NCT02326584

Brief Summary

This study will examine the safety profile of vadastuximab talirine (SGN-CD33A) by itself (monotherapy) or in combination with other standard treatments. The main purpose of this study is to find the best dose and schedule for SGN-CD33A when given in combination with standard induction treatment, in combination with standard consolidation treatment, or by itself for maintenance treatment. This 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-leukemic activity of the study treatment will be assessed.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
116

participants targeted

Target at P75+ for phase_1

Timeline
Completed

Started Dec 2014

Typical duration for phase_1

Geographic Reach
1 country

13 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

December 1, 2014

Completed
17 days until next milestone

First Submitted

Initial submission to the registry

December 18, 2014

Completed
11 days until next milestone

First Posted

Study publicly available on registry

December 29, 2014

Completed
2.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 30, 2017

Completed
1.2 years until next milestone

Study Completion

Last participant's last visit for all outcomes

April 10, 2018

Completed
Last Updated

May 9, 2018

Status Verified

May 1, 2018

Enrollment Period

2.2 years

First QC Date

December 18, 2014

Last Update Submit

May 8, 2018

Conditions

Keywords

Acute Myeloid LeukemiaAntibody-Drug ConjugateCD33 AntigenDrug TherapyAcute Myelogenous Leukemia

Outcome Measures

Primary Outcomes (3)

  • Incidence of adverse events

    Through 1 month following last dose

  • Incidence of laboratory abnormalities

    Through 1 month following last dose

  • Incidence of dose-limiting toxicity (DLT)

    Through 1 month following last dose

Secondary Outcomes (6)

  • Complete remission (CR) rate at the end of induction

    Through 1 month following last dose

  • Leukemia-free survival

    Up to approximately 3 years

  • Overall survival

    Up to approximately 3 years

  • Blood concentrations of SGN-CD33A and metabolites

    Up to approximately 3 years

  • Incidence of antitherapeutic antibodies (ATA)

    Up to approximately 3 years

  • +1 more secondary outcomes

Study Arms (4)

Induction with SGN-CD33A

EXPERIMENTAL

7+3 (Standard dose cytarabine for induction and daunorubicin) + SGN-CD33A

Drug: Standard dose cytarabine for inductionDrug: SGN-CD33ADrug: Daunorubicin

Consolidation with SGN-CD33A

EXPERIMENTAL

High dose cytarabine for consolidation + SGN-CD33A (28-day cycles)

Drug: SGN-CD33ADrug: High dose cytarabine for consolidation

SGN-CD33A Maintenance

EXPERIMENTAL

SGN-CD33A Monotherapy (42-day cycles)

Drug: SGN-CD33A

Induction and Consolidation with SGN-CD33A

EXPERIMENTAL

7+3 (standard dose cytarabine for induction and daunorubicin) + SGN-CD33A and High dose cytarabine for consolidation + SGN-CD33A

Drug: Standard dose cytarabine for inductionDrug: SGN-CD33ADrug: DaunorubicinDrug: High dose cytarabine for consolidation

Interventions

100 mg/m2/day Days 1-7

Induction and Consolidation with SGN-CD33AInduction with SGN-CD33A

Given intravenously Day 1 or Days 1 and 4 of each cycle

Also known as: vadastuximab talirine
Consolidation with SGN-CD33AInduction and Consolidation with SGN-CD33AInduction with SGN-CD33ASGN-CD33A Maintenance

60 mg/m2/day Days 1-3

Induction and Consolidation with SGN-CD33AInduction with SGN-CD33A

3g/m2 on Days 1, 3, and 5 of each cycle

Consolidation with SGN-CD33AInduction and Consolidation with SGN-CD33A

Eligibility Criteria

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

You may qualify if:

  • All subtypes of Acute Myeloid leukemia (except for acute promyelocytic leukemia)
  • Eastern Cooperative Oncology Group status of 0 or 1
  • Adequate baseline renal and hepatic function
  • Central venous access
  • Part specific requirements: eligible to receive induction; achieved CR/CRi with standard induction and eligible to receive consolidation; in CR with documented blood count recovery for maintenance

You may not qualify if:

  • Previous treatment for MDS or MPN for dose escalation cohorts
  • Inadequate lung function
  • Inadequate heart function

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (13)

University of Alabama at Birmingham

Birmingham, Alabama, 35294, United States

Location

City of Hope National Medical Center

Duarte, California, 91010-3000, United States

Location

Colorado Blood Cancer Institute

Denver, Colorado, 80218, United States

Location

Cardinal Bernardin Cancer Center / Loyola University Medical Center

Maywood, Illinois, 60153, United States

Location

Massachusetts General Hospital

Boston, Massachusetts, 02114, United States

Location

Karmanos Cancer Institute / Wayne State University

Detroit, Michigan, 48201, United States

Location

Hackensack University Medical Center

Hackensack, New Jersey, 07601, United States

Location

Cleveland Clinic, The

Cleveland, Ohio, 44195, United States

Location

James Cancer Hospital / Ohio State University

Columbus, Ohio, 43210, United States

Location

Sarah Cannon Research Institute

Nashville, Tennessee, 30384, 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

Fred Hutchinson Cancer Research Center

Seattle, Washington, 98109-1024, United States

Location

MeSH Terms

Conditions

Leukemia, Myeloid, Acute

Interventions

CytarabineNeoadjuvant Therapyvadastuximab talirineDaunorubicin

Condition Hierarchy (Ancestors)

Leukemia, MyeloidLeukemiaNeoplasms by Histologic TypeNeoplasmsHematologic DiseasesHemic and Lymphatic Diseases

Intervention Hierarchy (Ancestors)

CytidinePyrimidine NucleosidesPyrimidinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsArabinonucleosidesNucleosidesNucleic Acids, Nucleotides, and NucleosidesCombined Modality TherapyTherapeuticsAnthracyclinesNaphthacenesPolycyclic Aromatic HydrocarbonsHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsPolycyclic CompoundsAminoglycosidesGlycosidesCarbohydrates

Study Officials

  • Eric Feldman, 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

December 18, 2014

First Posted

December 29, 2014

Study Start

December 1, 2014

Primary Completion

January 30, 2017

Study Completion

April 10, 2018

Last Updated

May 9, 2018

Record last verified: 2018-05

Locations