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A Study of the Effects of AB-205 in Patients With Lymphoma Undergoing Autologous Hematopoietic Cell Transplantation

Phase 3
Terminated
Conditions
Non Hodgkin Lymphoma
Hodgkin Lymphoma
Interventions
Other: Placebo
Registration Number
NCT05181540
Lead Sponsor
Angiocrine Bioscience
Brief Summary

High-dose chemotherapy followed by blood stem cell transplantation is administered to lymphoma patients with an intention to cure. However, high-dose chemotherapy simultaneously causes damage to healthy tissues that frequently result in severe complications that lead to hospitalization and can be life threatening. These severe complications involve the blood, immune, gastro-intestinal systems, and other vital organs.

The purpose of this study is to determine if experimental therapy AB-205 (study drug) can prevent or reduce the occurrence and duration of the severe chemotherapy related complications when compared to placebo in patients with lymphoma undergoing treatment with high-dose chemotherapy and blood stem cell transplantation. All patients, whether treated with AB-205 or placebo, will receive standard preventive and supportive care therapies.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
130
Inclusion Criteria
  1. Age ≥ 40 years old

  2. Diagnosis of Hodgkin lymphoma (HL) or non-Hodgkin lymphoma (NHL)

  3. Candidates for HDT-AHCT with one of the following conditioning regimens:

    1. BEAM (carmustine, etoposide, cytarabine, melphalan)
    2. BeEAM (bendamustine, etoposide, cytarabine, melphalan)
  4. Achieved CR or PR prior to planned HDT

  5. ECOG ≤ 2

  6. Weight ≤ 1.6 × ideal body weight (IBW) per Devine formula

  7. Serum bilirubin ≤ 2 mg/dL, unless benign congenital hyperbilirubinemia

  8. AST, ALT, and alkaline phosphatase < 3 × ULN

  9. Creatinine clearance ≥ 30 ml/min (calculated by Cockcroft Gault)

  10. LVEF ≥ 45% by MUGA or resting echocardiogram

  11. Pulmonary function (FEV1 and corrected DLCO) ≥ 45% predicted

  12. Willingness and ability to comply with scheduled visits, drug administration plan, protocol-specified laboratory tests, other study procedures, and study restrictions

  13. Sexually active females of childbearing potential must have a negative urine pregnancy test and agree to use two accepted methods of contraception during the study and for 3 months after their last dose of study drug.

  14. Male subjects who are sexually active and who are partners of females of childbearing potential: agreement to use two forms of contraception as in criterion 12 above and to not donate sperm during the treatment period and for at least 3 months after the last dose of study drug

  15. Ability to provide written informed consent.

Exclusion Criteria
  1. History of prior HCT
  2. Primary CNS lymphoma
  3. Lymphoma with CNS involvement at time of relapse prior to planned HDT-AHCT
  4. Active malignancy other than the one for which the subject is undergoing HDT AHCT. Subjects with cervical carcinoma in situ or localized basal or squamous cell carcinoma treated with definitive surgery are eligible
  5. Subjects with a serious concomitant medical condition that could interfere with the conduct of the clinical trial, such as unstable angina, renal failure requiring hemodialysis, or active infection requiring IV antibiotics
  6. Subjects with a known history of HIV
  7. Subjects who have known hypersensitivity reactions to bovine (cow) proteins or documented allergy to DMSO
  8. Subject has other conditions that in the opinion of the investigator would require reduced dose (intensity) of BEAM or BeEAM regimens

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
AB-205 plus standard-of-care preventive and supportive therapies.AB-205-
Placebo plus standard-of-care preventive and supportive therapies.Placebo-
Primary Outcome Measures
NameTimeMethod
The absence of oral/GI severe regimen related toxicities (oral/GI SRRT).21 Days
Secondary Outcome Measures
NameTimeMethod
Time to neutrophil engraftment21 Days
Duration of oral/GI SRRT21 Days
Symptom burden per MD Anderson Symptom Inventory (MDASI)21 Days
Duration of febrile neutropenia21 Days

Trial Locations

Locations (28)

Emory University - Winship Cancer Institute

🇺🇸

Atlanta, Georgia, United States

University Of Maryland School Of Medicine

🇺🇸

Baltimore, Maryland, United States

Memorial Sloan Kettering Cancer Center

🇺🇸

New York, New York, United States

The Ohio State University Comprehensive Cancer Center

🇺🇸

Columbus, Ohio, United States

University of Iowa Hospitals & Clinics

🇺🇸

Iowa City, Iowa, United States

Weill Cornell Medical College/New York Presbyterian Hospital

🇺🇸

New York, New York, United States

City of Hope Comprehensive Cancer Center

🇺🇸

Duarte, California, United States

Banner MD Anderson Cancer Center

🇺🇸

Gilbert, Arizona, United States

Medstar Georgetown University Hospital

🇺🇸

Washington, District of Columbia, United States

University of California, Los Angeles

🇺🇸

Los Angeles, California, United States

Hackensack University Medical Center

🇺🇸

Hackensack, New Jersey, United States

Fox Chase Cancer Center

🇺🇸

Philadelphia, Pennsylvania, United States

University of Illinois Cancer Center

🇺🇸

Chicago, Illinois, United States

Massachusetts General Hospital

🇺🇸

Boston, Massachusetts, United States

UC San Diego Moores Cancer Center

🇺🇸

San Diego, California, United States

Sarah Cannon Research Institute, Colorado

🇺🇸

Denver, Colorado, United States

University of Minnesota Medical Center, Fairview

🇺🇸

Minneapolis, Minnesota, United States

University of Miami - Sylvester Comprehensive Cancer Center

🇺🇸

Miami, Florida, United States

University of South Florida (USF) - H. Lee Moffitt Cancer Center and Research Institute

🇺🇸

Tampa, Florida, United States

Indiana University Simon Comprehensive Cancer Center

🇺🇸

Indianapolis, Indiana, United States

Beth Israel Deaconess Medical Center

🇺🇸

Boston, Massachusetts, United States

Fred Hutchinson Cancer Center

🇺🇸

Seattle, Washington, United States

Oregon Health and Science University

🇺🇸

Portland, Oregon, United States

Sarah Cannon Research Institute, Nashville

🇺🇸

Nashville, Tennessee, United States

Vanderbilt-Ingram Cancer Center

🇺🇸

Nashville, Tennessee, United States

The University of Texas MD Anderson Cancer Center

🇺🇸

Houston, Texas, United States

UC Davis Comprehensive Cancer Center

🇺🇸

Sacramento, California, United States

University of Michigan

🇺🇸

Ann Arbor, Michigan, United States

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