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A Safety Study of SGN-CD123A in Patients With Acute Myeloid Leukemia

Phase 1
Terminated
Conditions
Acute Myeloid Leukemia
Interventions
Registration Number
NCT02848248
Lead Sponsor
Seagen Inc.
Brief Summary

The study will examine the safety profile of SGN-CD123A. The study will test increasing doses of SGN-CD123A given every 3 weeks to patients.

Detailed Description

This study is designed to evaluate the safety, tolerability, and preliminary estimate of antitumor activity of SGN-CD123A. The study will be conducted in 2 parts:

1. Part A is the dose-escalation portion of the trial, designed to identify the maximum tolerated dose (MTD) of SGN-CD123A

2. Part B is the dose-expansion portion of the trial, designed to evaluate SGN-CD123A in patients with differing CD123 expression levels

Dose-escalation in Part A will be conducted using a 3+3 study design. Patients with CD123-detectable AML will be enrolled in cohorts at escalating doses of study drug and will receive up to 2 induction cycles of SGN-CD123A treatment at an assigned dose level in 3-week cycles.

After completion of dose-escalation, patients will be enrolled in Part B of the study. Patients enrolled in Part B will receive up to 2 induction cycles of SGN-CD123A treatment at a dose level and frequency determined by results in Part A.

For both Part A and Part B, a third induction cycle may be permitted with the approval of the study medical monitor. If a patient achieves a complete remission or complete remission with incomplete hematologic recovery, optional post-remission cycles of SGN-CD123A may be administered.

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
17
Inclusion Criteria
  • Relapsed/refractory acute myeloid leukemia following at least 2 but no more than 3 prior regimens
  • Patients may be eligible after only 1 previous regimen if in a high risk category
  • Adequate baseline renal and hepatic function
  • Eastern Cooperative Oncology Group Status of 0 or 1
  • CD123-detectable leukemia
Exclusion Criteria
  • Cerebral/meningeal disease related to underlying malignancy
  • Promyelocytic leukemia
  • History of clinically significant pulmonary fibrosis or documented diffusing capacity of the lung for carbon monoxide <50% predicted
  • Prior hematopoietic stem cell transplant
  • Antileukemia or experimental treatment within 4 weeks of study drug (other than hydroxyurea or 6-mercaptopurine)
  • Cardio or cerebral vascular event within 6 months

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
SGN-CD123ASGN-CD123ASGN-CD123A every 3 weeks
Primary Outcome Measures
NameTimeMethod
Type, incidence, severity, seriousness, and relatedness of adverse eventsThrough 1 month following last dose, or end-of-treatment visit whichever is later
Type, incidence, and severity of laboratory abnormalitiesThrough 1 month following last dose, or end-of-treatment visit whichever is later
Incidence of dose-limiting toxicityFirst cycle of treatment, 3 weeks
Secondary Outcome Measures
NameTimeMethod
Blood concentrations of SGN-CD123A, total antibodies, and metabolitesThrough 1 month following last dose, or end-of-treatment visit whichever is later
Incidence of antitherapeutic antibodiesThrough 1 month following last dose, or end-of-treatment visit whichever is later
Rate of remissionThrough 1 month following last dose, or end-of-treatment visit whichever is later
Duration of complete remissionUp to approximately 1 year
Leukemia-free survivalUp to approximately 1 year
Overall survivalUp to approximately 1 year

Trial Locations

Locations (7)

University of Alabama at Birmingham

🇺🇸

Birmingham, Alabama, United States

Massachusetts General Hospital

🇺🇸

Boston, Massachusetts, United States

MD Anderson Cancer Center / University of Texas

🇺🇸

Houston, Texas, United States

Fred Hutchinson Cancer Research Center

🇺🇸

Seattle, Washington, United States

City of Hope National Medical Center

🇺🇸

Duarte, California, United States

University of Colorado Hospital / University of Colorado

🇺🇸

Aurora, Colorado, United States

Hudson Valley Hematology and Oncology Associates/New York Medical College

🇺🇸

Hawthorne, New York, United States

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