Study Stopped
Due to an unsatisfactory benefit/risk ratio, as specified in \& 14.8.1 of the protocol, Sanofi decided to stop enrollment and terminate ACT14596 prematurely
Safety and Efficacy of Isatuximab in Lymphoblastic Leukemia
ISLAY
Phase 2, Safety and Efficacy Study of Isatuximab, an Anti-CD38 Monoclonal Antibody, Administered by Intravenous (IV) Infusion in Patients With Relapsed or Refractory T-acute Lymphoblastic Leukemia (T-ALL) or T-lymphoblastic Lymphoma (T-LBL)
3 other identifiers
interventional
14
7 countries
17
Brief Summary
Primary Objective: To evaluate the efficacy of isatuximab. Secondary Objectives:
- To evaluate the safety profile of isatuximab.
- To evaluate the duration of response (DOR).
- To evaluate progression free survival (PFS) and overall survival (OS).
- To evaluate the pharmacokinetics (PK) of isatuximab in participants with T-ALL or T-LBL.
- To evaluate immunogenicity of isatuximab in participants with T-ALL or T-LBL.
- To assess minimal residual disease (MRD) and correlate it with clinical outcome.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2
Started Mar 2017
Shorter than P25 for phase_2
17 active sites
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
First Submitted
Initial submission to the registry
December 19, 2016
CompletedFirst Posted
Study publicly available on registry
December 21, 2016
CompletedStudy Start
First participant enrolled
March 8, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 14, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
November 14, 2017
CompletedResults Posted
Study results publicly available
January 18, 2020
CompletedMarch 21, 2022
March 1, 2022
8 months
December 19, 2016
December 10, 2019
March 10, 2022
Conditions
Outcome Measures
Primary Outcomes (1)
Percentage of Participants With Objective Response
Objective response was defined as percentage of participants with complete response (CR) or with complete response with incomplete peripheral recovery (CRi) as per National Comprehensive Cancer Network (NCCN) guidelines. CR was defined as no circulating blasts or extramedullary disease, no lymphadenopathy, splenomegaly, skin/gum infiltration/testicular mass/central nervous system involvement, trilineage hematopoiesis and less than 5 percentage blasts, absolute neutrophil count (ANC) greater than 1000 per micro liter, platelets less than 100 000 per micro liter, no recurrence for 4 weeks. CRi meet all criteria for complete response except platelet count and/or ANC.
Baseline until disease progression or death (maximum duration: 12.1 weeks)
Secondary Outcomes (4)
Duration of Response (DOR)
Baseline until disease progression or death (maximum duration: 12.1 weeks)
Progression Free Survival (PFS)
Baseline until disease progression or death (maximum duration: 12.1 weeks)
Overall Survival (OS)
Baseline until death (maximum duration: 12.1 weeks)
Number of Participants With Minimal Residual Disease (MRD)
Baseline until death or study cut-off (maximum duration: 12.1 weeks)
Study Arms (1)
Isatuximab
EXPERIMENTALParticipants received intravenous administration of isatuximab at a dose of 20 milligrams/kilogram (mg/kg) at Day 1, 8, 15 and 22 of each Cycle (up to 2 treatment cycles, each cycle 28 days).
Interventions
Eligibility Criteria
You may qualify if:
- Participants must had a known diagnosis of acute lymphoblastic leukemia (ALL) of T cell origin, including T-LBL and T-ALL with extramedullary involvement at relapse confirmed by biopsy.
- Participants must be previously treated for T-ALL or T-LBL and have relapsed or are refractory to most recent treatment. Participants in first relapse were be eligible regardless of the first remission duration.
- Participants must had been previously exposed to nelarabine in countries where this drug is available (unless due to a contraindication to its use or administrative issue).
- No more than 3 prior salvage therapies.
You may not qualify if:
- Prior treatment with immunotherapy/investigational agents within 3 weeks, chemotherapy within 2 weeks of study treatment. Must have recovered from acute toxicity before first study treatment administration.
- Prior stem cell transplant within 4 months and/or evidence of active systemic Graft versus Host Disease and/or immunosuppressive therapy for Graft versus Host Disease within 1 week before the first study treatment administration.
- Clinical evidence of active central nervous system (CNS) leukemia.
- T-ALL with testicular involvement alone.
- The above information was not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Sanofilead
Study Sites (17)
Investigational Site Number 8400002
Atlanta, Georgia, 30342, United States
Investigational Site Number 8400003
Hackensack, New Jersey, 07601, United States
Investigational Site Number 8400001
Houston, Texas, 77030, United States
Investigational Site Number 2460001
Helsinki, 00029, Finland
Investigational Site Number 2500005
Nantes, 44093, France
Investigational Site Number 2500001
Paris, 75475, France
Investigational Site Number 2500004
Pessac, 33600, France
Investigational Site Number 2500002
Pierre-Bénite, 69310, France
Investigational Site Number 3480001
Budapest, 1083, Hungary
Investigational Site Number 3480003
Budapest, 1097, Hungary
Investigational Site Number 3480002
Debrecen, 4032, Hungary
Investigational Site Number 3800001
Bergamo, 24127, Italy
Investigational Site Number 3800004
Brescia, 25123, Italy
Investigational Site Number 4400001
Vilnius, 08661, Lithuania
Investigational Site Number 6430003
Moscow, 117198, Russia
Investigational Site Number 6430004
Moscow, 125167, Russia
Investigational Site Number 6430001
Moscow, 129301, Russia
Related Publications (2)
Brillac C, Semiond D, Oprea C, Baruchel A, Zwaan CM, Nguyen L. Selection of isatuximab dosing regimen in pediatric patients with leukemia using population pharmacokinetics. Cancer Chemother Pharmacol. 2025 Dec 3;95(1):116. doi: 10.1007/s00280-025-04832-2.
PMID: 41331127DERIVEDWang A, Song Z, Zheng G, Nicolazzi C, Fromm JR, Shehu E, Srinivasan S, Chen X, Zhu C, Blondel MC, Adrian FJ. Evaluation of Preclinical Activity of Isatuximab in Patients with Acute Lymphoblastic Leukemia. Mol Cancer Ther. 2021 Oct;20(10):1916-1925. doi: 10.1158/1535-7163.MCT-21-0058. Epub 2021 Aug 10.
PMID: 34376579DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Trial Transparency Team
- Organization
- Sanofi
Study Officials
- STUDY DIRECTOR
Clinical Sciences & Operations
Sanofi
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 19, 2016
First Posted
December 21, 2016
Study Start
March 8, 2017
Primary Completion
November 14, 2017
Study Completion
November 14, 2017
Last Updated
March 21, 2022
Results First Posted
January 18, 2020
Record last verified: 2022-03
Data Sharing
- IPD Sharing
- Will share
Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org