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Multicenter, Randomized, Open-label, Parallel-group Study to Compare mLSG15 + KW-0761 to mLSG15

Phase 2
Completed
Conditions
Adult T-cell Leukemia-Lymphoma
Interventions
Drug: VCAP/AMP/VECP(mLSG15)
Biological: KW-0761
Registration Number
NCT01173887
Lead Sponsor
Kyowa Kirin Co., Ltd.
Brief Summary

This is a multicenter, randomized, open-label, parallel-group study to compare mLSG15 + KW-0761 to mLSG15 in subjects with CCR4-positive adult T-cell leukemia-lymphoma (untreated primary disease). The primary variable is an efficacy of KW-0761 used as an add-on therapy to mLSG15 as measured in terms of complete response rate (CR/CRu) in the best overall response assessment for antitumor effect. The secondary variables include response rate (CR/CRu/PR) in the best overall response assessment for antitumor effect, complete or response rates by lesion site in the best overall response assessment for antitumor effect, progression-free survival and overall survival. The safety and pharmacokinetic profiles of KW-0761 will be also determined.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
44
Inclusion Criteria
  • Subjects who have been positive for serum anti-human T-cell lymphotropic virus type I antibody
  • Subjects with hematologically or pathohistologically confirmed as peripheral lymphoid tumor which surface antigen analysis has identified to be of T-cell origin
  • Subjects who have been classified into acute subtype, the lymphoma subtype or chronic subtype with poor prognostic factors
  • Subjects who have been positive for CCR4 by CCR4 expression analysis
  • Subjects who have never been treated for adult T-cell leukemia-lymphoma
  • Subjects who have presented enlarged lymph nodes, tumor nodules in extranodal organs, abnormal lymphocytes in peripheral blood or cutaneous lesions
  • Subjects with a performance status of 0 to 2
  • Subjects who have been negative for HBs antigen and anti-HCV antibody
  • Subjects who have given written voluntary informed consent to participate in the study
Exclusion Criteria
  • Subjects who are scheduled for transplant therapy such as hematopoietic stem-cell transplantation
  • Subjects who had myocardial infarction within 12 months before study enrollment or who have cardiac disease that may worsen during treatment with doxorubicin
  • Subjects who have been positive for anti-HIV antibody
  • Subjects with active multiple cancer
  • Subjects with a history of allergic reactions to therapeutic antibodies
  • Subjects who require emergency radiotherapy for treating the symptoms caused by bulky masses or who may require such radiotherapy after the start of the study
  • Subjects who are pregnant, lactating or of childbearing potential, or who are planning to have children

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
mLSG15VCAP/AMP/VECP(mLSG15)-
mLSG15 + KW-0761KW-0761-
Primary Outcome Measures
NameTimeMethod
Complete response rate in the best overall response assessment for antitumor effectAfter cycle 2 and cycle 4
Secondary Outcome Measures
NameTimeMethod
Response rate in the best overall response assessment for antitumor effect, complete or response rates by lesion site in the best overall response assessment for antitumor effectAfter cycle 2 and cycle 4.
Progression-free survival and Overall survivalDuring the study period at least once every two months in the first year and once every three months in the second and subsequent years.
Adverse eventsDuring the study period
anti-KW-0761 antibodyBefore 1st and 5th dosing, 14 days after 8th or last dosing and at the start of post-treatment.
Plasma KW-0761 concentrations and pharmacokinetic parametersBefore and after 1st, 2nd, 3rd, 4th, 5th, 6th, 7th and 8th dosing, 14 days after 8th or last dosing, and at the start of post-treatment.

Trial Locations

Locations (19)

Imamura Bun-in Hospital

🇯🇵

Kagoshima, Japan

Kagoshima University Hospital

🇯🇵

Kagoshima, Japan

Kokura Memorial Hospital

🇯🇵

Kitakyushu, Japan

National Hospital Organization Kumamoto Medical Center

🇯🇵

Kumamoto, Japan

Nagasaki University Hospital

🇯🇵

Nagasaki, Japan

Aichi Cancer Center Hospital

🇯🇵

Nagoya, Japan

Fukuoka University Hospital

🇯🇵

Fukuoka, Japan

National Kyushu Cancer Center

🇯🇵

Fukuoka, Japan

Kyushu University Hospital

🇯🇵

Fukuoka, Japan

NTT West Japan Kyushu Hospital

🇯🇵

Kumamoto, Japan

The Japanese Red Cross Nagasaki Genbaku Hospital

🇯🇵

Nagasaki, Japan

Kumamoto University Hospital

🇯🇵

Kumamoto, Japan

Oita Prefectural Hospital

🇯🇵

Oita, Japan

Nagoya City University Hospital

🇯🇵

Nagoya, Japan

Heartlife Hospital

🇯🇵

Okinawa, Japan

National Hospital Organization Nagasaki Medical Center

🇯🇵

Omura, Japan

Sasebo City General Hospital

🇯🇵

Sasebo, Japan

Ehime University Hospital

🇯🇵

Toon, Japan

National Cancer Center Hospital

🇯🇵

Tokyo, Japan

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