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Primary AmyloidosisPhase 1/2NCT01707264

Phase 1/2, Open Label, Dose Escalation Study of NEOD001 in Subjects With Light Chain (AL) Amyloidosis

A Phase 1/2 study testing NEOD001 in people with Primary Amyloidosis, run by Prothena Biosciences Ltd. at 7 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Dose escalation study to determine the maximum tolerated dose of NEOD001 in approximately 30 subjects with AL amyloidosis. Expansion phase to evaluate safety, efficacy and pharmacokinetics of NEOD001 in 25 additional subjects at the maximum tolerated dose. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Primary Amyloidosis
What is being tested?
NEOD001
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
69 participants
Where
7 sitesUnited States
Study dates
Apr 2013to 9 Aug 2016
Phase
Phase 1/2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Males and females aged ≥18 years;
  • ECOG performance status (PS) 0-2;
  • Diagnosis of systemic AL amyloidosis (subjects with non-AL amyloidosis are not eligible);
  • Received at least one prior systemic therapy, which may include stem cell transplant, for AL amyloidosis;
  • Have adequate organ function;
  • Ability to understand and willingness to sign informed consent prior to initiation of any study procedures.

Who cannot join

  • Secondary or familial amyloidosis;
  • Life expectancy of < 3 months;
  • Symptomatic multiple myeloma;
  • Hypersensitivities to other monoclonal antibodies;
  • Known HIV infection;
  • Women who are lactating;
  • Any other condition or prior therapy, which in the opinion of the PI, would make the subject unsuitable for the study.

Trial locations and contacts

7 sites in 1 country.

7 sites in 1 country

United States7 sites
  • Tufts Medical Center

    Boston, Massachusetts, 02111

  • Boston University School of Medicine

    Boston, Massachusetts, 02118

  • Karmanos Cancer Institute

    Detroit, Michigan, 48201

  • Memorial Sloan-Kettering Cancer Center

    New York, New York, 10065

  • Stanford University Cancer Center

    Palo Alto, California, 94305

  • Hospital of the University of Pennsylvania

    Philadelphia, Pennsylvania, 19104

  • Mayo Clinic

    Rochester, Minnesota, 55905

Other trials in United States

About this study

Official title: A Phase 1/2, Open Label, Dose Escalation Study of Intravenous Administration of Single Agent NEOD001 in Subjects With Light Chain (AL) Amyloidosis

Dose escalation study to determine the maximum tolerated dose of NEOD001 in approximately 30 subjects with AL amyloidosis. Expansion phase to evaluate safety, efficacy and pharmacokinetics of NEOD001 in 25 additional subjects at the maximum tolerated dose.

Read the detailed description

The purpose of the dose escalation phase of the study is to determine the maximum tolerated dose/Phase 2 recommended dose of NEOD001 when given as a single agent intravenously in approximately 30 subjects with AL amyloidosis.

The purpose of the expansion phase of the study is to evaluate the safety, preliminary efficacy and pharmacokinetics of single agent NEOD001 at the maximum tolerated dose/Phase 2 recommended dose in approximately 25 additional evaluable subjects.

Being tested
NEOD001
Keywords
AL amyloidosis, Primary amyloidosis
Medical subject headings
Immunoglobulin Light-chain Amyloidosis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • NEOD001Drug

    Monoclonal antibody administered by intravenous infusion every 28 days.

Study groups in NCT01707264
Study groupRoleWhat they receive
NEOD001ExperimentalNEOD001 will be administered intravenously once every 28 days. The starting dose will be 0.5 mg/kg. Dose escalation will continue until the the maximum tolerated dose is determined for single agent NEOD001. Approximately 20 additional subjects will be treated with the maximum tolerated dose.
Receives: Drug: NEOD001

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Safety and tolerability

    • Adverse event profile
    • Dose limiting toxicity and maximum tolerated dose

    Measured: 28 day cycles, up to 1 year; beyond 1 year with approval of Sponsor and Investigator

  2. Maximum tolerated dose

    • Adverse event profile
    • Dose Limiting Toxicity and maximum tolerated dose

    Measured: 28 day cycles, up to 1 year; beyond 1 year with approval of Sponsor and Investigator

Secondary outcomes (2)
  1. Pharmacokinetics

    • Pharmacokinetic parameters including Cmax, Tmax, AUC, Cav, Cmin, t½, CL, and Vz

    Measured: 28 day cycles, up to 1 year; beyond 1 year with approval of Sponsor and Investigator

  2. Immunogenicity

    • Measurement of anti-NEOD001 antibodies

    Measured: 28 day cycles, up to 1 year; beyond 1 year with approval of Sponsor and Investigator

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Oct 2012 (estimated)
  2. Study startApr 2013
  3. Primary completion9 Aug 2016
  4. Study completion9 Aug 2016

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Intervention model
Sequential
Masking
None (open label)
Enrolment
69 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01707264
Sponsor's protocol ID
NEOD001-001
Status last verified
Aug 2018
First submitted
11 Oct 2012
Last updated
28 Aug 2018
Results posted
No
Data monitoring committee
Yes

Publications

  • Gertz MA, Landau H, Comenzo RL, Seldin D, Weiss B, Zonder J, Merlini G, Schonland S, Walling J, Kinney GG, Koller M, Schenk DB, Guthrie SD, Liedtke M. First-in-Human Phase I/II Study of NEOD001 in Patients With Light Chain Amyloidosis and Persistent Organ Dysfunction. J Clin Oncol. 2016 Apr 1;34(10):1097-103. doi: 10.1200/JCO.2015.63.6530. Epub 2016 Feb 8.

    PubMed 26858336

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing NEOD001 in people with Primary Amyloidosis, run by Prothena Biosciences Ltd. at 7 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 28 Aug 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 7 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Safety and tolerability (time frame: 28 day cycles, up to 1 year; beyond 1 year with approval of Sponsor and Investigator). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01707264, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Aug 2018.

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