NCT01902329

Brief Summary

This study will examine the safety profile of vadastuximab talirine (SGN-CD33A) administered as a single agent and in combination with a hypomethylating agent (HMA). The main purpose of the study is to find the maximum tolerated dose (MTD, which is the highest dose that does not cause unacceptable side effects) of SGN-CD33A in patients with acute myeloid leukemia (AML). The MTD will be determined by observing the dose-limiting toxicities (the side effects that prevent further increases in dose) of SGN-CD33A. In addition, the pharmacokinetic profile and anti-leukemia activity of SGN-CD33A will be assessed.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
195

participants targeted

Target at P75+ for phase_1

Timeline
Completed

Started Jul 2013

Longer than P75 for phase_1

Geographic Reach
1 country

14 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

July 1, 2013

Completed
14 days until next milestone

First Submitted

Initial submission to the registry

July 15, 2013

Completed
3 days until next milestone

First Posted

Study publicly available on registry

July 18, 2013

Completed
2.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 18, 2016

Completed
1.7 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 8, 2017

Completed
Last Updated

January 5, 2018

Status Verified

January 1, 2018

Enrollment Period

2.7 years

First QC Date

July 15, 2013

Last Update Submit

January 3, 2018

Conditions

Keywords

Acute Myeloid LeukemiaAntibody-Drug ConjugateCD33 AntigenImmunotherapyDrug TherapyAcute Myelogenous LeukemiaAcute Promyelocytic LeukemiaAPL

Outcome Measures

Primary Outcomes (2)

  • Incidence of adverse events

    Through 1 month following last dose

  • Incidence of laboratory abnormalities

    Through 1 month following last dose

Secondary Outcomes (6)

  • Blood concentrations of SGN-CD33A and metabolites

    Through 3 weeks after dosing

  • Incidence of antitherapeutic antibodies

    Through 1 month following last dose

  • Rate of complete remission

    Up to 3 months

  • Duration of complete remission

    Up to approximately 3 years

  • Relapse-free survival

    Up to approximately 3 years

  • +1 more secondary outcomes

Study Arms (2)

SGN-CD33A + HMA

EXPERIMENTAL

SGN-CD33A with hypomethylating agent

Drug: HMADrug: SGN-CD33A

SGN-CD33A Monotherapy

EXPERIMENTAL

SGN-CD33A

Drug: SGN-CD33A

Interventions

HMADRUG

azacitidine 75 mg/m2 for 7 days or decitabine 20mg/m2 for 5 days

SGN-CD33A + HMA

Given intravenously on Day 1 or Days 1 and 4 every 3 weeks (SGN-CD33A Monotherapy) or given intravenously on the final HMA dosing day every 4 weeks (SGN-CD33A+HMA)

Also known as: vadastuximab talirine
SGN-CD33A + HMASGN-CD33A Monotherapy

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Acute myeloid leukemia, positive for CD33
  • Eastern Cooperative Oncology Group status of 0 or 1
  • Adequate baseline renal and hepatic function
  • Central venous access
  • Either achieved complete remission (greater than 12 weeks in duration) with initial induction/consolidation and have experienced relapse of disease or declined treatment with high-dose induction/consolidation
  • Bone marrow blasts greater than or equal to 5% for relapsed patients, or greater than or equal to 20% for untreated patients

You may not qualify if:

  • Inadequate lung function
  • Prior allogeneic stem cell transplant, except for a specific cohort
  • High-dose chemotherapy within 4 weeks of study drug
  • Antileukemia treatment within 14 days of study drug (other than hydroxyurea or 6-mercaptopurine)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (14)

University of Alabama at Birmingham

Birmingham, Alabama, 35294, United States

Location

City of Hope National Medical Center

Duarte, California, 91010-3000, United States

Location

H. Lee Moffitt Cancer Center & Research Institute

Tampa, Florida, 33612, United States

Location

Winship Cancer Institute / Emory University School of Medicine

Atlanta, Georgia, 30322, United States

Location

Massachusetts General Hospital

Boston, Massachusetts, 02114, United States

Location

Dana Farber Cancer Institute

Boston, Massachusetts, 02215, United States

Location

University of Michigan Comprehensive Cancer Center

Ann Arbor, Michigan, 48109, United States

Location

Hackensack University Medical Center

Hackensack, New Jersey, 07601, United States

Location

Memorial Sloan Kettering Cancer Center

New York, New York, 10021, United States

Location

Cleveland Clinic, The

Cleveland, Ohio, 44195, United States

Location

Charles A. Sammons Cancer Center / Baylor University Medical Center

Dallas, Texas, 75246, United States

Location

MD Anderson Cancer Center / University of Texas

Houston, Texas, 77030-4095, United States

Location

University of Utah

Salt Lake City, Utah, 84112, United States

Location

Fred Hutchinson Cancer Research Center

Seattle, Washington, 98109-1024, United States

Location

Related Publications (1)

  • Stein EM, Walter RB, Erba HP, Fathi AT, Advani AS, Lancet JE, Ravandi F, Kovacsovics T, DeAngelo DJ, Bixby D, Faderl S, Jillella AP, Ho PA, O'Meara MM, Zhao B, Biddle-Snead C, Stein AS. A phase 1 trial of vadastuximab talirine as monotherapy in patients with CD33-positive acute myeloid leukemia. Blood. 2018 Jan 25;131(4):387-396. doi: 10.1182/blood-2017-06-789800. Epub 2017 Dec 1.

MeSH Terms

Conditions

Leukemia, Myeloid, AcuteLeukemia, Promyelocytic, Acute

Interventions

vadastuximab talirine

Condition Hierarchy (Ancestors)

Leukemia, MyeloidLeukemiaNeoplasms by Histologic TypeNeoplasmsHematologic DiseasesHemic and Lymphatic Diseases

Study Officials

  • Phoenix Ho, MD

    Seagen Inc.

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 15, 2013

First Posted

July 18, 2013

Study Start

July 1, 2013

Primary Completion

March 18, 2016

Study Completion

December 8, 2017

Last Updated

January 5, 2018

Record last verified: 2018-01

Locations