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Monoclonal Antibodies

Canakinumab for Clonal Cytopenia

Phase 2
Recruiting
Led By Uma M Borate, MD, MS
Research Sponsored by Uma Borate
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 6 years

Summary

This trial tests if a medicine can reduce the risk of cancer in people with low blood cell counts caused by a gene mutation.

Who is the study for?
Adults (18+) with clonal cytopenias of unknown significance (CCUS), a condition where blood cell counts are low due to genetic mutations, increasing the risk of developing blood cancers. Participants must have specific gene mutations, adequate organ function, and controlled blood pressure. They cannot be HIV positive or on certain medications like high-dose steroids or methotrexate, nor can they have active infections or other malignancies.
What is being tested?
The trial is testing Canakinumab's effectiveness in preventing CCUS from progressing to cancer by targeting inflammation caused by an antibody called IL-1beta. It involves collecting biospecimens, bone marrow procedures, imaging tests like chest X-rays and echocardiography, comparing Canakinumab against a placebo while assessing quality of life.
What are the potential side effects?
Canakinumab may cause side effects such as increased risk of infection due to immune system suppression, potential allergic reactions at the infusion site, changes in liver enzymes indicating liver issues, and possibly affecting white blood cell counts which could lead to further complications.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 6 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 6 years for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Time to overt myeloid malignancy
Secondary study objectives
Cardiovascular episodes
Changes in variant allele frequencies (VAFs) of somatic mutations
Complete hematological response rate
+6 more

Trial Design

2Treatment groups
Experimental Treatment
Placebo Group
Group I: ARM I (canakinumab)Experimental Treatment6 Interventions
Patients receive canakinumab SC on study. All patients also undergo ECHO and chest x-ray during screening, collection of blood samples during screening and follow up, and bone marrow biopsy and aspiration throughout the trial.
Group II: ARM II (placebo)Placebo Group6 Interventions
Patients receive placebo SC on study. All patients also undergo ECHO and chest x-ray during screening, collection of blood samples during screening and follow up, and bone marrow biopsy and aspiration throughout the trial.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Biospecimen Collection
2004
Completed Phase 3
~2020
Bone Marrow Aspiration and Biopsy
2016
Completed Phase 1
~40
Canakinumab
2011
Completed Phase 3
~3090
Chest Radiography
2018
N/A
~560
Echocardiography
2013
Completed Phase 4
~11580

Find a Location

Who is running the clinical trial?

Uma BorateLead Sponsor
6 Previous Clinical Trials
203 Total Patients Enrolled
Uma M Borate, MD, MSPrincipal InvestigatorOhio State University Comprehensive Cancer Center
1 Previous Clinical Trials
30 Total Patients Enrolled

Media Library

Canakinumab (Monoclonal Antibodies) Clinical Trial Eligibility Overview. Trial Name: NCT05641831 — Phase 2
Clonal Cytopenia Research Study Groups: ARM I (canakinumab), ARM II (placebo)
Clonal Cytopenia Clinical Trial 2023: Canakinumab Highlights & Side Effects. Trial Name: NCT05641831 — Phase 2
Canakinumab (Monoclonal Antibodies) 2023 Treatment Timeline for Medical Study. Trial Name: NCT05641831 — Phase 2
~36 spots leftby Dec 2025