This Phase I, multiple ascending dose study will seek to enroll subjects with relapsed/refractory Chronic B-cell Lymphocytic Leukemia (CLL) or Small Lymphocytic Lymphoma (SLL) with confirmed and measurable disease who have received standard treatment with at least one anti-CD20 antibody (e.g.; rituximab, ofatumumab) containing front-line regimen that resulted in initial response, followed by relapse/recurrence and who are not eligible for any further approved biologic therapy, chemotherapy and/or autologous stem transplantation and/or refuse alternative approved therapies and/or are unlikely to achieve clinical benefit from any therapy of higher priority by Investigator assessment.
This study is intended to provide investigators and sponsor with the following information regarding the investigational new drug MT-3724 in patients with relapsed/refractory Chronic B-cell Lymphocytic Leukemia or Small Lymphocytic Lymphoma: The maximum dose of a single course of MT-3724 given as intravenous (IV) infusions on Days 1, 3, 5, 8, 10 and 12 at which there are negligible side effects and/or at which maximum serum levels and/or at which maximum effect on blood lymphocytes are observed. Four dose levels will be investigated. The changes in MT-3724 serum levels and blood lymphocytes over time following IV doses at different points in the study. The changes and kinds of clinical and laboratory effects and side effects that may occur over repeated courses of MT-3724 The changes in each subject's immune status and their CLL or SLL following one or more cycles of 6 infusions.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Intravenous dosing M-W-F X 2 weeks; MT-3724 infusion over 2 hours on each dosing day over 4 week initial cycle and then 3 week repeat cycles for up to 5 total cycles.
Intravenous dosing M-W-F X 2 weeks; MT-3724 infusion over 2 hours on each dosing day over 4 week initial cycle and then 3 week repeat cycles for up to 5 total cycles.
Intravenous dosing M-W-F X 2 weeks; MT-3724 infusion over 2 hours on each dosing day over 4 week initial cycle and then 3 week repeat cycles for up to 5 total cycles.
Tolerability as measured by number of subjects with dose limiting toxicities
Evaluation of tolerability of MT-3724 measured by number of subjects with dose limiting toxicities (DLTs)
Time frame: 28 days
Safety as measured by number of subjects with Adverse Events using CTCAE
Safety measured by number of subjects with Adverse Events using CTCAE Version 4.03
Time frame: 28 days and then every 6 months for up to 24 months following first dose if subject does not continue into Phase Ib
Tolerability as measured by adverse events using CTCAE and clinical laboratory parameters
Evaluation of tolerability of MT-3724 given for up to 4 additional cycles measured by number, nature and severity of Adverse Events using CTCAE Version 4.03
Time frame: 2-3 weeks following last dose and then every 6 months for up to 24 months following first dose
PK as measured by concentrations of free MT-3724 (Cmax, Cinf)
Evaluation of the pharmacokinetic profile of MT-3724
Time frame: Days 1, 5, 8, 12, 23, and 28
PK as measured by area under the curve of free MT-3724 (AUC)
Evaluation of the pharmacokinetic profile of MT-3724
Time frame: Days 1, 5, 8, 12, 23, and 28
PK as measured by time to maximum concentration of free MT-3724 ( tmax)
Evaluation of the pharmacokinetic profile of MT-3724
Time frame: Days 1, 5, 8, 12, 23, and 28
PD as measured by immunogenicity (anti-drug antibodies)
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Intravenous dosing M-W-F X 2 weeks; MT-3724 infusion over 2 hours on each dosing day over 4 week initial cycle and then 3 week repeat cycles for up to 5 total cycles.
Intravenous dosing M-W-F X 2 weeks; MT-3724 infusion over 2 hours on each dosing day over 4 week initial cycle and then 3 week repeat cycles for up to 5 total cycles.
Evaluation of the pharmacodynamic profile of MT-3724
Time frame: During Screening, Days 23-25, Day 1 of cycle 2, and at final end of study visit
Tumor Response as measured by PET or CT scan
Evaluation of tumor response using International Working Group Response Criteria
Time frame: During Screening, Days 43 & 86