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Study of Iopofosine I 131 (CLR 131) in Select B-Cell Malignancies (CLOVER-1) and Pivotal Expansion in Waldenstrom Macroglobulinemia


Active: Yes
Cancer Type: Leukemia
Multiple Myeloma
NCT ID: NCT02952508
Trial Phases: Phase II Protocol IDs: DCL-16-001 (primary)
NCI-2017-01758
Eligibility: 18 Years and older, Male and Female Study Type: Treatment
Study Sponsor: Cellectar Biosciences, Inc.
NCI Full Details: http://clinicaltrials.gov/show/NCT02952508

Summary

Part A of this study evaluates iopofosine I 131 (CLR 131) in patients with select B-cell
malignancies (multiple myeloma( MM), indolent chronic lymphocytic leukemia (CLL)/small
lymphocytic lymphoma (SLL), lymphoplasmacytic lymphoma (LPL)/Waldenstrom
Macroglobulinemia (WM), marginal zone lymphoma (MZL), mantle cell lymphoma (MCL), diffuse
large B-cell lymphoma (DLBCL), and central nervous system lymphoma (CNSL) who have been
previously treated with standard therapy for their underlying malignancy. Part B
(CLOVER-WaM) is a pivotal efficacy study evaluating IV administration of iopofosine I 131
in patients with WM that have received at least two prior lines of therapy.

Objectives

B-cell malignancies represent a diverse collection of diseases and, taken together, make
up the majority of hematologic malignancies. B-cell lymphomas represent the largest
percentage of these neoplasms, and the relapsed and/or refractory B-cell lymphomas have
proven very difficult to treat. Patients that have failed prior therapy, including WM
patients, represent a very challenging patient population with significantly reduced
life-expectancy.

Iopofosine I 131 is a targeted radiotherapeutic that exploits the selective uptake and
retention of Cellectar's proprietary phospholipid ethers (PLEs) by malignant cells.
Cellectar Biosciences' novel cancer-targeted small-molecule compound is radiolabeled with
the radioisotope iodine-131 (I-131) which has previously been used approved for use in
select tumors. Iopofosine I 131 has been evaluated in over 80 xenograft and spontaneous
(transgenic) tumor models where it was demonstrated to be effective in eliminating
tumors.

Based on the critical unmet medical need for effective agents with novel mechanisms of
action in B-cell malignancies, Cellectar Biosciences has chosen to expand this ongoing
study to assess iopofosine I 131 in a pivotal expansion cohort in Waldenstrom's
Macroglobulinemia patients that have received at least two prior lines of therapy.
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