A Phase 1 Study of Brentuximab Vedotin Given Sequentially and Combined With Multi-Agent Chemotherapy for CD30-Positive Mature T-Cell and NK-Cell Neoplasms

NCT ID: NCT01309789

Last Updated: 2017-06-28

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

39 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-02-28

Study Completion Date

2017-02-28

Brief Summary

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The purpose of this study is to assess the safety profile of brentuximab vedotin sequentially and in combination with multi-agent chemotherapy in front-line treatment for CD30-positive mature T-cell and NK-cell neoplasms, including systemic anaplastic large cell lymphoma. It is a phase 1, open-label, dose escalation study in three arms designed to define the MTD, PK, immunogenicity, and anti-tumor activity of brentuximab vedotin in sequence and in combination with multi-agent front-line chemotherapy.

Detailed Description

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Conditions

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Lymphoma, Large-Cell, Anaplastic Lymphoma, NK-cell Lymphoma, T-cell

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

Sequential

Group Type EXPERIMENTAL

brentuximab vedotin

Intervention Type DRUG

1.2-1.8 mg/kg IV every 3 weeks (Cycles 1-2 and if response, Cycles 9-16)

cyclophosphamide

Intervention Type DRUG

750 mg/m2 IV every 3 weeks (Cycles 3-8)

prednisone

Intervention Type DRUG

100 mg daily PO on Days 1-5 every 3 weeks (Cycles 3-8)

doxorubicin

Intervention Type DRUG

50 mg/m2 IV every 3 weeks (Cycles 3-8)

vincristine

Intervention Type DRUG

1.4 mg/m2 IV every 3 weeks (Cycles 3-8)

2

Combination

Group Type EXPERIMENTAL

brentuximab vedotin

Intervention Type DRUG

1.2-1.8 mg/kg IV every 3 weeks (Cycles 1-6 and if response, Cycles 7-16)

cyclophosphamide

Intervention Type DRUG

750 mg/m2 IV every 3 weeks (Cycles 1-6)

doxorubicin

Intervention Type DRUG

50 mg/m2 IV every 3 weeks (Cycles 1-6)

prednisone

Intervention Type DRUG

100 mg daily PO on Days 1-5 every 3 weeks (Cycles 1-6)

3 Brentuximab vedotin/CH-P

Combination

Group Type EXPERIMENTAL

brentuximab vedotin

Intervention Type DRUG

1.2-1.8 mg/kg IV every 3 weeks (Cycles 1-6 and if response, Cycles 7-16)

cyclophosphamide

Intervention Type DRUG

750 mg/m2 IV every 3 weeks (Cycles 1-6)

doxorubicin

Intervention Type DRUG

50 mg/m2 IV every 3 weeks (Cycles 1-6)

prednisone

Intervention Type DRUG

100 mg daily PO on Days 1-5 every 3 weeks (Cycles 1-6)

Interventions

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brentuximab vedotin

1.2-1.8 mg/kg IV every 3 weeks (Cycles 1-2 and if response, Cycles 9-16)

Intervention Type DRUG

cyclophosphamide

750 mg/m2 IV every 3 weeks (Cycles 3-8)

Intervention Type DRUG

brentuximab vedotin

1.2-1.8 mg/kg IV every 3 weeks (Cycles 1-6 and if response, Cycles 7-16)

Intervention Type DRUG

prednisone

100 mg daily PO on Days 1-5 every 3 weeks (Cycles 3-8)

Intervention Type DRUG

cyclophosphamide

750 mg/m2 IV every 3 weeks (Cycles 1-6)

Intervention Type DRUG

doxorubicin

50 mg/m2 IV every 3 weeks (Cycles 3-8)

Intervention Type DRUG

doxorubicin

50 mg/m2 IV every 3 weeks (Cycles 1-6)

Intervention Type DRUG

prednisone

100 mg daily PO on Days 1-5 every 3 weeks (Cycles 1-6)

Intervention Type DRUG

vincristine

1.4 mg/m2 IV every 3 weeks (Cycles 3-8)

Intervention Type DRUG

Other Intervention Names

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SGN-35 SGN-35

Eligibility Criteria

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Inclusion Criteria

* Treatment-naive CD30-positive mature T-cell and NK-cell neoplasms, including systemic anaplastic large cell lymphoma
* Measurable disease of at least 1.5 cm
* ECOG performance status less than or equal to 2

Exclusion Criteria

* Known cerebral/meningeal disease, including history of progressive multifocal leukoencephalopathy
* Current diagnosis of primary cutaneous anaplastic large cell lymphoma, mycosis fungoides, Sezary syndrome or other primary cutaneous lymphomas; extranodal NK/T-cell lymphoma, nasal type
* History of another primary malignancy that has not been in remission for at least 3 years
* Left ventricular ejection fraction \<45% or symptomatic cardiac disease, or myocardial infarction within the past 12 months
* Viral, bacterial, or fungal infection within two weeks prior to the first dose of brentuximab vedotin
* Known human immunodeficiency virus (HIV), hepatitis B virus, or hepatitis C virus positive status
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Millennium Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role collaborator

Seagen Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Dana Kennedy, PharmD, BCOP

Role: STUDY_DIRECTOR

Seagen Inc.

Locations

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UAB Comprehensive Cancer Center

Birmingham, Alabama, United States

Site Status

City of Hope National Medical Center

Duarte, California, United States

Site Status

Stanford Cancer Center

Stanford, California, United States

Site Status

Washington University School of Medicine

St Louis, Missouri, United States

Site Status

Memorial Sloan Kettering Cancer Center

New York, New York, United States

Site Status

Fox Chase Cancer Center

Philadelphia, Pennsylvania, United States

Site Status

St. Francis Hospital

Greenville, South Carolina, United States

Site Status

MD Anderson Cancer Center / University of Texas

Houston, Texas, United States

Site Status

Seattle Cancer Care Alliance / University of Washington Medical Center

Seattle, Washington, United States

Site Status

Christie Hospital NHS Foundation Trust

Manchester, , United Kingdom

Site Status

Southampton General Hospital

Southampton, , United Kingdom

Site Status

Countries

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United States United Kingdom

References

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Fanale MA, Horwitz SM, Forero-Torres A, Bartlett NL, Advani RH, Pro B, Chen RW, Davies A, Illidge T, Huebner D, Kennedy DA, Shustov AR. Brentuximab vedotin in the front-line treatment of patients with CD30+ peripheral T-cell lymphomas: results of a phase I study. J Clin Oncol. 2014 Oct 1;32(28):3137-43. doi: 10.1200/JCO.2013.54.2456. Epub 2014 Aug 18.

Reference Type RESULT
PMID: 25135998 (View on PubMed)

Fanale MA, Horwitz SM, Forero-Torres A, Bartlett NL, Advani RH, Pro B, Chen RW, Davies A, Illidge T, Uttarwar M, Lee SY, Ren H, Kennedy DA, Shustov AR. Five-year outcomes for frontline brentuximab vedotin with CHP for CD30-expressing peripheral T-cell lymphomas. Blood. 2018 May 10;131(19):2120-2124. doi: 10.1182/blood-2017-12-821009. Epub 2018 Mar 5.

Reference Type DERIVED
PMID: 29507077 (View on PubMed)

Other Identifiers

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2010-022839-11

Identifier Type: -

Identifier Source: secondary_id

SGN35-011

Identifier Type: -

Identifier Source: org_study_id

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