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NCT00868608

Study Evaluating Inotuzumab Ozogamicin (CMC-544) In Indolent Non-Hodgkins Lymphoma

Completed Phase 2 Results posted Last updated 31 October 2017
What this trial tests

Phase 2 trial testing Inotuzumab Ozogamicin (CMC-544) in Lymphoma in 81 participants. Completed in 27 June 2013.

Timeline
30 July 2009
Primary endpoint
10 January 2012
27 June 2013

Quick facts

Lead sponsorPfizer
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Maskingnone
Primary purposetreatment
Enrollment81
Start date30 July 2009
Primary completion10 January 2012
Estimated completion27 June 2013
Sites42 locations across Hong Kong, Japan, Netherlands, Belgium, Germany, Hungary, South Korea, Singapore

Drugs / interventions tested

Conditions studied

Sponsor

Pfizer — full company profile →

Who can join

18 and older, any sex, with Lymphoma. 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.

Percentage of Participants With Indolent NHL Achieving CR or Partial Response (PR) According to International Response Criteria for NHL Primary · Assessed for up to 2 years, including planned assessments every 8 to 12 weeks from first dose of study drug. Follow-up period may have been extended beyond 2 years due to dosing delays and allowed study visit windows.

CR was defined as complete disappearance of all target lesions and disease-related symptoms; all nodes must have decreased to normal (less than or equal to \[≤\]1.5 cm in their greatest transverse diameter \[GTD\] for nodes more than \[\>\]1.5 cm before therapy) or ≤1 cm (short axis) in previously involved node; enlarged spleen prior to therapy must have regressed and be non-palpable; bone marrow lymphoma: infiltrate must have been cleared on repeat bone marrow aspirate and biopsy. PR was defined as \>50% decrease in the sum of the product diameters (SPD) of up to 6 index lesions. No increase

GroupValue95% CI
Inotuzumab Ozogamicin - Total (All NHL Types)66.755.32 – 76.76
Percentage of Participants With Follicular NHL Achieving CR or PR According to International Response Criteria for NHL Secondary · Assessed for up to 2 years, including planned assessments every 8 to 12 weeks from first dose of study drug. Follow-up period may have been extended beyond 2 years due to dosing delays and allowed study visit windows.

CR was defined as complete disappearance of all target lesions and disease-related symptoms; all nodes must have decreased to normal (≤1.5 cm in their greatest transverse diameter for nodes \>1.5 cm before therapy) or ≤1 cm (short axis) in previously involved node; enlarged spleen prior to therapy must have regressed and be non-palpable; bone marrow lymphoma: infiltrate must have been cleared on repeat bone marrow aspirate and biopsy. PR was defined as \>50% decrease in the SPD of up to 6 index lesions. No increase in size of other nodes, liver or spleen. Splenic and hepatic nodules must have

GroupValue95% CI
Inotuzumab Ozogamicin - NHL Type (Follicular)70.858.93 – 80.95
Percentage of Participants With Indolent NHL Achieving a CR According to International Response Criteria for NHL Secondary · Assessed for up to 2 years, including planned assessments every 8 to 12 weeks from first dose of study drug. Follow-up period may have been extended beyond 2 years due to dosing delays and allowed study visit windows.

CR was defined as complete disappearance of all target lesions and disease-related symptoms; all nodes must have decreased to normal (≤1.5 cm in their greatest transverse diameter for nodes \>1.5 cm before therapy) or ≤1 cm (short axis) in previously involved node; enlarged spleen prior to therapy must have regressed and be non-palpable; bone marrow lymphoma: infiltrate must have been cleared on repeat bone marrow aspirate and biopsy.

GroupValue95% CI
Inotuzumab Ozogamicin - Total (All NHL Types)30.921.07 – 42.11
Percentage of Participants With Follicular NHL Achieving a CR According to International Response Criteria for NHL Secondary · Assessed for up to 2 years, including planned assessments every 8 to 12 weeks from first dose of study drug. Follow-up period may have been extended beyond 2 years due to dosing delays and allowed study visit windows.

CR was defined as complete disappearance of all target lesions and disease-related symptoms; all nodes must have decreased to normal (≤1.5 cm in their greatest transverse diameter for nodes \>1.5 cm before therapy) or ≤1 cm (short axis) in previously involved node; enlarged spleen prior to therapy must have regressed and be non-palpable; bone marrow lymphoma: infiltrate must have been cleared on repeat bone marrow aspirate and biopsy.

GroupValue95% CI
Inotuzumab Ozogamicin - NHL Type (Follicular)34.723.88 – 46.86
Duration of Response in Participants With Indolent NHL Secondary · Assessed for up to 2 years, including planned assessments every 8 to 12 weeks from first dose of study drug. Follow-up period may have been extended beyond 2 years due to dosing delays and allowed study visit windows.

Duration of response was measured from the first date of response until the first date that the objective progression of disease (PD) or symptomatic deterioration or initiation of new anticancer therapy for the lymphoma or death from any cause is documented. Participants without an event were censored at the date of the last valid tumor assessment. A valid tumor assessment visit was defined as the tumor assessment visit with overall response of CR, PR, stable disease (SD), or PD, but not 'Not Done' or 'Unknown'. PD was defined according to the International Response Criteria for NHL: 1) New le

GroupValue95% CI
Inotuzumab Ozogamicin - Total (All NHL Types)24.810.9 – NA
Probability of Maintaining a Response at 6, 12 and 24 Months in Participants With Indolent NHL Secondary · 6, 12 and 24 months

Duration of response was measured from the first date of response until the first date that the objective PD or symptomatic deterioration or initiation of new anticancer therapy for the lymphoma or death from any cause is documented. Participants without an event were censored at the date of the last valid tumor assessment. A valid tumor assessment visit was defined as the tumor assessment visit with overall response of CR, PR, stable disease (SD), or PD, but not 'Not Done' or 'Unknown'. PD was defined according to the International Response Criteria for NHL: 1) New lesion or increase by ≥50%

6 Month Probability of Maintaining a Response
GroupValue95% CI
Inotuzumab Ozogamicin - Total (All NHL Types)0.820.68 – 0.90
12 Month Probability of Maintaining a Response
GroupValue95% CI
Inotuzumab Ozogamicin - Total (All NHL Types)0.650.50 – 0.77
24 Month Probability of Maintaining a Response
GroupValue95% CI
Inotuzumab Ozogamicin - Total (All NHL Types)0.530.38 – 0.66
Duration of Response in Participants With Follicular NHL Secondary · Assessed for up to 2 years, including planned assessments every 8 to 12 weeks from first dose of study drug. Follow-up period may have been extended beyond 2 years due to dosing delays and allowed study visit windows.

Duration of response was measured from the first date of response until the first date that the objective PD or symptomatic deterioration or initiation of new anticancer therapy for the lymphoma or death from any cause is documented. Participants without an event were censored at the date of the last valid tumor assessment. A valid tumor assessment visit was defined as the tumor assessment visit with overall response of CR, PR, stable disease (SD), or PD, but not 'Not Done' or 'Unknown'. PD was defined according to the International Response Criteria for NHL: 1) New lesion or increase by ≥50%

GroupValue95% CI
Inotuzumab Ozogamicin - NHL Type (Follicular)24.812.9 – NA
Probability of Maintaining a Response at 6, 12 and 24 Months in Participants With Follicular NHL Secondary · 6, 12 and 24 months

Duration of response was measured from the first date of response until the first date that the objective PD or symptomatic deterioration or initiation of new anticancer therapy for the lymphoma or death from any cause is documented. Participants without an event were censored at the date of the last valid tumor assessment. A valid tumor assessment visit was defined as the tumor assessment visit with overall response of CR, PR, stable disease (SD), or PD, but not 'Not Done' or 'Unknown'. PD was defined according to the International Response Criteria for NHL: 1) New lesion or increase by ≥50%

6 Month Probability of Maintaining a Response
GroupValue95% CI
Inotuzumab Ozogamicin - NHL Type (Follicular)0.850.71 – 0.92
12 Month Probability of Maintaining a Response
GroupValue95% CI
Inotuzumab Ozogamicin - NHL Type (Follicular)0.670.51 – 0.79
24 Month Probability of Maintaining a Response
GroupValue95% CI
Inotuzumab Ozogamicin - NHL Type (Follicular)0.570.40 – 0.70
Kaplan-Meier Estimate of the Progression-Free Survival (PFS) in Participants With Indolent NHL Secondary · Assessed for up to 2 years, including planned assessments every 8 to 12 weeks from first dose of study drug. Follow-up period may have been extended beyond 2 years due to dosing delays and allowed study visit windows.

Kaplan-Meier: a rule for calculating an estimate of survival. PFS was defined as time from enrollment to death from any cause without progression, progression during and after treatment, and initiation of all new anti-cancer treatments for the lymphoma. For participants with no event, censorship occurred at the date of last valid disease assessment. PD was defined in accordance with the International Response Criteria for NHL: 1) New lesion or increase by ≥50% of previously involved sites from nadir, 2) New lesion(s) \>1.5 cm (any axis); ≥50% increase in SPD of \>1 node; or ≥50% increase in lo

GroupValue95% CI
Inotuzumab Ozogamicin - Total (All NHL Types)12.78.9 – 26.9
Kaplan-Meier Estimates of the Probability of Being Alive and Free From PD or New Anticancer Therapy at 6, 12 and 24 Months in Participants With Indolent NHL Secondary · 6, 12 and 24 months

Kaplan-Meier: a rule for calculating an estimate of survival. PFS was defined as time from enrollment to death from any cause without progression, progression during and after treatment, and initiation of all new anti-cancer treatments for the lymphoma. For participants with no event, censorship occurred at the date of last valid disease assessment. PD was defined in accordance with the International Response Criteria for NHL: 1) New lesion or increase by ≥50% of previously involved sites from nadir, 2) New lesion(s) \>1.5 cm (any axis); ≥50% increase in SPD of \>1 node; or ≥50% increase in lo

6 Months
GroupValue95% CI
Inotuzumab Ozogamicin - Total (All NHL Types)65.153.3 – 74.6
12 Months
GroupValue95% CI
Inotuzumab Ozogamicin - Total (All NHL Types)52.040.0 – 62.7
24 Months
GroupValue95% CI
Inotuzumab Ozogamicin - Total (All NHL Types)41.329.8 – 52.5
Kaplan-Meier Estimate of the PFS in Participants With Follicular NHL Secondary · Assessed for up to 2 years, including planned assessments every 8 to 12 weeks from first dose of study drug. Follow-up period may have been extended beyond 2 years due to dosing delays and allowed study visit windows.

Kaplan-Meier: a rule for calculating an estimate of survival. PFS was defined as time from enrollment to progression of disease or death from any cause. Events were defined as death from any cause without progression, progression during and after treatment, and initiation of all new anti-cancer treatments for the lymphoma. For participants with no event, censorship occurred at the date of last valid disease assessment. PD was defined in accordance with the International Response Criteria for NHL: 1) New lesion or increase by ≥50% of previously involved sites from nadir, 2) New lesion(s) \>1.5

GroupValue95% CI
Inotuzumab Ozogamicin - NHL Type (Follicular)14.711.0 – NA
Kaplan-Meier Estimate of the Probability of Being Alive and Free From PD or New Anticancer Therapy at 6, 12 and 24 Months in Participants With Follicular NHL Secondary · 6, 12 and 24 months

Kaplan-Meier: a rule for calculating an estimate of survival. PFS was defined as time from enrollment to progression of disease or death from any cause. Events were defined as death from any cause without progression, progression during and after treatment, and initiation of all new anti-cancer treatments for the lymphoma. For participants with no event, censorship occurred at the date of last valid disease assessment. PD was defined in accordance with the International Response Criteria for NHL: 1) New lesion or increase by ≥50% of previously involved sites from nadir, 2) New lesion(s) \>1.5

6 Months
GroupValue95% CI
Inotuzumab Ozogamicin - NHL Type (Follicular)69.356.8 – 78.8
12 Months
GroupValue95% CI
Inotuzumab Ozogamicin - NHL Type (Follicular)56.343.4 – 67.3
24 Months
GroupValue95% CI
Inotuzumab Ozogamicin - NHL Type (Follicular)46.133.5 – 57.8

Adverse events — posted to ClinicalTrials.gov

Time frame: Collected from time of informed consent up to a minimum of 28 days after last dose of study drug. Adverse event (AE) summaries below are inclusive of AEs from first dose.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Inotuzumab Ozogamicin - NHL Type (Follicular)
Serious: 12/72 (17%)
Deaths:
Inotuzumab Ozogamicin - NHL Type (Marginal Zone)
Serious: 2/4 (50%)
Deaths:
Inotuzumab Ozogamicin - NHL Type (Small Lymphocytic)
Serious: 1/5 (20%)
Deaths:

Serious adverse events (27 terms)

ReactionSystemInotuzumab Ozogamicin - NH…Inotuzumab Ozogamicin - NH…Inotuzumab Ozogamicin - NH…
PyrexiaGeneral disorders
PneumoniaInfections and infestations
SepsisInfections and infestations
ArthralgiaMusculoskeletal and connective tissue disorders
Non-Hodgkin's lymphomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Abdominal distensionGastrointestinal disorders
Abdominal pain upperGastrointestinal disorders
AscitesGastrointestinal disorders
ConstipationGastrointestinal disorders
DysphagiaGastrointestinal disorders
Intestinal obstructionGastrointestinal disorders
NauseaGastrointestinal disorders
FatigueGeneral disorders
Catheter site infectionInfections and infestations
PeritonitisInfections and infestations
Staphylococcal bacteraemiaInfections and infestations
HydronephrosisRenal and urinary disorders
Urinary retentionRenal and urinary disorders
Budd-Chiari syndromeHepatobiliary disorders
CholelithiasisHepatobiliary disorders
Hepatic function abnormalHepatobiliary disorders
HyperbilirubinaemiaHepatobiliary disorders
Decreased appetiteMetabolism and nutrition disorders
SyncopeNervous system disorders
Chronic obstructive pulmonary diseaseRespiratory, thoracic and mediastinal disorders
Other adverse events (80 terms — click to expand)

ReactionSystemInotuzumab Ozogamicin - NH…Inotuzumab Ozogamicin - NH…Inotuzumab Ozogamicin - NH…
ThrombocytopeniaBlood and lymphatic system disorders
NeutropeniaBlood and lymphatic system disorders
NauseaGastrointestinal disorders
FatigueGeneral disorders
Aspartate aminotransferase increasedInvestigations
LeukopeniaBlood and lymphatic system disorders
LymphopeniaBlood and lymphatic system disorders
Blood alkaline phosphatase increasedInvestigations
Gamma-glutamyltransferase increasedInvestigations
Decreased appetiteMetabolism and nutrition disorders
Alanine aminotransferase increasedInvestigations
VomitingGastrointestinal disorders
PyrexiaGeneral disorders
AnaemiaBlood and lymphatic system disorders
ConstipationGastrointestinal disorders
HeadacheNervous system disorders
CoughRespiratory, thoracic and mediastinal disorders
HyperbilirubinaemiaHepatobiliary disorders
HypoalbuminaemiaMetabolism and nutrition disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Upper respiratory tract infectionInfections and infestations
HyperglycaemiaMetabolism and nutrition disorders
HypophosphataemiaMetabolism and nutrition disorders
RashSkin and subcutaneous tissue disorders
Abdominal painGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
NasopharyngitisInfections and infestations
HypokalaemiaMetabolism and nutrition disorders
InsomniaPsychiatric disorders
Oedema peripheralGeneral disorders
Abdominal distensionGastrointestinal disorders
Abdominal pain upperGastrointestinal disorders
ChillsGeneral disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
SinusitisInfections and infestations
Urinary tract infectionInfections and infestations
Blood creatinine increasedInvestigations
Blood lactate dehydrogenase increasedInvestigations
HypocalcaemiaMetabolism and nutrition disorders
DysgeusiaNervous system disorders

Most-reported serious reactions: Pyrexia, Pneumonia, Sepsis, Arthralgia, Non-Hodgkin's lymphoma, Abdominal distension, Abdominal pain upper, Ascites.

Data from ClinicalTrials.gov NCT00868608 adverse events section.

Sponsor's own description

The purpose of this study is to evaluate the efficacy of inotuzumab ozogamicin (CMC-544) in subjects with indolent Non-Hodgkins lymphoma (NHL) that is refractory or has relapsed after multiple therapies including rituximab or radioimmunotherapy. The investigational drug will be given to subjects with indolent NHL by intravenous infusion at a dose of 1.8 mg/m2, every 4 weeks.

Publications & conference data

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

  1. Antibody-drug conjugates in clinical trials for lymphoid malignancies and multiple myeloma.
    Yu B, Liu D. · · 2019 · cited 70× · PMID 31500657 · DOI 10.1186/s13045-019-0786-6
  2. 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
  3. Antibody-drug conjugates for the treatment of lymphoma: clinical advances and latest progress.
    Chu Y, Zhou X, Wang X. · · 2021 · cited 48× · PMID 34090506 · DOI 10.1186/s13045-021-01097-z
  4. Glycosylation Targeting: A Paradigm Shift in Cancer Immunotherapy.
    Ren X, Lin S, Guan F, Kang H. · · 2024 · cited 30× · PMID 38725856 · DOI 10.7150/ijbs.93806
  5. Antibody-drug conjugates for lymphoma patients: preclinical and clinical evidences.
    Barreca M, Lang N, Tarantelli C, Spriano F, et al · · 2022 · cited 23× · PMID 36654819 · DOI 10.37349/etat.2022.00112
  6. Targeting CD22 for B-cell hematologic malignancies.
    Xu J, Luo W, Li C, Mei H. · · 2023 · cited 21× · PMID 37821931 · DOI 10.1186/s40164-023-00454-7
  7. Effect of inotuzumab ozogamicin on the QT interval in patients with haematologic malignancies using QTc-concentration modelling.
    Hibma JE, Kantarjian HM, DeAngelo DJ, Boni JP. · · 2019 · cited 15× · PMID 30536405 · DOI 10.1111/bcp.13832

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT00868608.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing