A Phase 1b Study Evaluating the Safety and Tolerability of ABT-199 in Combination With Rituximab in Subjects With Relapsed or Previously Untreated Chronic Lymphocytic Leukemia and Small Lymphocytic Lymphoma
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Purpose
This is a Phase 1b, open-label, multicenter study evaluating the safety and tolerability of ABT-199 in combination with rituximab in up to 70 subjects with Relapsed or Previously Untreated Chronic Lymphocytic Leukemia and Small Lymphocytic Lymphoma. The primary objectives of this study are to assess the safety profile, to determine the maximum tolerated dose and establish the Recommended Phase Two Dose of ABT-199 when administered in combination with rituximab. The dose escalation portion of the study will include approximately 30 subjects. Once the recommended phase two dose and schedule have been determined, up to 40 additional subjects will be enrolled in an expanded safety portion of the study.
| Condition | Intervention | Phase |
|---|---|---|
|
Small Lymphocytic Lymphoma Chronic Lymphocytic Leukemia |
Drug: ABT-199 Drug: Rituximab |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Phase 1B Study Evaluating the Safety and Tolerability of ABT-199 in Combination With Rituximab in Subjects With Relapsed or Previously Untreated Chronic Lymphocytic Leukemia and Small Lymphocytic Lymphoma |
- Assess the safety of ABT-199 when administered in combination with rituximab (R) in subjects with relapsed or previously untreated chronic lymphocytic leukemia and small lymphocytic lymphoma. [ Time Frame: Continuous dosing with study drug at the designated cohort dose level up to Week 26.At the end of combination treatment, ABT-199 monotherapy may continue for up to 2 years following the date of the last subject enrolled. ] [ Designated as safety issue: Yes ]Protocol-defined events, which are attributed as having a reasonable possibility of being related to the administration of ABT-199 and/or rituximab, or can not be attributed by the investigator to a clearly identifiable cause such as tumor progression, concurrent illness, underlying disease or concomitant medication, will be considered a dose limiting toxicity.
- Assess the exploratory efficacy of the combination ABT-199 and rituximab. [ Time Frame: Tumor Assessments will be performed at following timepoints: Screening, Week4, Week14 and Week 30 , every 12 weeks thereafter, and at least 2 months after Complete Remission or Complete Remission with incomplete bone marrow recovery ] [ Designated as safety issue: No ]Tumor response or clinical disease progression
- Determination of peak concentration (Cmax), trough concentration (Ctrough) and/or area under the concentration versus time curve (AUC) of ABT-199 and/or Rituximab [ Time Frame: Up to Week 26 for ABT-199 and Rituximab ] [ Designated as safety issue: No ]Blood samples for analysis of ABT-199 and rituximab will be collected at designated time points.
| Estimated Enrollment: | 70 |
| Study Start Date: | August 2012 |
| Estimated Study Completion Date: | February 2016 |
| Estimated Primary Completion Date: | May 2015 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Arm 1
Chronic Lymphocytic Leukemia (CLL), Small Lymphocytic Lymphoma (SLL)
|
Drug: ABT-199
ABT-199 is taken continuously once daily. This is a dose escalation study, therefore the dose of ABT-199 will change throughout the study.
Drug: Rituximab
Rituximab will be given by intravenous infusion on day 1 of weeks 4, 5, 6, 10, 14, 18, 22 and 26.
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Subject must be greater then or equal to 18 years of age.
- Subject must have newly diagnosed or relapsed Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma.
- Subject has an Eastern Cooperative Oncology Group performance score of less then or equal to 1.
- Subject must have adequate bone marrow independent of growth factor support per local laboratory reference range at Screening.
- Subject must have adequate coagulation, renal, and hepatic function, per laboratory reference range at Screening.
Exclusion Criteria:
- Chronic lymphocytic leukemia or Small Lymphocytic Lymphoma subject has undergone an allogeneic or autologous stem cell transplant.
- Subject has uncontrolled autoimmune hemolytic anemia or thrombocytopenia.
- Subject has tested positive for human immunodeficiency virus.
- Seropositivity for hepatitis B surface antigen or hepatitis C virus antibody or ribonucleic acid.
- History of severe allergic or anaphylactic reactions to rituximab.
- Subject has received a biologic agent for anti-neoplastic intent within 30 days prior to the first dose of study drug.
Subject has received any of the following agents within 14 days prior to the first dose of study drug, or has not recovered to less than grade 2 clinically significant adverse effect(s)/toxicity(s) of the previous therapy:
- Any anti-cancer therapy including chemotherapy, immunotherapy, or radiotherapy;
- Investigational therapy, including targeted small molecule agents.
- Subject has a cardiovascular disability status of New York Heart Association Class greater then or equal to 2. Class 2 is defined as cardiac disease in which subjects are comfortable at rest but ordinary physical activity, results in fatigue, palpitations, dyspnea or anginal pain.
- Subject has a significant history of renal, neurologic, psychiatric, pulmonary, endocrinologic, metabolic, immunologic, cardiovascular, or hepatic disease that in the opinion of the investigator would adversely affect his/her participating in this study.
Subject has a history of other active malignancies other than CLL within the past 2 years prior to study entry, with the exception of:
- Adequately treated in situ carcinoma of the cervix uteri;
- Basal cell carcinoma of the skin or localized squamous cell carcinoma of the skin;
- Previous malignancy confined and surgically resected (or treated with other modalities) with curative intent.
- Subject has malabsorption syndrome or other condition that precludes enteral route of administration.
Contacts and Locations| United States, California | |
| Site Reference ID/Investigator# 70398 | |
| La Jolla, California, United States, 92093 | |
| United States, Illinois | |
| Site Reference ID/Investigator# 71593 | |
| Chicago, Illinois, United States, 60611 | |
| United States, New York | |
| Site Reference ID/Investigator# 71813 | |
| New Hyde Park, New York, United States, 11042 | |
| United States, North Carolina | |
| Site Reference ID/Investigator# 71393 | |
| Durham, North Carolina, United States, 27710 | |
| Australia | |
| Site Reference ID/Investigator# 70394 | |
| East Melbourne, Australia, 3002 | |
| Site Reference ID/Investigator# 70393 | |
| Parkville, Australia, 3050 | |
| Study Director: | Elisa Cerri, MD | AbbVie |
More Information
No publications provided
| Responsible Party: | AbbVie ( AbbVie (prior sponsor, Abbott) ) |
| ClinicalTrials.gov Identifier: | NCT01682616 History of Changes |
| Other Study ID Numbers: | M13-365 |
| Study First Received: | June 26, 2012 |
| Last Updated: | February 21, 2013 |
| Health Authority: | United States: Food and Drug Administration Australia: Department of Health and Ageing Therapeutic Goods Administration |
Keywords provided by AbbVie:
|
Tolerability Chronic Lymphocytic Leukemia Efficacy Rituximab Safety Maximum Tolerated Dose |
Preliminary ABT-199 Cancer Pharmacokinetics Small Lymphocytic Lymphoma |
Additional relevant MeSH terms:
|
Leukemia Leukemia, Lymphocytic, Chronic, B-Cell Leukemia, Lymphoid Lymphoma Neoplasms by Histologic Type Neoplasms Leukemia, B-Cell Lymphoproliferative Disorders Lymphatic Diseases |
Immunoproliferative Disorders Immune System Diseases Rituximab Immunologic Factors Physiological Effects of Drugs Pharmacologic Actions Antirheumatic Agents Therapeutic Uses Antineoplastic Agents |
ClinicalTrials.gov processed this record on May 21, 2013