Description:
The study aims to evaluate the safety and tolerability of subcutaneous (SC) blinatumomab for
treatment of Acute Lymphoblastic Leukemia (ALL) and to determine the maximum tolerated dose
(MTD), and recommended phase 2 dose (RP2D) of SC administered blinatumomab.
Title
- Brief Title: A Study of Subcutaneous Blinatumomab Administration in Acute Lymphoblastic Leukemia (ALL) Patients
- Official Title: A Phase 1b Open-label Study to Investigate the Safety and Pharmacokinetics of Administration of Subcutaneous Blinatumomab for the Treatment of Adults With Relapsed or Refractory B Cell Precursor Acute Lymphoblastic Leukemia (R/R B-ALL)
Clinical Trial IDs
- ORG STUDY ID:
20180257
- SECONDARY ID:
2019-004780-52
- NCT ID:
NCT04521231
Conditions
- B Cell Precursor Acute Lymphoblastic Leukemia
Interventions
Drug | Synonyms | Arms |
---|
Blinatumomab | AMG 103, Blincyto® | Blinatumomab: Dose escalation |
Purpose
The study aims to evaluate the safety and tolerability of subcutaneous (SC) blinatumomab for
treatment of Acute Lymphoblastic Leukemia (ALL) and to determine the maximum tolerated dose
(MTD), and recommended phase 2 dose (RP2D) of SC administered blinatumomab.
Trial Arms
Name | Type | Description | Interventions |
---|
Blinatumomab: Dose escalation | Experimental | Cohorts of at least 3 participants each will be treated with escalating doses of blinatumomab to determine the maximum tolerated dose (MTD). The MTD will be defined as the dose for which the estimate of the toxicity rate from an isotonic regression (Yan et al, 2017) is closest to the target toxicity rate. Safety, pharmacokinetics (PK), pharmacodynamics (PD) and efficacy will be assessed. | |
Blinatumomab: Dose expansion | Experimental | Participants will be administered the recommend phase 2 dose (RP2D) determined from dose escalation stage to further assess safety, pharmacokinetics (PK), pharmacodynamic (PD), and efficacy. | |
Eligibility Criteria
Summary of eligibility criteria, additional details may apply
Inclusion Criteria:
- Aged 18 years or older.
- Participants with B-ALL with Relapsed or Refractory disease after at least 2 cycles of
chemotherapy.
- Relapsed or Refractory at any time after first salvage therapy or refractory relapse.
- Relapse at any time after hematopoietic stem cell transplant (HSCT).
- Greater than 5% blasts in the bone marrow.
- Eastern Cooperative Oncology Group (ECOG) Performance Status less than or equal to 2.
- Participants with relapse or refractory B Cell ALL Ph+ disease and that are intolerant
or refractory to prior tyrosine kinase inhibitors (TKIs) are eligible.
- Negative pregnancy test in women of childbearing potential.
Exclusion Criteria:
- Active ALL in the central nervous system (CNS). Presence of greater than 5 white blood
cells per cubic millimeter in cerebrospinal fluid (CSF) with lymphoblasts present and
or clinical signs of CNS leukemia.
- History or presence of clinically relevant CNS pathology such as epilepsy, childhood
or adult seizure, paresis, aphasia, stroke, severe brain injuries, dementia,
Parkinson's disease, cerebellar disease, organic brain syndrome or psychosis.
- History of malignancy (with certain exceptions) other than ALL within 3 years prior to
start of protocol-specified therapy.
- Allogeneic HSCT within 12 weeks before the start of protocol-specified therapy.
- Cancer chemotherapy within 2 weeks before the start of protocol-specified therapy.
- Immunotherapy within 4 weeks before start of protocol-specified therapy. Prior failed
CD19 directed therapy such as prior blinatumomab or CD19 CAR T cells will be allowed,
if treatment ended more than 4 weeks prior to start of protocol therapy.
- Currently receiving treatment in, or less than 30 days since ending treatment on
another investigational study(ies).
- Abnormal screening laboratory parameters
- Female participant: Expected to breastfeed during treatment and for 96 hours after the
last dose of treatment.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Number of participants who experience dose limiting toxicities (DLTs) |
Time Frame: | Up to 34 days |
Safety Issue: | |
Description: | |
Secondary Outcome Measures
Measure: | Minimum concentration over the dosing interval (Cmin) of blinatumomab |
Time Frame: | Up to 68 days |
Safety Issue: | |
Description: | |
Measure: | Maximum concentration (Cmax) of blinatumomab |
Time Frame: | Up to 68 days |
Safety Issue: | |
Description: | |
Measure: | Time to reach maximum concentration (Tmax) of blinatumomab |
Time Frame: | Up to 68 days |
Safety Issue: | |
Description: | |
Measure: | Area under the concentration-time curve (AUC) of blinatumomab |
Time Frame: | Up to 68 days |
Safety Issue: | |
Description: | |
Measure: | Number of participants with incidence of anti-blinatumomab antibodies |
Time Frame: | Up to 68 days |
Safety Issue: | |
Description: | |
Measure: | Rate of complete remission (CR) including complete remission with partial hematological recovery (CRh) |
Time Frame: | Up to 68 days |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Amgen |
Trial Keywords
- R/R B-ALL
- Blincyto®
- AMG 103
- Blinatumomab
- Acute lymphoblastic leukemia (ALL)
Last Updated
June 3, 2021