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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Conditions
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
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
Rituximab
DrugPrimary outcomes
-
Dose-Limiting Toxicity (DLT)
Time frame: Up to 18 months
Number of participants with a DLT
-
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.
-
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.
-
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.
-
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
-
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.
-
Pharmacokinetics - Cmax
Time frame: Cycle 1 and beyond; and after discontinuation
Maximum observed concentration in serum
-
Pharmacokinetics - AUC
Time frame: Cycle 1 and beyond; and after discontinuation
Area under the serum concentration - time curve
-
Pharmacokinetics - tmax
Time frame: Cycle 1 and beyond; and after discontinuation
Time to peak (maximum) serum concentration
-
Pharmacokinetics - T1/2
Time frame: Cycle 1 and beyond; and after discontinuation
Terminal half-life (T1/2)
-
Pharmacokinetics - CL
Time frame: Cycle 1 and beyond; and after discontinuation
Total body clearance of the drug from serum
-
Pharmacokinetics - Vmax
Time frame: Cycle 1 and beyond; and after discontinuation
Volume of distribution at steady-state
-
Anti-Drug Antibodies (ADAs)
Time frame: Cycle 1 and beyond; and after discontinuation
Determine the presence and frequency of anti-drug antibodies
-
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.
-
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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