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A Multiple Ascending Dose Study of MEDI7247 in Patients With Selected Relapsed/Refractory Hematological Malignancies

Primary Purpose

Acute Myeloid Leukemia, Multiple Myeloma, Diffuse Large B-cell Lymphoma

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
MEDI7247
Sponsored by
MedImmune LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Acute Myeloid Leukemia focused on measuring MEDI7247, Acute Myeloid Leukemia, Multiple Myeloma, Diffuse Large B-cell Lymphoma, AML, MM, DLBCL

Eligibility Criteria

18 Years - 100 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Confirmed relapsed/refractory diagnosis of select hematologic malignancies for which no standard/salvage therapies are available.
  2. Age ≥ 18 years at the time of screening.
  3. Written informed consent and any locally required authorization
  4. Eastern Cooperative Oncology Group (ECOG) performance status 0-1
  5. Liver Function Tests: AST and ALT ≤ 3 × ULN, and serum TBL ≤ 1.5 × ULN, unless consistent with Gilbert's syndrome for which TBL ≤ 2.5 × ULN is allowed.

5. CrCL ≥ 40 mL/min 6. Female patients of childbearing potential who are sexually active with a nonsterilized male partner must use at least one highly effective method of contraception from 7 days post-screening, and must agree to continue using such precautions for 90 days after the last dose of investigational product.

7. Nonsterilized male patients who are sexually active with a female partner of childbearing potential must use a male condom plus spermicide from 7 days post-screening and for 90 days after receipt of the last dose of investigational product.

Exclusion Criteria:

  1. Received cytotoxic chemotherapy within 21 days (or 42 days for nitrosureas or mitomycin C) prior to the first scheduled dose of MEDI7247.
  2. Received major surgery (as defined by the Investigator), radiotherapy, or immunotherapy (including immune checkpoint inhibitors and adoptive cellular therapy such as autologous or donor NK cell or T lymphocyte infusions (e.g. CAR -T cells)) within 28 days of the first scheduled dose of MEDI7247.
  3. Received an investigational drug within 14 days of the first scheduled dose of MEDI7247 or not recovered from associated toxicities.
  4. Patients who have previously received an autologous SCT, are excluded if less than 120 days have elapsed from the time of transplant or the patient has not recovered from transplant-associated toxicities prior to the first scheduled dose of MEDI7247.
  5. History of liver cirrhosis, liver fibrosis or prior liver irradiation regardless of the time interval (not including total body irradiation administered during allogeneic SCT).
  6. Failure to recover from all prior treatment-related non-hematological toxicities to ≤ Grade 1 prior to the first scheduled dose of MEDI7247 (except for alopecia and neuropathy).
  7. Patients at risk of non-disease related major bleeding (eg, recent GI hemorrhage or neurosurgery, within previous 21 days).
  8. Current severe active systemic disease including active concurrent malignancy
  9. Central nervous system (CNS) disease that is untreated, symptomatic, or requires therapy to control symptoms.
  10. Active human immunodeficiency virus (HIV), hepatitis B virus (HBV) or hepatitis C virus (HCV) infections at the time of screening.

Sites / Locations

  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

acute myeloid leukemia

Multiple Myeloma

Diffuse Large B-cell Lymphoma

Arm Description

Patients with R/R AML by World Health Organization (WHO) classification (Arber et al, 2016) who have failed prior standard therapy and for whom no standard therapies are available

Patients with R/R MM who have failed prior standard therapy(ies) which should include immunomodulatory agents and proteasome inhibitors and for whom there is no standard salvage regimen.

Patients with R/R DLBCL who have failed prior standard therapy(ies) and for whom there is no standard salvage regimen.

Outcomes

Primary Outcome Measures

Occurrence of adverse events (AEs)
To assess by the occurrence of adverse events (AEs)
Occurrence of serious adverse events (SAEs)
To assess by the occurrence of serious adverse events (SAEs)
Occurrence of dose-limiting toxicities (DLTs)
To assess by the occurrence of non-Hematologic and hematologic toxicities, AEs, and abnormal laboratory results.
Number of patients with changes in laboratory parameters from baseline
To assess serum chemistry, hematology, Coagulation and urinalysis
Number of patients with changes in vital signs from baseline
To assess body temperature, blood pressure, and heart rate
Number of patients with changes in electrocardiogram (ECG) results from baseline
To assess using twelve-lead ECG recordings
Percentage of patients with changes in laboratory parameters from baseline
To assess serum chemistry, hematology, Coagulation and urinalysis

Secondary Outcome Measures

MEDI7247 maximum observed concentration for PK
To assess the Pharmacokinetics of MEDI7247
MEDI7247 area under the concentration-time curve for PK
To assess the Pharmacokinetics of MEDI7247
MEDI7247 clearance for PK
To assess the Pharmacokinetics of MEDI7247
MEDI7247 terminal half-life for PK
To assess the Pharmacokinetics of MEDI7247
Number of subjects who develop anti-drug antibodies (ADAs)
To assess the immunogenicity of MEDI7247
Best overall response (BOR)
To assess the anti-tumor activity of MEDI7247
Objective response rate (ORR)
To assess the anti-tumor activity of MEDI7247
Time to response (TTR)
To assess the anti-tumor activity of MEDI7247
Duration of response (DoR)
To assess the anti-tumor activity of MEDI7247
Progression-free survival (PFS)
To assess the anti-tumor activity of MEDI7247
Overall survival (OS)
To assess the anti-tumor activity of MEDI7247

Full Information

First Posted
March 29, 2017
Last Updated
February 27, 2020
Sponsor
MedImmune LLC
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1. Study Identification

Unique Protocol Identification Number
NCT03106428
Brief Title
A Multiple Ascending Dose Study of MEDI7247 in Patients With Selected Relapsed/Refractory Hematological Malignancies
Official Title
A Phase 1 Multicenter, Open-label, Dose-escalation and Dose-expansion Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, Immunogenicity and Antitumor Activity of MEDI7247 in Patients With Selected Relapsed/Refractory Hematological Malignancies
Study Type
Interventional

2. Study Status

Record Verification Date
February 2020
Overall Recruitment Status
Completed
Study Start Date
March 29, 2017 (Actual)
Primary Completion Date
January 3, 2020 (Actual)
Study Completion Date
January 3, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
MedImmune LLC

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
To assess safety and tolerability, describe the dose-limiting toxicities, determine the maximum tolerated dose (MTD) or the highest protocol-defined dose (maximum administered dose) in the absence of establishing the MTD, and a recommended dose for further evaluation of MEDI7247 in patients with selected hematological malignancies who have relapsed after, or are refractory to prior standard therapy, and for whom there is no standard salvage regimen available.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Acute Myeloid Leukemia, Multiple Myeloma, Diffuse Large B-cell Lymphoma
Keywords
MEDI7247, Acute Myeloid Leukemia, Multiple Myeloma, Diffuse Large B-cell Lymphoma, AML, MM, DLBCL

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
67 (Actual)

8. Arms, Groups, and Interventions

Arm Title
acute myeloid leukemia
Arm Type
Experimental
Arm Description
Patients with R/R AML by World Health Organization (WHO) classification (Arber et al, 2016) who have failed prior standard therapy and for whom no standard therapies are available
Arm Title
Multiple Myeloma
Arm Type
Experimental
Arm Description
Patients with R/R MM who have failed prior standard therapy(ies) which should include immunomodulatory agents and proteasome inhibitors and for whom there is no standard salvage regimen.
Arm Title
Diffuse Large B-cell Lymphoma
Arm Type
Experimental
Arm Description
Patients with R/R DLBCL who have failed prior standard therapy(ies) and for whom there is no standard salvage regimen.
Intervention Type
Drug
Intervention Name(s)
MEDI7247
Intervention Description
The study will enroll patients with R/R AML/MM/DLBCL who will receive MEDI7247 IV
Primary Outcome Measure Information:
Title
Occurrence of adverse events (AEs)
Description
To assess by the occurrence of adverse events (AEs)
Time Frame
From time of informed consent through 90 days post end of treatment
Title
Occurrence of serious adverse events (SAEs)
Description
To assess by the occurrence of serious adverse events (SAEs)
Time Frame
From time of informed consent through 90 days post end of treatment
Title
Occurrence of dose-limiting toxicities (DLTs)
Description
To assess by the occurrence of non-Hematologic and hematologic toxicities, AEs, and abnormal laboratory results.
Time Frame
During the evaluation period of 21 or 42 days post-first dose
Title
Number of patients with changes in laboratory parameters from baseline
Description
To assess serum chemistry, hematology, Coagulation and urinalysis
Time Frame
From time of informed consent and up to 21 days post end of treatment
Title
Number of patients with changes in vital signs from baseline
Description
To assess body temperature, blood pressure, and heart rate
Time Frame
From time of informed consent and up to 21 days post end of treatment
Title
Number of patients with changes in electrocardiogram (ECG) results from baseline
Description
To assess using twelve-lead ECG recordings
Time Frame
From time of informed consent and up to 21 days post end of treatment
Title
Percentage of patients with changes in laboratory parameters from baseline
Description
To assess serum chemistry, hematology, Coagulation and urinalysis
Time Frame
From time of informed consent and up to 21 days post end of treatment
Secondary Outcome Measure Information:
Title
MEDI7247 maximum observed concentration for PK
Description
To assess the Pharmacokinetics of MEDI7247
Time Frame
From time of informed consent through 30 days post end of treatment
Title
MEDI7247 area under the concentration-time curve for PK
Description
To assess the Pharmacokinetics of MEDI7247
Time Frame
From time of informed consent through 30 days post end of treatment
Title
MEDI7247 clearance for PK
Description
To assess the Pharmacokinetics of MEDI7247
Time Frame
From time of informed consent through 30 days post end of treatment
Title
MEDI7247 terminal half-life for PK
Description
To assess the Pharmacokinetics of MEDI7247
Time Frame
From time of informed consent through 30 days post end of treatment
Title
Number of subjects who develop anti-drug antibodies (ADAs)
Description
To assess the immunogenicity of MEDI7247
Time Frame
From time of informed consent through 30 days post end of treatment
Title
Best overall response (BOR)
Description
To assess the anti-tumor activity of MEDI7247
Time Frame
From time of informed consent and up to 3 years after final patient is enrolled
Title
Objective response rate (ORR)
Description
To assess the anti-tumor activity of MEDI7247
Time Frame
From time of informed consent and up to 3 years after final patient is enrolled
Title
Time to response (TTR)
Description
To assess the anti-tumor activity of MEDI7247
Time Frame
From time of informed consent and up to 3 years after final patient is enrolled
Title
Duration of response (DoR)
Description
To assess the anti-tumor activity of MEDI7247
Time Frame
From time of informed consent and up to 3 years after final patient is enrolled
Title
Progression-free survival (PFS)
Description
To assess the anti-tumor activity of MEDI7247
Time Frame
From time of informed consent and up to 3 years after final patient is enrolled
Title
Overall survival (OS)
Description
To assess the anti-tumor activity of MEDI7247
Time Frame
From time of informed consent and up to 3 years after final patient is enrolled

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
100 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Confirmed relapsed/refractory diagnosis of select hematologic malignancies for which no standard/salvage therapies are available. Age ≥ 18 years at the time of screening. Written informed consent and any locally required authorization Eastern Cooperative Oncology Group (ECOG) performance status 0-1 Liver Function Tests: AST and ALT ≤ 3 × ULN, and serum TBL ≤ 1.5 × ULN, unless consistent with Gilbert's syndrome for which TBL ≤ 2.5 × ULN is allowed. 5. CrCL ≥ 40 mL/min 6. Female patients of childbearing potential who are sexually active with a nonsterilized male partner must use at least one highly effective method of contraception from 7 days post-screening, and must agree to continue using such precautions for 90 days after the last dose of investigational product. 7. Nonsterilized male patients who are sexually active with a female partner of childbearing potential must use a male condom plus spermicide from 7 days post-screening and for 90 days after receipt of the last dose of investigational product. Exclusion Criteria: Received cytotoxic chemotherapy within 21 days (or 42 days for nitrosureas or mitomycin C) prior to the first scheduled dose of MEDI7247. Received major surgery (as defined by the Investigator), radiotherapy, or immunotherapy (including immune checkpoint inhibitors and adoptive cellular therapy such as autologous or donor NK cell or T lymphocyte infusions (e.g. CAR -T cells)) within 28 days of the first scheduled dose of MEDI7247. Received an investigational drug within 14 days of the first scheduled dose of MEDI7247 or not recovered from associated toxicities. Patients who have previously received an autologous SCT, are excluded if less than 120 days have elapsed from the time of transplant or the patient has not recovered from transplant-associated toxicities prior to the first scheduled dose of MEDI7247. History of liver cirrhosis, liver fibrosis or prior liver irradiation regardless of the time interval (not including total body irradiation administered during allogeneic SCT). Failure to recover from all prior treatment-related non-hematological toxicities to ≤ Grade 1 prior to the first scheduled dose of MEDI7247 (except for alopecia and neuropathy). Patients at risk of non-disease related major bleeding (eg, recent GI hemorrhage or neurosurgery, within previous 21 days). Current severe active systemic disease including active concurrent malignancy Central nervous system (CNS) disease that is untreated, symptomatic, or requires therapy to control symptoms. Active human immunodeficiency virus (HIV), hepatitis B virus (HBV) or hepatitis C virus (HCV) infections at the time of screening.
Facility Information:
Facility Name
Research Site
City
Los Angeles
State/Province
California
ZIP/Postal Code
90095
Country
United States
Facility Name
Research Site
City
Denver
State/Province
Colorado
ZIP/Postal Code
80218
Country
United States
Facility Name
Research Site
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30322
Country
United States
Facility Name
Research Site
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611
Country
United States
Facility Name
Research Site
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02114
Country
United States
Facility Name
Research Site
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63110
Country
United States
Facility Name
Research Site
City
New York
State/Province
New York
ZIP/Postal Code
10065
Country
United States
Facility Name
Research Site
City
Greer
State/Province
South Carolina
ZIP/Postal Code
29650
Country
United States
Facility Name
Research Site
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Facility Name
Research Site
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Research Site
City
Pierre Benite
ZIP/Postal Code
69495
Country
France
Facility Name
Research Site
City
Villejuif
ZIP/Postal Code
94805
Country
France
Facility Name
Research Site
City
Seoul
ZIP/Postal Code
03080
Country
Korea, Republic of
Facility Name
Research Site
City
Seoul
ZIP/Postal Code
06351
Country
Korea, Republic of

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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A Multiple Ascending Dose Study of MEDI7247 in Patients With Selected Relapsed/Refractory Hematological Malignancies

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