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NCT02953561

Avelumab and Azacitidine in Treating Patients With Refractory or Relapsed Acute Myeloid Leukemia

Terminated Phase 1, PHASE2 Results posted Last updated 22 October 2020
What this trial tests

Phase 1, PHASE2 trial testing Avelumab in Acute Myeloid Leukemia Arising From Previous Myelodysplastic Syndrome in 19 participants. Terminated before completion.

Timeline
20 February 2017
Primary endpoint
30 September 2019
30 September 2019

Quick facts

Lead sponsorM.D. Anderson Cancer Center
PhasePhase 1, PHASE2
StatusTerminated
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment19
Start date20 February 2017
Primary completion30 September 2019
Estimated completion30 September 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 Acute Myeloid Leukemia Arising From Previous Myelodysplastic Syndrome or Recurrent Acute Myeloid 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.

Number of Participants With a Response Primary · Up to 2 years

Complete Response (CR) + Partial Remission (PR) + Complete Remission with incomplete recovery (CRi) + Clinical Benefit. CR = normalization of peripheral blood (PB) and bone marrow (BM) with \</= 5% BM blasts, PB granulocyte count \>/= (1.0 x 10\^9/L, and a platelet count \>/= 100 x 10\^9/L). PR = same as CR except presence of 6-15% marrow blasts, or 50% reduction if \<15% at start of treatment. CRi meets all criteria for CR except for platelet recovery to \>100 x 10\^9/L and/or granulocyte count \> (1.0 x 10\^9/L). MLFS is BM with \</= 5% BM blasts with no PB recovery. Hematologic Improvement

GroupValue95% CI
Treatment (Azacitidine, Avelumab)4
Disease-free Survival Secondary · Up to 1 year

Time from date of treatment start until the date of first objective documentation of disease-relapse.

GroupValue95% CI
Treatment (Azacitidine, Avelumab)8.26.5 – 9.8
Overall Survival (OS) Secondary · Up to 1 year

Distribution of OS will be estimated using the method of Kaplan and Meier. Comparisons of time-to-event endpoints by important subgroups will be made using the log-rank tests.

GroupValue95% CI
Treatment (Azacitidine, Avelumab)4.70.1 – 11.0
Progression Free Survival (PFS) Secondary · Up to 1 year

Distribution of PFS will be estimated using the method of Kaplan and Meier. Comparisons of time-to-event endpoints by important subgroups will be made using the log-rank tests.

GroupValue95% CI
Treatment (Azacitidine, Avelumab)3.20.1 – 10.6

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to 1 year. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Treatment (Azacitidine, Avelumab)
Serious: 18/19 (95%)
Deaths: 5/19

Serious adverse events (23 terms)

ReactionSystemTreatment (Azacitidine, Av…
Lung InfectionInfections and infestations
Neutropenic FeverInfections and infestations
InfectionInfections and infestations
PneumonitisInfections and infestations
SepsisInfections and infestations
Anorectal InfectionInfections and infestations
Blood and Lymphatic System DisordersBlood and lymphatic system disorders
DeathGeneral disorders
DiarrheaGastrointestinal disorders
DysphagiaGastrointestinal disorders
EndocarditisInfections and infestations
FeverGeneral disorders
Gastrointestinal disordersGastrointestinal disorders
HematuriaRenal and urinary disorders
HyponatremiaMetabolism and nutrition disorders
HypotensionVascular disorders
Metabolism and Nutrition DisorderMetabolism and nutrition disorders
PainGeneral disorders
Pleural EffusionRespiratory, thoracic and mediastinal disorders
Skin InfectionInfections and infestations
Soft Tissue InfectionInfections and infestations
StrokeNervous system disorders
SyncopeNervous system disorders
Other adverse events (30 terms — click to expand)

ReactionSystemTreatment (Azacitidine, Av…
VomitingGastrointestinal disorders
DiarrheaGastrointestinal disorders
NauseaGastrointestinal disorders
FatigueGeneral disorders
Infusion Related ReactionGeneral disorders
Oral MucositisGastrointestinal disorders
AnorexiaGastrointestinal disorders
ConfusionPsychiatric disorders
Elevated Alanine Aminotransferase IncreaseInvestigations
AnemiaBlood and lymphatic system disorders
Generalized Muscle WeaknessMusculoskeletal and connective tissue disorders
HypertensionVascular disorders
Lymphocyte Count DecreasedInvestigations
NeutropeniaInvestigations
Pleural EffusionRespiratory, thoracic and mediastinal disorders
RashSkin and subcutaneous tissue disorders
White Blood Count DecreasedInvestigations
Alkaline Phosphatase IncreasedInfections and infestations
Blood and Lymphatic System DisordersBlood and lymphatic system disorders
Blood Bilirubin IncreasedInvestigations
Cardiac Troponin I IncreaseInvestigations
CbillsGeneral disorders
HeadacheNervous system disorders
HyperglycemiaMetabolism and nutrition disorders
HypoalbuminemiaMetabolism and nutrition disorders
hyponatremiaMetabolism and nutrition disorders
HypothyroidismEndocrine disorders
Mucosal InfectionInfections and infestations
Neutropenic FeverBlood and lymphatic system disorders
Platelet Count DecreaseInvestigations

Most-reported serious reactions: Lung Infection, Neutropenic Fever, Infection, Pneumonitis, Sepsis, Anorectal Infection, Blood and Lymphatic System Disorders, Death.

Data from ClinicalTrials.gov NCT02953561 adverse events section.

Sponsor's own description

This phase Ib/II trial studies the best dose and side effects of avelumab when given together with azacitidine and to see how well they work in treating patients with acute myeloid leukemia that is not responding to treatment or has come back. Monoclonal antibodies, such as avelumab, may interfere with the ability of cancer cells to grow and spread. Azacitidine may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth. Giving avelumab and azacitidine may work better in treating patients with acute myeloid leukemia.

Publications & conference data

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

  1. PD-1 and PD-L1 Checkpoint Signaling Inhibition for Cancer Immunotherapy: Mechanism, Combinations, and Clinical Outcome.
    Alsaab HO, Sau S, Alzhrani R, Tatiparti K, et al · · 2017 · cited 1206× · PMID 28878676 · DOI 10.3389/fphar.2017.00561
  2. 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
  3. T-cell-based immunotherapy of acute myeloid leukemia: current concepts and future developments.
    Daver N, Alotaibi AS, Bücklein V, Subklewe M. · · 2021 · cited 178× · PMID 33953290 · DOI 10.1038/s41375-021-01253-x
  4. 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
  5. Recent developments in immunotherapy of acute myeloid leukemia.
    Lichtenegger FS, Krupka C, Haubner S, Köhnke T, et al · · 2017 · cited 103× · PMID 28743264 · DOI 10.1186/s13045-017-0505-0
  6. Targeting the Immune Microenvironment in Acute Myeloid Leukemia: A Focus on T Cell Immunity.
    Lamble AJ, Lind EF. · · 2018 · cited 95× · PMID 29951373 · DOI 10.3389/fonc.2018.00213
  7. The double-edged sword of (re)expression of genes by hypomethylating agents: from viral mimicry to exploitation as priming agents for targeted immune checkpoint modulation.
    Wolff F, Leisch M, Greil R, Risch A, et al · · 2017 · cited 68× · PMID 28359286 · DOI 10.1186/s12964-017-0168-z
  8. Product review: avelumab, an anti-PD-L1 antibody.
    Collins JM, Gulley JL. · · 2019 · cited 62× · PMID 30481100 · DOI 10.1080/21645515.2018.1551671

Verify or expand the search:

Other trials of Avelumab

Trials testing the same drug.

Other recruiting trials for Acute Myeloid Leukemia Arising From Previous Myelodysplastic Syndrome

Currently open trials in the same condition.

Other M.D. Anderson Cancer Center trials

Trials by the same sponsor.

Verify against primary sources

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/NCT02953561.

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