Haematological Malignancy
Conditions
Brief summary
This is a prospective study of the safety and efficacy of nivolumab for the treatment of relapsed or residual haematological malignancies after allogeneic stem cell transplantation (alloSCT). Eligible patients will receive nivolumab at a dose of 3mg/kg intravenously every 2 weeks. The primary objective is to evaluate the incidence, severity and treatment responsiveness of GVHD following nivolumab treatment post-alloSCT.
Interventions
Human monoclonal antibody targeting programmed death-1 (PD-1) cell surface receptor
Sponsors
Study design
Eligibility
Inclusion criteria
* Prior allogeneic stem cell transplant for a haematological malignancy * Confirmed relapse of haematological malignancy or persistent disease post-alloSCT * Immunosuppression cessation for minimum of 2 weeks * Life expectancy \> 2 months * ECOG performance status 0-2 * Greater than or equal to 30% CD3+ donor chimerism * Serum creatinine ≤ 1.5 times upper limit of normal OR creatinine clearance ≥ 40mL/min * AST and ALT ≤ 3 times upper limit of normal * Total bilirubin ≤ 1.5 times upper limit of normal (except patients with Gilbert Syndrome) * Signed written informed consent
Exclusion criteria
* Current evidence of any grade of GVHD * Prior history of grade 2 or higher acute GVHD * Moderate chronic GVHD within the previous 6 months or any prior history of severe chronic GVHD * Active, known or suspected autoimmune disease (excluding vitiligo, type 1 diabetes mellitus, residual hypothyroidism due to autoimmune condition only requiring hormone replacement, psoriasis not requiring systemic treatment, or conditions not expected to recur in the absence of an external trigger) * Positive hepatitis B virus surface antigen * Positive hepatitis C virus antibody * Known human immunodeficiency virus infection
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Graft versus host disease | 8 weeks | Cumulative incidence of graft versus host disease |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall response rate | 8 weeks | Complete remission and partial remission |
Countries
Australia