Phase II Study of Campath-1H Antibody to Treat Waldenstrom's Macroglobulinemia
Study Details
Study Description
Brief Summary
The purpose of this study is to determine the safety and effects (good or bad) of Campath-1H antibody in the treatment of lymphoplasmacytic lymphoma.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 2 |
Detailed Description
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Patients will receive 3 test doses of Campath-1H (3mg, 10mg, 30mg). If the patient tolerates these three test doses, then they will receive a total of 6 weeks of Campath-1H therapy three times a week.
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After the patient receives the first 6 weeks of therapy at the 30mg therapeutic dose they will be re-assessed by blood testing. If it is determined that their disease has progressed in the period of time while the patient was on Campath-1H, the patient will be removed from the study.
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If it is determined that the patient has achieved a complete remission after 6 weeks of Campath-1H treatment a bone marrow biopsy will be performed to confirm complete remission and the patient will not receive any additional treatment but will be followed for a period of 2 years.
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If the disease has remained stable or partial response has been achieved the patient will enter the second phase of therapy in which they will receive an additional 6 weeks of Campath-1H therapy. The patient will then be reassessed as described above.
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No additional therapy (as part of this study) will be performed after a 12 week course of Campath-1H.
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While the patient is on Campath-1H blood test will be performed at 3-6 month intervals over a period extending for 2 years following the last treatment. Bone marrow biopsies and/or aspirations will be conducted as necessary.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Campath-1H 30 mg IV three times a week, 6-12 weeks. |
Drug: Campath-1H
Participant will receive three test doses of Campath-1H (3, 10, and 30mg). If this is tolerated then they will receive Campath-IH three times a week for 6 weeks.
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Outcome Measures
Primary Outcome Measures
- To determine the effectiveness of Campath-1H in treating patients with Waldenstrom's macroglobulinemia. [2 years]
Secondary Outcome Measures
- To determine the safety of Campath-1H. [2 years]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Diagnosis of lymphoplasmacytic lymphoma including patients with Waldenstrom's macroglobulinemia
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Adequate organ function: ANC > 500/ul; PLT > 25,000/ul; serum creatinine < 2.5; serum total bilirubin and SGOT < 2.5 times the upper normal limit.
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Age greater than 18 years
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Life expectancy of 6 months or greater
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ECOG performance status of 0-2
Exclusion Criteria:
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Chemotherapy, steroid therapy, or radiation therapy within 21 days of study entry.
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Prior Campath-1H or monoclonal antibody therapy within 3 months of study entry.
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Pregnant women
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Serious co-morbid disease, uncontrolled bacterial, fungal, or viral infection.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Beth Isreal Deaconness Medical Center | Boston | Massachusetts | United States | 02115 |
2 | Dana-farber Cancer Insitiute | Boston | Massachusetts | United States | 02115 |
3 | Massachusetts General Hospital | Boston | Massachusetts | United States | 02115 |
Sponsors and Collaborators
- Dana-Farber Cancer Institute
- Brigham and Women's Hospital
- Beth Israel Deaconess Medical Center
- Massachusetts General Hospital
- Bayer
- University of California, Los Angeles
- Northwestern University
- Arizona Oncology Associates
Investigators
- Principal Investigator: Steven P. Treon, MD, MA, PhD, Dana-Farber Cancer Institute
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 02-079