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NCT00724971

Study Evaluating The Safety And Tolerability Of Combination Therapy Inotuzumab Ozogamicin (CMC-544) And Rituximab

Completed Phase 1 Results posted Last updated 15 March 2019
What this trial tests

Phase 1 trial testing Inotuzumab Ozogamicin (CMC-544) in Lymphoma, B-Cell in 10 participants. Completed in 10 March 2010.

Timeline
4 July 2008
Primary endpoint
10 March 2010
10 March 2010

Quick facts

Lead sponsorPfizer
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment10
Start date4 July 2008
Primary completion10 March 2010
Estimated completion10 March 2010
Sites4 locations across Japan

Drugs / interventions tested

Conditions studied

Sponsor

Pfizer — full company profile →

Who can join

Adults 20 to 75, any sex, with Lymphoma, B-Cell. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Dose-limiting Toxicities (DLT) Primary · Up to 28 days

A DLT was defined as the following drug-related adverse event which occurred during the first 28 days: 1) Any National Cancer Institute (NCI) Grade 3 or 4 nonhematologic toxicity (except Grade 3 nausea or vomiting without optimal treatment), 2) Febrile neutropenia, 3) Grade 4 absolute neutrophil count lasting \>=7 days, 4) Grade 4 thrombocytopenia lasting \>=3 days, 5) Grade 3 or 4 thrombocytopenia associated with a bleeding episode requiring platelet transfusion, 6)Delayed recovery (to grade \<=1 or baseline, except alopecia) from a drug-related toxicity that delayed the next dose \>2 weeks

GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^22
Number of Participants With Objective Response: Evaluable Population Secondary · Up to 8 cycles (1 cycle = 28 days)

Number of participants with objective response of complete response (CR), complete response unconfirmed (CRu), or partial response (PR). Objective response included subjects with CR, CRu, and PR. Response criteria for Non-Hodgkin's Lymphoma (NHL) were based on the 1999 NCI International Workshop to standardize response criteria for NHL. Per the criteria for Lymph node masses: CR, normal size; CRu, normal or \>75% decrease in the sum of the products of the greatest diameters (SPD); PR, normal or \>=50% decrease in the SPD.

Complete response (CR)
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^26
Complete response unconfirmed (CRu)
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^21
Partial response (PR)
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^20
Objective Response (CR+CRu+PR)
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^27
Number of Participants With Objective Response: Intent-to-treat (ITT) Population Secondary · Up to 8 cycles (1 cycle = 28 days)

Number of participants with objective response of complete response (CR), complete response unconfirmed (CRu), or partial response (PR). Objective response included subjects with CR, CRu, and PR. Response criteria for Non-Hodgkin's Lymphoma (NHL) were based on the 1999 NCI International Workshop to standardize response criteria for NHL. Per the criteria for Lymph node masses: CR, normal size; CRu, normal or \>75% decrease in the sum of the products of the greatest diameters (SPD); PR, normal or \>=50% decrease in the SPD.

Complete response (CR)
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^26
Complete response unconfirmed (CRu)
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^21
Partial response (PR)
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^21
Objective Response (CR+CRu+PR)
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^28
Progression-Free Survival (PFS) Secondary · Up to 591 days

The interval from the date of first administration of the test article until the first date on which relapsed disease, progressive disease (PD), or death was documented, censored at the last tumor evaluation date. Response criteria for Non-Hodgkin's Lymphoma (NHL) were based on the 1999 NCI International Workshop to standardize response criteria for NHL. Per the criteria for Lymph node masses: Relapse/PD, appearance of any new lesion or increased by \>=50% in the size.

GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^2NANA – NA
Maximum Observed Serum Concentration (Cmax) of CMC-544, Total Calicheamicin, and Anti-human CD22 Antibody (G544) Secondary · Cycle 1, Cycle 2 and Cycle 3 at hour 0 (predose) and at hours 1 (before the end of infusion), 4, 48, 144,192, 312, 480, and 648 relative to the start of infusion of CMC-544

CMC-544 is composed of G544, an anti-human CD22 antibody, linked to a potent cytotoxic antitumor antibiotic called calicheamicin. CD22 is expressed on the malignant cells of the majority of B-lymphocyte malignancies.

CMC-544: Cycle 1
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^2559± 136
CMC-544: Cycle 2
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^2822± 152
CMC-544: Cycle 3
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^2958± 64.0
Total Calicheamicin: Cycle 1
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^267.7± 14.9
Total Calicheamicin: Cycle 2
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^280.2± 11.3
Total Calicheamicin: Cycle 3
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^296.6± 2.89
G544: Cycle 1
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^2839± 157
G544: Cycle 2
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^21110± 88.9
Serum Decay Half-Life (t1/2) of CMC-544, Total Calicheamicin, and G544 Secondary · Cycle 1, Cycle 2 and Cycle 3 at hour 0 (predose) and at hours 1 (before the end of infusion), 4, 48, 144,192, 312, 480, and 648 relative to the start of infusion of CMC-544

The time measured for the serum concentration to decrease by one half.

CMC-544: Cycle 1
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^218.77± 1.09
CMC-544: Cycle 2
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^229.08± 21.79
CMC-544: Cycle 3
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^251.70± 20.59
Total Calicheamicin: Cycle 1
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^261.23± 34.84
Total Calicheamicin: Cycle 2
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^296.44± 31.31
Total Calicheamicin: Cycle 3
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^2167.87± 72.85
G544: Cycle 1
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^267.14± 31.84
G544: Cycle 2
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^2101.59± 34.08
Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of CMC-544, Total Calicheamicin, and G544 Secondary · Cycle 1, Cycle 2 and Cycle 3 at hour 0 (predose) and at hours 1 (before the end of infusion), 4, 48, 144,192, 312, 480, and 648 relative to the start of infusion of CMC-544

AUClast= Area under the serum concentration versus time curve from time zero (pre-dose) to time of last measured concentration.

CMC-544: Cycle 1
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^212300± 6200
CMC-544: Cycle 2
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^227000± 7450
CMC-544: Cycle 3
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^250100± 6390
Total Calicheamicin: Cycle 1
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^22850± 1400
Total Calicheamicin: Cycle 2
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^26490± 2250
Total Calicheamicin: Cycle 3
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^210700± 4750
G544: Cycle 1
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^238400± 16300
G544: Cycle 2
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^284900± 23400
Area Under the Curve From Time Zero to Extrapolated Infinite Time (AUC∞) of CMC-544, Total Calicheamicin, and G544 Secondary · Cycle 1, Cycle 2 and Cycle 3 at hour 0 (predose) and at hours 1 (before the end of infusion), 4, 48, 144,192, 312, 480, and 648 relative to the start of infusion of CMC-544

AUC∞ = Area under the serum concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (∞). It is obtained from AUC (0 - t) plus AUC (t - ∞).

CMC-544: Cycle 1
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^222300± 2850
CMC-544: Cycle 2
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^234800± 12200
CMC-544: Cycle 3
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^254800± 7070
Total Calicheamicin: Cycle 1
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^24060± 1100
Total Calicheamicin: Cycle 2
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^27460± 2540
Total Calicheamicin: Cycle 3
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^212700± 5400
G544: Cycle 1
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^247700± 14300
G544: Cycle 2
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^292300± 26300
Clearance (CL) of CMC-544, Total Calicheamicin, and G544 Secondary · Cycle 1, Cycle 2 and Cycle 3 at hour 0 (predose) and at hours 1 (before the end of infusion), 4, 48, 144,192, 312, 480, and 648 relative to the start of infusion of CMC-544

The rate at which a drug is metabolized or eliminated by normal biological processes.

CMC-544: Cycle 1
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^20.120± 0.0185
CMC-544: Cycle 2
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^20.0782± 0.0192
CMC-544: Cycle 3
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^20.0499± 0.0012
Total Calicheamicin: Cycle 1
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^20.746± 0.212
Total Calicheamicin: Cycle 2
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^20.424± 0.133
Total Calicheamicin: Cycle 3
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^20.249± 0.0686
G544: Cycle 1
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^20.0662± 0.0236
G544: Cycle 2
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^20.0331± 0.0077
Volume of Distribution (Vss) of CMC-544, Total Calicheamicin, and G544 Secondary · Cycle 1, Cycle 2 and Cycle 3 at hour 0 (predose) and at hours 1 (before the end of infusion), 4, 48, 144,192, 312, 480, and 648 relative to the start of infusion of CMC-544

The theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired blood concentration of a drug.

CMC-544: Cycle 1
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^22.33± 0.0763
CMC-544: Cycle 2
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^22.26± 1.74
CMC-544: Cycle 3
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^23.02± 1.23
Total Calicheamicin: Cycle 1
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^247.6± 11.3
Total Calicheamicin: Cycle 2
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^245.6± 7.04
Total Calicheamicin: Cycle 3
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^247.8± 6.62
G544: Cycle 1
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^23.95± 0.921
G544: Cycle 2
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^23.39± 0.515
Number of Participants With Positive Serum Antibody to Inotuzumab Ozogamicin (CMC-544) Secondary · Up to 8 Cycles (1 cycle = 28 days)

Antibody responses to CMC-544

Screening
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^21
End of Treatment
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^20
Number of Participants With Positive Serum Antibody to Rituximab Secondary · Up to 8 Cycles (1 cycle = 28 days)

Antibody responses to rituximab

Screening
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^20
End of Treatment
GroupValue95% CI
CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^20

Adverse events — posted to ClinicalTrials.gov

Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

CMC-544 1.8 mg/m^2 + Rituximab 375 mg/m^2
Serious: 0/10 (0%)
Deaths:
Other adverse events (82 terms — click to expand)

ReactionSystemCMC-544 1.8 mg/m^2 + Ritux…
ThrombocytopeniaBlood and lymphatic system disorders
Aspartate aminotransferase increasedInvestigations
LeukopeniaBlood and lymphatic system disorders
NauseaGastrointestinal disorders
Alanine aminotransferase increasedInvestigations
NeutropeniaBlood and lymphatic system disorders
LymphopeniaBlood and lymphatic system disorders
Blood lactate dehydrogenase increasedInvestigations
FatigueGeneral disorders
Blood alkaline phosphatase increasedInvestigations
Decreased appetiteMetabolism and nutrition disorders
HyperbilirubinaemiaHepatobiliary disorders
HeadacheNervous system disorders
StomatitisGastrointestinal disorders
PyrexiaGeneral disorders
NasopharyngitisInfections and infestations
Gamma-glutamyltransferase increasedInvestigations
Haemoglobin decreasedInvestigations
ConstipationGastrointestinal disorders
ChillsGeneral disorders
MalaiseGeneral disorders
Blood glucose increasedInvestigations
C-reactive protein increasedInvestigations
HypophosphataemiaMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
InsomniaPsychiatric disorders
CoughRespiratory, thoracic and mediastinal disorders
RashSkin and subcutaneous tissue disorders
AnaemiaBlood and lymphatic system disorders
ErythropeniaBlood and lymphatic system disorders
LymphocytosisBlood and lymphatic system disorders
MonocytosisBlood and lymphatic system disorders
ArrhythmiaCardiac disorders
PalpitationsCardiac disorders
TinnitusEar and labyrinth disorders
Abdominal discomfortGastrointestinal disorders
Abdominal distensionGastrointestinal disorders
Abdominal painGastrointestinal disorders
Abdominal pain upperGastrointestinal disorders
DiarrhoeaGastrointestinal disorders

Data from ClinicalTrials.gov NCT00724971 adverse events section.

Sponsor's own description

To assess the tolerability and the initial safety profile of Inotuzumab Ozogamicin (CMC-544) in combination with Rituximab in patients with B-Cell Non-Hodgkin's lymphoma (NHL).

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Inotuzumab: from preclinical development to success in B-cell acute lymphoblastic leukemia.
    Wynne J, Wright D, Stock W. · · 2019 · cited 50× · PMID 30622147 · DOI 10.1182/bloodadvances.2018026211
  2. Phase I study of anti-CD22 immunoconjugate inotuzumab ozogamicin plus rituximab in relapsed/refractory B-cell non-Hodgkin lymphoma.
    Ogura M, Hatake K, Ando K, Tobinai K, et al · · 2012 · cited 50× · PMID 22335424 · DOI 10.1111/j.1349-7006.2012.02241.x

Verify or expand the search:

Other trials of Inotuzumab Ozogamicin (CMC-544)

Trials testing the same drug.

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Currently open trials in the same condition.

Other Pfizer trials

Trials by the same sponsor.

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Data sources for this page

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