Phase I Study of Milatuzumab for Graft Versus Host Disease

This study is currently recruiting participants. (see Contacts and Locations)
Verified January 2014 by Immunomedics, Inc.
Sponsor:
Collaborator:
Ohio State University
Information provided by (Responsible Party):
Immunomedics, Inc.
ClinicalTrials.gov Identifier:
NCT01663766
First received: August 7, 2012
Last updated: January 22, 2014
Last verified: January 2014
  Purpose

This study will assess the safety and tolerability of milatuzumab (IMMU-115) when added to a standard regimen to prevent Graft vs. Host Disease (GVHD) in patients with hematologic malignancies undergoing stem cell transplant.


Condition Intervention Phase
GVHD (Acute or Chronic)
Acute Myeloid or Lymphoblastic Leukemia (AML or ALL)
Myelodysplastic Syndrome
Chronic Myelogenous Leukemia (CML)
Multiple Myeloma (MM)
Non-Hodgekin Lymphoma (NHL-both Follicular & Diffuse Large Cell)
Chronic Lymphocytic Leukemia or Small Lymphocytic Leukemia (CLL or SLL)
Drug: milatuzumab
Phase 1

Study Type: Interventional
Study Design: Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Phase I Study of Milatuzumab (hLL1) for Prevention of Acute Graft Versus Host Disease Following Reduced-Intensity Conditioning Allogeneic Stem Cell Transplant in Patients With Hematologic Malignancies

Resource links provided by NLM:


Further study details as provided by Immunomedics, Inc.:

Primary Outcome Measures:
  • Safety [ Time Frame: Safety will be assessed by measuring the change from baseline during 7 days of treatment and up to 30 days after treatment ] [ Designated as safety issue: Yes ]
    Safety will be measured by physical examinations and hematology and chemistry blood tests. Cardiac safety will be done using MUGA scans or echocardiograms. These assessments will be done routinely during treatment and up to 30 days after treatment and any change from baseline will be assessed. Long term safety will be assessed every 3 months after that for up to 1 year; any change from baseline will be assessed.


Secondary Outcome Measures:
  • Efficacy [ Time Frame: Efficacy will be assessed 30 days after treatment. ] [ Designated as safety issue: No ]
    Acute GVHD will be assessed at days +30 and +100 by laboratory testing. Chronic GVHD assessment will be performed at days +100, +270 & +365 after stem cell transplant.


Estimated Enrollment: 40
Study Start Date: December 2013
Estimated Study Completion Date: January 2016
Estimated Primary Completion Date: January 2015 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Milatuzumab
Milatuzumab will be added to the standard GVHD reduced intensity consitioning and prophylaxis regimen of fludarabine, busulfan, tacrolimus and low-dose methotrexate.
Drug: milatuzumab
Milatuzumab is a humanized anti-CD74 antibody that is administered intravenously.
Other Names:
  • IMMU-115
  • hLL1
  • anti-CD74

  Eligibility

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

Inclusion Criteria:

  • Males or non-pregnant, non-lactating females, ≥ 18 years of age
  • Able to understand and willing to sign informed consent.
  • Histologically confirmed hematologic malignancy that is deemed best treated by RIC allogeneic SCT, including:
  • Acute myeloid or lymphoblastic leukemia (AML, ALL) with < 5% blasts in the bone marrow
  • Myelodysplastic syndrome and intermediate-2 or high-risk IPSS score with < 5% blasts in the bone marrow
  • Chronic myelogenous leukemia failing to respond to at least two different tyrosine kinase inhibitors
  • Multiple myeloma that has relapsed following autologous stem cell transplant
  • Follicular lymphoma (grades 1, 2, or 3a by WHO criteria) or monocytoid lymphoma that has relapsed following at least two prior chemotherapy regimens and with either no lymph node groups ≥ 3 cm or with a ≥ 50% reduction in estimated lymph node diameter with most recent salvage therapy
  • Diffuse large B-cell NHL that has relapsed after at least 2 prior chemotherapy regimens (could include high-dose chemotherapy with autologous stem cell rescue) and is still sensitive to chemotherapy by virtue of a PR or CR following most recent salvage chemotherapy
  • Transformed follicular lymphoma that has achieved a PR or CR following chemotherapy
  • Mantle cell lymphoma that has relapsed after at least 2 prior chemotherapy regimens (could include high-dose chemotherapy with autologous stem cell rescue)
  • CLL/SLL/PLL that meets one of the following:
  • del (17p13.1) in first remission
  • Response no better than a PR with chemoimmunotherapy or relapse within 2 years of chemoimmunotherapy
  • Richter's transformation
  • Complex karyotype
  • At least 4 weeks beyond prior chemotherapy (excluding steroids), antibody therapy, radiation, or radioimmunoconjugate therapy, and with any kinase inhibitors discontinued at least one week prior to starting the conditioning regimen.
  • ECOG performance status ≤ 2
  • Life expectancy of greater than 3 months
  • Adequate organ function measured by the following within seven days of beginning conditioning:
  • AST (SGOT) ≤ 3.0 x institutional upper limit of normal (IULN)
  • Total bilirubin ≤ 1.5 xIULN unless due to Gilbert's disease
  • Creatinine ≤ 2.0 mg/dL OR creatinine clearance ≥ 50 mL/min
  • DLCO > 40% with no symptomatic pulmonary disease
  • LVEF by echocardiogram or MUGA of at least 30%
  • Women of child bearing potential and men must agree to use contraception prior to study entry and for the duration of study participation.
  • Matched (8/8) related or matched unrelated donor identified. Haploidentical or umbilical cord grafts are not allowed.
  • Donor willing to donate peripheral blood stem cells and meets institutional criteria for stem cell donation.

Exclusion Criteria:

  • Prior allogeneic stem cell transplant
  • Patients requiring a myeloablative conditioning regimen
  • Patients best served by a bone marrow transplant are not eligible as this study will be restricted only to peripheral stem cells.
  • No suitable donor identified
  • Prior anaphylactic response or Grade 4 infusion reaction to milatuzumab
  • Uncontrolled intercurrent illness including but not limited to ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements.
  • Patients with active hepatitis B infection are not eligible. Patients with a history of hepatitis B (surface antigen or core antibody positive) must take lamivudine or equivalent during study therapy and for one year after completion of milatuzumab.
  • LVEF < 30%
  • Seropositivity for HIV or Hepatitis C
  • Patients with known CNS lymphoma are excluded because of their poor prognosis and because they often develop progressive neurologic dysfunction that would confound the evaluation of neurologic and other adverse events.
  • Active secondary malignancies with the exception of non-melanomatous skin cancers or low risk prostate cancer under observation.
  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: NCT01663766

Contacts
Contact: Susan Garl, RN 973-727-7195 sgarl@immunomedics.com
Contact: Heather Horne hhorne@immunomedics.com

Locations
United States, Ohio
Ohio State University Comprehensive Cancer Center Recruiting
Columbus, Ohio, United States, 43210
Contact: Katie Cortright    614-688-7562    Katie.Cortright@osumc.edu   
Principal Investigator: Samantha Jaglowski, MD         
Sponsors and Collaborators
Immunomedics, Inc.
Ohio State University
Investigators
Study Chair: William Wegener, MD, PhD Immunomedics, Inc.
  More Information

No publications provided

Responsible Party: Immunomedics, Inc.
ClinicalTrials.gov Identifier: NCT01663766     History of Changes
Other Study ID Numbers: IM-T-IMMU-115-03
Study First Received: August 7, 2012
Last Updated: January 22, 2014
Health Authority: United States: Food and Drug Administration

Keywords provided by Immunomedics, Inc.:
GVHD (acute or chronic)
acute myeloid or lymphoblastic leukemia (AML or ALL)
myelodysplastic syndrome
Chronic myelogenous leukemia (CML)
Multiple Myeloma (MM)
Non-Hodgekin lymphoma (NHL-both follicular & diffuse large cell)
Chronic lymphocytic leukemia or small lymphocytic leukemia (CLL or SLL)

Additional relevant MeSH terms:
Graft vs Host Disease
Leukemia
Leukemia, Lymphocytic, Chronic, B-Cell
Leukemia, Lymphoid
Precursor Cell Lymphoblastic Leukemia-Lymphoma
Leukemia, Myeloid
Leukemia, Myelogenous, Chronic, BCR-ABL Positive
Lymphoma
Multiple Myeloma
Neoplasms, Plasma Cell
Myelodysplastic Syndromes
Preleukemia
Immune System Diseases
Neoplasms by Histologic Type
Neoplasms
Leukemia, B-Cell
Lymphoproliferative Disorders
Lymphatic Diseases
Immunoproliferative Disorders
Myeloproliferative Disorders
Bone Marrow Diseases
Hematologic Diseases
Hemostatic Disorders
Vascular Diseases
Cardiovascular Diseases
Paraproteinemias
Blood Protein Disorders
Hemorrhagic Disorders
Precancerous Conditions

ClinicalTrials.gov processed this record on August 20, 2014