- ICH GCP
- Yhdysvaltain kliinisten tutkimusten rekisteri
- Kliininen tutkimus NCT03386513
IMGN632-tutkimus potilailla, joilla on hoitamaton BPDCN ja uusiutunut/refraktaarinen BPDCN
Vaihe 1/2, monikeskus, avoin tutkimus IMGN632-monoterapiasta laskimonsisäisesti potilaille, joilla on CD123-positiivinen akuutti myelooinen leukemia ja muita CD123-positiivisia hematologisia pahanlaatuisia kasvaimia
Tämä on avoin monikeskustutkimus, jossa määritetään MTD ja arvioidaan IMGN632:n turvallisuutta, siedettävyyttä, PK:ta, immunogeenisyyttä ja leukemiaa estävää aktiivisuutta, kun sitä annetaan monoterapiana potilaille, joilla on CD123+-sairaus.
Tutkimukseen otetaan mukaan keskeinen kohortti etulinjan BPDCN-potilaita ja kohortti relapsoituneita/refraktorisia BPDCN-potilaita.
Tutkimuksen yleiskatsaus
Tila
Interventio / Hoito
Yksityiskohtainen kuvaus
Opintotyyppi
Ilmoittautuminen (Todellinen)
Vaihe
- Vaihe 2
- Vaihe 1
Yhteystiedot ja paikat
Opiskelupaikat
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Valencia, Espanja, 46026
- Hospital Universitari i Politecnic La Fe
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Bologna, Italia, 40138
- IRCCS Azienda Ospedaliero-Universitaria di Bologna Policlinico S. Orsola Malpighi
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Meldola, Italia, 47014
- Instituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori
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Milan, Italia, 20141
- Instituto Europeo di Oncologia
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Perugia, Italia, 06132
- Azienda ospedaliera Santa Maria della Misericordia
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Amiens, Ranska
- Recherche Clinique-Hématologie
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Besançon, Ranska, 25030
- CHU de Besancon, Hopital Jean Minjoz
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Marseille, Ranska, 13009
- Institut Paoli Calmettes (Marseille)
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Paris, Ranska
- Hôpital St Antoine
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Pessac, Ranska, 33600
- CHU Bordeaux Hôpital Haut-Lévêque
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Cologne, Saksa, 50937
- University Hospital of Cologne
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Leipzig, Saksa, 04103
- University Hospital of Leipzig
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Oxford, Yhdistynyt kuningaskunta, OX3 7LE
- Churchill Hospital - Oxford
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Alabama
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Birmingham, Alabama, Yhdysvallat, 35294
- University of Alabama at Birmingham
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Arizona
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Gilbert, Arizona, Yhdysvallat, 85234
- Banner Health MD Anderson Cancer Center
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California
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Duarte, California, Yhdysvallat, 91010
- City of Hope Medical Center
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Los Angeles, California, Yhdysvallat, 90095
- UCLA
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Stanford, California, Yhdysvallat, 94305
- Stanford
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Florida
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Tampa, Florida, Yhdysvallat, 33612
- Moffitt Cancer Center
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Maryland
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Baltimore, Maryland, Yhdysvallat, 21201
- University of Maryland Medical Center
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Massachusetts
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Boston, Massachusetts, Yhdysvallat, 02215
- Dana-Farber Cancer Institute
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New York
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Buffalo, New York, Yhdysvallat, 14263
- Roswell Park Cancer Institute
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New York, New York, Yhdysvallat, 10065
- Memorial Sloan Kettering Cancer Center
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North Carolina
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Charlotte, North Carolina, Yhdysvallat, 28204
- Novant Health Cancer Institute Hematology
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Durham, North Carolina, Yhdysvallat, 27710
- Duke Cancer Institute
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Winston-Salem, North Carolina, Yhdysvallat, 27103
- Novant Health Cancer Institute Hematology - Forsyth
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Texas
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Dallas, Texas, Yhdysvallat, 75246
- Baylor Scott & White University Medical Center
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Houston, Texas, Yhdysvallat, 77030-7095
- MD Anderson Cancer Center
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Washington
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Seattle, Washington, Yhdysvallat, 98109
- Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance
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Osallistumiskriteerit
Kelpoisuusvaatimukset
Opintokelpoiset iät
Hyväksyy terveitä vapaaehtoisia
Kuvaus
Sisällyttämiskriteerit:
Sairauden ominaisuudet:
a. CD123-positiivisuuden vahvistus virtaussytometrialla tai IHC:llä. Osallistujat, jotka ovat saaneet aikaisempia CD123:een kohdistuvia aineita, ovat sallittuja niin kauan kuin blasteissa on edelleen havaittavissa olevaa CD123-ekspressiota.
Laajennus sisältää:
- Kohortti 1 - Osallistujat, joilla on uusiutunut tai refraktaarinen blastinen plasmasytoidinen dendriittisolukasvain (BPDCN), joilla on 1-3 aikaisempaa hoitolinjaa
- Kohortti 6 - Osallistujat, joilla on etulinjassa de novo BPDCN seulonnoissa, jotka eivät ole saaneet aikaisempaa systeemistä hoitoa, ja osanottajat, joilla on etulinjan BPDCN ja joilla on PCHM ja jotka eivät ole saaneet aikaisempaa systeemistä hoitoa.
Huomautus: Kohortin 6 osallistujat ovat saattaneet saada paikallista hoitoa (sädehoitoa, kirurgista leikkausta, fotodynaamista hoitoa). Tukikelpoisilla osallistujilla tulee olla uusiutuminen tai eteneminen paikallisen terapian alalla TAI sairauden paikallisen hoidon alan ulkopuolella.
Poissulkemiskriteerit:
- Osallistujat, joilla on hoitavan lääkärin arvion mukaan asianmukaiset hoitomuodot, suljetaan pois kohortteista 1–5.
- Etulinjan BPDCN-osallistujat, joilla on keskushermoston sairaus, suljetaan pois. Lannepunktio on tehtävä 28 päivän seulontajakson aikana ennen lääkkeen antamista. Relapsoituneiden tai refraktaaristen BPDCN-osallistujien, joilla on tunnettu keskushermostosairaus, on oltava hoidettu paikallisesti, heillä on oltava vähintään yksi lannepunktio ilman merkkejä keskushermostosairaudesta, ja heidän on oltava kliinisesti stabiileja ennen ensimmäistä annosta. Samanaikainen keskushermoston ehkäisyhoito tai hallitun keskushermoston sairauden hoidon jatkaminen on sallittu sponsorin luvalla.
- Osallistujat, joilla on ollut maksan laskimotukosairaus.
- Osallistujat, joilla on aiemmin ollut asteen 4 kapillaarivuotooireyhtymä tai ei-sydänperäinen asteen 4 turvotus, eivät ole tukikelpoisia, esim. liittyvät tagraxofusp-erzsiin tai muuhun etiologiaan.
- Aikaväli aikaisemmasta syöpähoidosta: 1. Etulinjan BPDCN-osallistujat, jotka ovat saaneet aikaisempaa paikallista hoitoa (esim. sädehoitoa), osallistujat eivät saa olla saaneet hoitoa 14 päivää ennen lääkkeen antamista tässä tutkimuksessa. 2. Relapsoituneet tai refraktaariset BPDCN:n osallistujat eivät saa olla saaneet mitään syövän vastaista hoitoa, mukaan lukien kemoterapiaa, immunoterapiaa, sädehoitoa, hormonaalisia, biologisia tai muita tutkittavia aineita 14 päivän kuluessa ennen lääkkeen antamista tässä tutkimuksessa. Osallistujien on täytynyt toipua lähtötasolle kaikesta tämän aikaisemman hoidon akuutista toksisuudesta.
Huomautus: poikkeus, että osallistujat, jotka ovat saaneet tarkistuspisteestäjää, eivät saa olla saaneet tätä hoitoa 28 päivän kuluessa ennen lääkkeen antamista tässä tutkimuksessa.
Opintosuunnitelma
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
- Ensisijainen käyttötarkoitus: Hoito
- Jako: Ei käytössä
- Inventiomalli: Yksittäinen ryhmätehtävä
- Naamiointi: Ei mitään (avoin tarra)
Aseet ja interventiot
Osallistujaryhmä / Arm |
Interventio / Hoito |
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Kokeellinen: Eskaloituminen ja laajeneminen
Eskalointi: IMGN632:ta annettiin suonensisäisesti kahdella eri aikataululla osallistujille, joilla oli uusiutunut/refraktorinen AML, ALL tai BPDCN. Laajennus: IMGN632 annettiin IV:llä:
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CD123-kohdistettu ADC
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Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
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Composite Complete Remission/Response (CCR) Rate As Assessed by Investigator in Frontline De Novo Blastic Plasmacytoid Dendritic Cell Neoplasm (BPDCN) Participants
Aikaikkuna: Up to approximately 81 months
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CCR rate was defined as percentage of participants with complete remission/response (CR) and clinical complete remission (CRc).
CR was defined as normalization of blast percentage (≤ 5%); normalization of neutrophil count (≥ 1000/microliter [μL]) and platelet count (≥ 100,000/μL); absence of leukemic blasts; 100% clearance of all skin lesions from baseline; no new lesions in participants without lesions at baseline; nodal masses regression to normal size on computed tomography (CT); and spleen and liver not palpable and nodules disappeared.
CRc was defined as normalization of blast percentage (≤ 5%); normalization of neutrophil count (≥ 1000/μL) and platelet count (≥ 100,000/μL); absence of leukemic blasts; marked clearance of all skin lesions from baseline, residual hyperpigmentation or abnormality with BPDCN identified on biopsy (or no biopsy performed); nodal masses regression to normal size on CT; and spleen and liver not palpable and nodules disappeared.
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Up to approximately 81 months
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Toissijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
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Dose Escalation Phase: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Aikaikkuna: Up to approximately 81 months
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An adverse event (AE) was defined as any noxious, pathologic, or unintended change in anatomical, physiologic, or metabolic function as indicated by physical signs, symptoms, or laboratory changes occurring in any phase of a clinical study, whether or not considered study drug related.
This included an exacerbation of a pre-existing condition.
SAEs included death, a life-threatening AE, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, or an important medical event that jeopardized the participant and required medical intervention to prevent 1 of the outcomes listed in this definition.
TEAEs were defined as any new AEs that begin or any pre-existing conditions that worsen in severity from the first dose of study drug through 30 days after the last dose or prior to the subsequent therapy, whichever occurs first.
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Up to approximately 81 months
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Dose Escalation Phase: Number of Participants With Dose-limiting Toxicities (DLTs)
Aikaikkuna: Up to approximately 81 months
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DLT was defined as all treatment-emergent adverse events (TEAEs) or abnormal laboratory values that met the protocol-defined DLT criteria, including those TEAEs and abnormal laboratory values that resulted in a failure to meet the criteria for re-treatment.
A summary of all SAEs and Other Adverse Events (nonserious) regardless of causality is located in the 'Reported Adverse Events' Section.
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Up to approximately 81 months
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Maximum Plasma Concentration (Cmax) of IMGN632 (Antibody Drug Conjugate [ADC]) and Total Antibody
Aikaikkuna: Cycle 1 and Cycle 3 (each cycle length = 21 days)
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Cycle 1 and Cycle 3 (each cycle length = 21 days)
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Cmax of FGN849
Aikaikkuna: Cycle 1 and Cycle 3 (each cycle length = 21 days)
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Cycle 1 and Cycle 3 (each cycle length = 21 days)
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Area Under the Curve From Time Zero to the Last Quantifiable Concentration (AUC0-last) of IMGN632 (ADC) and Total Antibody
Aikaikkuna: Cycle 1 and Cycle 3 (each cycle length = 21 days)
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Cycle 1 and Cycle 3 (each cycle length = 21 days)
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AUC0-last of FGN849
Aikaikkuna: Cycle 1 and Cycle 3 (each cycle length = 21 days)
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Cycle 1 and Cycle 3 (each cycle length = 21 days)
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Number of Participants With Anti-drug Antibodies (ADAs) at Any Post-baseline Visit
Aikaikkuna: Up to approximately 81 months
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Up to approximately 81 months
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Dose Escalation Phase: Overall Response Rate (ORR), As Assessed by Investigator in Participants With AML
Aikaikkuna: Up to approximately 81 months
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ORR was defined as percentage of participants with CR without minimal residual disease (CRMRD-), CR, CR with partial hematologic recovery (CRh), CR with incomplete recovery (CRi), morphologic leukemia-free state (MLFS), or partial response (PR).
CRMRD-: CR with negativity for a genetic marker.
CR: Morphologic CR <5% blasts; Absolute neutrophil count (ANC) >1000/μL; Platelets ≥100,000/μL; Participant independent of transfusions; No residual evidence of active extramedullary disease; MRD+ or unknown.
CRh: Met requirements for CR except ANC >500/μL and platelets >50,000/μL.
CRi: Met requirements for CR except either ANC <1000/μL or platelets <100,000/μL.
MLFS: Bone marrow <5% blasts in an aspirate with spicules; No blasts with Auer rods or persistence of extramedullary disease; Marrow not "aplastic"; ≥200 cells should be enumerated or cellularity should be ≥10%.
PR: Decrease of ≥50% in percentage of blasts to 5% to 25% in bone marrow aspirate (BMA) and normalization of blood counts.
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Up to approximately 81 months
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Dose Escalation Phase: CR+CRh Rate, As Assessed by Investigator in Participants With AML
Aikaikkuna: Up to approximately 81 months
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CR+CRh rate was defined as percentage of participants with CR, and CRh.
CR: Morphologic CR <5% blasts; Absolute neutrophil count (ANC) >1000/μL; Platelets ≥100,000/μL; Participant independent of transfusions; No residual evidence of active extramedullary disease; MRD+ or unknown.
CRh: Met requirements for CR except ANC >500/μL and platelets >50,000/μL.
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Up to approximately 81 months
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Dose Escalation Phase: CR+CRh+CRi Rate, As Assessed by Investigator in Participants With AML
Aikaikkuna: Up to approximately 81 months
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CR+CRh+CRi rate was defined as percentage of participants with CR, CRh, or CRi.
CR: Morphologic CR <5% blasts; Absolute neutrophil count (ANC) >1000/μL; Platelets ≥100,000/μL; Participant independent of transfusions; No residual evidence of active extramedullary disease; MRD+ or unknown.
CRh: Met requirements for CR except ANC >500/μL and platelets >50,000/μL.
CRi: Met requirements for CR except either ANC <1000/μL or platelets <100,000/μL.
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Up to approximately 81 months
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CCR Rate As Assessed by Investigator in Participants With Relapsed/Refractory (R/R) BPDCN
Aikaikkuna: Up to approximately 81 months
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CCR rate was defined as percentage of participants with CR and CRc.
CR was defined as normalization of blast percentage (≤ 5%); normalization of neutrophil count (≥ 1000/μL) and platelet count (≥ 100,000/μL); absence of leukemic blasts; 100% clearance of all skin lesions from baseline; no new lesions in participants without lesions at baseline; nodal masses regression to normal size on CT; and spleen and liver not palpable and nodules disappeared.
CRc was defined as normalization of blast percentage (≤ 5%); normalization of neutrophil count (≥ 1000/μL) and platelet count (≥ 100,000/μL); absence of leukemic blasts; marked clearance of all skin lesions from baseline, residual hyperpigmentation or abnormality with BPDCN identified on biopsy (or no biopsy performed); nodal masses regression to normal size on CT; and spleen and liver not palpable and nodules disappeared.
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Up to approximately 81 months
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Duration of CCR (DOCR) As Assessed by Investigator in Frontline De Novo BPDCN Participants With CR or CRc
Aikaikkuna: Up to approximately 81 months
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DOCR was defined from the first response (CR or CRc) to the time of relapse or death from any cause, whichever came first.
CR was defined as normalization of blast percentage (≤ 5%); normalization of neutrophil count (≥ 1000/μL) and platelet count (≥ 100,000/μL); absence of leukemic blasts; 100% clearance of all skin lesions from baseline; no new lesions in participants without lesions at baseline; nodal masses regression to normal size on CT; and spleen and liver not palpable and nodules disappeared.
CRc was defined as normalization of blast percentage (≤ 5%); normalization of neutrophil count (≥ 1000/μL) and platelet count (≥ 100,000/μL); absence of leukemic blasts; marked clearance of all skin lesions from baseline, residual hyperpigmentation or abnormality with BPDCN identified on biopsy (or no biopsy performed); nodal masses regression to normal size on CT; and spleen and liver not palpable and nodules disappeared.
Median and 95% CI were calculated by Kaplan-Meier estimation.
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Up to approximately 81 months
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DOCR As Assessed by Investigator in R/R BPDCN Participants With CR or CRc
Aikaikkuna: Up to approximately 81 months
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DOCR was defined from the first response (CR or CRc) to the time of relapse or death from any cause, whichever comes first.
CR was defined as normalization of blast percentage (≤ 5%); normalization of neutrophil count (≥ 1000/μL) and platelet count (≥ 100,000/μL); absence of leukemic blasts; 100% clearance of all skin lesions from baseline; no new lesions in participants without lesions at baseline; nodal masses regression to normal size on CT; and spleen and liver not palpable and nodules disappeared.
CRc was defined as normalization of blast percentage (≤ 5%); normalization of neutrophil count (≥ 1000/μL) and platelet count (≥ 100,000/μL); absence of leukemic blasts; marked clearance of all skin lesions from baseline, residual hyperpigmentation or abnormality with BPDCN identified on biopsy (or no biopsy performed); nodal masses regression to normal size on CT; and spleen and liver not palpable and nodules disappeared.
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Up to approximately 81 months
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DOCR As Assessed by Investigator in Total Frontline BPDCN Participants With CR or CRc
Aikaikkuna: Up to approximately 81 months
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DOCR was defined from the first response (CR or CRc) to the time of relapse or death from any cause, whichever comes first.
CR was defined as normalization of blast percentage (≤ 5%); normalization of neutrophil count (≥ 1000/μL) and platelet count (≥ 100,000/μL); absence of leukemic blasts; 100% clearance of all skin lesions from baseline; no new lesions in participants without lesions at baseline; nodal masses regression to normal size on CT; and spleen and liver not palpable and nodules disappeared.
CRc was defined as normalization of blast percentage (≤ 5%); normalization of neutrophil count (≥ 1000/μL) and platelet count (≥ 100,000/μL); absence of leukemic blasts; marked clearance of all skin lesions from baseline, residual hyperpigmentation or abnormality with BPDCN identified on biopsy (or no biopsy performed); nodal masses regression to normal size on CT; and spleen and liver not palpable and nodules disappeared.
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Up to approximately 81 months
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Number of Participants With TEAEs in Participants Who Received IMGN632 As a Single Agent at the RP2D Level (0.045 mg/kg)
Aikaikkuna: Up to approximately 81 months
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An AE was defined as any noxious, pathologic, or unintended change in anatomical, physiologic, or metabolic function as indicated by physical signs, symptoms, or laboratory changes occurring in any phase of a clinical study, whether or not considered study drug related.
This included an exacerbation of a pre-existing condition.
TEAEs were defined as any new AEs that began or any pre-existing conditions that worsen in severity from the first dose of study drug through 30 days after the last dose or prior to the subsequent therapy, whichever occurs first..
A summary of all SAEs and Other Adverse Events (nonserious) regardless of causality is located in the 'Reported Adverse Events' Section.
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Up to approximately 81 months
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Rate of CR+CRc+CRh As Assessed by Investigator in Total R/R BPDCN Participants
Aikaikkuna: Up to approximately 81 months
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Rate of CR+CRc+CRh: percentage of participants with CR, CRc, and CRh.
CR: normalization of blast percentage (≤ 5%); normalization of neutrophil count (≥1000/μL) and platelet count (≥100,000/μL); absence of leukemic blasts; 100% clearance of all skin lesions from baseline; no new lesions in participants without lesions at baseline; nodal masses regression to normal size on CT; and spleen and liver not palpable and nodules disappeared.
CRc: normalization of blast percentage (≤5%); normalization of neutrophil count (≥1000/μL) and platelet count (≥100,000/μL); absence of leukemic blasts; marked clearance of all skin lesions from baseline, residual hyperpigmentation or abnormality with BPDCN identified on biopsy (or no biopsy performed); nodal masses regression to normal size on CT; and spleen and liver not palpable and nodules disappeared.
CRh: normalization of neutrophil count (≥ 500/μL) and platelet count (≥ 50,000/μL); other criteria same as defined for CRc.
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Up to approximately 81 months
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Duration of CR+CRc+CRh As Assessed by Investigator in Total R/R BPDCN Participants
Aikaikkuna: Up to approximately 81 months
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Duration of CR+CRc+CRh was defined as time from first response to time of relapse or death from any cause, whichever came first.
CR: normalization of blast percentage (≤5%); normalization of neutrophil count (≥1000/μL) and platelet count (≥100,000/μL); absence of leukemic blasts; 100% clearance of all skin lesions from baseline; no new lesions; nodal masses regression to normal size on CT; and spleen and liver not palpable and nodules disappeared.
CRc: normalization of blast percentage (≤5%); normalization of neutrophil count (≥1000/μL) and platelet count (≥100,000/μL); absence of leukemic blasts; marked clearance of all skin lesions from baseline, residual hyperpigmentation or abnormality with BPDCN identified on biopsy (or no biopsy performed); nodal masses regression to normal size on CT; and spleen and liver not palpable and nodules disappeared.
CRh: normalization of neutrophil count (≥ 500/μL) and platelet count (≥ 50,000/μL); other criteria same as defined for CRc.
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Up to approximately 81 months
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ORR As Assessed by Investigator in Total R/R BPDCN Participants
Aikaikkuna: Up to approximately 81 months
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ORR: percentage of participants with CR, CRc, CRh, CRi, and PR.
CR, CRc, and CRh as defined in Outcome Measure 20 above.
CRi: normalization of blast percentage (≤5%); normalization of neutrophil count (≥1000/μL) or platelet count (≥100,000/μL); absence of leukemic blasts; marked clearance of all skin lesions from baseline, residual hyperpigmentation or abnormality with BPDCN identified on biopsy (or no biopsy performed); nodal masses regression to normal size on CT; and spleen and liver not palpable and nodules disappeared.
PR: Decreased by > 50% in blast percentage to 5%-25%; 50% to <100% clearance of all skin lesions from baseline; no new lesions in participants without lesions at baseline; ≥50% decrease in the sum of the product of the diameters (SPD) of up to 6 largest dominant masses, no increase in size of other nodes; ≥ 50% decrease in SPD of nodules (for single nodule in greatest transverse diameter), no increase in size of liver of spleen.
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Up to approximately 81 months
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Duration of Overall Response As Assessed by Investigator in Total R/R BPDCN Participants
Aikaikkuna: Up to approximately 81 months
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Duration of overall response (CR, CRc, CRh, CRi, and PR) was defined as time from first response to time of relapse or death from any cause, whichever came first.
CR, CRc, and CRh, CRi, and PR as defined in Outcome Measure 21 above.
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Up to approximately 81 months
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Overall Survival in Total R/R BPDCN Participants
Aikaikkuna: Up to approximately 81 months
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Overall survival was defined as date of first dose until death from any cause.
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Up to approximately 81 months
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CCR Rate As Assessed by Investigator in All Frontline BPDCN Participants With Post-Treatment Consolidative Stem Cell Transplant (SCT)
Aikaikkuna: Up to approximately 81 months
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CCR rate was defined as percentage of participants with CR and CRc.
CR was defined as normalization of blast percentage (≤ 5%); normalization of neutrophil count (≥ 1000/μL) and platelet count (≥ 100,000/μL); absence of leukemic blasts; 100% clearance of all skin lesions from baseline; no new lesions in participants without lesions at baseline; nodal masses regression to normal size on CT; and spleen and liver not palpable and nodules disappeared.
CRc was defined as normalization of blast percentage (≤ 5%); normalization of neutrophil count (≥ 1000/μL) and platelet count (≥ 100,000/μL); absence of leukemic blasts; marked clearance of all skin lesions from baseline, residual hyperpigmentation or abnormality with BPDCN identified on biopsy (or no biopsy performed); nodal masses regression to normal size on CT; and spleen and liver not palpable and nodules disappeared.
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Up to approximately 81 months
|
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CCR Rate As Assessed by Investigator in All R/R BPDCN Participants With Post-Treatment Consolidative SCT
Aikaikkuna: Up to approximately 81 months
|
CCR rate was defined as percentage of participants with CR and CRc.
CR was defined as normalization of blast percentage (≤ 5%); normalization of neutrophil count (≥ 1000/μL) and platelet count (≥ 100,000/μL); absence of leukemic blasts; 100% clearance of all skin lesions from baseline; no new lesions in participants without lesions at baseline; nodal masses regression to normal size on CT; and spleen and liver not palpable and nodules disappeared.
CRc was defined as normalization of blast percentage (≤ 5%); normalization of neutrophil count (≥ 1000/μL) and platelet count (≥ 100,000/μL); absence of leukemic blasts; marked clearance of all skin lesions from baseline, residual hyperpigmentation or abnormality with BPDCN identified on biopsy (or no biopsy performed); nodal masses regression to normal size on CT; and spleen and liver not palpable and nodules disappeared.
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Up to approximately 81 months
|
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Percentage of Participants With Post-baseline Transfusion Independence in BPDCN Participants
Aikaikkuna: Up to approximately 81 months
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Post-baseline transfusion independence (red blood cell [RBC] and platelet transfusion independence) was defined as any 56-day period after Cycle 1 Day 1 in which the participant did not receive either a RBC or platelet transfusion.
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Up to approximately 81 months
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Yhteistyökumppanit ja tutkijat
Sponsori
Tutkijat
- Opintojohtaja: ABBVIE INC., AbbVie
Julkaisuja ja hyödyllisiä linkkejä
Yleiset julkaisut
- Pemmaraju N, Marconi G, Montesinos P, Lane AA, Mazzarella L, Sallman DA, Ulrickson ML, Schiller GJ, Erba HP, Wang ES, Walter RB, Deconinck E, Aribi A, Legrand O, Lebon D, Maisano V, Martinelli G, DeAngelo DJ, Derenzini E, Du Y, Lakshmikanthan S, Potluri J, Kantarjian HM, Daver NG. Pivekimab Sunirine in Blastic Plasmacytoid Dendritic Cell Neoplasm. J Clin Oncol. 2026 Apr;44(10):861-873. doi: 10.1200/JCO-25-02083. Epub 2026 Feb 11.
- Daver NG, Montesinos P, DeAngelo DJ, Wang ES, Papadantonakis N, Todisco E, Sweet KL, Pemmaraju N, Lane AA, Torres-Minana L, Thompson JE, Konopleva MY, Sloss CM, Watkins K, Bedse G, Du Y, Malcolm KE, Zweidler-McKay PA, Kantarjian HM. Pivekimab sunirine (IMGN632), a novel CD123-targeting antibody-drug conjugate, in relapsed or refractory acute myeloid leukaemia: a phase 1/2 study. Lancet Oncol. 2024 Mar;25(3):388-399. doi: 10.1016/S1470-2045(23)00674-5.
Opintojen ennätyspäivät
Opi tärkeimmät päivämäärät
Opiskelun aloitus (Todellinen)
Ensisijainen valmistuminen (Todellinen)
Opintojen valmistuminen (Arvioitu)
Opintoihin ilmoittautumispäivät
Ensimmäinen lähetetty
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Ensimmäinen Lähetetty (Todellinen)
Tutkimustietojen päivitykset
Viimeisin päivitys julkaistu (Todellinen)
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Viimeksi vahvistettu
Lisää tietoa
Tähän tutkimukseen liittyvät termit
Avainsanat
Muita asiaankuuluvia MeSH-ehtoja
- Patologiset prosessit
- Neoplasmat sivustoittain
- Neoplasmat
- Sairauden ominaisuudet
- Immuunijärjestelmän sairaudet
- Neoplasmat histologisen tyypin mukaan
- Hematologiset sairaudet
- Ihosairaudet
- Lymfaattiset sairaudet
- Lymfoproliferatiiviset häiriöt
- Immunoproliferatiiviset häiriöt
- Lymfooma
- Leukemia, myeloidi
- Luuydinsairaudet
- Leukemia, imusolmukkeet
- Leukemia
- Ihon kasvaimet
- Hematologiset kasvaimet
- Histiosyyttiset häiriöt, pahanlaatuiset
- Patologiset tilat, merkit ja oireet
- Iho- ja sidekudostaudit
- Hemic- ja imusuutteet
- Toistuminen
- Leukemia, myelooinen, akuutti
- Prekursorisolulymfoblastinen leukemia-lymfooma
- Myeloproliferatiiviset häiriöt
- Blastinen plasmasytoidinen dendriittisolukasvain
Muut tutkimustunnusnumerot
- IMGN632-0801
- 2024-514195-40-00 (Ctis)
Yksittäisten osallistujien tietojen suunnitelma (IPD)
Aiotko jakaa yksittäisten osallistujien tietoja (IPD)?
Lääke- ja laitetiedot, tutkimusasiakirjat
Tutkii yhdysvaltalaista FDA sääntelemää lääkevalmistetta
Tutkii yhdysvaltalaista FDA sääntelemää laitetuotetta
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