Safety and Dose Ranging Study of Samalizumab to Treat Relapsing or Refractory CLL or MM



Status:Terminated
Conditions:Blood Cancer, Hematology, Hematology
Therapuetic Areas:Hematology, Oncology
Healthy:No
Age Range:Any
Updated:3/7/2019
Start Date:June 19, 2008
End Date:December 14, 2010

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A Phase I/II Open Label Study To Evaluate The Safety, Pharmacokinetics And Pharmacodynamics Of ALXN6000 In Patients With Relapsing Or Refractory B-Cell Chronic Lymphocytic Leukemia Or Multiple Myeloma

The purpose of this study was to determine the safety and maximum tolerated dose (MTD) of
ALXN6000 (samalizumab) in treating relapsing or refractory B-cell chronic lymphocytic
leukemia (B-CLL) or multiple myeloma (MM) and to study how samalizumab may help the immune
system fight tumors that express CD200.

This was an open-label multicenter study for participants with relapsing or refractory B-CLL
or MM. The study was planned to be conducted in 2 parts: Part A and Part B. Both parts were
to evaluate safety, pharmacokinetics (PK), pharmacodynamics (PD), and efficacy (to the extent
possible) of samalizumab in the target participant population. Part A was designed as the
open-label, intravenous (IV) single dose-escalation portion of the study to determine the MTD
and to assess the overall safety of different dose levels of up to 4 IV doses of samalizumab
in participants with either refractory or relapsing B-CLL or MM. Initially, at least 3
participants would be enrolled into a cohort until a dose-limiting toxicity (DLT) was
reached. If any 1 of the initial 3 participants in the cohort experienced a DLT, the cohort
would be expanded to at least 6 participants.

After determination of the MTD in Part A, the Sponsor was to review the safety, PK, and
relevant PD data to determine the dosing administration schedule for Part B. However, no
participants were enrolled for Part B, as the study was terminated by the Sponsor for
administrative reasons.

Participant enrollment in Cohort 7 (600 milligrams per square meter [mg/m^2] dose level),
Part A, was halted after enrollment of the first participant. The study was terminated by the
Sponsor for administrative reasons and not due to any safety concerns. Participants who were
on study at the time of study termination were allowed to continue until the expiry date of
the drug lot being used and then were followed for 30 (±1) days per protocol. The study was
terminated by the Sponsor at that time. Part B of the study was not conducted.

Inclusion Criteria:

- Relapsing or Refractory B-CLL or MM

- Eastern Cooperative Oncology Group (ECOG) performance status 0 to 2

- Anticipated survival of greater than 6 months

- Female participants of childbearing potential must agree to use 2 forms of
contraception

- Participants must have a standard indication for treatment of their malignancy

- Is willing and able to give written informed consent prior to any procedure not
considered standard of care

Exclusion Criteria:

- Absolute neutrophil count (ANC) < 1000 x 10^9/liter (L)

- Platelet count < 50,000 x 10^9/L

- Pregnant or lactating women

- Prior history of autoimmune hemolysis requiring therapy

- Prior history of immune thrombocytopenia

- Active autoimmune disease requiring immunosuppressive therapy

- Positive Coombs' Test (neither direct or indirect)

- Ongoing corticosteroid treatment equivalent to the mineralocorticoid potency of 10
milligrams (mg) /day of prednisone, or greater, for any condition

- Prior stem cell transplantation within 4 weeks prior to enrollment

- Prior chemotherapy for the applicable malignancy within 30 days of enrollment

- Neurosurgery or cranial radiation therapy within 1 year of enrollment

- Clinically significant renal, hepatic, or cardiopulmonary disease
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