Non-Hodgkin's LymphomaPhase 2NCT00081783
Xcellerated T CellsTM for Non-Hodgkin's Lymphoma (NHL) Patients
A Phase 2 study testing Xcellerated T Cells in people with Non-Hodgkin's Lymphoma, run by Xcyte Therapies at 18 sites in United States.
Trial summary
This is a Phase II single arm study of a novel T cell immunotherapy in patients with indolent non-Hodgkin's lymphoma (NHL). Eligible patients will have relapsed or refractory disease after receiving at least one and no more than four prior regimens. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Non-Hodgkin's Lymphoma
- What is being tested?
- Xcellerated T Cells
- How many people
- 40 participants
- Where
- 18 sitesUnited States
- Study dates
- Mar 2004to not given
- Phase
- Phase 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
- Indolent non-Hodgkin's Lymphoma (NHL), with one of the following subtypes according to the REAL Classification: follicular lymphoma, small lymphocytic lymphoma (SLL), extranodal marginal zone B-cell lymphoma (MALT), nodal marginal zone B-cell lymphoma (monocytoid B-cell lymphoma), splenic marginal zone lymphoma (splenic lymphoma with villous lymphocytes) and mantle cell lymphoma. Other subtypes require approval of the Medical Monitor. At least 16 patients with small lymphocytic lymphoma, and no more than eight patients with mantle cell lymphoma will be enrolled.
- Stage III or IV disease at any time in the past
- Relapsed or refractory disease following most recent treatment. Patients are considered to have refractory disease if their last treatment course did not result in a complete or partial response, or if time to disease progression was six months or less. Patients are considered to have relapsed disease if time to disease progression is more than six months. Patients who have achieved a partial or complete response following most recent therapy must have demonstrated progressive disease.
- Patients must have received at least one prior course of systemic therapy for NHL and no more than four prior courses of therapy. Repeat courses of the same therapeutic regimen separated in time by six or more months are considered separate treatment courses, with the exception of single-agent rituximab. Patients with more than four prior courses of therapy may be enrolled at the discretion of the Medical Monitor after discussion with the Investigator.
- Radiographically bi-dimensionally measurable disease. Imaging need not be performed within 15 days prior to registration. Prior scans are acceptable provided that there has been no intervening therapy for NHL. Scans will be obtained at baseline, following registration.
- Age of at least 18 years
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- ECOG performance status of 0 to 2
- White blood count (WBC) ≥ 3,000/mm3, absolute neutrophil count (ANC) ≥ 1000/mm3
- CD3+ > 1% of total peripheral white blood cell count by flow cytometry
- Platelet count > 50,000/mm3
- Hemoglobin ³ 10.0 g/dL. Transfusion with red blood cells or use of erythropoietin is permissible.
- Serum total bilirubin and alanine aminotransferase (ALT) ≤ 2.0 times the upper limit of normal
- Serum creatinine ≤ 2.0 mg/dL
- Serum human anti-mouse antibody (HAMA) titer undetectable or within the normal range, and no history of symptomatic allergic reactions to mice or murine (mouse) proteins. Patients with elevated HAMA levels may be enrolled at the discretion of the Medical Monitor after discussion with the Investigator.
- Negative test results for current/active infection with HIV-1, HIV-2, HTLV-1, HTLV-2, hepatitis B and hepatitis C within 30 days of registration. (Antibody, antigen and nucleic acid tests acceptable, depending on institutional standards)
- Women of childbearing potential must have a negative serum pregnancy test. Both men and women agree to use a medically accepted form of contraception from the time of initial screening through completion of the study.
- Able to comprehend and provide signed informed consent
Who cannot join
- Evidence of Hodgkin's lymphoma, Burkitt's lymphoma, diffuse large B-cell lymphoma, primary mediastinal B-cell lymphoma, lymphoplasmacytic lymphoma, hairy cell leukemia, primary central nervous system lymphoma or any other aggressive lymphoma
- Any T cell lymphoma
- Evidence of primary cutaneous anaplastic large cell lymphoma, Richter's Syndrome, large granular lymphocytosis and Sézary-cell leukemia. Patients with a prior diagnosis of chronic lymphocytic leukemia, as evidenced by absolute peripheral lymphocyte count of greater than 5,000 per mm3 at any time in the past, are not eligible.
- Leukemic manifestations of non-Hodgkin's lymphoma. Small lymphocytic lymphoma patients with peripheral lymphocyte count greater than 5,000 per mm3
- Receipt of any chemotherapy, monoclonal antibody, investigational or other systemic therapy (except glucocorticoids as noted below) for the treatment of NHL within 2 months prior to registration
- Receipt of glucocorticoids (with the exception of inhaled glucocorticoids) within 1 month prior to registration
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- Receipt of intravenous immunoglobulin (IVIG) within 1 month of registration
- Registration for, or plans to participate in, any other clinical trial of an investigational agent concurrently with this trial
- History of malignancy other than NHL within five years of registration, except adequately treated basal or squamous cell skin cancer or in situ carcinoma of the cervix. Other exceptions must be approved by the Xcyte Therapies' Medical Monitor prior to registration.
- Infection requiring treatment with antibiotics, antifungal, or antiviral agents within seven days of registration
- Active autoimmune disease requiring systemic treatment
- Major organ system dysfunction including (but not limited to): New York Heart Association Class III or IV, severe pulmonary, renal, hepatic, gastrointestinal, neurologic or psychiatric dysfunction which would impair patient's ability to participate in the trial
- Any other pertinent medical or psychological condition which leads the Investigator to believe the study would not be appropriate treatment or in the patient's best interest
Trial locations and contacts
18 sites in 1 country.
18 sites in 1 country
United States18 sites, 18 recruiting
- Recruiting
Johns Hopkins University
Baltimore, Maryland, 21231
Susan Newton, RN, 410-502-7985, meusesu@jhmi.edu
Ian W. Flinn, MD, PhD
- Recruiting
Center for Cancer & Blood Disorders
Bethesda, Maryland, 20817
Natalie Bongiorno, RN, BSN, 301-571-0019, nbongiorno@ccbdmd.com
Ralph V. Boccia, MD
- Recruiting
Dana-Farber Cancer Institute
Boston, Massachusetts, 02115
Richard Boyajian, 617-632-3352 ext. 42314, Richard_Boyajian@dfci.harvard.edu
Arnold Freedman, MD
- Recruiting
Ohio State University
Columbus, Ohio, 43210
Mary Weiss, 614-293-3437, Weiss-3@medctr.osu.edu
Thomas Lin, MD
- Recruiting
Rocky Mountain Cancer Centers
Denver, Colorado, 80218
Juli Murphy, BS, CCRC, 303-285-5087, juli.murphy@usoncology.com
Peter McSweeney, MD
- Recruiting
California Cancer Care
Greenbrae, California, 94904
Jaime Chang, 415-925-5040, JChang@cal-cancer-care.com
Jennifer B. Lucas, MD
- Recruiting
Cancer Centers of the Carolinas
Greenville, South Carolina, 29605
Kim Williams, RN, 864-241-6251, kimberly.williams@usoncology.com
Joe J. Stephenson, MD
- Recruiting
MD Anderson Cancer Center
Houston, Texas, 77030
Ana Ayala, 713-792-3610, abayala@mdanderson.org
Peter W. McLaughlin, MD
- Not yet recruiting
University of Southern California
Los Angeles, California, 90033
Lynne Smith, 323-865-0371, diansmi@usc.edu
Ann Mohrbacher, MD
- Recruiting
Cancer Institute of New Jersey
New Brunswick, New Jersey, 08903
John Martin, 732-235-8995, martinj4@umdnj.edu
Roger K. Strair, MD, PhD
- Recruiting
Oregon Health Sciences University
Portland, Oregon, 97239
Aubyn Grant, CCRP, 503-494-5074, granta@ohsu.edu
Brandon Hayes-Lattin, MD
- Recruiting
Atlanta Cancer Care
Roswell, Georgia, 30342
Kathy Andrews, 404-851-2359, kandrews@atlantacancercare.com
Ronald G. Steis, MD
- Recruiting
University of California, San Diego
San Diego, California, 92093
Vineeta Prasad, 858-822-0337, vprasad@ucsd.edu
Januario E. Castro, MD
- Recruiting
Sharp Memorial Hospital
San Diego, California, 92123
Cathy Wood, 858-939-5062, cathy.wood@sharp.com
Charles Redfern, MD
- Recruiting
University of California, San Francisco
San Francisco, California, 94143
Jenny Zhang, 415-476-3741, jzhang@medicine.ucsf.edu
Lawrence D. Kaplan, MD
- Recruiting
Swedish Cancer Institute
Seattle, Washington, 98104
Toni Oien, CCRC, 206-386-2831, toni.oien@swedish.org
Michael S. Milder, MD
- Recruiting
Virginia Mason
Seattle, Washington, 98111
Aimee Perrault-Gray, 206-583-6559 ext. 61870, Aimee.PerraultGray@vmmc.org
David M. Aboulafia, MD
- Recruiting
Washington University
St Louis, Missouri, 63110
Kelly Bryan, 314-362-6359, kbryan@im.wustl.edu
Nancy L. Bartlett, MD
About this study
Official title: A Phase II Study of Xcellerated T CellsTM in Patients With Relapsed or Refractory Indolent Non-Hodgkin's Lymphoma (NHL)
This is a Phase II single arm study of a novel T cell immunotherapy in patients with indolent non-Hodgkin's lymphoma (NHL). Eligible patients will have relapsed or refractory disease after receiving at least one and no more than four prior regimens. Patients will receive Xcellerated T CellsTM, an ex vivo activated and expanded autologous T cell product, in an attempt to enhance immune responses with anti-tumor activity. The primary endpoint of the study is to evaluate the efficacy of Xcellerated T Cells in patients with indolent NHL. Secondary endpoints are to evaluate the safety of the therapy in this patient population, and to evaluate changes in the number and phenotype of T- and B-lymphocytes, as well as changes in the T cell receptor repertoire, hemoglobin levels, platelet counts and quantitative immunoglobulin levels. In a subset of patients, fine-needle aspirates of malignant lymph nodes will be performed to assess changes in the lymphocyte composition and phenotype. Bone marrow aspirates will be similarly evaluated. Finally, anti-tumor immune responses will be evaluated in patients amenable to biopsy of enlarged lymph nodes.
- Conditions
- Non-Hodgkin's Lymphoma
- Being tested
- Xcellerated T Cells
- Keywords
- T Cells, Immunotherapy, NHL, Xcellerated T Cells
- Medical subject headings
- Lymphoma, Non-Hodgkin
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Xcellerated T CellsDrug
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Apr 2004 (estimated)
- Study startMar 2004
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Non-Hodgkin's LymphomaStudies of the same condition, open and under way.
- 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 2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 40 participants
Sponsor and investigators
- Lead sponsor
- Xcyte Therapies
- Sponsor type
- Industry (pharma, biotech, devices)
- Investigators
- Mark W. Frohlich, MD, Study chair, Xcyte Therapies
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00081783
- Sponsor's protocol ID
- XT009
- Status last verified
- Mar 2005
- First submitted
- 20 Apr 2004
- Last updated
- 24 Jun 2005
- Results posted
- No
Study at a glance
From the registry record, last updated by the sponsor on 24 Jun 2005. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase II Study of Xcellerated T CellsTM in Patients With Relapsed or Refractory Indolent Non-Hodgkin's Lymphoma (NHL)
- ClinicalTrials.gov ID
- NCT00081783
- Acronym / sponsor ID
- XT009
- Conditions
- Non-Hodgkin's Lymphoma
- Keywords
- T Cells, Immunotherapy, NHL, Xcellerated T Cells
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 40 participants
- Lead sponsor
- Xcyte TherapiesIndustry (pharma, biotech, devices)
- Study start
- Mar 2004
- First posted
- 22 Apr 2004 (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.
This is a Phase II single arm study of a novel T cell immunotherapy in patients with indolent non-Hodgkin's lymphoma (NHL). Eligible patients will have relapsed or refractory disease after receiving at least one and no more than four prior regimens. Patients will receive Xcellerated T CellsTM, an ex vivo activated and expanded autologous T cell product, in an attempt to enhance immune responses with anti-tumor activity. The primary endpoint of the study is to evaluate the efficacy of Xcellerated T Cells in patients with indolent NHL. Secondary endpoints are to evaluate the safety of the therapy in this patient population, and to evaluate changes in the number and phenotype of T- and B-lymphocytes, as well as changes in the T cell receptor repertoire, hemoglobin levels, platelet counts and quantitative immunoglobulin levels. In a subset of patients, fine-needle aspirates of malignant lymph nodes will be performed to assess changes in the lymphocyte composition and phenotype. Bone marrow aspirates will be similarly evaluated. Finally, anti-tumor immune responses will be evaluated in patients amenable to biopsy of enlarged lymph nodes.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (17 listed)
- Indolent non-Hodgkin's Lymphoma (NHL), with one of the following subtypes according to the REAL Classification: follicular lymphoma, small lymphocytic lymphoma (SLL), extranodal marginal zone B-cell lymphoma (MALT), nodal marginal zone B-cell lymphoma (monocytoid B-cell lymphoma), splenic marginal zone lymphoma (splenic lymphoma with villous lymphocytes) and mantle cell lymphoma. Other subtypes require approval of the Medical Monitor. At least 16 patients with small lymphocytic lymphoma, and no more than eight patients with mantle cell lymphoma will be enrolled.
- Stage III or IV disease at any time in the past
- Relapsed or refractory disease following most recent treatment. Patients are considered to have refractory disease if their last treatment course did not result in a complete or partial response, or if time to disease progression was six months or less. Patients are considered to have relapsed disease if time to disease progression is more than six months. Patients who have achieved a partial or complete response following most recent therapy must have demonstrated progressive disease.
- Patients must have received at least one prior course of systemic therapy for NHL and no more than four prior courses of therapy. Repeat courses of the same therapeutic regimen separated in time by six or more months are considered separate treatment courses, with the exception of single-agent rituximab. Patients with more than four prior courses of therapy may be enrolled at the discretion of the Medical Monitor after discussion with the Investigator.
- Radiographically bi-dimensionally measurable disease. Imaging need not be performed within 15 days prior to registration. Prior scans are acceptable provided that there has been no intervening therapy for NHL. Scans will be obtained at baseline, following registration.
Key exclusion criteria (13 listed)
- Evidence of Hodgkin's lymphoma, Burkitt's lymphoma, diffuse large B-cell lymphoma, primary mediastinal B-cell lymphoma, lymphoplasmacytic lymphoma, hairy cell leukemia, primary central nervous system lymphoma or any other aggressive lymphoma
- Any T cell lymphoma
- Evidence of primary cutaneous anaplastic large cell lymphoma, Richter's Syndrome, large granular lymphocytosis and Sézary-cell leukemia. Patients with a prior diagnosis of chronic lymphocytic leukemia, as evidenced by absolute peripheral lymphocyte count of greater than 5,000 per mm3 at any time in the past, are not eligible.
- Leukemic manifestations of non-Hodgkin's lymphoma. Small lymphocytic lymphoma patients with peripheral lymphocyte count greater than 5,000 per mm3
- Receipt of any chemotherapy, monoclonal antibody, investigational or other systemic therapy (except glucocorticoids as noted below) for the treatment of NHL within 2 months prior to registration
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 |
|---|---|---|
| Xcellerated T Cells | Drug | – |
Primary outcome
Not reported in the source record.
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Jun 2005.
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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.
Mark W. Frohlich, MD study chair
Xcyte Therapies
18 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Xcellerated T Cells in people with Non-Hodgkin's Lymphoma, run by Xcyte Therapies at 18 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 17 inclusion and 13 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: status not confirmed, as of the sponsor's last update on 24 Jun 2005. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 18 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 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?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Vicki M. Mizuno (206-262-6251, vmizuno@xcytetherapies.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
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 24 Jun 2005.