A Phase I, Dose-Escalation Study to Assess the Safety and Biological Activity of Recombinant Human Interleukin-18

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
GlaxoSmithKline
ClinicalTrials.gov Identifier:
NCT00500058
First received: July 10, 2007
Last updated: May 31, 2012
Last verified: October 2011
  Purpose

The purpose is to identify a dose of SB-485232 which is safe, tolerable and effective when used in combination with Rituximab in patients with non-Hodgkin's lymphoma (NHL). This study will use a standard treatment regimen of Rituximab in combination with rising doses of SB-485232. The dose selected from this study will be used in a future studies.


Condition Intervention Phase
B Cell Non-Hodgkin's Lymphoma
Lymphoma, Non-Hodgkin
Drug: interleukin-18, Rituxan, Rituximab
Phase 1

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Phase I, Dose-Escalation Study to Assess the Safety and Biological Activity of Recombinant Human Interleukin-18 (SB-485232) Administered by Intravenous Infusion in Combinationwith Rituximab in Adult Patients With B Cell Non-Hodgkin'sLymphoma"

Resource links provided by NLM:


Further study details as provided by GlaxoSmithKline:

Primary Outcome Measures:
  • safety/tolerability of combination treatment for 4 weeks safety/tolerability of SB-485232 for additional 8 weeks [ Time Frame: 12 weeks ]

Secondary Outcome Measures:
  • assess blood values of combination treatment for 4 weeks assess blood values of SB-485232 for additional 8 weeks [ Time Frame: 12 weeks ]
  • Pharmacokinetic parameters for SB-485232 and Rituxan: AUCtau, Cmax, and Cmin. [ Time Frame: 12 weeks ]
  • Pharmacodynamic biomarker responses: [ Time Frame: 12 weeks ]
  • Plasma IFN-γ, GMCSF, IP-10, MIG, and MCP-1 changes [ Time Frame: from baseline and predose ]
  • Plasma IL-18BP change [ Time Frame: from baseline ]
  • PBMC phenotype changes [ Time Frame: from baseline and pre-dose ]
  • Activated NK cells (CD16+/CD56+/CD3-/CD69+/FasL+ or IL-18Ra+) [ Time Frame: 12 weeks ]
  • Activated cytolytic T cells (CD8+/CD4-/CD3+/CD69+ FasL+ or IL- 18Ra+) [ Time Frame: 12 weeks ]
  • Activated B cells (CD19+/CD25-/CD3-/CD69+) [ Time Frame: 12 weeks ]
  • Activated Neutrophils/Monocytes (CD11b+/CD16+/CD64+/CD14+/CD45+/CD69+) [ Time Frame: 12 weeks ]
  • Regulatory T-cells (FoxP3+/CD25+/CD4+/CD127+) [ Time Frame: 12 weeks ]
  • Immunogenicity (anti-SB-485232 and anti-Rituximab antibodies) [ Time Frame: 12 weeks ]
  • Anti-tumor activity (Radiographic tumor assessments) [ Time Frame: 12 weeks ]
  • CD16 (FcγRIIIA) 158V/F genotyping [ Time Frame: 12 weeks ]

Enrollment: 24
Study Start Date: July 2007
Study Completion Date: March 2010
Primary Completion Date: March 2010 (Final data collection date for primary outcome measure)
Intervention Details:
    Drug: interleukin-18, Rituxan, Rituximab
    Other Names:
    • interleukin-18
    • Rituxan
    • Rituximab
  Eligibility

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

Inclusion Criteria:

  • Histologically confirmed diagnosis of any subtype of CD20+ B cell NHL. Subjects must have disease that progressed after standard therapy or for which there is no effective standard therapy (including high-dose therapy and autologous stem cell transplantation). NOTE: If the subject has had a prior autologous stem cell transplant, it must have occurred at least three months prior to screening and the subject must be fully recovered from any acute toxicities.
  • Prior treatment with Rituximab is allowed, provided it was completed at least six months before study enrollment.
  • Male or female ≥ 18 years of age.
  • Measurable or evaluable disease.
  • Predicted life expectancy of at least 12 weeks.
  • ECOG Performance Status of 0 or 1.
  • No chemotherapy, immunotherapy, hormonal therapy, or biological therapy for cancer, radiotherapy, or surgical procedures (except for minor surgical procedures) within four weeks before beginning treatment with SB-485232 (6 weeks for nitrosoureas and mitomycin C). Subjects must have recovered from toxicities (incurred as a result of previous therapy) sufficiently to be entered into a Phase I study.
  • A signed and dated written informed consent form is obtained from the subject.
  • The subject is able to understand and comply with protocol requirements, timetables, instructions and protocol-stated restrictions.

The subject is likely to maintain good venous blood access for PK and PD sampling throughout the study.

  • A female is eligible to enter and participate in the study if she is of:

    a. non-childbearing potential (i.e., physiologically incapable of becoming pregnant) including any female who:

  • has had a hysterectomy,
  • has had a bilateral oophorectomy (ovariectomy),
  • has had a bilateral tubal ligation,
  • is post-menopausal (demonstrate total cessation of menses for greater than 1year), If amenorrheic for less than one year, post-menopausal status will be confirmed by serum follicle stimulating hormone (FSH) and oestradiol concentrations at screening. or, b. childbearing potential, has a negative serum pregnancy test at the Screen Visit, and agrees to one of the following GSK acceptable contraceptive methods:
  • any intrauterine device (IUD) with a documented failure rate of less than

    1% per year.

  • vasectomized partner who is sterile prior to the female subject's entry and is the sole sexual partner for that female.
  • oral contraceptive (either combined or progesterone only).
  • because of the unacceptable failure rate of barrier (chemical and/or physical) methods, the barrier method of contraception must only be used in combination with other acceptable methods described above.
  • Adequate organ function,

Exclusion Criteria:

  • Women who are pregnant or are breast-feeding.
  • Significant cardiac, pulmonary, metabolic, renal, hepatic, gastrointestinal or autoimmune conditions that in the opinion of the investigator and/or GSK medical monitor, places the subject at an unacceptable risk as participant in this trial.
  • The subject has diabetes mellitus with poor glycemic control.
  • The subject has a history of human immunodeficiency virus (HIV) or other immunodeficiency disease.
  • The subject has positive Hepatitis B surface antigen.
  • Corrected QT interval (QTc) > 480msec.
  • The subject has a history of a severe infusion related reaction or tumor lysis syndrome following treatment with Rituximab (Section 10.2.2).
  • The subject has a circulating malignant cell count > 25,000/mm3 in peripheral blood.
  • The subject has known anaphylaxis or IgE-mediated hypersensitivity to murine proteins.
  • The subject has an acute infection or severe or uncontrolled infections requiring systemic antibiotic therapy.
  • Any serious medical or psychiatric disorder that would interfere with subject safety or informed consent.
  • Known leptomeningeal disease or evidence of prior or current metastatic brain disease. Routine screening with central nervous system (CNS) imaging studies (CT or MRI) is required only if clinically indicated.
  • Receiving concurrent chemotherapy, immunotherapy, radiotherapy, or investigational therapy.
  • Oral corticosteroids within 14 days of study entry.
  • History of alcohol abuse within six months of screening or alcohol consumption in the past six months exceeding seven drinks/week for women and 14 drinks/week for men (where 1 drink = 5 ounces of wine or 12 ounces of beer or 1.5 ounces of hard liquor).
  • History of ventricular arrhythmias requiring drug or device therapy.
  • Any unresolved or unstable serious toxicity from prior administration of another investigational drug.
  • Any investigational drug within 30 days or five half-lives (whichever is longer) preceding the first dose of SB-485232.
  • Donation of blood in excess of 500 mL within a 56-day period prior to dosing.
  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: NCT00500058

Locations
United States, Illinois
GSK Investigational Site
Chicago, Illinois, United States, 60637
United States, Indiana
GSK Investigational Site
Indianapolis, Indiana, United States, 46202
Sponsors and Collaborators
GlaxoSmithKline
Investigators
Study Director: GSK Clinical Trials GlaxoSmithKline
  More Information

No publications provided

Responsible Party: GlaxoSmithKline
ClinicalTrials.gov Identifier: NCT00500058     History of Changes
Other Study ID Numbers: ILI105618
Study First Received: July 10, 2007
Last Updated: May 31, 2012
Health Authority: United States: Food and Drug Administration

Keywords provided by GlaxoSmithKline:
Rituximab,
oncology
IL-18,
combination study,
cytokine,

Additional relevant MeSH terms:
Lymphoma
Lymphoma, Non-Hodgkin
Lymphoma, B-Cell
Neoplasms by Histologic Type
Neoplasms
Lymphoproliferative Disorders
Lymphatic Diseases
Immunoproliferative Disorders
Immune System Diseases
Rituximab
Antineoplastic Agents
Therapeutic Uses
Pharmacologic Actions
Immunologic Factors
Physiological Effects of Drugs
Antirheumatic Agents

ClinicalTrials.gov processed this record on August 28, 2014