A Phase I Study of Carfilzomib in Chronic Lymphocytic Leukemia (CLL)/Small Lymphocytic Lymphoma (SLL)/Prolymphocytic Leukemia (PLL)
PRIMARY OBJECTIVES:
I. To determine the dose limiting toxicity (DLT) and maximal tolerated dose (MTD) of
carfilzomib in patients with relapsed or refractory Chronic Lymphocytic Leukemia(CLL) /
Small Lymphocytic Lymphoma (SLL) and Prolymphocytic Leukemia (PLL).
II. To evaluate the safety and toxicity profile of carfilzomib in relapsed or refractory
chronic lymphocytic leukemia (CLL)/small lymphocytic leukemia (SLL)/prolymphocytic leukemia
(PLL).
SECONDARY OBJECTIVES:
I. To evaluate efficacy of carfilzomib therapy in relapsed or refractory chronic lymphocytic
leukemia (CLL)/small lymphocytic leukemia (SLL)/prolymphocytic leukemia (PLL) to justify
future phase II studies.
II. To determine the degree and duration of cellular proteosome inhibition induced by
carfilzomib and relationship of this to pharmacodynamics, response and toxicity.
III. To determine the pharmacokinetics (plasma and cellular) of carfilzomib and relationship
of this to proteosome inhibition, pharmacodynamics, response, and toxicity.IV. To examine
the effect of carfilzomib on pharmacodynamic parameters including cytokines, changes in
downstream targets including NF-kappa B (p50/p65 binding; I-kappa B level, P-I-kappa B
level,select target genes), p53 (p53 nuclear levels, p53 nuclear binding, and select target
genes), ER stress proteins, and p73.
OUTLINE: This is a dose-escalation study of carfilzomib.Patients receiving carfilzomib
intra-venous(IV) over 30 minutes once daily, on days 1, 2, 8, 9, 15, and 16. Treatment
repeats every 28 days for up to 12 courses in the absence of disease progression or
unacceptable toxicity.
Interventional
Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Determine safety of carfilzomib by evaluating the toxicity profile.
The safe use of carfilzomib will be assessed by: Determining the dose limiting toxicity and maximal tolerated dose of carfilzomib in patients with relapsed or refractory chronic lymphocytic leukemia (CLL)/small lymphocytic leukemia (SLL) and prolymphocytic leukemia (PLL) To evaluating the toxicity profile of carfilzomib in relapsed or refractory chronic lymphocytic leukemia (CLL)/small lymphocytic leukemia (SLL) and prolymphocytic leukemia (PLL)
Up to 24 months
Yes
Jennifer Woyach, MD
Principal Investigator
Ohio State University Comprehensive Cancer Center
United States: Institutional Review Board
OSU-09108
NCT01212380
October 2010
Name | Location |
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Ohio State University Medical Center | Columbus, Ohio 43210 |