First in Human Study to Determine the Safety, Tolerability and Preliminary Efficacy of an Anti-CXCR4 Antibody in Subjects With Acute Myelogenous Leukemia and Selected B-cell Cancers

NCT ID: NCT01120457

Last Updated: 2015-03-06

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

96 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-08-31

Study Completion Date

2014-11-30

Brief Summary

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The purpose of this study is to assess the safety and tolerability of BMS-936564 (MDX-1338) in relapsed Acute myelogenous leukemia (AML) and other selected B-cell cancers and to determine the maximum tolerated dose (MTD) of the drug alone in relapsed/refractory AML

Detailed Description

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Conditions

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Acute Myelogenous Leukemia Diffuse Large B-Cell Leukemia Chronic Lymphocytic Leukemia Follicular Lymphoma

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Arm 1: Dose Escalation and Expansion cohort (AML Patients)

Dose Escalation: BMS-936564 0.3-10 mg/kg solution, Intravenous, Single 60 minute infusion as monotherapy 7 days/cycle 1 and with chemotherapy for subsequent cycles (28 days/cycle)

Dose Expansion: BMS-936564 maximum tolerated dose (MTD) based on dose escalation, solution, Intravenous, Single 60 minute infusion as monotherapy 7 days/cycle 1 and with chemotherapy for subsequent cycles (28 days/cycle)

Group Type EXPERIMENTAL

BMS-936564 (Anti-CXCR4)

Intervention Type DRUG

Arm 2: Dose Expansion cohort (DLBCL Patient)

BMS-936564 MTD based on Arm 1, weekly 60 minute infusion in cycle 1 (up to 56 days) and with chemotherapy for subsequent cycles (28 days/cycle)

Group Type EXPERIMENTAL

BMS-936564 (Anti-CXCR4)

Intervention Type DRUG

Arm 3: Dose Expansion cohort (CLL Patient)

BMS-936564 MTD based on Arm 1, weekly 60 minute infusion in cycle 1 (up to 56 days) and with chemotherapy for subsequent cycles (28 days/cycle)

Group Type EXPERIMENTAL

BMS-936564 (Anti-CXCR4)

Intervention Type DRUG

Arm 4: Dose Expansion cohort (FL Patient)

BMS-936564 MTD based on Arm 1, weekly 60 minute infusion in cycle 1 (up to 56 days) and with chemotherapy for subsequent cycles (28 days/cycle)

Group Type EXPERIMENTAL

BMS-936564 (Anti-CXCR4)

Intervention Type DRUG

Interventions

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BMS-936564 (Anti-CXCR4)

Intervention Type DRUG

Other Intervention Names

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MDX-1338

Eligibility Criteria

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Inclusion Criteria

A. Common to All Indications:

* Life expectancy at least 12 weeks
* ECOG Performance Status of 0-2

B. For Acute myelogenous leukemia (AML) Subjects:

* First Relapse and primary induction failure in AML (M3 excluded)
* Secondary AML subjects from myelodysplastic syndrome (MDS) or prior chemotherapy are eligible. MDS-only subjects are not eligible

C. For Follicular Lymphoma (FL), Diffuse Large B-Cell Lymphoma (DLBCL) Subjects:

* Must be at least 4 weeks (for FL) or 2 weeks (for DLBCL) since prior cytotoxic, biologic, monoclonal antibody, or investigational therapy
* Ability to undergo tumor biopsy pre-treatment and at end of monotherapy period (though not mandatory for all subjects)
* Subjects must have a histologically confirmed diagnosis of relapsed or refractory disease

D. For Chronic lymphocytic leukemia (CLL) Subjects:

* Subjects must have a histologically confirmed diagnosis of relapsed or refractory disease
* Must be at least 4 weeks since prior cytotoxic, biologic, monoclonal antibody, or investigational therapy, including corticosteroids

Exclusion Criteria

A. Common to All indications:

* Prior anti-CXCR4 therapy including BMS-936564 (MDX-1338)
* Less than 3 months from prior hematopoietic stem cell transplant
* Presence of active graft versus host disease

B. For AML Subjects:

* Acute promyelocytic leukemia (M3)
* Left ventricular ejection fraction \< institutional limits of normal

C. For FL, DLBCL Subjects:

* (For DLBCL): Inadequate renal function defined as creatinine clearance (by Cockcroft-Gault formula) \< 60 mL/min
* Major surgery, not related to debulking procedures, within 21 days of first dose
* Myocardial infarction within 6 months prior to screening or Class III or IV heart failure, uncontrolled angina, severe uncontrolled ventricular arrhythmias, or electrocardiographic evidence of acute ischemia
* Myelodysplastic syndrome (MDS)

D. For CLL Subjects:

* No progression to more aggressive B-cell cancers, such as Richter's syndrome
* Major surgery within 21 days of Cycle 1, Day 1. Patients undergoing debulking procedures and minor surgery are allowed after a recovery period, in the judgment of the Investigator
* Myocardial infarction within 6 months prior to screening Class III or IV heart failure, uncontrolled angina, severe uncontrolled ventricular arrhythmias, or electrocardiographic evidence of acute ischemia
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bristol-Myers Squibb

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bristol-Myers Squibb

Role: STUDY_DIRECTOR

Bristol-Myers Squibb

Locations

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Uab Comprehensive Cancer Center

Birmingham, Alabama, United States

Site Status

Uc San Diego Moores Cancer Center

La Jolla, California, United States

Site Status

Usc - Norris Comprehensive Cancer Center And Hospital

Los Angeles, California, United States

Site Status

Ucla-Division Of Hematology/Oncology

Los Angeles, California, United States

Site Status

Mayo Clinic

Jacksonville, Florida, United States

Site Status

Northwestern University Feinberg School Of Medicine

Chicago, Illinois, United States

Site Status

University Of Kansas Cancer Center And Medical Pavillion

Westwood, Kansas, United States

Site Status

B. Douglas Smith, M.D.

Baltimore, Maryland, United States

Site Status

Dana-Farber Cancer Inst

Boston, Massachusetts, United States

Site Status

The University Of Texas Md Anderson Cancer Center

Houston, Texas, United States

Site Status

University Of Washington School Of Medicine

Seattle, Washington, United States

Site Status

Countries

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United States

Related Links

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Other Identifiers

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CA212-001

Identifier Type: -

Identifier Source: org_study_id

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