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NCT04506086

Feasibility Study to Evaluate Outpatient Blinatumomab in Subjects With Minimal Residual Disease (MRD) of B-precursor Acute Lymphoblastic Leukemia (ALL)

Terminated Phase 4 Results posted Last updated 18 May 2025
What this trial tests

Phase 4 trial testing Blinatumomab in B-precursor Acute Lymphoblastic Leukemia in 10 participants. Terminated before completion.

Timeline
26 August 2021
Primary endpoint
4 July 2024
16 September 2024

Quick facts

Lead sponsorAmgen
PhasePhase 4
StatusTerminated
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment10
Start date26 August 2021
Primary completion4 July 2024
Estimated completion16 September 2024
Sites12 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Amgen — full company profile →

Who can join

Adults 18 to 99, any sex, with B-precursor 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.

Number of Participants With Grade 3 and/or 4 Cytokine Release Syndrome (CRS), Neurotoxicity (NT) or Any Adverse Events Resulting in Hospitalization During MDMP Primary · Cycle 1: Day 1 to Day 3; Cycle 2: Day 1 and Day 2

Adverse event were graded using the Common Terminology Criteria for Adverse Events, (CTCAE) v5.0 grading Scale. Grade 3 events were defined as severe or medically significant but not immediately life-threatening; grade 4 events were defined as life-threatening consequences; urgent intervention indicated. CSR is a heightened T-cell activation and release of pro inflammatory cytokines. NT signs include encephalopathy, delirium, aphasia, lethargy, difficulty concentrating, agitation, tremor, seizures, and, rarely, cerebral edema.

GroupValue95% CI
Blinatumomab2
Time to Therapeutic Intervention (TTI) During MDMP Secondary · Cycle 1: Day 1 to Day 3; Cycle 2: Day 1 and Day 2

TTI was calculated for all the valid alarm triggers which lead to an intervention as duration (in minutes) from time of the device alert (alarm triggered) to the time of initiation of the therapeutic intervention. Therapeutic intervention was any measurable action taken by the participants or performed on the participants as a result of the onset of fever, hypotension, hypoxia, other grade 3 or 4 vital sign including seizure or neurological change (grade 3-limiting self-care activities of daily living \[ADL\]).

GroupValue95% CI
Blinatumomab14.98± 26.76
Number of Participants Experiencing Treatment-Emergent Adverse Events (TEAE) and Adverse Events of Interest (EOIs) Secondary · Up to a maximum of 193 days

TEAEs were defined as adverse events starting on or after first dose of blinatumomab. EOIs referred in particular to CRS, infections and neurologic events.

TEAEs
GroupValue95% CI
Blinatumomab10
EOIs
GroupValue95% CI
Blinatumomab8
Change From Baseline to Cycle 2 Day 1 in the European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life of Cancer Patients (QLQ-C30) Global Health Status/ Quality of Life Score Secondary · Baseline and Cycle 2 Day 1

The EORTC QLQ-C30 is a 30-item questionnaire that assesses the health related quality of life of cancer patients participating in clinical trials. The EORTC QLQ-C30 forms a global health status (GHS)/quality of life (QoL) scale, 5 functional domains (physical, role, emotional, cognitive and social), and 9 symptom domains (fatigue, nausea and vomiting, pain, dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties). All of the scales/items measures get mapped to a common range from 0 to 100. A high scale score represents a higher response level. Thus, a negative chan

EORTC QLQ-C30 Global Health Status/QoL Score
GroupValue95% CI
Blinatumomab-8.333± 11.785
EORTC QLQ-C30 Functional Scales Score
GroupValue95% CI
Blinatumomab-12.778± 12.222
EORTC QLQ-C30 Symptoms Scales Score
GroupValue95% CI
Blinatumomab4.487± 6.743
Number of Participants Who Experienced TEAEs That Resulted in Hospitalization, Surgeries, Use of Concomitant Medications or Use of Device/Procedure Intervention Secondary · Up to a maximum of 193 days

Concomitant therapies are any concomitant medications or treatments deemed necessary to provide adequate supportive care except for: Any anti-tumor therapy other than the protocol-specified therapy (ie, radiation therapy, immunotherapy, cytotoxic and/or cytostatic drugs); Chronic systemic (\> 7 days) high-dose corticosteroid therapy (dexamethasone \> 24 mg/day or equivalent); any other immunosuppressive therapies (except for transient use of corticosteroids); Any other investigational agent. Intervention is any measurable action taken by the subject or performed on the subject as a result of

Hospitalizations
GroupValue95% CI
Blinatumomab3
Surgeries
GroupValue95% CI
Blinatumomab0
Use of concomitant medications
GroupValue95% CI
Blinatumomab9
Use of device/procedure intervention
GroupValue95% CI
Blinatumomab3

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to a maximum of 193 days. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Blinatumomab
Serious: 4/10 (40%)
Deaths: 0/10

Serious adverse events (4 terms)

ReactionSystemBlinatumomab
PyrexiaGeneral disorders
Cytokine release syndromeImmune system disorders
SepsisInfections and infestations
EncephalopathyNervous system disorders
Other adverse events (48 terms — click to expand)

ReactionSystemBlinatumomab
PyrexiaGeneral disorders
Cytokine release syndromeImmune system disorders
HeadacheNervous system disorders
TremorNervous system disorders
Sinus tachycardiaCardiac disorders
NauseaGastrointestinal disorders
ChillsGeneral disorders
FatigueGeneral disorders
HypotensionVascular disorders
NeutropeniaBlood and lymphatic system disorders
ThrombocytopeniaBlood and lymphatic system disorders
PalpitationsCardiac disorders
Vision blurredEye disorders
Abdominal painGastrointestinal disorders
ConstipationGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
VomitingGastrointestinal disorders
MalaiseGeneral disorders
Non-cardiac chest painGeneral disorders
Oedema peripheralGeneral disorders
HypersensitivityImmune system disorders
Candida infectionInfections and infestations
Enterocolitis infectiousInfections and infestations
Subcutaneous abscessInfections and infestations
FallInjury, poisoning and procedural complications
Vascular access complicationInjury, poisoning and procedural complications
Blood creatinine increasedInvestigations
Human rhinovirus test positiveInvestigations
Neutrophil count decreasedInvestigations
White blood cell count decreasedInvestigations
DehydrationMetabolism and nutrition disorders
HypokalaemiaMetabolism and nutrition disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Bone painMusculoskeletal and connective tissue disorders
Groin painMusculoskeletal and connective tissue disorders
Joint effusionMusculoskeletal and connective tissue disorders
Muscle spasmsMusculoskeletal and connective tissue disorders
MyalgiaMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
Confusional statePsychiatric disorders

Most-reported serious reactions: Pyrexia, Cytokine release syndrome, Sepsis, Encephalopathy.

Data from ClinicalTrials.gov NCT04506086 adverse events section.

Sponsor's own description

The study aims to determine the safety and feasibility of complete outpatient blinatumomab administration for subjects with minimal/measurable residual disease (MRD) of B-precursor Acute Lymphoblastic Leukemia (ALL).

Publications & conference data

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

  1. Current landscape and future directions of bispecific antibodies in cancer immunotherapy.
    Wei J, Yang Y, Wang G, Liu M. · · 2022 · cited 127× · PMID 36389699 · DOI 10.3389/fimmu.2022.1035276
  2. Principles and Current Clinical Landscape of Multispecific Antibodies against Cancer.
    Elshiaty M, Schindler H, Christopoulos P. · · 2021 · cited 71× · PMID 34073188 · DOI 10.3390/ijms22115632
  3. Overcoming cold tumors: a combination strategy of immune checkpoint inhibitors.
    Ouyang P, Wang L, Wu J, Tian Y, et al · · 2024 · cited 66× · PMID 38545114 · DOI 10.3389/fimmu.2024.1344272
  4. Insights into next-generation immunotherapy designs and tools: molecular mechanisms and therapeutic prospects.
    Qin H, Zhou Z, Shi R, Mai Y, et al · · 2025 · cited 15× · PMID 40483473 · DOI 10.1186/s13045-025-01701-6

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