The trial is a multi-centre, open-label, safety and tolerability extension trial to the IPH2101-101 (previously NN1975-1733) first human dose trial completed with a larger subject pool at an optimal dose level. The trial is conducted in elderly Acute Myeloid Leukemia (AML) patients over the age of 60 years, in complete remission, and who are not eligible for allogeneic stem-cell transplantation. The dose given to the individual patient will be the same as the patient received in the single dose trial IPH2101-101 and 1 mg/kg or 2 mg/kg for the 12 patients in an additional cohort.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
21
IPH2101 fully human anti-KIR monoclonal antibody
Institut Paoli-Calmettes
Marseille, Marseille Cedex 09, France
Hopital Dupuytren
Limoges, France
C.H.R.U. de Nantes - Hotel Dieu
Nantes, France
Centre Hospitalier Lyon Sud - Hospices Civils de Lyon
Pierre-Bénite, France
Hopital de Purpan
Toulouse, France
Institut Gustave Roussy
Villejuif, France
To assess safety and tolerability of repeating dosings of Anti-KIR(1-7F9)
using the US National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE)
Time frame: every 2 weeks
To assess the pharmacokinetics upon repeated dosing(s)of Anti-KIR(1-7F9)
Time frame: every 2 weeks
To assess the pharmacodynamics upon repeated dosing(s) of Anti-KIR(1-7F9)
* Degree of KIR-occupancy on patient NK-cells * Plasma inflammatory cytokines (IFN-γ, TNF-α, IL-1, IL-6) * Immunophenotyping (NK-, B- and T-lymphocyte counts and activation status) * NK-cell surface markers (activation markers and inhibitory receptors) * Functional assay of NK-cell activity only for patient from additional cohort
Time frame: every 2 or 4 weeks
To assess signs of efficacy of repeated dosing(s) with Anti-KIR(1-7F9)
* Reduction in minimal residual disease measured by WT-1 expression in blood and bone marrow * Progression-free survival (measured as calendar days from the first dosing of Anti-KIR(1-7F9) (in the IPH2101-101 trial) to date of progression diagnosed or until death by any cause * Overall survival measured as calendar days from the first dosing of Anti-KIR (1-7F9) to date of death
Time frame: to date of progression diagnosed or until death
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