Safety Study of the Bispecific T-cell Engager Blinatumomab (MT103) in Patients With Relapsed NHL

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Amgen Research (Munich) GmbH
ClinicalTrials.gov Identifier:
NCT00274742
First received: January 10, 2006
Last updated: November 20, 2012
Last verified: October 2011
  Purpose

The purpose of this study is to determine whether a continuous infusion of Blinatumomab (MT103) is safe in the treatment of relapsed Non-Hodgkin's Lymphoma.

Furthermore, the study is intended to provide pharmacokinetic and pharmacodynamic data of Blinatumomab as well as to get first indication of tumour activity.


Condition Intervention Phase
Non-Hodgkin's Lymphoma, Relapsed
Drug: Blinatumomab (MT103)
Phase 1

Study Type: Interventional
Study Design: Endpoint Classification: Safety Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: An Open-label, Multi-center Phase I Study to Investigate the Tolerability and Safety of a Continuous Infusion of the Bispecific T-cell Engager MT103 in Patients With Relapsed Non-Hodgkin's Lymphoma (NHL)

Resource links provided by NLM:


Further study details as provided by Amgen Research (Munich) GmbH:

Primary Outcome Measures:
  • Overall frequency of AEs [ Time Frame: until EoS ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • PK and PD measurement [ Time Frame: until EoS ] [ Designated as safety issue: No ]
  • Tumour response [ Time Frame: until EoS ] [ Designated as safety issue: No ]

Enrollment: 76
Study Start Date: June 2004
Study Completion Date: April 2012
Primary Completion Date: August 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: 1
Patients receive Blinatumomab as continuous intravenous infusion over 4-8 weeks
Drug: Blinatumomab (MT103)
doses from 0.5 to 120µg/m2/24h, continuous intravenous (CIV), over 4-8 weeks
Other Names:
  • Blinatumomab
  • MT103
  • AMG103
  • bispecific anti-CD19 T-cell engager
  • BiTE

Detailed Description:

Non-Hodgkin's Lymphoma (NHL) represents the 6th most common cancer. Globally, around 165.000 new cases are diagnosed each year, with approx. 90.000 deaths per year. The vast majority of NHLs are B-cell derived (90%) and express common B-cell antigens such as CD19, CD20 and CD22. NHL can be divided into indolent (low-grade) and aggressive (high-grade) lymphomas. Still almost all patients with advanced stage indolent disease will die from their disease. Therefore, a high medical need exists to develop novel agents that further improve the survival of NHL patients.

Blinatumomab (MT103) is a bispecific antibody derivative, anti-CD19 x anti-CD3, designed to link B-cells and T-cells resulting in T-cell activation and a cytotoxic T-cell response against CD19+ cells. Data of prior phase I studies show evidence of biological activity in humans. In vitro and ex-vivo data suggest that a longterm presence of the drug in target tissues may provide antitumour activity.

The study investigates the safety and tolerability of different doses of Blinatumomab administration in a continuous infusion regimen. MTD will be defined in a classical 3+3 dose escalation regimen.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Patients with first or later relapse of histologically (WHO classification) confirmed:

    • follicular lymphoma
    • marginal zone lymphoma
    • lymphoplasmocytic lymphoma
    • mantle cell lymphoma
    • diffuse large B-cell lymphoma
    • small lymphocytic lymphoma requiring therapy and not eligible for curative treatment
  2. Measurable disease (at least one lesion >= 1.5 cm) documented by CT scan
  3. Age >= 18 years
  4. ECOG performance status <=2
  5. Life expectancy of at least 6 months
  6. Ability to understand the patient information and informed consent form
  7. Signed and dated written informed consent is available

Exclusion Criteria:

  1. Any other NHL not listed in inclusion criterion 1
  2. Abnormal laboratory values as defined below:

    • Peripheral lymphocyte count > 20 x 10x9/l
    • Platelet counts ≤ 75,000/µl
    • Hb level ≤ 9 g/dL
    • Venous pH value out of normal range or oxygen saturation ≤ 90%
  3. Known or suspected central nervous system (CNS) involvement by NHL
  4. a)History of or current relevant CNS pathology as epilepsy, seizure, paresis,aphasia, apoplexia, severe brain injuries, cerebellar disease, organic brain syndrome, psychosis b)Evidence for presence of inflammatory lesions and/or vasculitis on cerebral MRI
  5. Autologous stem cell transplantation within 12 weeks prior to study entry
  6. Allogeneic stem cell transplantation
  7. Cancer chemotherapy within 4 weeks prior to study entry
  8. Radiotherapy within 4 weeks prior to study entry
  9. Treatment with rituximab within 4 weeks prior to study entry
  10. Prior treatment with alemtuzumab 12 weeks prior to study entry
  11. Treatment with any investigational agent within 12 weeks prior to study entry
  12. Contraindication for any of the concomitant medications
  13. Abnormal renal or hepatic function as defined below:

    • AST (SGOT) and/or ALT (SGPT) >= 2 x upper limit of normal (ULN)
    • total bilirubin >= 1.5 x ULN
    • serum creatinine >= 2 x ULN
    • creatinine clearance < 50ml/min
  14. Indication of hypercoagulative state as defined below:

    -antithrombin activity <LLN

  15. Presence of human anti-murine antibodies (HAMA) or known hypersensitivity to immunoglobulins
  16. History of malignancy other than B-cell lymphoma within 5 years prior to study entry, with the exception of basal cell carcinoma of the skin or carcinoma in situ of the cervix
  17. Active infection / not yet recovered from recent infection; known bacteriemia
  18. Any concurrent disease or medical condition that is deemed to interfere with the conduct of the study as judged by the investigator
  19. Regular dose of corticosteroids during the four weeks prior to D1 of this study or anticipated need of corticosteroids exceeding prednisone 20 mg/day or equivalent, or any other immunosuppressive therapy within 4 weeks prior to study entry
  20. Known infection with human immunodeficiency virus (HIV) or chronic infection with hepatitis B or hepatitis C virus
  21. Pregnant or nursing women, or women of childbearing potential not willing to use an effective form of contraception during participation in the study and at least three months thereafter. Male patients not willing to ensure that during the study and at least three months thereafter no fathering takes place.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00274742

Locations
Germany
Medizinische Klinik 5, Hämatologie & Internistische Onkologie, Universitätsklinikum Erlangen
Erlangen, Germany, 91054
Universitätsklinikum Essen, Klinik für Hämatologie, Medizinische Klinik und Poliklinik
Essen, Germany, 45147
Universtätsklinkum Tübingen
Tübingen, Germany, 72076
Universitätsklinikum Ulm, Abteilung Innere Medizin III
Ulm, Germany, 89081
Medizinische Poliklinik der Julius-Maximilians-Universität Würzburg
Würzburg, Germany, 97080
Sponsors and Collaborators
Amgen Research (Munich) GmbH
Investigators
Principal Investigator: Ralf Bargou, MD, PhD Medizinische Poliklinik der Julius-Maximilians-Universität Würzburg, Zentrum für Innere Medizin, Oberdürrbacherstr. 6 D-97080 Würzburg
  More Information

No publications provided

Responsible Party: Amgen Research (Munich) GmbH
ClinicalTrials.gov Identifier: NCT00274742     History of Changes
Other Study ID Numbers: MT103-104
Study First Received: January 10, 2006
Last Updated: November 20, 2012
Health Authority: Germany: Paul-Ehrlich-Institut

Keywords provided by Amgen Research (Munich) GmbH:
Non-Hodgkin's Lymphoma
Cancer immunotherapy
Monoclonal antibody
anti-CD19
anti-CD3
BiTE
Blinatumomab

Additional relevant MeSH terms:
Lymphoma
Lymphoma, Non-Hodgkin
Neoplasms by Histologic Type
Neoplasms
Lymphoproliferative Disorders
Lymphatic Diseases
Immunoproliferative Disorders
Immune System Diseases
Antibodies, Bispecific
Immunologic Factors
Physiological Effects of Drugs
Pharmacologic Actions

ClinicalTrials.gov processed this record on August 28, 2014