Subcutaneous Alemtuzumab (CAMPATH®, MabCampath®) in Relapsed/Refractory B-Cell Chronic Lymphocytic Leukemia

Completed · Phase 2

Conditions studied: B-Cell Chronic Lymphocytic Leukemia (B-CLL)

In brief

This is a Phase II, open-label, prospective, multicenter study to evaluate the efficacy and safety of subcutaneously administered alemtuzumab (CAMPATH, MabCampath) as therapy for patients with relapsed or refractory B-CLL who have been previously treated.

Key facts

Study ID

NCT00328198

Run by

Genzyme, a Sanofi Company

People needed

86

Starts

2006-05-01

Expected to finish

2011-08-01

Last updated by the study team

2014-03-13

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• A diagnosis of B-cell chronic lymphocytic leukemia (B-CLL); according to the National Cancer Institute Working Group (NCI WG) Criteria.
• World Health Organization (WHO) performance status of 0, 1, or 2.
• Life expectancy ≥ 12 weeks.
• Previous therapy with at least one but no more than 5 regimens (single agent or combination regimen). One therapy regimen is defined as consecutive, contiguous cycles of the same drug(s) with no treatment interruptions lasting > 3 months.
• Patient requires treatment for CLL per the following criteria: -Rai stage III or IV; -Rai stage 0-II with at least one of the following - evidence of progressive marrow failure as manifested by the development of, or worsening of, anemia and/or thrombocytopenia; Massive (i.e. greater than 6 cm below the left costal margin) or progressive splenomegaly; Progressive lymphocytosis with an increase of greater than 50% over a 2-month period or an anticipated doubling time of less than 6 months; Lymphocyte count > 100*10\^9/L; B symptoms.
• More than 3 weeks since prior chemotherapy. Patient must have recovered from the acute side effects incurred as a result of previous therapy.
• More than 3 weeks since using investigational agents. Patient must have recovered from the acute side effects incurred as a result of previous therapy.
• Serum creatinine and conjugated (direct) bilirubin less than or equal to 2 times the institutional upper limit of normal (ULN) unless secondary to direct infiltration of the liver with CLL.
• Female patients with childbearing potential must have a negative pregnancy test (serum or urine) within 2 weeks of first dose of study drug(s). All patients must agree to use an effective contraceptive method while on study treatment, if appropriate, and for a minimum of 6 months following study therapy.
• Signed, written informed consent (in the US, includes The Health Insurance Portability and Accountability Act of 1996 (HIPAA) authorization)

You may not qualify if…

• Positive Coombs test and evidence of active hemolysis.
• Platelet count less than 50*10\^9/L without splenomegaly.
• History of anaphylaxis following exposure to rat or mouse derived CDR-grafted humanized monoclonal antibodies.
• Previously treated with CAMPATH.
• Previous bone marrow transplant.
• Known central nervous system (CNS) involvement with B-CLL
• Active infection, including human immunodeficiency virus (HIV) positive.
• Active second malignancy.
• Recent documented history (within 2 years) of active tuberculosis (TB), current active TB infection, currently receiving anti-tuberculous medication (e.g., INH, rifampin, streptomycin, pyrazinamide, or others).
• Active hepatitis or a history of prior viral hepatitis B or hepatitis C, or positive hepatitis B serologies. Patients with a positive hepatitis B surface antibody (HBsAb) test with a documented history of prior hepatitis B immunization are eligible as long as other criteria are met (i.e. negative tests for: hepatitis B surface antigen (HBsAg), hepatitis B core antibody (HBcAb) and hepatitis C virus antibody (HCVAb)).
• Other severe, concurrent diseases (e.g., cardiac or pulmonary disease), mental disorders, or major organ malfunction (liver, kidney) that could interfere with the patient ability to participate in the study.
• Pregnant or nursing women.
• Cytomegalovirus (CMV) positive by polymerase chain reaction (PCR) (above the level of detection). A patient that is PCR positive will require treatment to reduce the viral load to a non-detectable level; but such a patient may be considered for study entry once the infection has been treated.
• Medical condition requiring chronic use of oral corticosteroids at a dose higher than physiologic replacement.

Where it is running

• Moores Cancer Center — La Jolla, California, United States
• Wilshire Oncology Medical Group — La Verne, California, United States
• University of Colorado Cancer Center at University of Colorado Health Sciences Center — Aurora, Colorado, United States
• Rocky Mountain Cancer Centers — Colorado Springs, Colorado, United States
• North Mississippi Hematology & Oncology Associates, Ltd. — Tupelo, Mississippi, United States
• Mid Ohio Oncology Hematology, Inc. — Columbus, Ohio, United States
• Joe Arrington Cancer Center — Lubbock, Texas, United States
• Academisch Ziekenhuis der Vrije Universiteit Brussel — Brussels, Belgium
• Cliniques Universitaires Saint-Luc — Brussels, Belgium
• Universitair Ziekenhuis Gent — Ghent, Belgium
• Universitair Ziekenhuis Leuven — Leuven, Belgium
• University Hospital Brno — Brno, Czechia
• University Hospital Hradec Kralove (UH HK) — Hradec Králové, Czechia
• Hopital Hotel-Dieu — Clermont-Ferrand, France
• Hopital Claude Huriez — Lille, France
• Hopital Hotel-Dieu, CHU de Nantes-Service d'Hematologie Clinique — Nantes, France
• Institute of Hematology, Clinical Centre of Serbia — Belgrade, Serbia
• Clinic of Hematology, Clinical Centre Vojvodina Novi Sad — Novi Sad, Serbia
• Leeds General Infirmary — Leeds, United Kingdom
• Royal Liverpool and Broadgreen Hospitals — Liverpool, United Kingdom
• Nottingham City Hospital — Nottingham, United Kingdom

Full record on ClinicalTrials.gov

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