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NCT02599649

Lirilumab and Nivolumab With 5-Azacitidine in Patients With Myelodysplastic Syndromes (MDS)

Terminated Phase 2 Results posted Last updated 14 January 2020
What this trial tests

Phase 2 trial testing Lirilumab in Leukemia in 10 participants. Terminated before completion.

Timeline
21 March 2016
Primary endpoint
30 January 2019
30 January 2019

Quick facts

Lead sponsorM.D. Anderson Cancer Center
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment10
Start date21 March 2016
Primary completion30 January 2019
Estimated completion30 January 2019
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

M.D. Anderson Cancer Center — full company profile →

Who can join

18 and older, any sex, with 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.

Overall Response Rate (ORR) Primary · 116 days

Overall response rate (ORR) defined as complete response plus partial response (CR + PR) and hematological improvement (HI). MDS International Working Group criteria used to assess response.

GroupValue95% CI
Low or Intermediate-1 MDS Group - Lirilumab1
High Risk MDS Group - Azacitidine + Lirilumab6

Adverse events — posted to ClinicalTrials.gov

Time frame: 2 years, 3 months. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Low or Intermediate-1 MDS Group - Lirilumab
Serious: 2/2 (100%)
Deaths: 0/2
Low or Intermediate-1 MDS Group - Nivolumab + Lirilumab
Serious: 0
Deaths: 0
High Risk MDS Group - Azacitidine + Lirilumab
Serious: 7/8 (88%)
Deaths: 0/8
High Risk MDS Group - Azacitidine + Lirilumab + Nivolumab
Serious: 0
Deaths: 0

Serious adverse events (12 terms)

ReactionSystemLow or Intermediate-1 MDS …Low or Intermediate-1 MDS …High Risk MDS Group - Azac…High Risk MDS Group - Azac…
Febrile NeutropeniaInfections and infestations
InfectionsInfections and infestations
AnemiaBlood and lymphatic system disorders
ColitisGastrointestinal disorders
FeverGeneral disorders
HyponatremiaMetabolism and nutrition disorders
HypotensionCardiac disorders
Intracranial HemorrhageNervous system disorders
Lung InfectionInfections and infestations
MyocarditisCardiac disorders
Small Intestine ObstructionGastrointestinal disorders
Gastric HemorrhageGastrointestinal disorders
Other adverse events (15 terms — click to expand)

ReactionSystemLow or Intermediate-1 MDS …Low or Intermediate-1 MDS …High Risk MDS Group - Azac…High Risk MDS Group - Azac…
InfectionInfections and infestations
ConstipationGastrointestinal disorders
Neutropenic FeverInfections and infestations
RashSkin and subcutaneous tissue disorders
NauseaGastrointestinal disorders
HyperbilirubinemiaInvestigations
ColitisGastrointestinal disorders
Chest TightnessInvestigations
FatigueGeneral disorders
HemorrhageGastrointestinal disorders
HyponatremiaMetabolism and nutrition disorders
Immune DisorderImmune system disorders
Infusion Related ReactionGeneral disorders
PhotosensitivitySkin and subcutaneous tissue disorders
PruritisSkin and subcutaneous tissue disorders

Most-reported serious reactions: Febrile Neutropenia, Infections, Anemia, Colitis, Fever, Hyponatremia, Hypotension, Intracranial Hemorrhage.

Data from ClinicalTrials.gov NCT02599649 adverse events section.

Sponsor's own description

The goal of this clinical research study is to learn if lirilumab and Opdivo (nivolumab), alone or in combination with Vidaza (azacitidine), can help to control MDS. The safety of these drug combinations will also be studied. This is an investigational study. Lirilumab is not FDA approved or commercially available. It is currently being used for research purposes. Nivolumab is FDA approved and commercially available for the treatment of melanoma and non small cell lung cancer (NSCLC). Azacitidine is FDA approved and commercially available for the treatment of MDS. The study doctor can explain how the study drugs are designed to work. Up to 80 participants will be enrolled in this study. All will take part at MD Anderson.

Publications & conference data

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

  1. Targeting epigenetic regulators for cancer therapy: mechanisms and advances in clinical trials.
    Cheng Y, He C, Wang M, Ma X, et al · · 2019 · cited 760× · PMID 31871779 · DOI 10.1038/s41392-019-0095-0
  2. Immune checkpoint therapy in liver cancer.
    Xu F, Jin T, Zhu Y, Dai C. · · 2018 · cited 299× · PMID 29843754 · DOI 10.1186/s13046-018-0777-4
  3. The Rise of Allogeneic Natural Killer Cells As a Platform for Cancer Immunotherapy: Recent Innovations and Future Developments.
    Veluchamy JP, Kok N, van der Vliet HJ, Verheul HMW, et al · · 2017 · cited 146× · PMID 28620386 · DOI 10.3389/fimmu.2017.00631
  4. Combining epigenetic and immune therapy to overcome cancer resistance.
    Gomez S, Tabernacki T, Kobyra J, Roberts P, et al · · 2020 · cited 130× · PMID 31877341 · DOI 10.1016/j.semcancer.2019.12.019
  5. Recent developments in epigenetic cancer therapeutics: clinical advancement and emerging trends.
    Nepali K, Liou JP. · · 2021 · cited 122× · PMID 33840388 · DOI 10.1186/s12929-021-00721-x
  6. NK Cell Dysfunction and Checkpoint Immunotherapy.
    Bi J, Tian Z. · · 2019 · cited 118× · PMID 31552017 · DOI 10.3389/fimmu.2019.01999
  7. Epi-drugs in combination with immunotherapy: a new avenue to improve anticancer efficacy.
    Mazzone R, Zwergel C, Mai A, Valente S. · · 2017 · cited 113× · PMID 28572863 · DOI 10.1186/s13148-017-0358-y
  8. A phase 1 study of lirilumab (antibody against killer immunoglobulin-like receptor antibody KIR2D; IPH2102) in patients with solid tumors and hematologic malignancies.
    Vey N, Karlin L, Sadot-Lebouvier S, Broussais F, et al · · 2018 · cited 104× · PMID 29707140 · DOI 10.18632/oncotarget.24832

Verify or expand the search:

Other trials of Lirilumab

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Other recruiting trials for Leukemia

Currently open trials in the same condition.

Other M.D. Anderson Cancer Center trials

Trials by the same sponsor.

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