Actively Recruiting

Phase 1
Age: 18Years +
All Genders
ID04704323

An Open Label Phase Ia/b Dose Escalation and Expansion Trial of CAP-100, a Humanized CCR7 Antibody, in Relapsed/Refractory Chronic Lymphocytic Leukemia

Led by Catapult Therapeutics · Updated on 2025-07-17

18

Participants Needed

4

Research Sites

12 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

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

Brief Title

CAP-100 for Subjects With Relapsed/Refractory Chronic Lymphocytic Leukemia

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18 years or older
  • Able to understand and sign a written informed consent document
  • ECOG performance status of 0, 1, or 2
  • Relapsed or refractory to at least two prior standard systemic treatments for CLL or SLL
  • Prior therapy discontinued for at least five times its half-life; major surgery or irradiation completed more than 4 weeks before trial
  • Life expectancy greater than 16 weeks
  • Diagnosis of CLL or SLL according to guidelines
  • Active disease per iwCLL 2018 criteria
  • Platelet count at least 50,000/µL unless due to bone marrow infiltration
  • Adequate liver function as specified
  • Creatinine clearance at least 45 mL/min/1.73m2
  • Use of effective contraception during and 4 months after treatment for those of childbearing potential
Not Eligible

You will not qualify if you...

  • Allogeneic stem-cell transplant within 6 months prior to trial
  • Monoclonal antibody cancer therapy within 4 weeks prior to trial
  • Unresolved side effects from prior therapy above Grade 1
  • Use of certain oral targeted inhibitors within five times their half-life
  • Active viral, bacterial, or systemic fungal infection requiring treatment
  • Known HIV-positive status
  • Active central nervous system lymphoma
  • Pregnant or breastfeeding women
  • History of cancer within 2 years except certain controlled cancers
  • Uncontrolled heart conditions, recent heart attack, severe arrhythmias, or unstable angina
  • Brain metastasis or psychiatric illness limiting compliance
  • Known hypersensitivity to drug components
  • History of human anti-globulin antibodies
  • Active autoimmune disease or autoimmune-related neurological disorders

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

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

Trial Site Locations

Total: 4 locations

1

Dana-Farber Cancer Institute

Boston, Massachusetts, United States, 02215

Actively Recruiting

2

Duke University

Durham, North Carolina, United States, 27705

Actively Recruiting

3

Hospital Universitario de La Princesa

Madrid, Spain, 28006

Actively Recruiting

4

Hospital Universitario Marqués de Valdecilla

Santander, Spain, 39008

Actively Recruiting

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Research Team

M

Marlies Van Hoef, MD, PhD, MBA

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

SEQUENTIAL

Primary Purpose

TREATMENT

Number of Arms

2

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Published Research Related To This Trial

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