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Completed

NCT Number: NCT02367196

A Phase 1, Dose Finding Study of CC-90002 in Subjects With Advanced Solid and Hematologic Cancers

CC-90002-ST -001 is an open-label, Phase 1, dose escalation clinical study in subjects with advanced, refractory solid and hematologic cancers.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Hospital Universitari Germans Trias i Pujol Can Ruti, Badalona (Barcelona), Spain

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About this study

CC-90002-ST-001 is an open-label, Phase 1, dose escalation, first in human (FIH) clinical study of CC-90002, administered by intravenous (IV) infusion, in subjects with advanced, refractory solid and hematologic cancers.

The study will be conducted in two parts. Part A dose escalation phase will explore escalating dose cohorts of the study drug CC-90002.

Part B dose escalation will explore escalating doses of CC-90002 in combination with rituximab in subjects with CD20-positive NHL.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Men and women, 18 years or older, with advanced, relapsed or refractory solid tumors, Multiple Myeloma (MM) or non-Hodgkin's lymphoma (NHL) in Part A. In Part B, relapsed and/or refractory CD20-positive NHL subjects only.
  • At least one site of measurable disease in subjects with solid tumors and NHL.
  • Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0 or 1.
  • Subjects must have adequate hematopoietic, liver, renal and coagulation function as assessed by specific laboratory criteria.
  • Females and males must agree to contraceptive methods and avoid conceiving throughout the study, and for up to 8 weeks following the last dose of CC-90002. If participating in Part B, females of child bearing potential should continue to use effective contraceptive methods for 12 months following treatment with rituximab

Exclusion criteria

  • High grade lymphomas (Burkitts or lymphoblastic), plasma cell leukemia.
  • High grade, rapidly proliferative solid tumors (eg, small cell lung cancer, germ cell tumors, neuroblastoma) with extensive tumor burden.
  • Symptomatic central nervous system involvement.
  • Impaired cardiac function or clinically significant cardiac disease.
  • Prior Red blood cell (RBC) transfusion < 3 months prior to starting CC-90002 (Part A only).
  • Prior autologous stem cell transplant ≤ 3 months prior to starting CC-90002.
  • Prior allogeneic stem cell transplant with either standard or reduced intensity conditioning ≤ 6 months prior to starting CC-90002.
  • Prior systemic cancer-directed treatments or investigational modalities ≤ 5 half lives or 4 weeks prior to starting CC-90002, whichever is shorter.
  • Major surgery ≤ 2 weeks prior to starting CC-90002.
  • Pregnant or nursing females.
  • Known HIV infection.
  • Known chronic, active hepatitis B or C (HBV/HCV) infection.
  • Ongoing treatment with chronic, therapeutic dosing of anti-coagulants.
  • History of autoimmune hemolytic anemia or autoimmune thrombocytopenia.
  • History of concurrent second cancers requiring active, ongoing systemic treatment.

concurrent second cancers requiring active, ongoing systemic treatment.

Treatment and study plan

CC-90002

Drug

Rituximab

Drug

Primary outcomes

  1. Dose-Limiting Toxicity (DLT)

    Time frame: Up to 18 months

    Number of participants with a DLT

  2. Non-Tolerated Dose (NTD) - Part A

    Time frame: Up to 18 months

    Dose at which 2 or more of up to 6 evaluable subjects in any dose cohort experience a DLT in Cycle 1.

  3. Maximum Tolerated Dose (MTD) - Part A

    Time frame: Up to 18 months

    Dose that is the last dose level below the NTD with 0 or 1 out of 6 evaluable subjects experiencing a DLT during Cycle 1.

  4. Non-Tolerated Dose (NTD) - Part B

    Time frame: Up to 24 months

    Dose at which 2 or more of up to 6 evaluable subjects in any dose cohort experience a DLT in Cycle 1.

  5. Maximum Tolerated Dose (MTD) - Part B

    Time frame: Up to 24 months

    Dose that is the last dose level below the NTD with 0 or 1 out of 6 evaluable subjects experiencing a DLT during Cycle 1.

Secondary outcomes

  1. Antitumor efficacy

    Time frame: Up to 36 months

    Determined by response rates of each tumor type using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 and other tumor-appropriate response criteria.

  2. Pharmacokinetics - Cmax

    Time frame: Cycle 1 and beyond; and after discontinuation

    Maximum observed concentration in serum

  3. Pharmacokinetics - AUC

    Time frame: Cycle 1 and beyond; and after discontinuation

    Area under the serum concentration - time curve

  4. Pharmacokinetics - tmax

    Time frame: Cycle 1 and beyond; and after discontinuation

    Time to peak (maximum) serum concentration

  5. Pharmacokinetics - T1/2

    Time frame: Cycle 1 and beyond; and after discontinuation

    Terminal half-life (T1/2)

  6. Pharmacokinetics - CL

    Time frame: Cycle 1 and beyond; and after discontinuation

    Total body clearance of the drug from serum

  7. Pharmacokinetics - Vmax

    Time frame: Cycle 1 and beyond; and after discontinuation

    Volume of distribution at steady-state

  8. Anti-Drug Antibodies (ADAs)

    Time frame: Cycle 1 and beyond; and after discontinuation

    Determine the presence and frequency of anti-drug antibodies

  9. Overall Survival - Part B

    Time frame: Up to 2 years

    Measured as the time from the first dose of CC-90002 to death due to any cause.

  10. Progression-free survival- Part B

    Time frame: Up to 2 years

    Defined as the time from the first dose of CC-90002 to the first occurrence of disease progression or death from any cause

Sponsors and collaborators

Lead sponsor

Celgene

Industry

Registry information

Official study title

A Phase I, Open-Label, Dose Finding Study of CC-90002, a Monoclonal Antibody Directed Against CD47, in Subjects With Advanced Solid and Hematologic Cancers

Important dates

Study start
2015
Primary completion
2020
Study completion
2020
First posted
Feb 20, 2015
Registry last updated
Aug 12, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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