Study of Repeat Intranodal Injection of Memgen's Cancer Vaccine, Ad-ISF35, in Subjects With Non-Hodgkin's Lymphoma (Follicular, Diffuse Large Cell, Mantle Cell, and Small Lymphocytic Lymphoma/Chronic Lymphocytic Leukemia (NHL)

The recruitment status of this study is unknown because the information has not been verified recently.
Verified April 2011 by University of California, San Diego.
Recruitment status was  Active, not recruiting
Sponsor:
Collaborator:
Memgen, LLC
Information provided by:
University of California, San Diego
ClinicalTrials.gov Identifier:
NCT00942409
First received: July 17, 2009
Last updated: April 8, 2011
Last verified: April 2011
  Purpose

This is a Phase II, open label, fixed dose, repeat injection, single institution study. Eligible subjects will receive up to six doses of Ad-ISF35 injected directly into a selected lymph node under ultrasound guidance. The primary goal is to determine and monitor clinical and biological responses in patients treated with repeat intranodal injections of Ad-ISF35.


Condition Intervention Phase
Non-Hodgkin's Lymphoma
Follicular Lymphoma
Diffuse Large Cell Lymphoma
Mantle Cell Lymphoma
Small Lymphocytic Lymphoma
Chronic Lymphocytic Leukemia
Biological: ISF35
Phase 2

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 II Study of Repeat Intranodal Injections of Adenovirus-CD154 (Ad-ISF35) in Patients With Non-Hodgkin's Lymphoma (Follicular, Diffuse Large Cell, Mantle Cell and Small Lymphocytic Lymphoma/Chronic Lymphocytic Leukemia)

Resource links provided by NLM:


Further study details as provided by University of California, San Diego:

Primary Outcome Measures:
  • Determine and monitor biological responses in patients with NHL including follicular lymphoma, diffuse large cell lymphoma, mantle cell lymphoma and SLL/CLL treated with repeat intranodal injections of Ad-ISF35. [ Time Frame: 2 Years (evaluation will be approx. 4 months per patient) ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Determine the safety of repeat administration of Ad-ISF35 injected directly into lymph nodes of patients with NHL including follicular lymphoma, diffuse large cell lymphoma, mantle cell lymphoma and SLL/CLL. [ Time Frame: 2 Years (evaluation will be approximately 1 year per patient) ] [ Designated as safety issue: Yes ]
  • Determine pharmacodynamic parameters in patients treated with repeat intranodal injections of Ad-ISF35. [ Time Frame: 2 Years (evaluation will be approximately 4 months per patient) ] [ Designated as safety issue: No ]

Estimated Enrollment: 28
Study Start Date: June 2009
Estimated Primary Completion Date: December 2011 (Final data collection date for primary outcome measure)
Intervention Details:
    Biological: ISF35
    Subjects participating in this study will be treated with multiple doses of Ad-ISF35 given via intranodal injection using a fixed dose of 3.3 x 10^10 ISF35 viral particles. Intranodal injections will be administered every 2-4 weeks up to six total injections.
Detailed Description:

This is a phase II clinical trial in which study subjects will be treated with multiple doses of Ad-ISF35 given via intranodal injection using a fixed dose of 3.3 x 10^10 ISF35 viral particles. Intranodal injections will be administered every 2-4 weeks up to six total injections.

This will be the first time that repeat administration of Ad-ISF35 will be performed via intranodal injection in subjects with a diagnosis other than CLL/SLL. Therefore, in order to allow sufficient time to evaluate the safety and toxicity of this procedure in non-CLL/SLL patients, we will treat the first three non-CLL/SLL subjects with inpatient admission for 24 hours observation at the GCRC-UCSD. If no serious adverse events are observed in these first three patients after they have received their first two injections of ISF35 and have been observed for at least 28 days, then we will proceed with enrollment of cohorts of four subjects per month. This will be done at one week intervals until study enrollment is completed. These subjects will be treated as outpatients at the GCRC and observed for 3 hours prior to discharge.

All subjects with a diagnosis of CLL or SLL will be treated as outpatients at the GCRC and observed for 3 hours prior to discharge. These subjects will not need to be treated in an inpatient setting, based on our previous clinical experience with subjects enrolled on the phase II study of repeat intranodal injections of Ad-ISF35 in CLL/SLL

ISF35 has already been used in Phase I clinical trials. The trials demonstrated that ISF35 treatment is well-tolerated and patients did not experience any significant or unexpected adverse events. Patients reported flu-like symptoms from ISF35, which disappeared within one to three days.

ISF35 is an abbreviation for Immune Stimulatory Factor 35, an offspring of technology discovered by Dr. Thomas J. Kipps, MD, PhD, Professor, Department of Medicine and Deputy Director for Research,UCSD Moores Cancer Center.

  Eligibility

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

Inclusion Criteria:

SLL / CLL PATIENTS

  1. Diagnosis of B-cell SLL/ CLL including

    • Lymphocytosis of monoclonal B-cells co-expressing ≥ one B-cell marker (CD19, CD20, or CD23) and CD5 in peripheral blood or lymph node AND
    • Bone marrow with ≥ 30% mononuclear cells having the SLL / CLL phenotype.
  2. Presence of at least ONE single accessible AND palpable lymph node in the cervical, supraclavicular, axillary, or inguinal regions. The size of the lymph nodes must be larger than 2x2 cm in the horizontal and perpendicular axes.
  3. Intermediate or High risk, poor prognosis SLL / CLL
  4. Indication for treatment as defined by the NCI Working Group Guidelines:

    • Massive (i.e. > 6 cm below the left costal margin) or progressive splenomegaly OR
    • Massive lymph nodes or nodal clusters (i.e. > 10 cm in longest diameter), or progressive lymphadenopathy OR
    • Grade 2 or 3 fatigue OR
    • Fever ≥ 100.5˚F or night sweats for greater than 2 weeks without documented infection OR
    • Presence of weight loss ≥ 10% over the preceding 6 months OR
    • Progressive lymphocytosis with an increase of ≥ 50% over a 2-month period or an anticipated doubling time of less than 6 months.
    • Evidence of progressive marrow failure as manifested by the development of, or worsening of, anemia and / or thrombocytopenia.
    • Autoimmune anemia and / or thrombocytopenia poorly responsive to corticosteroid therapy.

    NHL PATIENTS

  5. Non-Hodgkin's Lymphoma patients that have received at least one prior treatment (Antibodies and / or chemotherapy). Patients must have one of the following subtypes according to the WHO/REAL Classification[1]: follicular lymphoma, diffuse large cell lymphoma, mantle cell lymphoma and small lymphocytic lymphoma / chronic lymphocytic lymphoma.
  6. Stage III or IV disease at any time in the past (Ann Arbor Staging System for Non-Hodgkin's Lymphomas).
  7. Presence of at least ONE single accessible AND palpable lymph node in the cervical, supraclavicular, axillary, or inguinal regions. The size of the lymph nodes must be larger than 2x2 cm in the horizontal and perpendicular axes.

    ALL PATIENTS

  8. Males and females 18 years of age and older
  9. Laboratory parameters as specified below:

    • Hematologic: Hemoglobin ≥ 10 g/dL (may be post-transfusion); platelet count ≥ 50 x103/mm3
    • Hepatic: Total Bilirubin < 2 X ULN, and ALT and AST < 2 x ULN
    • Renal: Creatinine ≤ 2 X ULN
  10. ECOG Performance Status ≤ 2
  11. Anticipated survival of at least 3 months
  12. For men and women of child-producing potential, use of effective barrier contraceptive methods during the study and for one month following treatment.
  13. Ability to understand the requirements of the study, provide written informed consent and authorization of use and disclosure of protected health information, and agree to abide by the study restrictions and return for the required assessments.
  14. Negative test results for current/active infection with HIV-1, HIV-2, HTV-1, HTLV-2, hepatitis A, B, C within 30 days of registration. (Antibody, antigen and nucleic acid tests acceptable, depending on institutional standards.).
  15. Subjects must give written informed consent to participate in this trial.

Exclusion Criteria:

  1. Pregnant or nursing women
  2. Treatment with chemotherapy or monoclonal antibody within 28 days prior to entering the study.
  3. Treatment with chemotherapy or monoclonal antibody during the time of participation in this trial.
  4. Grade 3 or 4 cardiac disease as defined by the New York Heart Association Functional Classification
  5. Severe or debilitating pulmonary disease (dyspnea at rest, significant shortness of breath, COPD).
  6. Participation in any investigational drug study within 28 days prior to ISF35 administration. (Patient must have recovered from all acute effects of previously administered investigational agents).
  7. Evidence of aggressive or highly aggressive lymphoma or Richter's transformation based on WHO/REAL classification criteria[1]
  8. Any T cell lymphoma.
  9. History of malignancy other than NHL or SLL/CLL or within five years of registration, except patients with adequately treated basal, squamous cell carcinoma or localized cervical cancer.
  10. Active symptomatic fungal, bacterial and/or viral infection including active HIV or viral (A, B or C) hepatitis.
  11. Any illness or condition that in the opinion of the Investigator may affect safety of treatment or evaluation of any the study's endpoints.
  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: NCT00942409

Locations
United States, California
University of California, San Diego Moores Cancer Center
La Jolla, California, United States, 92093
Sponsors and Collaborators
University of California, San Diego
Memgen, LLC
Investigators
Principal Investigator: Januario Castro, M.D. Associate Clinical Professor in the Blood and Bone Marrow Transplantation Division
Principal Investigator: Thomas J Kipps, M.D., Ph.D. Professor of Medicine, Evelyn and Edwin Tasch Chair in Cancer Research in the UCSD School of Medicine
  More Information

No publications provided

Responsible Party: University of California, San Diego Moores Cancer Center (Dr. Januario Castro, M.D./Associate Clinical Professor in the Blood and Bone Marrow Transplantation Division), University of California, San Diego Moores Cancer Center
ClinicalTrials.gov Identifier: NCT00942409     History of Changes
Other Study ID Numbers: UCSD-101358 - prev 081503
Study First Received: July 17, 2009
Last Updated: April 8, 2011
Health Authority: United States: Food and Drug Administration

Additional relevant MeSH terms:
Lymphoma, Follicular
Lymphoma, Mantle-Cell
Lymphoma, Large B-Cell, Diffuse
Lymphoma, Non-Hodgkin
Leukemia, Lymphoid
Leukemia, Lymphocytic, Chronic, B-Cell
Lymphoma
Leukemia
Neoplasms by Histologic Type
Neoplasms
Lymphoproliferative Disorders
Lymphatic Diseases
Immunoproliferative Disorders
Immune System Diseases
Lymphoma, B-Cell
Leukemia, B-Cell

ClinicalTrials.gov processed this record on October 19, 2014