Description:
This is an open-label, multi-center, Phase 1/2 study to determine the MTD and assess the
safety, tolerability, PK, immunogenicity, and anti-leukemia activity of IMGN632 when
administered as monotherapy to patients with CD123+ disease.
The study is enrolling a pivotal cohort of frontline BPDCN patients and a cohort of
relapsed/refractory BPDCN patients.
Title
- Brief Title: Study of IMGN632 in Patients With Untreated BPDCN and Relapsed/Refractory BPDCN
- Official Title: A Phase 1/2, Multi-center, Open-label Study of IMGN632 Monotherapy Administered Intravenously in Patients With CD123-positive Acute Myeloid Leukemia and Other CD123-positive Hematologic Malignancies
Clinical Trial IDs
- ORG STUDY ID:
IMGN632-0801
- NCT ID:
NCT03386513
Conditions
- Blastic Plasmacytoid Dendritic Cell Neoplasm
- Acute Myeloid Leukemia
- Acute Lymphocytic Leukemia
- Myeloproliferative Neoplasm
Interventions
Drug | Synonyms | Arms |
---|
IMGN632 | | Escalation and Expansion |
Purpose
This is an open-label, multi-center, Phase 1/2 study to determine the MTD and assess the
safety, tolerability, PK, immunogenicity, and anti-leukemia activity of IMGN632 when
administered as monotherapy to patients with CD123+ disease.
The study is enrolling a pivotal cohort of frontline BPDCN patients and a cohort of
relapsed/refractory BPDCN patients.
Detailed Description
The study completed a dose escalation phase, and is now enrolling in a dose expansion phase
to further characterize the safety profile and to assess the efficacy of IMGN632 in patients
with BPDCN. IMGN632 is administered by IV on Day 1 of each cycle, with cycles repeating every
21 days.
Trial Arms
Name | Type | Description | Interventions |
---|
Escalation and Expansion | Experimental | Escalation: IMGN632 was administered by IV on 2 different schedules for patients with relapsed/refractory AML or BPDCN.
Expansion: the study is currently enrolling in 2 BPDCN expansion cohorts at the RP2D:
Cohort 1: Relapsed or refractory BPDCN patients who have received 1-3 prior systemic therapies (incl. tagraxofusp-erzs and/or any other systemic therapy deemed appropriate for the treatment of BPDCN)
Cohort 6: Pivotal cohort for frontline BPDCN patients who have not received prior systemic therapy. Patients may have received local therapy (radiotherapy, surgical excision, photodynamic therapy). Eligible patients must have a recurrence or progression in the field of local therapy OR disease outside the field of local therapy.
Other expansion cohorts (not currently enrolling):
• Cohort 2: Relapsed AML; Cohort 3: Relapsed or refractory ALL; Cohort 4: Other relapsed or refractory hematologic malignancies; Cohort 5: Relapsed or refractory AML at alternate dose or schedule | |
Eligibility Criteria
Inclusion Criteria:
1. Disease Characteristics:
a. Confirmation of CD123 positivity by flow cytometry or IHC. Patients who received
prior CD123-targeting agents will be allowed as long as the blasts still have
detectable CD123 expression.
2. Expansion inclusion:
- Cohort 1 - Patients with relapsed or refractory BPDCN with 1-3 prior lines of
therapy
- Cohort 2 - Patients will have relapsed AML.
- Cohort 3 - Patients will have relapsed or refractory ALL (including any subtypes:
B-cell, T-cell, Ph+, and Ph-).
- Cohort 4 - Patients will have relapsed or refractory "other" hematologic
malignancies not included in the cohorts above (eg, high-risk/very high-risk MDS,
MPN, CMML, BP- CML). Other CD123+ malignancies may be considered upon discussion
with the Sponsor.
- Cohort 5 - Patients will have relapsed or refractory (to non-intense therapies)
AML.
- Cohort 6 - Patients with frontline BPDCN who have not received prior systemic
therapy.
Note: Patients in Cohort 6 may have received local therapy (radiotherapy, surgical
excision, photodynamic therapy). Eligible patients must have a recurrence or progression in
the field of local therapy OR disease outside the field of local therapy.
Exclusion Criteria:
1. Patients who, in the judgment of their treating physician, have appropriate standard
of care therapies will be excluded from Cohorts 1 through 5.
2. Frontline BPDCN patients with central nervous system (CNS) disease will be excluded. A
lumbar puncture must be performed during the 28-day screening period, prior to drug
administration. Relapsed or refractory BPDCN patients with a known history of CNS
disease must have been treated locally, have at least 1 lumbar puncture with no
evidence of CNS disease, and must be clinically stable prior to first dose. Concurrent
therapy for CNS prophylaxis or continuation of therapy for controlled CNS disease is
permitted with the approval of the Sponsor.
3. Patients with a history of veno-occlusive disease of the liver.
4. Patients with a history of Grade 4 capillary leak syndrome, or non-cardiac Grade 4
edema are ineligible, eg, related to tagraxofusp-erzs or other etiology.
5. Interval from prior cancer therapy: 1. For frontline BPDCN patients with prior local
therapy (eg, radiotherapy), patients must not have received treatment within 14 days
prior to drug administration on this study. 2. Relapsed or refractory BPDCN patients
must not have received any anti-cancer therapy including chemotherapy, immunotherapy,
radiotherapy, hormonal, biologic, or any investigational agents within 14 days prior
to drug administration on this study. Patients must have recovered to baseline from
all acute toxicity from this prior therapy.
Note: the exception that patients who have received a checkpoint inhibitor must not have
received that therapy within 28 days prior to drug administration on this study.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | To assess the rate of composite CR in BPDCN patients |
Time Frame: | 21-day cycle |
Safety Issue: | |
Description: | CR+clinical CR [CRc] |
Secondary Outcome Measures
Measure: | To assess the duration of CR (DOCR) for patients with CR or CRc |
Time Frame: | Up to 24 months |
Safety Issue: | |
Description: | |
Measure: | Number of participants with treatment-related adverse events as assessed by CTCAE v4.03 |
Time Frame: | Up to 24 months |
Safety Issue: | |
Description: | |
Measure: | To assess the rate of CR+CRc+CRh |
Time Frame: | Up to 24 months |
Safety Issue: | |
Description: | |
Measure: | To assess the duration of CR+CRc+CRh |
Time Frame: | Up to 24 months |
Safety Issue: | |
Description: | |
Measure: | To assess ORR: CR+CRc+CRh+CRi+PR |
Time Frame: | Up to 24 months |
Safety Issue: | |
Description: | |
Measure: | To assess the duration of overall response |
Time Frame: | Up to 24 months |
Safety Issue: | |
Description: | |
Measure: | To assess OS |
Time Frame: | Up to 24 months |
Safety Issue: | |
Description: | |
Measure: | To assess the percent of BPDCN patients able to bridge to stem cell transplant in the frontline and relapsed/refractory populations separately |
Time Frame: | Up to 24 months |
Safety Issue: | |
Description: | |
Measure: | To characterize the PK of IMGN632, total antibody, and FGN849 (the active catabolite) |
Time Frame: | Up to 24 months |
Safety Issue: | |
Description: | |
Measure: | To evaluate the potential immunogenicity of IMGN632 |
Time Frame: | Up to 24 months |
Safety Issue: | |
Description: | ADA |
Measure: | To assess transfusion independence |
Time Frame: | Up to 24 months |
Safety Issue: | |
Description: | Conversion rate to independence of red blood cell (RBC) and platelet transfusion relative to baseline |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | ImmunoGen, Inc. |
Trial Keywords
- Antibody Drug Conjugate
- Other Hematologic Malignancies
- Myeloproliferative Neoplasms
- CD123
- MDS
- Relapsed, Refractory
- Acute Lymphocytic Leukaemia
- Blastic Plasmacytoid Dendritic Cell Neoplasm
- Acute Myeloid Leukemia
Last Updated
July 12, 2021