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CompletedNCT00779883Updated Oct 24, 2008

A Phase I Trial of Autologous CLL B Cells Transduced to Express Chimeric CD154 (ISF35)

A Phase 1 interventional study of ISF35 in Chronic Lymphocytic Leukemia, sponsored by Memgen, LLC. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2008-10-24.

Sponsored by Memgen, LLC · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
9
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The study is a Phase I, dose-escalating, non-randomized, single institution clinical trial assessing the safety and efficacy of autologous Ad-ISF35-transduced CLL B cells administered as a single intravenous infusion in patients with chronic lymphocytic leukemia (CLL).

Read the detailed description

Memgen's first TNF family derived product, ISF35, is a gene that encodes a recombinant protein molecule that binds and activates human CD40+ B lymphocytes that are found on a vast majority of malignant leukemias and lymphomas.

In this clinical trial, ISF35 will be introduced into the patients' CLL cells ex vivo using a replication-defective adenovirus Ad5 encoding the ISF35 cDNA transgene. After this ex vivo manipulation, the modified leukemia cells will be extensively washed and the amount of remaining free virus is measured before the cells are reinfused into the patient. Following ex vivo transduction, the CLL cells expressing ISF35 activate a therapeutic immune response directed against the target leukemia cells.

This ascending-dose trial will be divided into three dosing cohorts to determine the existence of a maximum tolerated dose.

Patients will be followed for 12 months after ISF35 administration or until initiation of another treatment.

02

Conditions studied

  • Chronic Lymphocytic Leukemia

Keywords

  • Chronic lymphocytic leukemia
  • CLL
  • Leukemia
  • Leukemia, Lymphocytic, Chronic, B-Cell
  • Leukemia, B-Cell
  • Immune System Diseases
  • ISF35
  • Ad-ISF35
  • Immunotherapy
  • Immune therapy
  • Active immune therapy
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In context

Leukemia

5,441 studies on the registry are indexed under Leukemia; 636 are open to participants now.

This study's enrollment of 9 is below the median of 38 across 4,247 interventional studies indexed under Leukemia.

Browse Leukemia studies →

Lead sponsor

Memgen, LLC is the lead sponsor of 3 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Subjects must have a diagnosis of B cell CLL, measurable disease, and an

    NCI-WG indication for treatment with one of the following:

    • Massive (>6 cm below left costal margin) or progressive splenomegaly;
    • Massive (>10 cm longest diameter) lymph nodes, nodal clusters, or progressive lymphadenopathy;
    • Progressive anemia;
    • Progressive thrombocytopenia;
    • Weight loss > 10% body weight over the preceding 6 month period;
    • Fatigue attributable to CLL;
    • Fever or night sweats without evidence of infection;
    • Progressive lymphocytosis.
  2. Subjects must be age 18 years or older.
  3. Women of childbearing potential (not postmenopausal for at least one year or not surgically incapable of bearing children) must agree not to become pregnant for the duration of the study. Both men and women participants must agree to use contraception for the duration of the study.
  4. Subjects must have Zubrod performance status of ≤ 2 (Appendix B).
  5. Subjects must have adequate hematologic, renal, hepatic, and coagulation function:

    • Adequate hematologic function:

      • Platelet count ≥ 50,000/μl; AND
      • Hemoglobin ≥ 10 g/dl (may be supported by erythropoietin or transfusion).
    • Adequate renal function:

      • Serum creatinine ≤ 1.5 times upper limit of normal; OR
      • Measured creatinine clearance ≥ 40 mL/min/1.73 m\^2.
    • Adequate hepatic function:

      • Total bilirubin ≤ 2.5 times upper limit of normal; AND
      • ALT ≤ 2.5 times upper limit of normal; AND
    • Adequate coagulation tests:

      • Prothrombin time international normalized ratio (INR) ≤ 2; AND
      • Partial thromboplastin time ≤ 1.66 times upper limit of normal
  6. Subjects must be able to give written informed consent.

Exclusion criteria

Exclusion Criteria:

  1. Presence of more than 55% prolymphocytes.
  2. Chemotherapy (e.g., purine analogues, alkylating agents, or corticosteroids), antibody therapy, immunotherapy, radiation therapy, or participation in any investigational drug treatment within 4 weeks of enrollment into protocol or at any time during the study.
  3. Ongoing toxicity from prior anti-neoplastic therapy.
  4. Prior gene therapy or allogeneic stem cell transplantation.
  5. Untreated autoimmune hemolytic anemia or immune thrombocytopenia.
  6. Active infection requiring parenteral antibiotics.
  7. Known HIV/HBV/HCV seropositivity.
  8. Uncompensated hypothyroidism (defined as TSH greater than 4x upper limit of normal not treated with replacement hormone).
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Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
9 participants (actual)

Interventions

  • BiologicalISF35

    Subjects participating in this study will receive a single dose of 1x10\^8, 3x10\^8, or 1x10\^9 autologous Ad-ISF35-transduced CLL B cells.

    Also known as: Ad-ISF35, AdISF35

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What researchers measure

Primary outcomes

  1. Assess the toxicity, tolerability, and safety of 1x10^8, 3x10^8, and 1x10^9 autologous Ad-ISF35-transduced CLL B cells given as a single intravenous infusion in patients with CLL.

    Time frame: Duration of the trial

Secondary outcomes

  1. Assess the anti-leukemia activity of a single intravenous dose by evaluating reduction in leukemia count, reduction in adenopathy and splenomegaly, and improvement in bone function.

    Time frame: Duration of the trial

  2. Assess the quality of life with ISF35 treatment.

    Time frame: Two months

  3. Assess pharmacodynamic endpoints including induction of T cell anti-leukemia immune responses, antibody production against autologous CLL B cells, and changes in bystander leukemia cell phenotype.

    Time frame: Two months

07

Study locations

1 site
  • University of Texas M.D. Anderson Cancer Center
    Houston, Texas 77030, United States
08

References and documents

Publications

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 24, 2008, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00779883
Lead sponsor
Memgen, LLC
First posted
Oct 24, 2008
Start date
Jun 2006
Primary completion
Mar 2008
Completion
Mar 2008
Last update
Oct 24, 2008

Study contacts

William G. Wierda, M.D., Ph.D.
principal investigator · M.D. Anderson Cancer Center

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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