Status:
UNKNOWN
MG4101 Plus Rituximab Including Lymphodepletion in Patient With r/r NHL B-cell Origin
Lead Sponsor:
GC Cell Corporation
Conditions:
Relapsed Non Hodgkin Lymphoma
Refractory Non-Hodgkin Lymphoma
Eligibility:
All Genders
20-80 years
Phase:
PHASE1
PHASE2
Brief Summary
To determine the efficacy and safety of combined therapy of determined MG4101 dose and Rituximab.
Detailed Description
This trial will consist of 3 parts; Phase 1 Maximum Tolerated Dose, Phase 1 extended cohort and Phase 2a. For Phase 1, those who have a confirmed diagnosis of relapsed/refractory Non-Hodgkin's Lympho...
Eligibility Criteria
Inclusion
- Patients with relapsed or refractory NHL of B-cell origin (mature B cell lymphoma according to WHO)\* who are not considered candidates for intensive anti-lymphoma therapy.
- Patients must have received at least 1 prior systemic treatment including anti-CD20 therapy but have received no more than 4 systemic treatments and have:
- Relapse/Progression and is not considered as a candidate for autologous stem-cell transplantation or high-dose immuno-chemotherapy with allogenic antibody transplantation.
- Or Relapsed/progressed after high-dose immuno-chemotherapy with autologous stem-cell transplantation.
- Or Relapsed/progressed after homoplastic stem-cell transplantation performed at least 12 weeks ago from C1V1.
- For Phase 1 - Any subtype can be enrolled. For Phase 2a - Only below subtype can be enrolled in each group. I. Indolent B-cell NHL: Follicular Lymphoma, Lymphoplasmacytic Lymphoma, Mantle Cell Lymphoma and Marginal Zone Lymphoma II. Aggressive B-cell NHL: Diffuse Large B-cell Lymphoma De novo and Diffuse Large B-cell Lymphoma transformed
- According to Positron Emission Tomograph(PET)-CT screening, patients having lesion/nodules ≥1 with major axis longer than 1.5 cm and the boundaries are clearly shown.
- Eastern Cooperative Oncology Group score 0 or 1
- 20 years or older. Age limit for Phase 1 is 65 and for Phase 2a 80.
- Expected lifespan ≥ 3 month
- Patients signed Informed consent form
- Earlier documented result that showed that the patient is positive for CD20 via immunophenotyping within 6 months of C1V1
- Toxicities due to prior therapy must be stable and recovered to ≤ Grade 1 (except for clinically non-significant toxicities such as alopecia)
- Those patients who satisfied with following criteria in blood testing, kidney function test and liver function test:
- Absolute neutrophil count: Absolute Neutrophil Count ≥ 1,000/ µL (Growth factor support at least 2 weeks prior to C1V1)
- Haemoglobin level ≥ 8g/㎗ (Blood transfusion at least 2 weeks prior to C1V1)
- Platelet count ≥75,000/µL (Growth factor support/blood transfusion at least 2 weeks prior to C1V1)
- Total bilirubin \< 3.0㎎/㎗
- Aspartate aminotransferase(AST) or Alanine Aminotransferase(ALT) ≤ 2.5 x upper normal limit (UNL)
- Creatinine clearance (as estimated by Cockcroft Gault) ≥ 30 mL/min
Exclusion
- Patients considered appropriate to have stem-cell transplantation after high-dose chemotherapy as salvage therapy.
- Patient with Central Nervous System(CNS) lymphoma or any involvement of the CNS.
- Patients who had a prior history of another malignancy over the last 5 years.
- Patients with impaired organ functions deemed as significant by investigators.
- Patients who had prior allogeneic Natural Killer cell treatment.
- Chronic or active infectious diseases required to be treated at the time of Investigational Product administration, including Cytomegalovirus(CMV) prophylactic therapy.
- Had human immunodeficiency virus (HIV)-positive serology.
- HBsAg or Hepatitis B virus(HBV) DNA positive or had Hepatitis C virus(HCV) antibodies
- Patients who received anti-CD20 cancer chemotherapy or immunoglobulin within 4 weeks of C1V1.
- Patients who received another investigational drug within 4 weeks of C1V1.
- Patients with acute graft-versus-host disease(GvHD) ≥Grade 3 or extensive chronic GvHD within 2 weeks of C1V1.
- High-dose stem cell support treatment carried out within 6 months of C1V1.
- Radioimmunotherapy within 4 weeks of C1V1.
- Patients with major surgery within 4 weeks of C1V1.
- Patients required to have treatment as having severe diseases such as severe heart failure or uncontrolled severe heart disease and considered not to be appropriate to participate in this trial by investigator's decision.
- Patients on enzyme inducing agents.
- Patients who have a plan to have vaccination during the trial.
- Patients with sensitivity to Interleukin-2, cyclophosphamide or fludarabine.
- Patients with urinary outflow obstruction
- Patients with history of abnormal cardiac or pulmonary function tests in 6 months prior to screening visit (Clinically Significant)
- Patients with history of solid organ allografts
- Patients with pre-existing or initial presentation of autoimmune disease or inflammatory disorders, such as Crohn's disease, scleroderma, thyroiditis, inflammatory arthritis, diabetes mellitus, oculo-bulbar myasthenia gravis, crescentic Immunoglobulin A(IgA) glomerulonephritis, cholecystitis, cerebral vasculitis, Stevens-Johnson syndrome and bullous pemphigoid, due to possible exacerbation with IL-2
- Concomitant treatment with other cardiotoxic inducing agents
- Patients who are allergic to Rituximab, Rituximab's excipient (sodium citrate, polysorbate 80, sodium chloride, sodium hydroxide, hydrochloric acid) or other proteins same as Rituximab.
- From the day of participation of this trial to 12 months from the day of final administration of Investigational Product, patients who are unable or unwilling to use appropriate contraceptive methods. (Condom, diaphragm, Intrauterine Device, hormonal oral contraceptive use, or male partner with vasectomy)
- Pregnant or lactating women. (Breast-feeding cannot be done within 12 months after final Investigational Product administration)
- Patients suspected to have currently known or suspected alcohol abuse or drug abuse according to investigator's decision.
- According to investigator's judgement, protocols cannot be followed.
Key Trial Info
Start Date :
November 28 2018
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
October 30 2020
Estimated Enrollment :
9 Patients enrolled
Trial Details
Trial ID
NCT03778619
Start Date
November 28 2018
End Date
October 30 2020
Last Update
July 28 2020
Active Locations (3)
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1
Asan Medical Center
Seoul, South Korea
2
Samsung Medical Center
Seoul, South Korea
3
Seoul National Univ. Hospital
Seoul, South Korea