An Open-label, Phase 1/2 Study Of Inotuzumab Ozogamicin In Subjects With Relapsed Or Refractory Cd22-positive Acute Lymphocytic Leukemia
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 发起方
- Pfizer
- 入组人数
- 72
- 试验地点
- 15
- 主要终点
- Percentage of Participants With Preliminary Satisfactory Response (Complete Response [CR], CR With Incomplete Count Recovery [CRi], Partial Response [PR], or Resistant Disease [RD]) Indicating Disease Stability After First Dose During Phase 1 Dose-Finding
研究概览
简要总结
The Phase 1 portion of this study will assess the safety, tolerability and efficacy at increasing dose levels of inotuzumab ozogamicin in subjects with CD22-positive relapsed or refractory adult acute lymphocytic leukemia (ALL) in order to select the recommended phase 2 dose (RP2D) and schedule. The Phase 2 portion of the study will evaluate the efficacy of inotuzumab ozogamicin as measured by hematologic remission rate (CR + CRi) in patients in second or later salvage status.
研究设计
- 研究类型
- Interventional
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Subjects with CD22-positive ALL with either refractory disease (i.e. disease progression or no response while receiving their most recent prior anti-cancer therapy), or relapsed disease (i.e. response to their most recent prior anti-cancer therapy with subsequent relapse). Subjects enrolled in the Phase 2 portion of the study must be due to receive salvage 2 or later therapy.
- •Subjects with Philadelphia chromosome-positive (Ph+) ALL must have failed standard treatment with at least one tyrosine kinase inhibitor.
- •Adequate renal and hepatic function, and negative pregnancy test for women of childbearing potential.
排除标准
- •Subjects with isolated extramedullary relapse or active central nervous system (CNS) leukemia.
- •Prior allogeneic hematopoietic stem cell transplant (HSCT) or other anti-CD22 immunotherapy within 4 months, or active graft versus host disease (GvHD) at study entry.
- •Evidence or history of veno-occlusive disease (VOD) or sinusoidal obstruction syndrome (SOS).
研究组 & 干预措施
Inotuzumab Ozogamicin
干预措施: Inotuzumab Ozogamicin (Drug)
结局指标
主要结局
Percentage of Participants With Preliminary Satisfactory Response (Complete Response [CR], CR With Incomplete Count Recovery [CRi], Partial Response [PR], or Resistant Disease [RD]) Indicating Disease Stability After First Dose During Phase 1 Dose-Finding
时间窗: From screening to progressive disease or another induction therapy started, up to approximately 2 years
CR was the disappearance of leukemia indicated by \<5% marrow blasts and absence of peripheral blood leukemic blasts, with recovery of hematopoiesis defined by ANC ≥1000/µL and platelets ≥100,000/µL. C1 extramedullary disease status was required. CRi was as for CR except with ANC \<1000/µL and/or platelets \<100,000/µL. PR was an improved or no worsening of acute lymphocytic leukemia indicated by no peripheral blood blasts, and/or at least a 50% decrease in the marrow blast percentage, compared to pre-treatment value, and marrow blast percentage ≥5% and less than or equal to (≤)25% and/or C2 extramedullary disease status. RD occurred if a participant survived ≥7 days following completion of initial treatment course and had persistent leukemia in the most recent peripheral blood smear or bone marrow and/or persistent disease involvement at any extramedullary site after completion of therapy.
Percentage of Participants With CR, CRi or PR During the Phase 1 Expansion Phase
时间窗: From screening to progressive disease or another induction therapy started, up to approximately 2 years
CR was defined as a disappearance of leukemia as indicated by \<5% marrow blasts and the absence of peripheral blood leukemic blasts, with recovery of hematopoiesis defined by ANC ≥1000/µL and platelets ≥100,000/µL. C1 extramedullary disease status was required. CRi was defined as CR except with ANC \<1000/µL and/or platelets \<100,000/µL. PR was defined as an improved or no worsening of acute lymphocytic leukemia as indicated by no peripheral blood blasts, and either or both of the following: at least a 50% decrease in the marrow blast percentage, compared to the pre-treatment value, and marrow blast percentage ≥5% and ≤25% and/or C2 extramedullary disease status.
Percentage of Participants Reporting Dose Limiting Toxicities (DLTs) During the Phase 1 Dose-Finding Phase
时间窗: Cycle 1
DLT was any of the following in the first cycle \& attributable to inotuzumab ozogamicin: any greater than or equal to (≥) Grade 4 non-hematologic toxicity except nausea/vomiting (if manageable with supportive care), alopecia, \& toxicities secondary to neutropenia \& sepsis; prolonged myelosuppression (absolute neutrophil count \[ANC\] less than \[\<\] 500 per microliter \[/µL\] or platelet count \<25,000/µL in bone marrow with \<5 percent (%) blasts \& no evidence of leukemia more than 45 days beyond the most recent dose of test article); any Grade 3 non-hematologic toxicity (excluding toxicities such as alopecia or those secondary to neutropenia \& sepsis) not resolving to ≥ Grade 2 within 7 days of the most recent dose of test article or was clinically significant irrespective of duration; any ≥ Grade 3 elevation of alanine aminotransferase, aspartate aminotransferase or bilirubin lasting ≥7 days; any test article related toxicity resulting in permanent discontinuation of test article.
Percentage of Participants With CR or CRi During Phase 2
时间窗: From screening to progressive disease or another induction therapy started, up to approximately 2 years
CR was defined as a disappearance of leukemia as indicated by \<5% marrow blasts and the absence of peripheral blood leukemic blasts, with recovery of hematopoiesis defined by ANC ≥1000/µL and platelets ≥100,000/µL. C1 extramedullary disease status was required. CRi was defined as CR except with ANC \<1000/µL and/or platelets \<100,000/µL.
次要结局
- Percentage of Participants Who Had a Post-Treatment Stem-Cell Transplant (SCT)(Up to approximately 2 years from first dose)
- Overall Survival (OS)(Up to approximately 2 years from first dose)
- Time to Remission for Participants Who Achieved CR or CRi(Up to approximately 2 years from first dose)
- Progression Free Survival (PFS)(Up to approximately 2 years from first dose)
- Duration of Remission (DoR1) for Participants Who Achieved CR or CRi(Up to approximately 2 years from first dose)
- Duration of Response (DoR) for Participants Who Achieved CR/CRi or PR(Up to approximately 2 years from first dose)
- Percentage of Participants With CR, CRi or PR in Phase 2(From screening to progressive disease or another induction therapy started, up to approximately 2 years)
- Number of Participants With Minimal Residual Disease (MRD) Negativity in Participants Achieving CR and CRi(From screening to progressive disease or another induction therapy started, up to approximately 2 years)
- Time to Response for Participants Who Achieved CR/CRi or PR(Up to approximately 2 years from first dose)
- Time to MRD Negativity for Participants Who Achieved CR or CRi(Screening, Day 21 of Cycles 1 to 6 and up to 4 to 6 weeks after the last dose (up to 34 weeks))
- Percentage of Participants With CR or CRi by Cytogenetic Category(From screening to progressive disease or another induction therapy started, up to approximately 2 years)
- Duration of Follow-Up(From first dose up to approximately 2 years)
- Percentage of Cluster of Differentiation-22 Positive (CD22+) Leukemic Blasts in Abnormal B Cells in Blood by Visit(Pre-dose on Days 1 and 15 of Cycles 1 and 2, and Day 1 of Cycle 4)
- Percentage of CD22+ Leukemic Blasts in Abnormal B Cells in Bone Marrow by Visit(Pre-dose on Days 1 and 15 of Cycles 1 and 2, and Day 1 of Cycle 4)
- Messenger Ribonucleic Acid (mRNA) Gene Expression(Predose and postdose on Days 1 and 15 of Cycle 1)
