuisberg

Leuven, , Belgium

Site Status

Cross Cancer Institute

Edmonton, Alberta, Canada

Site Status

Queen Elizabeth Health Sciences Centre

Halifax, Nova Scotia, Canada

Site Status

Princess Margaret Cancer Centre

Toronto, Ontario, Canada

Site Status

Hopital Saint-Louis -Universite Paris VII

Paris, , France

Site Status

Hospital Saint-Louis - Service d'Hemato-Oncologie

Paris, , France

Site Status

Centre Hospitalier Lyon Sud - Service d'Hematologie

Pierre-Bénite, , France

Site Status

Prince of Wales Hospital

Hong Kong, , Hong Kong

Site Status

Nagoya Daini Red Cross Hospital

Nagoya, Aichi-ken, Japan

Site Status

National Cancer Center Hospital

Chuo-ku, Tokyo, Japan

Site Status

Cancer Institute Hospital, Japanese Foundation For Cancer Research

Koto-Ku, Tokyo, Japan

Site Status

Singapore General Hospital

Singapore, , Singapore

Site Status

Samsung Medical Center

Seoul, , South Korea

Site Status

Nuffield Hospital

Eastleigh, Hants, United Kingdom

Site Status

Spire Southampton Hospital

Southampton, Hants, United Kingdom

Site Status

Cancer Sciences Division, Somers Cancer Research Building

Southampton, Hants, United Kingdom

Site Status

Guy's and St Thomas' NHS Foundation Trust

London, , United Kingdom

Site Status

Countries

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United States Belgium Canada France Hong Kong Japan Singapore South Korea United Kingdom

References

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Sangha R, Davies A, Dang NH, Ogura M, MacDonald DA, Ananthakrishnan R, Paccagnella ML, Vandendries E, Boni J, Goh YT. Phase 1 study of inotuzumab ozogamicin combined with R-GDP for the treatment of patients with relapsed/refractory CD22+ B-cell non-Hodgkin lymphoma. J Drug Assess. 2017 Aug 16;6(1):10-17. doi: 10.1080/21556660.2017.1315336. eCollection 2017.

Reference Type DERIVED
PMID: 28959500 (View on PubMed)

Ogura M, Tobinai K, Hatake K, Davies A, Crump M, Ananthakrishnan R, Ishibashi T, Paccagnella ML, Boni J, Vandendries E, MacDonald D. Phase I Study of Inotuzumab Ozogamicin Combined with R-CVP for Relapsed/Refractory CD22+ B-cell Non-Hodgkin Lymphoma. Clin Cancer Res. 2016 Oct 1;22(19):4807-4816. doi: 10.1158/1078-0432.CCR-15-2488. Epub 2016 May 6.

Reference Type DERIVED
PMID: 27154915 (View on PubMed)

Related Links

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Other Identifiers

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B1931003

Identifier Type: OTHER

Identifier Source: secondary_id

2009-015497-35

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

3129K2-1105

Identifier Type: -

Identifier Source: org_study_id

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