NCT03386513|Active Not RecruitingPhase 1/2ResultsFDA Drug
Study of IMGN632 in Patients With Untreated BPDCN and Relapsed/Refractory BPDCN
A Phase 1/2, Multi-center, Open-label Study of IMGN632 Monotherapy Administered Intravenously in Patients With CD123-positive Acute Myeloid Leukemia and Other CD123-positive Hematologic Malignancies
Planned date reported by the registry; this milestone is not confirmed as achieved.
Brief Summary
This is an open-label, multi-center, Phase 1/2 study to determine the MTD and assess the safety, tolerability, PK, immunogenicity, and anti-leukemia activity of IMGN632 when administered as monotherapy to patients with CD123+ disease.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
active not recruiting
Actual enrollment (reported)
179 participants
Study completion date
December 30, 2026
Estimated
Planned date reported by the registry; this milestone is not confirmed as achieved.
Listed locations
6 countries · 29 sites
Trial Relationships
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Related Scientific Literature
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
First Submitted
December 21, 2017
Actual (reported)
First Posted
December 29, 2017
Actual (reported)
Study Start
January 2, 2018
Actual (reported)
Primary Completion
October 2, 2024
Actual (reported)
Results Posted
September 4, 2026
Actual (reported)
Study Completion
December 30, 2026
Estimated
Planned date reported by the registry; this milestone is not confirmed as achieved.
Composite Complete Remission/Response (CCR) Rate As Assessed by Investigator in Frontline De Novo Blastic Plasmacytoid Dendritic Cell Neoplasm (BPDCN) Participants
CCR rate was defined as percentage of participants with complete remission/response (CR) and clinical complete remission (CRc). CR was defined as normalization of blast percentage (≤ 5%); normalization of neutrophil count (≥ 1000/microliter \[μL\]) and platelet count (≥ 100,000/μL); absence of leukemic blasts; 100% clearance of all skin lesions from baseline; no new lesions in participants without lesions at baseline; nodal masses regression to normal size on computed tomography (CT); and spleen and liver not palpable and nodules disappeared. CRc was defined as normalization of blast percentage (≤ 5%); normalization of neutrophil count (≥ 1000/μL) and platelet count (≥ 100,000/μL); absence of leukemic blasts; marked clearance of all skin lesions from baseline, residual hyperpigmentation or abnormality with BPDCN identified on biopsy (or no biopsy performed); nodal masses regression to normal size on CT; and spleen and liver not palpable and nodules disappeared.
Up to approximately 81 months
Secondary Outcomes (23)
Study Arms (1)
Escalation and Expansion
EXPERIMENTAL
Escalation: IMGN632 was administered by IV on 2 different schedules for participants with relapsed/refractory AML, ALL, or BPDCN.
Expansion: IMGN632 was administered by IV:
* Cohort 1: Relapsed or refractory BPDCN participants who have received 1-3 prior systemic therapies (incl. tagraxofusp-erzs and/or any other systemic therapy deemed appropriate for the treatment of BPDCN)
* Cohort 2: Relapsed AML
* Cohort 3: Relapsed or refractory ALL
* Cohort 4: Other relapsed or refractory hematologic malignancies
* Cohort 5: Relapsed or refractory AML at alternate dose or schedule
* Cohort 6: Pivotal cohort for frontline BPDCN participants who have not received prior systemic therapy and participants with frontline BPDCN who have prior or concomitant hematologic malignancy (PCHM) and have not received prior systemic therapy.
a. Confirmation of CD123 positivity by flow cytometry or IHC. Participants who received prior CD123-targeting agents will be allowed as long as the blasts still have detectable CD123 expression.
Daver NG, Montesinos P, DeAngelo DJ, Wang ES, Papadantonakis N, Todisco E, Sweet KL, Pemmaraju N, Lane AA, Torres-Minana L, Thompson JE, Konopleva MY, Sloss CM, Watkins K, Bedse G, Du Y, Malcolm KE, Zweidler-McKay PA, Kantarjian HM. Pivekimab sunirine (IMGN632), a novel CD123-targeting antibody-drug conjugate, in relapsed or refractory acute myeloid leukaemia: a phase 1/2 study. Lancet Oncol. 2024 Mar;25(3):388-399. doi: 10.1016/S1470-2045(23)00674-5.
Histiocytic Disorders, MalignantNeoplasms by Histologic TypeNeoplasmsLeukemiaLymphomaHematologic NeoplasmsNeoplasms by SiteSkin NeoplasmsHematologic DiseasesHemic and Lymphatic Diseases
Limitations and Caveats
For dose groups with n = 2, geometric mean and geometric %CV are reported but have very limited statistical reliability and should be interpreted with caution.
Dose Escalation Phase: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Up to approximately 81 months
Dose Escalation Phase: Number of Participants With Dose-limiting Toxicities (DLTs)
Up to approximately 81 months
Maximum Plasma Concentration (Cmax) of IMGN632 (Antibody Drug Conjugate [ADC]) and Total Antibody
Cycle 1 and Cycle 3 (each cycle length = 21 days)
Cmax of FGN849
Cycle 1 and Cycle 3 (each cycle length = 21 days)
Area Under the Curve From Time Zero to the Last Quantifiable Concentration (AUC0-last) of IMGN632 (ADC) and Total Antibody
Cycle 1 and Cycle 3 (each cycle length = 21 days)
+18 more secondary outcomes
Cohort 1 - Participants with relapsed or refractory blastic plasmacytoid dendritic cell neoplasm (BPDCN) with 1-3 prior lines of therapy
Cohort 2 - Participants with relapsed AML
Cohort 3 - Participants with relapsed relapsed or refractory ALL (including any subtypes: B-cell, T-cell, Ph+ and Ph-)
Cohort 4 - Participants with relapsed or refractory other hematologic malignancies not included in the cohorts above (eg, high risk/very high-risk MDS, MPN, CMML, BP-CML).
Cohort 5 - Participants with relapsed relapsed or refractory (to nonintense therapies) CD123+ AML.
Cohort 6 - Participants with frontline de novo BPDCN at screening who have not received prior systemic therapy and participants with frontline BPDCN who have PCHM and have not received prior systemic therapy.
Note: Participants in Cohort 6 may have received local therapy (radiotherapy, surgical excision, photodynamic therapy). Eligible participants must have a recurrence or progression in the field of local therapy OR disease outside the field of local therapy.
You may not qualify if:
Participants who, in the judgment of their treating physician, have appropriate standard of care therapies will be excluded from Cohorts 1 through 5.
Frontline BPDCN participants with central nervous system (CNS) disease will be excluded. A lumbar puncture must be performed during the 28-day screening period, prior to drug administration. Relapsed or refractory BPDCN participants with a known history of CNS disease must have been treated locally, have at least 1 lumbar puncture with no evidence of CNS disease, and must be clinically stable prior to first dose. Concurrent therapy for CNS prophylaxis or continuation of therapy for controlled CNS disease is permitted with the approval of the Sponsor.
Participants with a history of veno-occlusive disease (sinusoidal obstruction syndrome) of the liver.
Participants with a history of Grade 4 capillary leak syndrome, or non-cardiac Grade 4 edema are ineligible, eg, related to tagraxofusp-erzs or other etiology.
Interval from prior cancer therapy: 1. For frontline BPDCN participants with prior local therapy (eg, radiotherapy), participants must not have received treatment within 14 days prior to drug administration on this study. 2. Relapsed or refractory BPDCN participants must not have received any anti-cancer therapy including chemotherapy, immunotherapy, radiotherapy, hormonal, biologic, or any investigational agents within 14 days prior to drug administration on this study. Participants must have recovered to baseline from all acute toxicity from this prior therapy.
Note: the exception that participants who have received a checkpoint inhibitor must not have received that therapy within 28 days prior to drug administration on this study.
Contact the study team to confirm eligibility.
Dana-Farber Cancer Institute
Boston, Massachusetts, 02215, United States
Roswell Park Cancer Institute
Buffalo, New York, 14263, United States
Memorial Sloan Kettering Cancer Center
New York, New York, 10065, United States
Novant Health Cancer Institute Hematology
Charlotte, North Carolina, 28204, United States
Duke Cancer Institute
Durham, North Carolina, 27710, United States
Novant Health Cancer Institute Hematology - Forsyth
Winston-Salem, North Carolina, 27103, United States
Baylor Scott & White University Medical Center
Dallas, Texas, 75246, United States
MD Anderson Cancer Center
Houston, Texas, 77030-7095, United States
Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance
Seattle, Washington, 98109, United States
Recherche Clinique-Hématologie
Amiens, France
CHU de Besancon, Hopital Jean Minjoz
Besançon, 25030, France
Institut Paoli Calmettes (Marseille)
Marseille, 13009, France
Hôpital St Antoine
Paris, France
CHU Bordeaux Hôpital Haut-Lévêque
Pessac, 33600, France
University Hospital of Cologne
Cologne, 50937, Germany
University Hospital of Leipzig
Leipzig, 04103, Germany
IRCCS Azienda Ospedaliero-Universitaria di Bologna Policlinico S. Orsola Malpighi
Bologna, 40138, Italy
Instituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori
Meldola, 47014, Italy
Instituto Europeo di Oncologia
Milan, 20141, Italy
Azienda ospedaliera Santa Maria della Misericordia
Perugia, 06132, Italy
Hospital Universitari I Politècnic La Fe
Valencia, 46026, Spain
Churchill Hospital - Oxford
Oxford, OX3 7LE, United Kingdom
DERIVED
Skin Diseases
Skin and Connective Tissue Diseases
Bone Marrow Diseases
Disease Attributes
Pathologic Processes
Pathological Conditions, Signs and Symptoms
Leukemia, Lymphoid
Lymphoproliferative Disorders
Lymphatic Diseases
Immunoproliferative Disorders
Immune System Diseases
Leukemia, Myeloid
Primary Completion
October 2, 2024
Actual (reported)
Study Completion
December 30, 2026
Estimated
Planned date reported by the registry; this milestone is not confirmed as achieved.
Last Updated
September 4, 2026
Results First Posted
September 4, 2026
Record last verified: 2026-08
Data Sharing
IPD Sharing
Will not share
Source records
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