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NCT01925131

S1312, Inotuzumab Ozogamicin and Combination Chemotherapy in Treating Patients With Relapsed or Refractory Acute Leukemia

Completed Phase 1 Results posted Last updated 3 May 2023
What this trial tests

Phase 1 trial testing cyclophosphamide in Acute Leukemias of Ambiguous Lineage in 50 participants. Completed in 1 January 2023.

Timeline
13 June 2014
Primary endpoint
1 January 2022
1 January 2023

Quick facts

Lead sponsorSWOG Cancer Research Network
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designsequential
Maskingnone
Primary purposetreatment
Enrollment50
Start date13 June 2014
Primary completion1 January 2022
Estimated completion1 January 2023
Sites5 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

SWOG Cancer Research Network

Who can join

18 and older, any sex, with Acute Leukemias of Ambiguous Lineage or B-cell Adult Acute Lymphoblastic Leukemia. 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.

MTD of Inotuzumab Ozogamicin With CVP for Patients With Relapsed or Refractory CD22+ Acute Leukemia Primary · 28 days

To determine the maximum tolerated dose (MTD) of inotuzumab ozogamicin in this regimen for patients with relapsed or refractory CD22+ acute leukemia (B-cell acute lymphoblastic leukemia \[B-ALL\], mixed phenotype, and Burkitt's). The MTD is defined as the highest dose studied in which the incidence of dose-limiting toxicities is \< 33% using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 4.0.

Day 1 Dose
GroupValue95% CI
CVP + Inotuzumab0.8
Day 8 Dose
GroupValue95% CI
CVP + Inotuzumab0.5
Day 15 Dose
GroupValue95% CI
CVP + Inotuzumab0.5
Response Rate (CR+CRi) Among Expansion Cohort Secondary · Up to 3 years

The response rate (CR + CRi) is defined as the rate of complete remission (CR) + complete remission with incomplete count recovery (CRi). Complete remission (CR) is defined as \< 5% marrow aspirate blasts, neutrophils ≥ 1000/uL, platelets \> 100,000/uL, no blasts in peripheral blood, and C1 Extramedullary disease status. C1 Extramedullary disease status is characterized by complete disappearance of all measurable and non-measurable extramedullary disease with the exception of lesions for which the following must be true: for participants with at least one measurable lesion, all lesions must ha

GroupValue95% CI
CVP + Inotuzumab MTD83.33
Frequency and Severity of Toxicities Secondary · Up to 3 years

Number of participants with Grade 3-5 adverse events that are possibly, probably or definitely related to study drug are reported by given type of adverse event.

Anemia
GroupValue95% CI
CVP + Inotuzumab Dose Level 12
CVP + Inotuzumab Dose Level 22
CVP + Inotuzumab Dose Level 37
CVP + Inotuzumab Dose Level 43
CVP + Inotuzumab Dose Level 55
CVP + Inotuzumab MTD5
Ascites
GroupValue95% CI
CVP + Inotuzumab Dose Level 10
CVP + Inotuzumab Dose Level 20
CVP + Inotuzumab Dose Level 30
CVP + Inotuzumab Dose Level 40
CVP + Inotuzumab Dose Level 51
CVP + Inotuzumab MTD1
Dysphagia
GroupValue95% CI
CVP + Inotuzumab Dose Level 10
CVP + Inotuzumab Dose Level 20
CVP + Inotuzumab Dose Level 31
CVP + Inotuzumab Dose Level 40
CVP + Inotuzumab Dose Level 50
CVP + Inotuzumab MTD0
Encephalopathy
GroupValue95% CI
CVP + Inotuzumab Dose Level 10
CVP + Inotuzumab Dose Level 20
CVP + Inotuzumab Dose Level 31
CVP + Inotuzumab Dose Level 40
CVP + Inotuzumab Dose Level 50
CVP + Inotuzumab MTD0
Enterocolitis
GroupValue95% CI
CVP + Inotuzumab Dose Level 10
CVP + Inotuzumab Dose Level 20
CVP + Inotuzumab Dose Level 30
CVP + Inotuzumab Dose Level 40
CVP + Inotuzumab Dose Level 51
CVP + Inotuzumab MTD0
Fatigue
GroupValue95% CI
CVP + Inotuzumab Dose Level 10
CVP + Inotuzumab Dose Level 20
CVP + Inotuzumab Dose Level 31
CVP + Inotuzumab Dose Level 40
CVP + Inotuzumab Dose Level 50
CVP + Inotuzumab MTD1
Febrile neutropenia
GroupValue95% CI
CVP + Inotuzumab Dose Level 10
CVP + Inotuzumab Dose Level 22
CVP + Inotuzumab Dose Level 32
CVP + Inotuzumab Dose Level 43
CVP + Inotuzumab Dose Level 51
CVP + Inotuzumab MTD7
Fever
GroupValue95% CI
CVP + Inotuzumab Dose Level 11
CVP + Inotuzumab Dose Level 21
CVP + Inotuzumab Dose Level 31
CVP + Inotuzumab Dose Level 40
CVP + Inotuzumab Dose Level 50
CVP + Inotuzumab MTD1

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to 3 years post registration. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

CVP + Inotuzumab Dose Level 1
Serious: 2/5 (40%)
Deaths: 4/5
CVP + Inotuzumab Dose Level 2
Serious: 2/4 (50%)
Deaths: 3/4
CVP + Inotuzumab Dose Level 3
Serious: 4/10 (40%)
Deaths: 9/10
CVP + Inotuzumab Dose Level 4
Serious: 1/5 (20%)
Deaths: 5/5
CVP + Inotuzumab Dose Level 5
Serious: 1/11 (9%)
Deaths: 9/11
CVP + Inotuzumab MTD
Serious: 11/13 (85%)
Deaths: 8/13

Serious adverse events (29 terms)

ReactionSystemCVP + Inotuzumab Dose Leve…CVP + Inotuzumab Dose Leve…CVP + Inotuzumab Dose Leve…CVP + Inotuzumab Dose Leve…CVP + Inotuzumab Dose Leve…CVP + Inotuzumab MTD
Infections and infestations-OtherInfections and infestations
FatigueGeneral disorders
AnemiaBlood and lymphatic system disorders
Febrile neutropeniaBlood and lymphatic system disorders
Sinus tachycardiaCardiac disorders
AscitesGastrointestinal disorders
Gastric hemorrhageGastrointestinal disorders
Gastrointestinal disorders-OtherGastrointestinal disorders
Edema faceGeneral disorders
Facial painGeneral disorders
FeverGeneral disorders
Lung infectionInfections and infestations
SinusitisInfections and infestations
Upper respiratory infectionInfections and infestations
Investigations-OtherInvestigations
Neck painMusculoskeletal and connective tissue disorders
EncephalopathyNervous system disorders
HeadacheNervous system disorders
Intracranial hemorrhageNervous system disorders
Nervous system disorders-OtherNervous system disorders
SeizureNervous system disorders
SyncopeNervous system disorders
Renal and urinary disorders-OtherRenal and urinary disorders
CoughRespiratory, thoracic and mediastinal disorders
DyspneaRespiratory, thoracic and mediastinal disorders
Other adverse events (193 terms — click to expand)

ReactionSystemCVP + Inotuzumab Dose Leve…CVP + Inotuzumab Dose Leve…CVP + Inotuzumab Dose Leve…CVP + Inotuzumab Dose Leve…CVP + Inotuzumab Dose Leve…CVP + Inotuzumab MTD
AnemiaBlood and lymphatic system disorders
Neutrophil count decreasedInvestigations
Platelet count decreasedInvestigations
White blood cell decreasedInvestigations
HypoalbuminemiaMetabolism and nutrition disorders
Febrile neutropeniaBlood and lymphatic system disorders
ChillsGeneral disorders
HypokalemiaMetabolism and nutrition disorders
Abdominal painGastrointestinal disorders
Alkaline phosphatase increasedInvestigations
Aspartate aminotransferase increasedInvestigations
Lymphocyte count decreasedInvestigations
HyperglycemiaMetabolism and nutrition disorders
HeadacheNervous system disorders
Sinus tachycardiaCardiac disorders
NauseaGastrointestinal disorders
Edema limbsGeneral disorders
Alanine aminotransferase increasedInvestigations
Peripheral sensory neuropathyNervous system disorders
ConstipationGastrointestinal disorders
FatigueGeneral disorders
Infections and infestations-OtherInfections and infestations
Blood bilirubin increasedInvestigations
HypertensionVascular disorders
DiarrheaGastrointestinal disorders
Gastrointestinal disorders-OtherGastrointestinal disorders
FeverGeneral disorders
General disorders and admin site conditions - OtherGeneral disorders
PainGeneral disorders
SepsisInfections and infestations
HypocalcemiaMetabolism and nutrition disorders
HyponatremiaMetabolism and nutrition disorders
MyalgiaMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
CoughRespiratory, thoracic and mediastinal disorders
VomitingGastrointestinal disorders
AnorexiaMetabolism and nutrition disorders
HypoglycemiaMetabolism and nutrition disorders
HypomagnesemiaMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders

Most-reported serious reactions: Infections and infestations-Other, Fatigue, Anemia, Febrile neutropenia, Sinus tachycardia, Ascites, Gastric hemorrhage, Gastrointestinal disorders-Other.

Data from ClinicalTrials.gov NCT01925131 adverse events section.

Sponsor's own description

This phase I trial studies the side effects and best dose of inotuzumab ozogamicin when given together with combination chemotherapy in treating patients with relapsed or refractory acute leukemia. Immunotoxins, such as inotuzumab ozogamicin, can find cancer cells that express cluster of differentiation (CD)22 and kill them without harming normal cells. Drugs used in chemotherapy, such as cyclophosphamide, vincristine sulfate, and prednisone, work in different ways to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. Giving inotuzumab ozogamicin together with combination chemotherapy may kill more cancer cells.

Publications & conference data

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

  1. Acquired Resistance to Antibody-Drug Conjugates.
    Collins DM, Bossenmaier B, Kollmorgen G, Niederfellner G. · · 2019 · cited 109× · PMID 30897808 · DOI 10.3390/cancers11030394
  2. Inotuzumab ozogamicin in adults with relapsed or refractory CD22-positive acute lymphoblastic leukemia: a phase 1/2 study.
    DeAngelo DJ, Stock W, Stein AS, Shustov A, et al · · 2017 · cited 107× · PMID 29296758 · DOI 10.1182/bloodadvances.2016001925
  3. Vincristine in Combination Therapy of Cancer: Emerging Trends in Clinics.
    Škubník J, Pavlíčková VS, Ruml T, Rimpelová S. · · 2021 · cited 86× · PMID 34571726 · DOI 10.3390/biology10090849
  4. CD22 Expression in B-Cell Acute Lymphoblastic Leukemia: Biological Significance and Implications for Inotuzumab Therapy in Adults.
    Lanza F, Maffini E, Rondoni M, Massari E, et al · · 2020 · cited 54× · PMID 32012891 · DOI 10.3390/cancers12020303
  5. Targeting CD22 for the Treatment of B-Cell Malignancies.
    Shah NN, Sokol L. · · 2021 · cited 42× · PMID 34262884 · DOI 10.2147/itt.s288546
  6. Advances in biology of acute lymphoblastic leukemia (ALL) and therapeutic implications.
    Mohseni M, Uludag H, Brandwein JM. · · 2018 · cited 34× · PMID 30697448
  7. Treatment of Philadelphia Chromosome-Positive Acute Lymphoblastic Leukemia in Adults.
    Saleh K, Fernandez A, Pasquier F. · · 2022 · cited 24× · PMID 35406576 · DOI 10.3390/cancers14071805
  8. Inotuzumab ozogamicin in clinical development for acute lymphoblastic leukemia and non-Hodgkin lymphoma.
    Aujla A, Aujla R, Liu D. · · 2019 · cited 23× · PMID 31011424 · DOI 10.1186/s40364-019-0160-4

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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/NCT01925131.

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