B-Cell MalignanciesPhase 1NCT01775631
Combination Study of Urelumab and Rituximab in Patients With B-cell Non-Hodgkins Lymphoma
A Phase 1 study testing Urelumab and Rituximab in people with B-Cell Malignancies, run by Bristol-Myers Squibb at 15 sites in United States.
Trial summary
The purpose of the study is to determine the safety, tolerability and maximum tolerated dose of Urelumab in combination with Rituximab in patients with B-cell Non-Hodgkins Lymphoma Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- B-Cell Malignancies
- What is being tested?
- Urelumab and Rituximab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 47 participants
- Where
- 15 sitesUnited States
- Study dates
- Mar 2013to Aug 2016
- Phase
- Phase 1
- 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
- Clinical diagnosis of relapsed/refractory B-cell Malignancies (B-Non-Hodgkins Lymphoma (NHL)) per International Workshop Group (IWG)
- Progressed or refractory to at least 1 prior line of standard therapy
- Subjects in Expansion cohorts are restricted to relapsed/refractory diffuse large B-cell lymphoma (DLBCL) or Follicular Lymphoma (FL) subjects who are either relapsed or refractory to prior rituximab or ritxumab-containing chemotherapy regimens
- Follicular Lymphoma (FL) must have at least 1 lesion that can be biopsied at screening and on treatment
- Eastern Cooperative Oncology Group (ECOG) of 0 to 1
Who cannot join
- Active or progressing brain metastases
- Other concomitant malignancies (with some exceptions per protocol)
- Active or history of autoimmune disease
- Positive test for human immunodeficiency virus (HIV) 1\&2 or known Acquired immune deficiency syndrome (AIDS)
- History of any hepatitis (A, B or C)
- History of grade 3-4 drug-related hepatitis
Show all 9Show fewer
- Known current drug or alcohol abuse
- Active tuberculosis (TB)
- Prior therapy with any antibody/drug that targets the T cell coregulatory proteins, including but not limited to, anti-CD137, Anti Cytotoxic T lymphocyte-associated antigen 4 (anti-CTLA4) or Anti-Glucocorticoid-induced tumor necrosis factor receptor (anti-GITR). However, Anti-Programmed Death-1 (anti-PD-1), Anti-Programmed Death-Ligand1 (anti-PD-L1) are permissible as prior therapy
Trial locations and contacts
15 sites in 1 country.
15 sites in 1 country
United States15 sites
University Of Michigan Health System
Ann Arbor, Michigan, 48109
Dana Faber Cancer Institute
Boston, Massachusetts, 02215
Levine Cancer Institute
Charlotte, North Carolina, 28204
University Of Virginia School Of Medicine
Charlottesville, Virginia, 22908
Karmanos Cancer Institute
Detroit, Michigan, 48201
John Theurer Cancer Center
Hackensack, New Jersey, 07601
The University Of Texas Md Anderson Cancer Center
Houston, Texas, 77030
University Of Iowa Hospitals And Clinics
Iowa City, Iowa, 52242
Ucla Department Of Medicine
Los Angeles, California, 90095
University Of Miami Sylvester Comprehensive Cancer Center
Miami, Florida, 33136
Mount Sinai Comprehensive Cancer Center
Miami Beach, Florida, 33140
Memorial Sloan Kettering Cancer Center
New York, New York, 11065
Hospital Of The University Of Pennsylvania
Philadelphia, Pennsylvania, 19104
Providence Cancer Center Oncology And Hematology Care- Eastside
Portland, Oregon, 97213
Stanford University Medical Center
Stanford, California, 94305
About this study
Official title: A Phase 1b, Open-label, Multicenter Study of Urelumab (BMS-663513) in Combination With Rituximab in Subjects With Relapsed/Refractory B-cell Malignancies
The purpose of the study is to determine the safety, tolerability and maximum tolerated dose of Urelumab in combination with Rituximab in patients with B-cell Non-Hodgkins Lymphoma
Read the detailed description
Intervention model: Dose Escalation (part 1) of study= Sequential Design; Dose Expansion (part 2) of study= Parallel Design
- Conditions
- B-Cell Malignancies
- Being tested
- Urelumab, Rituximab
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
UrelumabBiological
Also called BMS-663513
RituximabBiological
| Study group | Role | What they receive |
|---|---|---|
| Arm -1 - Urelumab + Rituximab | Experimental | Urelumab (BMS-663513) flat dose intravenous infusion on specified days
Rituximab intravenous flat dose infusion on specified days Receives: Biological: Urelumab; Biological: Rituximab |
| Arm 1 - Urelumab + Rituximab | Experimental | Urelumab (BMS-663513) flat dose intravenous infusion on specified days
Rituximab intravenous flat dose infusion on specified days Receives: Biological: Urelumab; Biological: Rituximab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Safety and tolerability of Urelumab in combination with Rituximab as measured by incidence of adverse events (AEs), serious AEs, death, vital sign changes, electrocardiograms (ECGs), physical examination results, and laboratory test abnormalities
Measured: Up to 60 days after last dose of Urelumab
Safety and tolerability of Urelumab in combination with Rituximab as measured by incidence of adverse events (AEs), serious AEs, death, vital sign changes, electrocardiograms (ECGs), physical examination results, and laboratory test abnormalities
Measured: Up to 110 days after last dose of Rituximab
Secondary outcomes (7)
Efficacy-Antitumor Activity of Urelumab in combination with Rituximab as measured by best overall response, progression-free survival, time to response, and duration of response
Measured: Up to approximately 3 years
Maximum observed serum concentration (Cmax) of Urelumab and Rituximab
Measured: 12 time points up to Day 60 of Follow-up
Time of maximum observed serum concentration (Tmax) of Urelumab
Measured: 12 time points up to Day 60 of Follow-up
Area under the serum concentration-time curve from time zero to time of last quantifiable concentration (AUC(0-T)) of Urelumab
Measured: 12 time points up to Day 60 of Follow-up
Trough observed serum concentration (Cmin) of Urelumab and Rituximab
Measured: 12 + 9 time points up to Day 60 of Follow-up
Area under the concentration-time curve (AUC) in one dosing interval (AUC(TAU)) of Urelumab
Measured: 12 time points up to Day 60 of Follow-up
Immunogenicity of Urelumab in combination with Rituximab as determined by blood sample measurements of anti-drug antibodies (ADA)
Measured: Up to approximately 110 days post study drug
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Jan 2013 (estimated)
- Study startMar 2013
- Primary completionAug 2016
- Study completionAug 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for B-Cell MalignanciesStudies of the same condition, open and under way.
- More trials run by Bristol-Myers SquibbThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 47 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bristol-Myers Squibb
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Bristol-Myers Squibb, Study director, Bristol-Myers Squibb
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01775631
- Sponsor's protocol ID
- CA186-017
- Status last verified
- Sep 2016
- First submitted
- 23 Jan 2013
- Last updated
- 31 Mar 2017
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 31 Mar 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 1b, Open-label, Multicenter Study of Urelumab (BMS-663513) in Combination With Rituximab in Subjects With Relapsed/Refractory B-cell Malignancies
- ClinicalTrials.gov ID
- NCT01775631
- Acronym / sponsor ID
- CA186-017
- Conditions
- B-Cell Malignancies
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 47 participants (actual)
- Lead sponsor
- Bristol-Myers SquibbIndustry (pharma, biotech, devices)
- Study start
- Mar 2013
- Primary completion
- Aug 2016 (actual)
- Study completion
- Aug 2016 (actual)
- First posted
- 25 Jan 2013 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of the study is to determine the safety, tolerability and maximum tolerated dose of Urelumab in combination with Rituximab in patients with B-cell Non-Hodgkins Lymphoma
Detailed description
Intervention model: Dose Escalation (part 1) of study= Sequential Design; Dose Expansion (part 2) of study= Parallel Design
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Arm -1 - Urelumab + Rituximab | Experimental | Biological: Urelumab, Biological: RituximabUrelumab (BMS-663513) flat dose intravenous infusion on specified days Rituximab intravenous flat dose infusion on specified days |
| Arm 1 - Urelumab + Rituximab | Experimental | Biological: Urelumab, Biological: RituximabUrelumab (BMS-663513) flat dose intravenous infusion on specified days Rituximab intravenous flat dose infusion on specified days |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Clinical diagnosis of relapsed/refractory B-cell Malignancies (B-Non-Hodgkins Lymphoma (NHL)) per International Workshop Group (IWG)
- Progressed or refractory to at least 1 prior line of standard therapy
- Subjects in Expansion cohorts are restricted to relapsed/refractory diffuse large B-cell lymphoma (DLBCL) or Follicular Lymphoma (FL) subjects who are either relapsed or refractory to prior rituximab or ritxumab-containing chemotherapy regimens
- Follicular Lymphoma (FL) must have at least 1 lesion that can be biopsied at screening and on treatment
- Eastern Cooperative Oncology Group (ECOG) of 0 to 1
Key exclusion criteria (9 listed)
- Active or progressing brain metastases
- Other concomitant malignancies (with some exceptions per protocol)
- Active or history of autoimmune disease
- Positive test for human immunodeficiency virus (HIV) 1\&2 or known Acquired immune deficiency syndrome (AIDS)
- History of any hepatitis (A, B or C)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| UrelumabAlso: BMS-663513 | Biological | Arm -1 - Urelumab + Rituximab, Arm 1 - Urelumab + Rituximab |
| Rituximab | Biological | Arm -1 - Urelumab + Rituximab, Arm 1 - Urelumab + Rituximab |
Primary outcome
Safety and tolerability of Urelumab in combination with Rituximab as measured by incidence of adverse events (AEs), serious AEs, death, vital sign changes, electrocardiograms (ECGs), physical examination results, and laboratory test abnormalities
Time frame: Up to 60 days after last dose of Urelumab
Safety and tolerability of Urelumab in combination with Rituximab as measured by incidence of adverse events (AEs), serious AEs, death, vital sign changes, electrocardiograms (ECGs), physical examination results, and laboratory test abnormalities
Time frame: Up to 110 days after last dose of Rituximab
7 secondary outcomes
Efficacy-Antitumor Activity of Urelumab in combination with Rituximab as measured by best overall response, progression-free survival, time to response, and duration of response
Time frame: Up to approximately 3 years
Maximum observed serum concentration (Cmax) of Urelumab and Rituximab
Time frame: 12 time points up to Day 60 of Follow-up
Time of maximum observed serum concentration (Tmax) of Urelumab
Time frame: 12 time points up to Day 60 of Follow-up
Area under the serum concentration-time curve from time zero to time of last quantifiable concentration (AUC(0-T)) of Urelumab
Time frame: 12 time points up to Day 60 of Follow-up
Trough observed serum concentration (Cmin) of Urelumab and Rituximab
Time frame: 12 + 9 time points up to Day 60 of Follow-up
Area under the concentration-time curve (AUC) in one dosing interval (AUC(TAU)) of Urelumab
Time frame: 12 time points up to Day 60 of Follow-up
Immunogenicity of Urelumab in combination with Rituximab as determined by blood sample measurements of anti-drug antibodies (ADA)
Time frame: Up to approximately 110 days post study drug
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 31 Mar 2017.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bristol-Myers Squibb study director
Bristol-Myers Squibb
15 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing Urelumab and Rituximab in people with B-Cell Malignancies, run by Bristol-Myers Squibb at 15 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 5 inclusion and 9 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 31 Mar 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 15 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 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.
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 of Urelumab in combination with Rituximab as measured by incidence of adverse events (AEs), serious AEs, death, vital sign changes, electrocardiograms (ECGs), physical examination results, and laboratory test abnormalities (time frame: Up to 60 days after last dose of Urelumab). 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?
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 31 Mar 2017.