Blinatumomab in Combination With AMG 404 for the Treatment of Adults With Relapsed or Refractory B Cell Precursor ALL
Primary Purpose
Acute Lymphoblastic Leukemia
Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
Blinatumomab
AMG 404
Dexamethasone Premedication
Sponsored by
About this trial
This is an interventional treatment trial for Acute Lymphoblastic Leukemia focused on measuring Blinatumomab, AMG 404, Leukemia
Eligibility Criteria
Inclusion Criteria
- Age ≥ 18 years at enrollment.
- Greater than or equal to 5% blasts in the bone marrow.
- Eastern Cooperative Oncology Group performance status (ECOG PS) ≤ 2.
- Negative pregnancy test in women of childbearing potential.
Exclusion Criteria
- Cancer chemotherapy (radiotherapy, chemotherapy, antibody therapy, molecular targeted therapy) within 14 days prior to study Day 1.
- Known hypersensitivity to blinatumomab or AMG 404 or to any component of the product formulation.
Sites / Locations
- City of Hope National Medical Center
- University of Chicago
- Icahn School of Medicine at Mount Sinai
- Cleveland Clinic Taussig Cancer Center
- University of Texas MD Anderson Cancer Center
- Royal Adelaide Hospital
- The Royal Melbourne Hospital
- Ordensklinikum Linz Elisabethinen
- Hôpital Saint Louis
- Centre Hospitalier Lyon Sud
- Klinikum und Fachbereich Medizin Johann Wolfgang Goethe-Universität Frankfurt am Main
- Universitätsklinikum Schleswig-Holstein
- Universitaetsklinikum Regensburg
- Azienda Ospedaliera Universitaria di Bologna Policlinico S Orsola Malpighi
- Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia
- Universitair Medisch Centrum Groningen
- Hospital Universitari Germans Trias i Pujol
- Hospital Clinic i Provincial de Barcelona
- University College London
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Blinatumomab and AMG 404
Arm Description
Outcomes
Primary Outcome Measures
Number of Participants who Experience Dose-Limiting Toxicities (DLTs)
Number of Participants who Experience Treatment-Emergent Adverse Events (TEAEs)
Number of Participants who Experience Serious Treatment-Emergent Adverse Events
Number of Participants who Experience Treatment-Related Treatment-Emergent Adverse Events
Number of Participants who Experience Adverse Events of Interest (EOI)
Secondary Outcome Measures
Rate of Complete Remission (CR) Including Complete Remission with Partial Hematological Recovery (CRh*)
Complete Remission (CR) Rate
Duration of Complete Remission (CR)
Duration of Complete Remission (CR) or Complete Remission with Partial Hematological Recovery (CRh*)
Steady State Concentrations (Css) of Blinatumomab
Maximum Observed Concentration (Cmax) of AMG 404
Time to Maximum Observed Concentration (Tmax) of AMG 404
Area Under the Plasma Concentration-Time Curve (AUC) of AMG 404
Number of Participants with Incidences of Anti-Blinatumomab Antibodies
Number of Participants with Incidences of Anti-AMG 404 Antibodies
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT04524455
Brief Title
Blinatumomab in Combination With AMG 404 for the Treatment of Adults With Relapsed or Refractory B Cell Precursor ALL
Official Title
A Phase 1b Open-label Study Investigating the Safety, Tolerability, Pharmacokinetics, and Efficacy of Administration of Blinatumomab in Combination With AMG 404 for the Treatment of Adults With Relapsed or Refractory B Cell Precursor Acute Lymphoblastic Leukemia (ALL)
Study Type
Interventional
2. Study Status
Record Verification Date
January 2023
Overall Recruitment Status
Completed
Study Start Date
October 2, 2020 (Actual)
Primary Completion Date
January 24, 2023 (Actual)
Study Completion Date
January 24, 2023 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Amgen
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
5. Study Description
Brief Summary
The primary objective of this phase 1b study is to evaluate the safety and tolerability of blinatumomab and AMG 404 in combination in adults with R/R B-ALL and to estimate the maximum tolerated dose (MTD) and recommended phase 2 dose (RP2D) of AMG 404 when combined with continuous intravenous infusion (cIV) blinatumomab.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Acute Lymphoblastic Leukemia
Keywords
Blinatumomab, AMG 404, Leukemia
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
17 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Blinatumomab and AMG 404
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
Blinatumomab
Other Intervention Name(s)
Blincyto
Intervention Description
Blinatumomab will be administered as a continuous intravenous infusion (cIV).
Intervention Type
Drug
Intervention Name(s)
AMG 404
Intervention Description
AMG 404 will be administered as an intravenous infusion (IV).
Intervention Type
Drug
Intervention Name(s)
Dexamethasone Premedication
Intervention Description
Dexamethasone will be administered orally or intravenously prior to blinatumomab treatment, as needed.
Primary Outcome Measure Information:
Title
Number of Participants who Experience Dose-Limiting Toxicities (DLTs)
Time Frame
Up to 8 Weeks
Title
Number of Participants who Experience Treatment-Emergent Adverse Events (TEAEs)
Time Frame
Up to 51 Weeks
Title
Number of Participants who Experience Serious Treatment-Emergent Adverse Events
Time Frame
Up to 51 Weeks
Title
Number of Participants who Experience Treatment-Related Treatment-Emergent Adverse Events
Time Frame
Up to 51 Weeks
Title
Number of Participants who Experience Adverse Events of Interest (EOI)
Time Frame
Up to 51 Weeks
Secondary Outcome Measure Information:
Title
Rate of Complete Remission (CR) Including Complete Remission with Partial Hematological Recovery (CRh*)
Time Frame
Up to 51 Weeks
Title
Complete Remission (CR) Rate
Time Frame
Up to 51 Weeks
Title
Duration of Complete Remission (CR)
Time Frame
Up to 51 Weeks
Title
Duration of Complete Remission (CR) or Complete Remission with Partial Hematological Recovery (CRh*)
Time Frame
Up to 51 Weeks
Title
Steady State Concentrations (Css) of Blinatumomab
Time Frame
Up to 35 Weeks
Title
Maximum Observed Concentration (Cmax) of AMG 404
Time Frame
Up to 51 Weeks
Title
Time to Maximum Observed Concentration (Tmax) of AMG 404
Time Frame
Up to 51 Weeks
Title
Area Under the Plasma Concentration-Time Curve (AUC) of AMG 404
Time Frame
Up to 51 Weeks
Title
Number of Participants with Incidences of Anti-Blinatumomab Antibodies
Time Frame
Up to 35 Weeks
Title
Number of Participants with Incidences of Anti-AMG 404 Antibodies
Time Frame
Up to 35 Weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
99 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria
Age ≥ 18 years at enrollment.
Greater than or equal to 5% blasts in the bone marrow.
Eastern Cooperative Oncology Group performance status (ECOG PS) ≤ 2.
Negative pregnancy test in women of childbearing potential.
Exclusion Criteria
Cancer chemotherapy (radiotherapy, chemotherapy, antibody therapy, molecular targeted therapy) within 14 days prior to study Day 1.
Known hypersensitivity to blinatumomab or AMG 404 or to any component of the product formulation.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
MD
Organizational Affiliation
Amgen
Official's Role
Study Director
Facility Information:
Facility Name
City of Hope National Medical Center
City
Duarte
State/Province
California
ZIP/Postal Code
91010
Country
United States
Facility Name
University of Chicago
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60637
Country
United States
Facility Name
Icahn School of Medicine at Mount Sinai
City
New York
State/Province
New York
ZIP/Postal Code
10029
Country
United States
Facility Name
Cleveland Clinic Taussig Cancer Center
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44195
Country
United States
Facility Name
University of Texas MD Anderson Cancer Center
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
Royal Adelaide Hospital
City
Adelaide
State/Province
South Australia
ZIP/Postal Code
5000
Country
Australia
Facility Name
The Royal Melbourne Hospital
City
Parkville
State/Province
Victoria
ZIP/Postal Code
3050
Country
Australia
Facility Name
Ordensklinikum Linz Elisabethinen
City
Linz
ZIP/Postal Code
4020
Country
Austria
Facility Name
Hôpital Saint Louis
City
Paris
ZIP/Postal Code
75010
Country
France
Facility Name
Centre Hospitalier Lyon Sud
City
Pierre Benite
ZIP/Postal Code
69645
Country
France
Facility Name
Klinikum und Fachbereich Medizin Johann Wolfgang Goethe-Universität Frankfurt am Main
City
Frankfurt am Main
ZIP/Postal Code
60590
Country
Germany
Facility Name
Universitätsklinikum Schleswig-Holstein
City
Kiel
ZIP/Postal Code
24105
Country
Germany
Facility Name
Universitaetsklinikum Regensburg
City
Regensburg
ZIP/Postal Code
93053
Country
Germany
Facility Name
Azienda Ospedaliera Universitaria di Bologna Policlinico S Orsola Malpighi
City
Bologna
ZIP/Postal Code
40138
Country
Italy
Facility Name
Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia
City
Brescia
ZIP/Postal Code
25123
Country
Italy
Facility Name
Universitair Medisch Centrum Groningen
City
Groningen
ZIP/Postal Code
9713 GZ
Country
Netherlands
Facility Name
Hospital Universitari Germans Trias i Pujol
City
Badalona
State/Province
Cataluña
ZIP/Postal Code
08916
Country
Spain
Facility Name
Hospital Clinic i Provincial de Barcelona
City
Barcelona
State/Province
Cataluña
ZIP/Postal Code
08036
Country
Spain
Facility Name
University College London
City
London
ZIP/Postal Code
NW3 2PF
Country
United Kingdom
12. IPD Sharing Statement
Plan to Share IPD
Yes
IPD Sharing Plan Description
De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request.
IPD Sharing Time Frame
Data sharing requests relating to this study will be considered beginning 18 months after the study has ended and either 1) the product and indication have been granted marketing authorization in both the US and Europe or 2) clinical development for the product and/or indication discontinues and the data will not be submitted to regulatory authorities. There is no end date for eligibility to submit a data sharing request for this study.
IPD Sharing Access Criteria
Qualified researchers may submit a request containing the research objectives, the Amgen product(s) and Amgen study/studies in scope, endpoints/outcomes of interest, statistical analysis plan, data requirements, publication plan, and qualifications of the researcher(s). In general, Amgen does not grant external requests for individual patient data for the purpose of re-evaluating safety and efficacy issues already addressed in the product labelling. Requests are reviewed by a committee of internal advisors. If not approved, a Data Sharing Independent Review Panel will arbitrate and make the final decision. Upon approval, information necessary to address the research question will be provided under the terms of a data sharing agreement. This may include anonymized individual patient data and/or available supporting documents, containing fragments of analysis code where provided in analysis specifications. Further details are available at the URL below.
IPD Sharing URL
https://www.amgen.com/datasharing
Links:
URL
http://www.amgentrials.com
Description
AmgenTrials clinical trials website
Learn more about this trial
Blinatumomab in Combination With AMG 404 for the Treatment of Adults With Relapsed or Refractory B Cell Precursor ALL
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