Status:
UNKNOWN
CNDO-109-AANK for AML in First Complete Remission (CR1)
Lead Sponsor:
Coronado Biosciences, Inc.
Conditions:
Acute Myeloid Leukemia
Eligibility:
All Genders
18+ years
Phase:
PHASE1
PHASE2
Brief Summary
This is a multi-center, open-label, non-controlled, non-randomized dose-escalating Phase 1 clinical study designed to examine the safety of infusing escalating doses of CNDO-109-Activated Allogeneic N...
Eligibility Criteria
Inclusion
- The patient has pathologically documented AML and is in CR1 at the time of the screening visit
- The patient achieved CR1 within 10 weeks of the screening visit; the patient may have received post-remission consolidation therapy (except for transplant) prior to the screening visit
- A bone marrow aspiration performed within 21 days prior to the start of pre-infusion preparative therapy confirms the patient is in CR1
- The patient has either refused or is not considered an appropriate immediate candidate for transplantation and is considered to be at high risk for recurrence by having at least one of the following prognostic factors:
- High risk cytogenetics (-5, -7, del(5q), abnormal 3q, 11q23 translocations, complex cytogenetics) or if cytogenetics are normal the presence of a FLT3 mutation without a NPM1 mutation
- Age \> 60 years
- Antecedent hematological disorder (AHD)
- AML that is considered to be therapy-related
- FAB subtype M0 (minimally differentiated acute myeloblastic leukemia), M6 (acute erythroid leukemias, including erythroleukemia (M6a) and pure erythroid leukemia (M6b)), or M7 (acute megakaryoblastic leukemia)
- The patient is male or female, age 18 years or older
- The patient has an ECOG performance status of 0, 1, or 2
- The patient has an available NK cell donor who is a HLA haploidentical first-degree (parent, child, or sibling) or second-degree (child of a sibling) relative; minimum testing will be for HLA-A, HLA-B, and HLA-DR with donors matched for 3/6, 4/6 or 5/6 antigens
- The patient has an absence of coexisting medical problems that would significantly increase the risk of the chemotherapy procedure (e.g. poor left ventricular ejection fraction \[LVEF\<40%\])
- The patient has recovered from reversible toxicity from prior therapy. Permanent and stable side effects or changes are acceptable if ≤ Grade 1 (CTCAE, v4.03)
- The patient has serum creatinine \<2×ULN and not rising for at least 2-4 weeks before chemotherapy. If elevated, the 24-hour creatinine clearance must be \>50 mL/min
- The patient has serum total bilirubin \< 2 g/dL (unless the patient has a diagnosis of Gilbert's disease), SGOT (ALT) \<3.5×ULN, and SGPT (AST) \<3.5×ULN
- The patient has an absolute neutrophil count (ANC) ≥1000/µL, platelets ≥100,000/µL and is not transfusion dependent for platelets and/or red cells
- The patient has LVEF ≥40% by ECHO or MUGA scan and no clinically significant abnormalities in 12-lead ECG
- The patient has a PT (or INR) and PTT up to 1.25×ULN
- The patient must not be dependent on supplemental oxygen
- The patient is using an effective contraceptive (per the institutional standard), if procreative potential exists
- The patient must be willing and able to comply with all study protocol requirements. The patient or a legally authorized representative must fully understand all elements of the informed consent and have signed the informed consent according to institutional and federal regulatory requirements
- The patient has not received an investigational chemotherapy within the last 28 days prior to the screening visit and has never received investigational immunotherapy. In addition, the patient must not receive treatment for AML (including treatment with IL-2 or IFNγ) in the interval of time between the screening visit and initiation of pre-infusion preparative therapy
Exclusion
- The patient had a previous bone marrow or stem cell transplant
- The patient is seropositive for HIV 1, HIV 2, HBV, or HCV
- The patient has a psychiatric, addictive, neurological or other disorder that compromises the ability to give informed consent or comply with study requirements
- The patient is pregnant (confirmed by urine or serum pregnancy test) or lactating
- The patient has a recently diagnosed active malignancy requiring therapy
- The patient has an uncontrolled infection, or is receiving anti-fungal treatment for an ongoing infection
- The patient has known hypersensitivity to bovine proteins
- The patient has any condition that will place the patient at undue risk or discomfort as a result of adherence to study procedures
- The patient requires treatment with corticosteroids at a dose \> 0.1 mg/kg/day or has a known allergy to DSMO
Key Trial Info
Start Date :
December 1 2012
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
February 1 2018
Estimated Enrollment :
12 Patients enrolled
Trial Details
Trial ID
NCT01520558
Start Date
December 1 2012
End Date
February 1 2018
Last Update
June 29 2017
Active Locations (4)
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1
H. Lee Moffitt Cancer Center & Research Institute
Tampa, Florida, United States, 33612
2
University of Minnesota - Masonic Cancer Center
Minneapolis, Minnesota, United States, 55455
3
Washington University
St Louis, Missouri, United States, 63110
4
Medical University of South Carolina
Charleston, South Carolina, United States, 29425