A Safety and Tolerability Extension Trial Assessing Repeated Dosing of Anti-KIR (1-7F9) Human Monoclonal Antibody in Patients With Acute Myeloid Leukaemia

NCT ID: NCT01256073

Last Updated: 2014-02-28

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE1
• Total Enrollment: 21 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2007-02-28
• Study Completion Date: 2013-09-30

Brief Summary

The trial is a multi-centre, open-label, safety and tolerability extension trial to the IPH2101-101 (previously NN1975-1733) first human dose trial completed with a larger subject pool at an optimal dose level. The trial is conducted in elderly Acute Myeloid Leukemia (AML) patients over the age of 60 years, in complete remission, and who are not eligible for allogeneic stem-cell transplantation. The dose given to the individual patient will be the same as the patient received in the single dose trial IPH2101-101 and 1 mg/kg or 2 mg/kg for the 12 patients in an additional cohort.

Conditions

Acute Myeloid Leukemia

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

IPH2101

Group Type: EXPERIMENTAL

IPH2101

Intervention Type: DRUG

IPH2101 fully human anti-KIR monoclonal antibody

Interventions

IPH2101

IPH2101 fully human anti-KIR monoclonal antibody

Intervention Type: DRUG

Eligibility Criteria

Inclusion Criteria

1. Informed consent obtained before any trial-related activities (Trial-related activities are any procedure that would not have been performed during normal management of the subject)

2. Acute myeloid leukaemia (AML) according to WHO Criteria

3. Morphological complete remission (CR) defined according to NCI criteria, or CRi with incomplete platelet count recovery only after 1 or 2 cycles of induction chemotherapy, and at least 1, and maximally 6 cycles of consolidation chemotherapy:

• Absolute neutrophile count > 1x 109/L
• Platelets > 80x109/L
• Independency of blood transfusions
• Less than 5% blasts in bone-marrow
• No Auer rods
• No symptoms of disease

4. Life expectancy > 4 months as judged by the Investigator

5. The patient is > or = 60 years of age but < or = 80 years of age

6. The patient has completed participation in the IPH2101-101(previously NN1975-1733)trial with an acceptable safety profile, as judged by the Investigator or is screened for the additional cohort

7. Time since last dose of chemotherapy at least 30 days and no more than 60 days if the patient did not participate in IPH2101-101 trial before

8. Recovery from acute toxicities of all previous anti-leukaemic therapies

9. KIR-expression on patient NK-cells (ability to bind Anti-KIR(1-7F9)) if the patient did not participate in IPH2101-101 trial before

10. ECOG performance status 0, 1 or 2

11. No major organ dysfunction as judged by the Investigator

12. The patients must have the following clinical laboratory values:

• Serum creatinine < or = 2 md/dL
• Total bilirubin < or = 1.5 x the upper limit of normal
• Asparatate aminotransferase (AST) < 3x the upper limit of normal

Exclusion Criteria

1. Known or suspected allergy to trial product or related products

2. Previous participation in this trial

3. AML classified as FAB M3 (APL, acute promyelocytic leukaemia) or with good prognosis AML i.e. t(8;21)(q22;q22) or inv(16)(p13q22) or t(16;16)(p13;q22) or their molecular equivalents

4. Eligibility for allogeneic haematopoietic transplantation

5. The patient is currently receiving, or has within the last 4 weeks received other investigational anti-leukemic treatment such as cytokine treatment, except Anti-KIR(1-7F9)

6. The patient has received G-CSF treatment within the last 30 days prior to screening

7. Systemic steroid treatment within the last 4 weeks prior to screening

8. Patient has active autoimmune disease

9. Diagnosis of monoclonal gammopathy

10. Patient has active infectious disease

11. Previous leukaemic CNS involvement

12. Cardiac failure (New York Heart Association [NYHA] grade III-IV)

13. Left ventricular ejection fraction (LVEF) less than 45 % of normal evaluated by ultrasound or isotopic evaluation

14. Severe neurological/psychiatric disorder

15. HIV or chronic hepatitis infection

16. Clinical evidence of an active second malignancy

17. Mental incapacity, unwillingness or language barriers precluding adequate understanding or co-operation

18. Any new medical condition that in the opinion of the Investigator disqualifies the patient for inclusion

• Minimum Eligible Age: 60 Years
• Maximum Eligible Age: 80 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Innate Pharma

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Norbert Vey, MD

Role: PRINCIPAL_INVESTIGATOR

Institut Paoli Calmettes Marseille France

Locations

Institut Paoli-Calmettes

Marseille, Marseille Cedex 09, France

Hopital Dupuytren

Limoges, , France

C.H.R.U. de Nantes - Hotel Dieu

Nantes, , France

Centre Hospitalier Lyon Sud - Hospices Civils de Lyon

Pierre-Bénite, , France

Hopital de Purpan

Toulouse, , France

Institut Gustave Roussy

Villejuif, , France

Countries

France

Other Identifiers

IPH 2101-102

Identifier Type: -

Identifier Source: org_study_id