iwCLL guidelines for diagnosis, indications for treatment, response assessment, and supportive management of CLL.
Michael Hallek, Bruce D Cheson, Daniel Catovsky...
https://pubmed.ncbi.nlm.nih.gov/29540348/Actively Recruiting
Led by Catapult Therapeutics · Updated on 2025-07-17
18
Participants Needed
4
Research Sites
12 weeks
Total Duration
Researchers are investigating CAP-100, a humanized antibody targeting C-C-chemokine receptor 7 CCR7, in people with relapsed or refractory chronic lymphocytic leukemia CLL or small lymphocytic lymphoma SLL. Current treatments include targeted therapies and immuno-chemotherapy, but new options are needed for patients who cannot use or do not respond to these treatments. CAP-100 is designed to stop leukemia cells from surviving in lymphoid areas and to eliminate CCR7-positive leukemia cells, potentially leading to clinical responses. The trial has two parts Phase Ia dose escalation and Phase Ib dose expansion. In Phase Ia, small groups of participants receive increasing intravenous doses of CAP-100 to determine the recommended dose for Phase II. In Phase Ib, additional participants receive CAP-100 at the recommended dose to evaluate safety and early signs of benefit, including response rate, lymph node size reduction, and minimal residual disease assessment. Participants will undergo safety monitoring for treatment-related side effects during and after dosing. Researchers will measure clinical responses over three cycles 84 days to assess preliminary benefits. The study involves regular assessments including blood tests and imaging to monitor disease status and side effects. The trial aims to establish the proper dose and gather initial safety and effectiveness data to guide future studies.
CONDITIONS
CAP-100 for Subjects With Relapsed/Refractory Chronic Lymphocytic Leukemia
M
Marlies Van Hoef, MD, PhD, MBA
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Catapult Therapeutics
Lead Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | CAP-100 (anti-CCR7 antibody) | Current guideline-recommended therapy |
|---|---|---|
| What it is | A humanized monoclonal antibody that blocks C-C chemokine receptor 7 (CCR7), given as an investigational treatment to adults with relapsed or refractory CLL or SLL. | Recommended therapies for relapsed/refractory CLL or SLL include targeted agents such as Bruton's tyrosine kinase (BTK) inhibitors, BCL-2 inhibitors, or participation in a clinical trial if standard therapies are exhausted. |
| Role in trial | Investigational therapy tested in a dose-escalation and expansion study for patients with relapsed or refractory CLL/SLL after at least two prior therapies. | Recommended as part of guideline-based management for patients who have relapsed after or are refractory to at least two prior systemic therapies. |
| Primary use | Being evaluated to treat relapsed or refractory CLL/SLL in patients with previous treatment failure. | Used to manage relapsed or refractory CLL/SLL, often as next-line therapy following previous treatments. |
| How it is given or performed | CAP-100 is administered in increasing doses during the dose-escalation stage, followed by repeated dosing at the determined recommended dose in expansion cohorts. | BTK inhibitors (such as ibrutinib) and BCL-2 inhibitors (such as venetoclax) are usually oral daily or continuous medications, sometimes in combination with other agents. |
| Evidence status | Efficacy and safety outcomes of CAP-100 have not yet been established, as this is an early-stage trial. | Targeted agents such as BTK and BCL-2 inhibitors have well-established efficacy for relapsed/refractory CLL/SLL, supported by multiple clinical studies. |
| Important limitations | This is a first-in-human study with a small number of participants and without a randomized comparator, so its ability to assess efficacy or safety compared to standard treatments is limited. | Although current therapies have demonstrated benefit, many patients eventually relapse or become refractory, highlighting a need for new treatment options. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Up to 3 cycles (84 days)
Participants receive intravenous administrations of CAP-100, a humanized antibody targeting CCR7, in escalating doses or at the recommended phase 2 dose depending on their cohort.
Multiple visits for dosing and assessments during each cycle
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NON_RANDOMIZED
Model
SEQUENTIAL
Primary Purpose
TREATMENT
Number of Arms
2
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Michael Hallek, Bruce D Cheson, Daniel Catovsky...
https://pubmed.ncbi.nlm.nih.gov/29540348/Catapult Therapeutics
Lead Sponsor