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Acute Myelogenous LeukemiaPhase 1NCT01120457

First in Human Study to Determine the Safety, Tolerability and Preliminary Efficacy of an Anti-CXCR4 Antibody in Subjects With Acute Myelogenous Leukemia and Selected B-cell Cancers

A Phase 1 study testing BMS-936564 (Anti-CXCR4) in people with Acute Myelogenous Leukemia and Diffuse Large B-Cell Leukemia, run by Bristol-Myers Squibb at 11 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

The purpose of this study is to assess the safety and tolerability of BMS-936564 (MDX-1338) in relapsed Acute myelogenous leukemia (AML) and other selected B-cell cancers and to determine the maximum tolerated dose (MTD) of the drug alone in relapsed/refractory AML Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
BMS-936564 (Anti-CXCR4)
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
96 participants
Where
11 sitesUnited States
Study dates
Aug 2010to Nov 2014
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

  • Common to All Indications:
  • Life expectancy at least 12 weeks
  • ECOG Performance Status of 0-2
  • For Acute myelogenous leukemia (AML) Subjects:
  • First Relapse and primary induction failure in AML (M3 excluded)
  • Secondary AML subjects from myelodysplastic syndrome (MDS) or prior chemotherapy are eligible. MDS-only subjects are not eligible
Show all 13Show fewer
  • For Follicular Lymphoma (FL), Diffuse Large B-Cell Lymphoma (DLBCL) Subjects:
  • Must be at least 4 weeks (for FL) or 2 weeks (for DLBCL) since prior cytotoxic, biologic, monoclonal antibody, or investigational therapy
  • Ability to undergo tumor biopsy pre-treatment and at end of monotherapy period (though not mandatory for all subjects)
  • Subjects must have a histologically confirmed diagnosis of relapsed or refractory disease
  • For Chronic lymphocytic leukemia (CLL) Subjects:
  • Subjects must have a histologically confirmed diagnosis of relapsed or refractory disease
  • Must be at least 4 weeks since prior cytotoxic, biologic, monoclonal antibody, or investigational therapy, including corticosteroids

Who cannot join

  • Common to All indications:
  • Prior anti-CXCR4 therapy including BMS-936564 (MDX-1338)
  • Less than 3 months from prior hematopoietic stem cell transplant
  • Presence of active graft versus host disease
  • For AML Subjects:
  • Acute promyelocytic leukemia (M3)
Show all 16Show fewer
  • Left ventricular ejection fraction < institutional limits of normal
  • For FL, DLBCL Subjects:
  • (For DLBCL): Inadequate renal function defined as creatinine clearance (by Cockcroft-Gault formula) < 60 mL/min
  • Major surgery, not related to debulking procedures, within 21 days of first dose
  • Myocardial infarction within 6 months prior to screening or Class III or IV heart failure, uncontrolled angina, severe uncontrolled ventricular arrhythmias, or electrocardiographic evidence of acute ischemia
  • Myelodysplastic syndrome (MDS)
  • For CLL Subjects:
  • No progression to more aggressive B-cell cancers, such as Richter's syndrome
  • Major surgery within 21 days of Cycle 1, Day 1. Patients undergoing debulking procedures and minor surgery are allowed after a recovery period, in the judgment of the Investigator
  • Myocardial infarction within 6 months prior to screening Class III or IV heart failure, uncontrolled angina, severe uncontrolled ventricular arrhythmias, or electrocardiographic evidence of acute ischemia

Trial locations and contacts

11 sites in 1 country.

11 sites in 1 country

United States11 sites
  • B. Douglas Smith, M.D.

    Baltimore, Maryland, 21287

  • Uab Comprehensive Cancer Center

    Birmingham, Alabama, 35294

  • Dana-Farber Cancer Inst

    Boston, Massachusetts, 02215

  • Northwestern University Feinberg School Of Medicine

    Chicago, Illinois, 60611

  • The University Of Texas Md Anderson Cancer Center

    Houston, Texas, 77030

  • Mayo Clinic

    Jacksonville, Florida, 32224

  • Uc San Diego Moores Cancer Center

    La Jolla, California, 92093

  • Usc - Norris Comprehensive Cancer Center And Hospital

    Los Angeles, California, 90033

  • Ucla-Division Of Hematology/Oncology

    Los Angeles, California, 90095

  • University Of Washington School Of Medicine

    Seattle, Washington, 98109

  • University Of Kansas Cancer Center And Medical Pavillion

    Westwood, Kansas, 66205

Other trials in United States

About this study

Official title: A Phase 1, Open-label, Multicenter Study of BMS-936564 (MDX-1338) in Subjects With Relapsed Acute Myelogenous Leukemia and Selected B-cell Malignancies

The purpose of this study is to assess the safety and tolerability of BMS-936564 (MDX-1338) in relapsed Acute myelogenous leukemia (AML) and other selected B-cell cancers and to determine the maximum tolerated dose (MTD) of the drug alone in relapsed/refractory AML

Being tested
BMS-936564 (Anti-CXCR4)
Medical subject headings
Leukemia, Myeloid, Acute, Leukemia, Lymphocytic, Chronic, B-Cell, Lymphoma, Follicular

What participants receive

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

  • BMS-936564 (Anti-CXCR4)Drug

    Also called MDX-1338

Study groups in NCT01120457
Study groupRoleWhat they receive
Arm 1: Dose Escalation and Expansion cohort (AML Patients)ExperimentalDose Escalation: BMS-936564 0.3-10 mg/kg solution, Intravenous, Single 60 minute infusion as monotherapy 7 days/cycle 1 and with chemotherapy for subsequent cycles (28 days/cycle) Dose Expansion: BMS-936564 maximum tolerated dose (MTD) based on dose escalation, solution, Intravenous, Single 60 minute infusion as monotherapy 7 days/cycle 1 and with chemotherapy for subsequent cycles (28 days/cycle)
Receives: Drug: BMS-936564 (Anti-CXCR4)
Arm 2: Dose Expansion cohort (DLBCL Patient)ExperimentalBMS-936564 MTD based on Arm 1, weekly 60 minute infusion in cycle 1 (up to 56 days) and with chemotherapy for subsequent cycles (28 days/cycle)
Receives: Drug: BMS-936564 (Anti-CXCR4)
Arm 3: Dose Expansion cohort (CLL Patient)ExperimentalBMS-936564 MTD based on Arm 1, weekly 60 minute infusion in cycle 1 (up to 56 days) and with chemotherapy for subsequent cycles (28 days/cycle)
Receives: Drug: BMS-936564 (Anti-CXCR4)
Arm 4: Dose Expansion cohort (FL Patient)ExperimentalBMS-936564 MTD based on Arm 1, weekly 60 minute infusion in cycle 1 (up to 56 days) and with chemotherapy for subsequent cycles (28 days/cycle)
Receives: Drug: BMS-936564 (Anti-CXCR4)

What is being measured

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

  1. Safety and tolerability as monotherapy

    Safety and tolerability measured by incidence of adverse events (AEs), AEs leading to discontinuation, Serious Adverse Events (SAEs), deaths, and laboratory abnormalities

    Measured: Within the first 7 days for AML

  2. Safety and tolerability as monotherapy

    Safety and tolerability measured by incidence of adverse events (AEs), AEs leading to discontinuation, Serious Adverse Events (SAEs), deaths, and laboratory abnormalities

    Measured: Within 28 days for the selected B-cell malignancies

Secondary outcomes (14)
  1. Safety, as measured by vital signs, clinical laboratory tests,ECOG performance status, physical exams, 12 lead ECGs incidence and severity of adverse events

    ECOG - Eastern Cooperative Oncology Group ECG - Electrocardiograms

    Measured: For a maximum of thirteen 28-day cycles for the AML cohort and for a maximum of six 28-day cycles for the B-cell malignancies

  2. Efficacy- including best overall response (BOR) derived from changes in tumor burden and metabolic response based on FDG-PET (for DLBCL)

    FDG-PET - fluoro-2-deoxyglucose positron emission tomography DLBCL - Diffuse Large B-Cell Lymphoma

    Measured: For a maximum of thirteen 28-day cycles for the AML cohort and for a maximum of six 28-day cycles for the B-cell malignancies

  3. Immunogenicity measurement for human anti human antibodies (HAHA) -characterizing the immunogenicity of BMS-936564

    Subjects will be called as immunogenicity positive/negative to antibodies against BMS-936564 (MDX-1338) using immunogenicity assay, and will be classified as negative, positive baseline, or negative baseline with at least one positive post-treatment. The number and percentage of subjects in each classification will be reported for each dose level.

    Measured: For a maximum of thirteen 28-day cycles for the AML cohort and for a maximum of six 28-day cycles for the B-cell malignancies

  4. Maximum observed serum concentration (Cmax) of BMS-936564 (MDX-1338) will be derived from serum concentration versus actual time

    Measured: For a maximum of thirteen 28-day cycles for the AML cohort and for a maximum of six 28-day cycles for the B-cell malignancies

  5. Trough observed serum concentration (Cmin) of BMS-936564 (MDX-1338) will be derived from serum concentration versus actual time

    Measured: For a maximum of thirteen 28-day cycles for the AML cohort and for a maximum of six 28-day cycles for the B-cell malignancies

  6. Time of maximum observed concentration (Tmax) of BMS-936564 (MDX-1338) will be derived from serum concentration versus actual time

    Measured: For a maximum of thirteen 28-day cycles for the AML cohort and for a maximum of six 28-day cycles for the B-cell malignancies

  7. Area under the concentration-time curve from time zero extrapolated to infinite time [AUC(INF)] of BMS-936564 (MDX-1338) will be derived from serum concentration versus actual time

    Measured: For a maximum of thirteen 28-day cycles for the AML cohort and for a maximum of six 28-day cycles for the B-cell malignancies

  8. Area under the concentration-time curve from time zero to the time of the last quantifiable concentration [AUC(0-T)] of BMS-936564 (MDX-1338) will be derived from serum concentration versus actual time

    Measured: For a maximum of thirteen 28-day cycles for the AML cohort and for a maximum of six 28-day cycles for the B-cell malignancies

  9. Area under the concentration-time curve in one dosing interval [AUC(TAU)] of BMS-936564 (MDX-1338) will be derived from serum concentration versus actual time

    Measured: For a maximum of thirteen 28-day cycles for the AML cohort and for a maximum of six 28-day cycles for the B-cell malignancies

  10. Half life (T-HALF) of BMS-936564 (MDX-1338) will be derived from serum concentration versus actual time

    Measured: For a maximum of thirteen 28-day cycles for the AML cohort and for a maximum of six 28-day cycles for the B-cell malignancies

  11. Total body clearance(CLT) of BMS-936564 (MDX-1338) will be derived from serum concentration versus actual time

    Measured: For a maximum of thirteen 28-day cycles for the AML cohort and for a maximum of six 28-day cycles for the B-cell malignancies

  12. Volume of distribution at steady-state (Vss) of BMS-936564 (MDX-1338) will be derived from serum concentration versus actual time

    Measured: For a maximum of thirteen 28-day cycles for the AML cohort and for a maximum of six 28-day cycles for the B-cell malignancies

  13. Biomarker- characterizing the pharmacodynamic (PD) profiles of BMS-936564 (MDX-1338). The main PD biomarkers are cell trafficking

    Measured: For a maximum of thirteen 28-day cycles for the AML cohort and for a maximum of six 28-day cycles for the B-cell malignancies

  14. Exploratory Biomarkers- are detection of apoptosis, cytokine analyses, CXCR4 expression, ZAP-70 and CD38 expression

    Measured: For a maximum of thirteen 28-day cycles for the AML cohort and for a maximum of six 28-day cycles for the B-cell malignancies

Timeline

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

  1. First posted11 May 2010 (estimated)
  2. Study startAug 2010
  3. Primary completionNov 2014
  4. Study completionNov 2014

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
Parallel groups
Masking
None (open label)
Enrolment
96 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01120457
Sponsor's protocol ID
CA212-001
Status last verified
Jan 2015
First submitted
7 May 2010
Last updated
6 Mar 2015
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing BMS-936564 (Anti-CXCR4) in people with Acute Myelogenous Leukemia and Diffuse Large B-Cell Leukemia, run by Bristol-Myers Squibb at 11 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 13 inclusion and 16 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 6 Mar 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 11 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 as monotherapy (time frame: Within the first 7 days for AML). 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 6 Mar 2015.

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