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Relapsed Lymphoid MalignancyPhase 1NCT02175433

A Study to Evaluate Safety, Tolerability, and Pharmacokinetics of Escalating Doses of AGS67E Given as Monotherapy in Subjects With Refractory or Relapsed Lymphoid Malignancies

A Phase 1 study testing AGS67E in people with Relapsed Lymphoid Malignancy and Refractory Lymphoid Malignancy, run by Astellas Pharma Global Development, Inc. at 5 sites in 2 countries.

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

The purpose of this study is to evaluate the safety, tolerability and pharmacokinetics of AGS67E both without and with myeloid growth factor (GF) in subjects with refractory or relapsed lymphoid malignancies. Immunogenicity and anticancer activity of AGS67E will also be assessed. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
AGS67E
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
71 participants
Where
5 sitesin 2 countries
Study dates
14 Oct 2014to 29 Oct 2019
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

  • Refractory or relapsed chronic lymphocytic leukemia (CLL), prolymphocytic leukemia (PLL), hairy cell leukemia (HCL) or non-Hodgkin lymphoma (NHL) (including those of T cell origin)
  • Eastern Cooperative Oncology Group performance score (ECOG) ≤ 2
  • Negative pregnancy test (women of childbearing potential)
  • Hematologic function, as follows (no platelet transfusion within 2 weeks and no RBC transfusion within 4 days before the first dose of study drug)
  • Absolute neutrophil count (ANC) ≥ 1,000/μL
  • Platelets ≥ 75,000/μL
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  • Hemoglobin ≥ 8 g/dL (may be transfused ≥ 5 days)
  • Renal function: serum creatinine ≤ 2.0 mg/dL and estimated creatinine clearance of ≥ 45 mL/min by the Cockcroft-Gault equation
  • Direct bilirubin ≤ 1.5 x upper limit of normal (ULN)
  • Serum albumin ≥ 2.5 g/dL
  • Aspartate aminotransferase (AST) ≤ 1.5 x ULN unless there is hepatic involvement, then 3 x ULN
  • Alanine aminotransferase (ALT) ≤ 1.5 x ULN unless there is hepatic involvement, then 3 x ULN
  • Sexually active fertile subjects, and their partners, must agree to use medically accepted double-barrier methods of contraception (e.g., barrier methods, including male condom, female condom, or diaphragm with spermicidal gel) during the study and at least 6 weeks after termination of study therapy

Who cannot join

  • Preexisting sensory and/or motor neuropathy Grade ≥ 2
  • Small molecule therapy, radiotherapy, immunotherapy, monoclonal antibodies, or chemotherapy within 2 weeks before first dose of study drug
  • Radioimmunotherapy within 4 weeks before first dose of study drug
  • Use of any investigational drug (including marketed drugs not approved for this indication) within 14 days prior to the first dose of study drug
  • Any P-gp inducers/inhibitors or strong CYP3A inhibitors within 2 weeks before the first dose of study drug (See Appendix F for list of excluded drugs)
  • Anti Graft-Versus-Host Disease (GVHD) therapy within 12 weeks before the first dose of study drug
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  • Platelet transfusion within 2 weeks and RBC transfusion within 4 days before the first dose of study drug
  • Known central nervous system (CNS) disease
  • History of other primary malignancy (including myeloid malignancy, e.g., myelodysplastic syndrome), unless
  • Curatively resected nonmelanomatous skin cancer
  • Other malignancy curatively treated with no known active disease present and no systemic treatment administered for 3 years before the first dose of study drug
  • Active angina or Class III or IV Congestive Heart Failure (CHF) (New York Heart Association CHF Functional Classification System) or clinically significant cardiac disease within 12 months of the first dose of study drug, including myocardial infarction, unstable angina, Grade 2 or greater peripheral vascular disease, congestive heart failure, uncontrolled hypertension, or arrhythmias not controlled by outpatient medication
  • Women who are pregnant or lactating
  • Known HIV positive or AIDS
  • Positive Hepatitis B surface antigen test
  • Decompensated liver disease as evidenced by clinically significant ascites refractory to diuretic therapy, hepatic encephalopathy, or coagulopathy
  • Known sensitivity to any of the components of the investigational product AGS67E:
  • AGS67E
  • L-Histidine
  • α-trehalose dihydrate or
  • polysorbate 20
  • History of thromboembolic events (e.g., deep vein thrombosis (DVT) or pulmonary embolism (PE)) ≤ 2 weeks before the first dose of study drug and/or clinical diffuse intravascular coagulation (DIC)
  • Active infection requiring treatment ≤7 days before the first dose of study drug
  • Condition or situation which may put the subject at significant risk, may confound the study results, or may interfere significantly with subject's participation in the study
  • Any medical, psychiatric, addictive or other disorder which compromises the ability of the subject to give written informed consent and/or to comply with procedures.

Trial locations and contacts

5 sites in 2 countries.

5 sites in 2 countries

United States4 sites
  • Site US0006

    Duarte, California, 91010

  • Site US0004

    Fairway, Kansas, 66205

  • Site US0001

    New York, New York, 10019

  • Site US0002

    Stanford, California, 94305

Other trials in United States

Canada1 site
  • Site CA0005

    Vancouver, British Columbia, V5Z 4E6

Other trials in Canada

About this study

Official title: A Phase 1 Study Evaluating Safety, Tolerability, and Pharmacokinetics of Escalating Doses of AGS67E Given as Monotherapy in Subjects With Refractory or Relapsed Lymphoid Malignancies

The purpose of this study is to evaluate the safety, tolerability and pharmacokinetics of AGS67E both without and with myeloid growth factor (GF) in subjects with refractory or relapsed lymphoid malignancies. Immunogenicity and anticancer activity of AGS67E will also be assessed.

Read the detailed description

The dose escalation study will have two parts:

  1. Dose Escalation of AGS67E without myeloid growth factor (GF)
  2. Dose Escalation of AGS67E with myeloid growth factor (GF)

Subjects will be enrolled sequentially into dose cohorts starting with AGS67E without GF.

All subjects will receive a single 30 minute intravenous (IV) infusion of AGS67E once every three weeks. Subjects will continue treatment until disease progression, intolerability of AGS67E, investigator decision or consent withdrawal.

This dose escalation will first determine the maximum tolerated dose (MTD) of AGS67E without GF and then determine the MTD of AGS67E with GF. Once an MTD has been established, the study may enroll subjects into respective expansion cohorts of 12 subjects each at doses recommended by the data review team (DRT) (expansion cohort without GF and/or expansion cohort with GF).

During dose escalation, the Data Review Team will review cumulative unaudited data on an interim basis to review subject safety, recommend exploring additional doses and/or schedules, or the expansion of existing cohorts.

Being tested
AGS67E
Keywords
Refractory or relapsed chronic lymphocytic leukemia (CLL) prolymphocytic leukemia (PLL), Relapsed lymphoid malignancy, Refractory lymphoid malignancy, Pharmacokinetics of AGS67E, hairy cell leukemia (HCL), AGS67C, non-Hodgkin lymphoma (NHL), AGS67E
Medical subject headings
Leukemia, Lymphocytic, Chronic, B-Cell, Leukemia, Prolymphocytic, Leukemia, Hairy Cell, Lymphoma, Non-Hodgkin

What participants receive

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

  • AGS67EDrug

    intravenous (IV) infusion

Study groups in NCT02175433
Study groupRoleWhat they receive
Dose Escalation of AGS67E 0.05 mg/kg Without GFExperimentalParticipants will receive 0.05 milligram per kilogram (mg/kg) AGS67E without growth factor (GF) by intravenous infusion once every three weeks.
Receives: Drug: AGS67E
Dose Escalation of AGS67E 0.1 mg/kg Without GFExperimentalParticipants will receive 0.1 mg/kg AGS67E without GF by intravenous infusion once every three weeks.
Receives: Drug: AGS67E
Dose Escalation of AGS67E 0.3 mg/kg Without GFExperimentalParticipants will receive 0.3 mg/kg AGS67E without GF by intravenous infusion once every three weeks.
Receives: Drug: AGS67E
Dose Escalation of AGS67E 0.6 mg/kg Without GFExperimentalParticipants will receive 0.6 mg/kg AGS67E without GF by intravenous infusion once every three weeks.
Receives: Drug: AGS67E
Dose Escalation of AGS67E 0.9 mg/kg Without GFExperimentalParticipants will receive 0.9 mg/kg AGS67E without GF by intravenous infusion once every three weeks.
Receives: Drug: AGS67E
Dose Escalation of AGS67E 1.2 mg/kg Without GFExperimentalParticipants will receive 1.2 mg/kg AGS67E without GF by intravenous infusion once every three weeks.
Receives: Drug: AGS67E
Dose Expansion of AGS67E 0.9 mg/kg Without GFExperimentalParticipants will receive 0.9 mg/kg AGS67E without GF by intravenous infusion once every three weeks.
Receives: Drug: AGS67E
Dose Escalation of AGS67E 1.2 mg/kg With GFExperimentalParticipants will receive 1.2 mg/kg AGS67E with GF by intravenous infusion once every three weeks.
Receives: Drug: AGS67E
Dose Escalation of AGS67E 1.5 mg/kg With GFExperimentalParticipants will receive 1.5 mg/kg AGS67E with GF by intravenous infusion once every three weeks.
Receives: Drug: AGS67E
Dose Escalation of AGS67E 1.8 mg/kg With GFExperimentalParticipants will receive 1.8 mg/kg AGS67E with GF by intravenous infusion once every three weeks.
Receives: Drug: AGS67E
Dose Expansion of AGS67E 1.5 mg/kg With GFExperimentalParticipants will receive 1.5 mg/kg AGS67E with GF by intravenous infusion once every three weeks.
Receives: Drug: AGS67E

What is being measured

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

  1. Incidence and nature of adverse events

    Measured: up to 34 months

  2. Pharmacokinetic parameter for total antibody (TAb), antibody drug conjugate (ADC), and Monomethyl Auristatin E (MMAE): Concentration at the end of infusion (CEOI)

    Measured: Escalation: Days 1-4, 8, 15, 22, 43-46, 50, 64 for Cycles 1-4 and predose once every 3 weeks in subsequent cycles. Expansion: Days 1, 3, 8, 22, 43, 45, 64 in Cycles 1-4 and predose once every 3 weeks in subsequent Cycles up to an average of 4 months

  3. Pharmacokinetic parameter for total antibody (TAb), antibody drug conjugate (ADC), and Monomethyl Auristatin E (MMAE): Maximum observed concentration (Cmax)

    Measured: Escalation: Days 1-4, 8, 15, 22, 43-46, 50, 64 for Cycles 1-4 and predose once every 3 weeks in subsequent cycles. Expansion: Days 1, 3, 8, 22, 43, 45, 64 in Cycles 1-4 and predose once every 3 weeks in subsequent Cycles up to an average of 4 months

  4. Pharmacokinetic parameter for Monomethyl Auristatin E (MMAE): Time to maximum concentration (Tmax)

    Measured: Escalation: Days 1-4, 8, 15, 22, 43-46, 50, 64 for Cycles 1-4 and predose once every 3 weeks in subsequent cycles. Expansion: Days 1, 3, 8, 22, 43, 45, 64 in Cycles 1-4 and predose once every 3 weeks in subsequent Cycles up to an average of 4 months

  5. Pharmacokinetic parameter for total antibody (TAb), antibody drug conjugate (ADC), and Monomethyl Auristatin E (MMAE): Partial area under the serum concentration-time curve after first dose and as appropriate (AUC0-21)

    Measured: Escalation: Days 1-4, 8, 15, 22, 43-46, 50, 64 for Cycles 1-4 and predose once every 3 weeks in subsequent cycles. Expansion: Days 1, 3, 8, 22, 43, 45, 64 in Cycles 1-4 and predose once every 3 weeks in subsequent Cycles up to an average of 4 months

  6. Pharmacokinetic parameter for total antibody (TAb), antibody drug conjugate (ADC), and Monomethyl Auristatin E (MMAE): Terminal or apparent terminal half-life (t1/2)

    Measured: Escalation: Days 1-4, 8, 15, 22, 43-46, 50, 64 for Cycles 1-4 and predose once every 3 weeks in subsequent cycles. Expansion: Days 1, 3, 8, 22, 43, 45, 64 in Cycles 1-4 and predose once every 3 weeks in subsequent Cycles up to an average of 4 months

  7. Pharmacokinetic parameter for total antibody (TAb), antibody drug conjugate (ADC), and Monomethyl Auristatin E (MMAE): Systemic clearance (CL)

    Measured: Escalation: Days 1-4, 8, 15, 22, 43-46, 50, 64 for Cycles 1-4 and predose once every 3 weeks in subsequent cycles. Expansion: Days 1, 3, 8, 22, 43, 45, 64 in Cycles 1-4 and predose once every 3 weeks in subsequent Cycles up to an average of 4 months

  8. Pharmacokinetic parameter for total antibody (TAb), antibody drug conjugate (ADC), and Monomethyl Auristatin E (MMAE): Volume of distribution at steady state (Vss)

    Measured: Escalation: Days 1-4, 8, 15, 22, 43-46, 50, 64 for Cycles 1-4 and predose once every 3 weeks in subsequent cycles. Expansion: Days 1, 3, 8, 22, 43, 45, 64 in Cycles 1-4 and predose once every 3 weeks in subsequent Cycles up to an average of 4 months

Secondary outcomes (3)
  1. Incidence of Anti-Drug Antibody (ADA) formation to the fully human monoclonal antibody (AGS67C) and antibody-drug conjugate (AGS67E)

    Measured: Up to 34 months

  2. Incidence of tumor response

    Tumor response is defined as either a complete response (CR) or partial response (PR)

    Measured: Up to 34 months

  3. Objective response rate (ORR)

    ORR for a cohort is defined as the percentage of subjects who experience a best response of either complete response (CR) or partial response (PR) in that cohort.

    Measured: Up to 34 months

Timeline

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

  1. First posted26 Jun 2014 (estimated)
  2. Study start14 Oct 2014
  3. Primary completion29 Oct 2019
  4. Study completion29 Oct 2019

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
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
71 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02175433
Sponsor's protocol ID
AGS67E-14-1
Status last verified
Oct 2024
First submitted
24 Jun 2014
Last updated
1 Nov 2024
Results posted
No
Data monitoring committee
No
Individual data sharing
Yes: Access to anonymized individual participant level data collected during the study, in addition to study-related supporting documentation, is planned for studies conducted with approved product indications and formulations, as well as products terminated during development. Studies conducted with product indications or formulations that remain active in development are assessed after study completion to determine if Individual Participant Data can be shared. Further details on Astellas' data sharing policy can be found at https://www.clinicaltrials.astellas.com/transparency/.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing AGS67E in people with Relapsed Lymphoid Malignancy and Refractory Lymphoid Malignancy, run by Astellas Pharma Global Development, Inc. at 5 sites in 2 countries.

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 13 inclusion and 25 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 1 Nov 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in United States, Canada. 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?

Incidence and nature of adverse events (time frame: up to 34 months). The study lists 8 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 1 Nov 2024.

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