CClinicalTrials.gg
CompletedNCT01032681Updated Jul 31, 2014

EMD 521873 in Advanced Solid Tumors, MTD Finding

A Phase 1 interventional study of EMD 521873 and EMD 521873 in Non-Hodgkin Lymphoma, sponsored by Merck KGaA, Darmstadt, Germany. Completed at 5 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2014-07-31.

Sponsored by Merck KGaA, Darmstadt, Germany · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
66
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

Primary trial objective in this three arm trial is to assess the safety and tolerability of EMD 521873, and to determine whether the maximum tolerated dose (MTD) is reached with EMD 521873 doses of up to 1.5 mg/kg given alone or in combination with fixed, low-dose cyclophosphamide (CPA) in patients with metastatic or locally advanced solid tumors or B-cell non-Hodgkin lymphoma.

Secondary objectives are to evaluate pharmacokinetic, immunogenicity, overall and best clinical response, changes in tumor marker levels, survival and biological/immune responses to EMD 521873. A total of 78 patients are planned. Patients will remain on the dose throughout the trial. It is intended to administer 3 cycles (21 d each, or until progression or a xxx line therapy becomes necessary.

02

Conditions studied

  • Non-Hodgkin Lymphoma

Keywords

  • Solid tumor
  • B-Cell Non-Hodgkin Lymphoma
  • Immunocytokine
  • interleukin-2
  • immunotherapy
  • Metastatic or Locally Advanced Solid Tumors or B-Cell Non-Hodgkin Lymphoma
03

In context

Lymphoma

5,578 studies on the registry are indexed under Lymphoma; 825 are open to participants now.

This study's enrollment of 66 is above the median of 40 across 4,508 interventional studies indexed under Lymphoma.

Browse Lymphoma studies →

Lead sponsor

Merck KGaA, Darmstadt, Germany is the lead sponsor of 269 studies on the registry; none are open to participants now.

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

04

Who can participate

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

Inclusion criteria

  1. Signed written informed consent
  2. Male or female, aged ≥ 18 years, inpatient for treatment phase of cycle 1 and 2, outpatient treatment possible for subsequent cycles
  3. Histologically or cytologically proven metastatic or locally advanced solid tumors (epithelial or mesenchymal cancers) or B-cell non-Hodgkin lymphoma for which no standard therapy exists or after failure of standard therapy
  4. Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1 at study entry and an estimated life expectancy of at least 3 months
  5. Adequate hematological function defined by WBC count ≥ 3 x 109/L with absolute neutrophil count (ANC) ≥ 1.5 x 109/L and lymphocyte count ≥ 0.5 x 109/L; platelet count ≥100 x 109/L; hemoglobin ≥9 g/dL ( If the laboratory values for hemoglobin are outside the required entry level at Screening, a patient may receive a transfusion of RBC. A stable hemoglobin level of ≥9 mg/dL for at least 7 days must be achieved prior to receiving the first dose of study medication.)
  6. Adequate hepatic function defined by a total bilirubin level ≤ 1.5 times the upper limit of normal (ULN) and aspartate-aminotransferase (AST) and alanine-aminotransferase (ALT) levels ≤ 2.5 x ULN or, for patients with documented metastatic disease to the liver, AST and ALT levels ≤ 5 x ULN
  7. No history of acute or chronic kidney disease and adequate renal function defined by an estimated creatinine clearance above 50 mL/min determined by 24-hour urine sampling or by the Cockcroft-Gault formula
  8. Effective contraception for both male and female subjects if the risk of conception exists

Exclusion criteria

Exclusion Criteria:

  1. Prior IL-2 therapy within the last 6 months
  2. Requirement for concurrent anticancer treatment (chemotherapy, radiotherapy, immune therapy, cytokine therapy except erythropoietin) or for concurrent systemic therapy with steroids or other immunosuppressive agents. Short-term administration of steroids (i.e. for allergic reactions) is allowed.
  3. Radiotherapy, chemotherapy, surgery (excluding prior diagnostic biopsy) or any investigational drug in the 30 days before the start of treatment in this study
  4. Acquired immune defects such as human immunodeficiency virus (HIV)
  5. Systemic autoimmune disease (e.g. lupus erythematodes, rheumatoid arthritis, Addison's disease, autoimmune disease associated with lymphoma)
  6. Organ transplant recipients
  7. History of or active inflammatory bowel disease (e.g. Crohn's disease, ulcerative colitis)
  8. Chronic viral infections (e.g. hepatitis B virus [HBV], hepatitis C virus [HCV])
  9. Uncontrolled hypertension (systolic >180 mmHg, diastolic >100 mmHg)
  10. Known hypersensitivity reactions to any of the compounds of the study medication
  11. Confirmed or clinically suspected brain metastases
  12. Pregnancy (absence to be confirmed by beta-human chorionic gonadotropin [β-HCG] test) or lactation period
  13. Clinically significant (i.e. active) cardiovascular disease: Cerebral vascular accident /stroke (\< 6 months prior to enrolment), myocardial infarction (\< 6 months prior to enrolment), unstable angina, congestive heart failure or serious cardiac arrhythmia requiring medication.
  14. Pulmonary disease which, in the opinion of the investigator, might impair the patient's respiratory tolerance to moderate pulmonary fluid overload (e.g. interstitial lung disease, severe chronic obstructive pulmonary disease)
  15. All conditions which are associated with significant necroses of non tumor-bearing tissues like e.g. esophageal or gastroduodenal ulcers (\< 6 months prior to enrolment), organ infarctions (\< 6 months prior to enrolment) or active ischemic bowel disease
  16. Presence of medically significant third space fluid (pericardial effusion or ascites/ pleural infusion requiring repetitive paracentesis)
  17. Known alcohol or drug abuse
  18. Participation in another clinical trial within the past 30 days before start of study treatment
  19. All other significant diseases which, in the opinion of the investigator, might impair the patient's tolerance of study treatment.
  20. Dementia, altered mental status, or any psychiatric condition that would prohibit the understanding or rendering of informed consent
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
66 participants (actual)

Study arms

  • Experimental
    Group 1

    Dose escalation of EMD 521873 monotheraphy 3 doses per cycle

    Biological: EMD 521873

  • Experimental
    Group 2

    Low dose CPA + Dose escalation of EMD 521873 three doses per cycle

    Biological: EMD 521873

  • Experimental
    Group 3

    Dose escalation of EMD 521873 monotheraphy 1 dose per cycle

    Biological: EMD 521873

Interventions

  • BiologicalEMD 521873

    Dose escalation steps: Group 1: 0,075mg/kg - 0,15mg/kg - 0,225mg/kg - 0,3mg/kg - 0,45mg/kg - 0,6mg/kg - 0,9mg/kg (-1,8mg/kg - 2,1mg/kg - 2,5mg/kg - 3,0mg/kg) Disease control and decision of continuation in patient who benefit from the treatment: Every second cycle

  • BiologicalEMD 521873

    Dose escalation steps: Group 2: CPA plus 0,6mg/kg - 0,9mg/kg Disease control and decision of continuation in patient who benefit from the treatment: Every second cycle

  • BiologicalEMD 521873

    Dose escalation steps: Group 3: 0,9mg/kg - 1,2mg/kg - 1,5mg/kg (-1,8mg/kg - 2,1mg/kg - 2,5mg/kg - 3,0mg/kg) Disease control and decision of continuation in patient who benefit from the treatment: Every second cycle

06

What researchers measure

Primary outcomes

  1. Assess the safety and tolerability of EMD 521873

    Time frame: First administration of any dose of EMD521873 until last administration plus 30 days.

  2. To determine whether the MTD is reached with EMD 521873 doses of up to 1.5 mg/kg given alone or in combination with fixed, low-dose CPA in patients with metastatic or locally advanced solid tumors or B-cell non-Hodgkin lymphoma

    Time frame: Incidence of DLTs occurring during the first cycle of administration of any dose of EMD 521873 given alone on 3 times per cycle (group 1) or with fixed low-dose CPA plus EMD 521873 (group 2) or of EMD 521873 given alone on once per cycle (group 3).

Secondary outcomes

  1. Characterize the PK profile of EMD 521873 alone or in combination with fixed lowdose CPA

    Time frame: Cycle 1-3 of EMD 521873 treatment

  2. Evaluate the immunogenicity of EMD 521873 alone or in combination with CPA measured by the induction of o Specific antibodies against the genetically modified IL-2 o Fc-IL2-specific antibodies o Anti-idiotype antibodies

    Time frame: Every EMD 521873 treatment cycle

  3. Collect evidence of best overall response, changes in serum tumor marker levels and best clinical response after treatment with EMD 521873 alone or in combination with CPA

    Time frame: Every second EMD 521873 treatment cycle

  4. Evaluate survival

    Time frame: Until 1 year after the last patient received his last dose of EMD 521873

  5. Evaluate biological responses to EMD 521873 alone or in combination with CPA as measured by o Absolute cell numbers and ratios of lymphocyte subsets in defined combinations o Change in serum level of sIL2R and neopterin

    Time frame: Cycle 1-3 of EMD 521873 treatment

07

Study locations

5 sites
  • Universitäts-Klinikum Mainz III.Medizinische Klinik
    Mainz, Germany
  • Medizinische Klinik Universitätsklinikum Mannheim Medizinische Fakultät Mannheim
    Mannheim, Germany
  • Istituto Oncologico della Svizzera Italiana Ospedale Regionale Bellinzona e Valli (IOSI)
    Bellinzona, Switzerland
  • University of Lausanne Hospitals (CHUV) and Hospitals of Riveria-Chablais
    Lausanne, Switzerland
  • Kantonsspital St. Gallen
    St.Gallen, Switzerland
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 31, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01032681
Lead sponsor
Merck KGaA, Darmstadt, Germany
Responsible party
Sponsor
First posted
Dec 15, 2009
Start date
Dec 2006
Primary completion
Feb 2011
Completion
Jan 2012
Last update
Jul 31, 2014

Study contacts

Jens-Peter Marschner, MD
study director · Merck KGaA, Darmstadt, Germany

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2012. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion