ClinicalTrials.gg
TerminatedNCT01678443Updated Apr 2, 2021Results posted

Monoclonal Antibody Therapy Before Stem Cell Transplant in Treating Patients With Relapsed or Refractory Lymphoid Malignancies

A Phase 1 interventional study of indium In 111 anti-CD45 monoclonal antibody BC8 and yttrium Y 90 anti-CD45 monoclonal antibody BC8 in Adult Nasal Type Extranodal NK/T-cell Lymphoma, Anaplastic Large Cell Lymphoma and Angioimmunoblastic T-cell Lymphoma, sponsored by Fred Hutchinson Cancer Center. Terminated at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-04-02.

Sponsored by Fred Hutchinson Cancer Center · Phase 1, Interventional, and Treatment

Why this study was terminated
Terminated due to low accrual.

From the registry’s dates

  • Registered 12 years 11 months after the study started (first participant enrolled Sep 1999, registered Aug 2012).
Phase
Phase 1
Study type
Interventional
Enrollment
2
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 15 studies in Lymphoma, Extranodal NK-T-Cell by Fred Hutchinson Cancer Center — none open to participants now, none under way, none of them phase 3. Lymphoma, Extranodal NK-T-Cell · Fred Hutchinson Cancer Center.

Enrollment
14th of 15
2 · median 37
Started
1999
with 1 other
Phase 1
2 of 15
none open now
Registered
14th of 15
by date

Among the 15 studies in Lymphoma, Extranodal NK-T-Cell by Fred Hutchinson Cancer Center, this one is the 14th largest by enrollment, is one of 2 that started in 1999, is one of 2 in phase 1, and was the 14th registered.

Lymphoma, Extranodal NK-T-Cell

270 studies on the registry are indexed under Lymphoma, Extranodal NK-T-Cell; 36 are open to participants now.

Browse Lymphoma, Extranodal NK-T-Cell studies →

Open to participants now

None of the 15 studies in Lymphoma, Extranodal NK-T-Cell by Fred Hutchinson Cancer Center is open now. The open studies under Lymphoma, Extranodal NK-T-Cell, anywhere →

Where they have run

Who these studies take

Of the 20 Lymphoma, Extranodal NK-T-Cell studies recruiting now, 11 (55%) set no upper age limit and 8 (40%) stop at 75 or younger; 4 take children under 18; 1 takes healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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Download CSVNarrow it in search →With an account: the 15 studies in Lymphoma, Extranodal NK-T-Cell by Fred Hutchinson Cancer Center as a file.
02

Study summary

This phase I trial studies the side effects and best dose of monoclonal antibody therapy before stem cell transplant in treating patients with relapsed or refractory lymphoid malignancies. Radiolabeled monoclonal antibodies, such as yttrium-90 anti-CD45 monoclonal antibody BC8, can find cancer cells and carry cancer-killing substances to them without harming normal cells. When the healthy stem cells from a donor are infused into the patient they may help the patient's bone marrow make stem cells, red blood cells, white blood cells, and platelets. Giving radiolabeled monoclonal antibody before a stem cell transplant may be an effective treatment for relapsed or refractory lymphoid malignancies.

Read the detailed description

PRIMARY OBJECTIVES:

I. To estimate the maximally tolerated dose (MTD) of 90Y-BC8-DOTA (anti-cluster of differentiation [CD]45) (yttrium-90 anti-CD45 monoclonal antibody BC8) that can be delivered prior to autologous stem cell transplantation for patients with relapsed/refractory B-cell non-Hodgkin lymphoma (B-NHL), T-cell NHL (T-NHL), and Hodgkin lymphoma (HL).

SECONDARY OBJECTIVES:

I. To optimize the protein dose (antibody [Ab]) to deliver a favorable biodistribution in the majority of patients.

II. To describe the impact of rituximab concentrations, B-cell depletion, and disease burden on CD20 and CD45 targeting.

III. To describe response rates and remission durations in relapsed B-NHL, T-NHL, and HL following administration of myeloablative doses of 90Y-BC8-DOTA prior to autologous stem cell transplant (ASCT).

IV. To assess the correlation of lymphoma biomarkers with outcomes.

OUTLINE: This is a dose-escalation study of yttrium-90 anti-CD45 monoclonal antibody BC8.

Patients receive indium-111 anti-CD45 monoclonal antibody BC8 intravenously (IV) on day -28 and (if necessary) day -21 to evaluate the antibody's biodistribution. Patients then receive yttrium-90 anti-CD45 monoclonal antibody BC8 IV on day -14. Patients then undergo autologous peripheral blood stem cell transplantation on day 0.

After completion of study treatment, patients are followed up at 3, 6, and 12 months and then annually thereafter.

03

Conditions studied

  • Adult Nasal Type Extranodal NK/T-cell Lymphoma
  • Anaplastic Large Cell Lymphoma
  • Angioimmunoblastic T-cell Lymphoma
  • Cutaneous B-cell Non-Hodgkin Lymphoma
  • Extranodal Marginal Zone B-cell Lymphoma of Mucosa-associated Lymphoid Tissue
  • Hepatosplenic T-cell Lymphoma
  • Intraocular Lymphoma
  • Nodal Marginal Zone B-cell Lymphoma
  • Noncutaneous Extranodal Lymphoma
  • Peripheral T-cell Lymphoma
  • Recurrent Adult Burkitt Lymphoma
  • Recurrent Adult Diffuse Large Cell Lymphoma
  • Recurrent Adult Diffuse Mixed Cell Lymphoma
  • Recurrent Adult Diffuse Small Cleaved Cell Lymphoma
  • Recurrent Adult Grade III Lymphomatoid Granulomatosis
  • Recurrent Adult Hodgkin Lymphoma
  • Recurrent Adult Immunoblastic Large Cell Lymphoma
  • Recurrent Adult Lymphoblastic Lymphoma
  • Recurrent Adult T-cell Leukemia/Lymphoma
  • Recurrent Cutaneous T-cell Non-Hodgkin Lymphoma
  • Recurrent Grade 1 Follicular Lymphoma
  • Recurrent Grade 2 Follicular Lymphoma
  • Recurrent Grade 3 Follicular Lymphoma
  • Recurrent Mantle Cell Lymphoma
  • Recurrent Marginal Zone Lymphoma
  • Recurrent Mycosis Fungoides/Sezary Syndrome
  • Recurrent Small Lymphocytic Lymphoma
  • Refractory Hairy Cell Leukemia
  • Small Intestine Lymphoma
  • Splenic Marginal Zone Lymphoma
  • T-cell Large Granular Lymphocyte Leukemia
  • Testicular Lymphoma
  • Waldenström Macroglobulinemia
04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients must have a confirmed diagnosis of B-NHL, T-NHL, or HL; only patients with classical HL must have documented histologic demonstration of 5+ cells adjacent to the Reed Sternberg cells; patients must have received at least one prior standard systemic therapy with documented recurrent or disease; patients with mantle cell lymphoma (MCL), T-NHL, or other high-risk may be enrolled/transplanted in complete remission (CR)/first partial remission (PR1)
  • Creatinine \< 2.0
  • \< 1.5 mg/dL
  • All patients eligible for therapeutic study must have a minimum of >= 2 x 10\^6 CD34/kg autologous hematopoietic stem cells harvested and cryopreserved
  • Patients must have an expected survival of > 60 days and must be free of major infection
  • Patients are preferred to have either a tumor mass amenable to core needle during the dosimetry phase, or a measurable tumor mass with at least one site of involvement measuring 2.5 cm in largest dimension on computed tomography (CT) imaging for purposes of planar and/or single-photon emission computed tomography (SPECT)/CT tumor dosimetry

Exclusion criteria

Exclusion Criteria:

  • Circulating human anti-mouse antibody (HAMA), to be determined before each infusion
  • Systemic anti-lymphoma therapy given in the previous 30 days before the scheduled therapy dose with the exception of rituximab
  • Inability to understand or give an
  • Lymphoma involving the central nervous system
  • Other serious medical conditions considered to represent to (e.g., abnormally decreased cardiac , diffusion capacity of the lung for carbon monoxide [DLCO] \< 50% predicted, acquired immune deficiency syndrome [AIDS], etc.)
  • Known (HIV) seropositivity
  • Pregnancy or breast feeding
  • Prior allogeneic bone marrow or stem cell transplant
  • Prior autologous bone marrow or stem cell transplant within 1 year of enrollment
  • Prior radiation therapy (RT) > 20 Gray (Gy) to a critical organ within 1 year of enrollment
  • Southwest Oncology Group (SWOG) performance status >= 2.0
  • Patients with diffuse large B-cell lymphoma (DLBCL) or HL that have achieved a positron emission tomography (PET)-negative CR following first salvage chemotherapy
Terms in these criteria, in plain language(11)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

CD4 count

The number of CD4 cells, a type of white blood cell, in a given amount of blood. It is used to follow how well the immune system is doing in HIV.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
2 participants (actual)

Study arms

  • Experimental
    Treatment (yttrium-90 anti-CD45 monoclonal antibody BC8)

    Patients receive indium-111 anti-CD45 monoclonal antibody BC8 IV on day -28 and (if necessary) day -21. Patients receive yttrium-90 anti-CD45 monoclonal antibody BC8 IV on day -28, -14, and -13. Patients then undergo autologous peripheral blood stem cell transplantation on day 0.

    Biological: indium In 111 anti-CD45 monoclonal antibody BC8 · Radiation: yttrium Y 90 anti-CD45 monoclonal antibody BC8 · Procedure: peripheral blood stem cell transplantation

Interventions

  • Biologicalindium In 111 anti-CD45 monoclonal antibody BC8

    Given IV

    Also known as: In 111 MOAB BC8, In 111 monoclonal antibody BC8, In111 MOAB BC8, indium In 111 MOAB BC8

  • Radiationyttrium Y 90 anti-CD45 monoclonal antibody BC8

    Given IV

    Also known as: 90Y anti-CD45 MAb BC8, 90Y anti-CD45 MoAb BC8

  • Procedureperipheral blood stem cell transplantation

    Undergo autologous peripheral blood stem cell transplant

    Also known as: PBPC transplantation, PBSC transplantation, peripheral blood progenitor cell transplantation, transplantation, peripheral blood stem cell

06

What researchers measure

Primary outcomes

  1. Percentage of Participants With Dose Limiting Toxicities (DLT) of Yttrium-90 Anti-CD45

    A DLT (dose limiting toxicity) is defined as a therapy-related grade III or IV Bearman (transplant) toxicity within 30 days of transplant.

    Time frame: Up to 30 days after receiving study drug

Secondary outcomes

  1. Overall Response Rate

    Time frame: Up to 6 years

  2. Overall Survival

    Time frame: Up to 6 years

  3. Progression-free Survival

    Time frame: Up to 6 years

  4. Tumor to Normal Organ Ratios

    Derived from dosimetry estimates coupled with the absorbed dose to normal organs based on the administered activity of 90Y.

    Time frame: Up to 6 years

07

Results

Posted Nov 9, 2017
Limitations and caveats
This study was closed when replaced by a new study adding chemotherapy to this regimen

Participant flow

Participant flow — Overall Study
MilestoneTreatment (Yttrium-90 Anti-CD45 Monoclonal Antibody BC8)
Started2
Completed2
Not completed0

Outcome measures

PrimaryPercentage of Participants With Dose Limiting Toxicities (DLT) of Yttrium-90 Anti-CD45

A DLT (dose limiting toxicity) is defined as a therapy-related grade III or IV Bearman (transplant) toxicity within 30 days of transplant.

Time frame:
Up to 30 days after receiving study drug
Reported as:
Count of participants · Participants
Percentage of Participants With Dose Limiting Toxicities (DLT) of Yttrium-90 Anti-CD45
ParticipantsTreatment (Yttrium-90 Anti-CD45 Monoclonal Antibody BC8)
Percentage of Participants With Dose Limiting Toxicities (DLT) of Yttrium-90 Anti-CD450
SecondaryOverall Response Rate
Time frame:
Up to 6 years
Reported as:
Count of participants · Participants
Overall Response Rate
ParticipantsTreatment (Yttrium-90 Anti-CD45 Monoclonal Antibody BC8)
Overall Response Rate0
SecondaryOverall Survival
Time frame:
Up to 6 years
Reported as:
Mean · days
Overall Survival
daysTreatment (Yttrium-90 Anti-CD45 Monoclonal Antibody BC8)
Overall Survival750.5 (243 to 1258)
SecondaryProgression-free Survival
Time frame:
Up to 6 years
Reported as:
Count of participants · Participants
Progression-free Survival
ParticipantsTreatment (Yttrium-90 Anti-CD45 Monoclonal Antibody BC8)
Progression-free Survival0
SecondaryTumor to Normal Organ Ratios

Derived from dosimetry estimates coupled with the absorbed dose to normal organs based on the administered activity of 90Y.

Time frame:
Up to 6 years

No measurements were reported for this outcome.

Adverse events

Collected over AEs will be monitored and recorded in study-specific case report forms (CRFs) from the time of first exposure to the investigational product in this study (i.e., the start of the first dosimetry infusion) through day +30 post transplant or through discharge prior to that date from the SCCA system to care of the patient's primary physician. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Treatment (Yttrium-90 Anti-CD45 Monoclonal Antibody BC8)—0/2 (0%)2/2 (100%)
Most frequent other events
Most frequent other events
EventTreatment (Yttrium-90 Anti-CD45 Monoclonal Antibody BC8)
HypoxiaRespiratory, thoracic and mediastinal disorders1/2
HyperglycemiaMetabolism and nutrition disorders1/2

Baseline characteristics

Age, Continuous
Age, Continuous(years)Treatment (Yttrium-90 Anti-CD45 Monoclonal Antibody BC8)
Mean52 ± 0
Sex: Female, Male
Sex: Female, Male(Participants)Treatment (Yttrium-90 Anti-CD45 Monoclonal Antibody BC8)
Female1
Male1
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Treatment (Yttrium-90 Anti-CD45 Monoclonal Antibody BC8)
Hispanic or Latino0
Not Hispanic or Latino2
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Treatment (Yttrium-90 Anti-CD45 Monoclonal Antibody BC8)
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American1
White1
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(participants)Treatment (Yttrium-90 Anti-CD45 Monoclonal Antibody BC8)
United States2
08

Study locations

1 site
  • Fred Hutchinson Cancer Research Center/University of Washington Cancer Consortium
    Seattle, Washington 98109, United States
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Sep 1999 to primary completion in Sep 2013, 168 months.

Results were first posted in Nov 2017, 4 years 1 month after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 31, 2012
First posted
Sep 5, 2012
StartActual
Sep 1, 1999
Primary completionActual
Sep 21, 2013
CompletionActual
Sep 27, 2018
Results first posted
Nov 9, 2017
Last update
Apr 2, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 2, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01678443
Responsible party
Ajay Gopal (Principal Investigator, Fred Hutchinson Cancer Center) — Principal investigator
First posted
Sep 5, 2012
Start date
Sep 1, 1999
Primary completion
Sep 21, 2013
Completion
Sep 27, 2018
Results posted
Nov 9, 2017
Last update
Apr 2, 2021

Study contacts

Ajay Gopal
principal investigator · Fred Hutchinson Cancer Research Center/University of Washington Cancer Consortium

Oversight

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

Not currently enrolling

This study is terminated, as verified in Mar 2021. You cannot join it, but the record below documents what was studied.

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