ARGX-110
DrugARGX-110 will be administered intravenously.
Other names: Cusatuzumab, JNJ-74494550
NCT Number: NCT03030612
The purpose of this study is to determine the maximum tolerated dose (MTD) of ARGX-110 and/or the recommended Phase II dose (RP2D) in combination with a standard dose of azacytidine (AZA) in Phase 1; and to evaluate efficacy of ARGX-110 when administered at a RP2D level established in Phase I in combination with a standard dose of AZA (proof-of concept) by evaluating overall response rate (ORR) in Phase 2.
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Notify Me18 year and older
All sexes
Interventional
Phase 1 / Phase 2
Marseille, France
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
ARGX-110 will be administered intravenously.
Other names: Cusatuzumab, JNJ-74494550
AZA will be administered subcutaneously/intravenously.
Time frame: Up to 3.6 years
DLTs will be defined as any of the following drug-related events: Any grade 3 or higher drug related non-hematological toxicity or; Grade 3 or higher IRRs or; inability to administer the next dose due to a drug-related adverse event or a delay of the administration of the next dose due to toxicities for more than 14 days despite adequate medication or; drug-related grade 4 febrile neutropenia or; drug-related grade 4 anemia which cannot be adequately treated.
Time frame: Up to 3.6 years
ORR is defined as the sum of Complete remission (CR), CR with incomplete recovery (CRi), morphologic leukemia-free state (MLFS), partial remission (PR) at the ARGX-110 RP2D level that was established in Phase 1 according to established response criteria for Acute myeloid leukemia (AML).
Time frame: Up to 3.6 years
An AE is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product.
Time frame: Up to 3.6 years
Cmax is the maximum observed concentration.
Time frame: Up to 3.6 years
Ctrough is defined as the observed serum concentration before dosing or at the end of the dosing interval.
Time frame: Up to 3.6 years
AUC(0-infinity) is defined as area under the serum analyte concentration-time curve from time 0 to infinite time of ARGX-110.
Time frame: Up to 3.6 years
AUCtau is the area under the serum concentration-time curve during the dosing interval.
Time frame: Up to 3.6 years
Vd/F is defined as Dose/[Lambda (z)*AUC (0-infinity)].
Time frame: Up to 3.6 years
CL is the total systemic clearance of drug after intravenous (IV) administration.
Time frame: Up to 3.6 years
t1/2 is defined as the time measured for the serum concentration to decrease by 1 half of its original concentration.
Time frame: Up to 3.6 years
Minimal residual disease assessments will be performed on bone marrow aspirates and/or whole blood by flow cytometry.
Time frame: Up to 3.6 years
Venous blood samples and bone marrow aspirate will be used to evaluate presence of anti-drug antibodies to ARGX-110. Participants with titer of confirmed positive samples for ARGX-110 antibodies will be reported.
Time frame: Up to 3.6 years
Complete remission is defined as number of participants who have bone marrow blasts less than (<) 5 percent (%); absence of blasts with Auer rods; absence of extramedullary disease; absolute neutrophil count greater than (>) 1.0 * 10^9 per liter (L) (1000 per microliter [µL]); platelet count > 100 * 10^9/L (100.000/mc); independence of red cell transfusions.
Time frame: Up to 3.6 years
CRi is defined as number of participants who have all CR criteria except for residual neutropenia (< 1.0 * 10^9/L [1000/mc]) or thrombocytopenia (< 100 * 10^9/L [100.000/mc]).
Time frame: Up to 3.6 years
MLFS is defined as number of participants who have bone marrow blasts < 5%; absence of blasts with Auer rods; absence of extramedullary disease; no hematologic recovery required.
Time frame: Up to 3.6 years
PR is defined as number of participants who have all hematologic criteria of CR; decrease of bone marrow blast percentage to 5% to 25%; and decrease of pretreatment bone marrow blast percentage by at least 50%.
Time frame: Up to 3.6 years
Time to response is defined as response measured from the time from first dose of study drug to date of response (CR, CRi, MLFS, PR).
Time frame: Up to 3.6 years
Duration of response is defined as the date of achievement of a response (CR, CRi, MLFS, PR) until the date of relapse.
Time frame: Up to 3.6 years
RFS is defined as disease relapse or participant death from any cause; measured from the date of achievement of a remission (CR, CRi) until the date of relapse or death from any cause.
Time frame: Up to 3.6 years
OS is defined as death from any cause; measured from the date of first dose to the date of death from any cause.
Time frame: 30 and/or 60 days after the first administration
Number of participants with 30 Day and 60 Day Mortality will be reported.
Time frame: Up to 3.6 years
Number of participants reaching greater than or equal to (>=) 8 consecutive weeks without red blood cell (RBC-TI) and/or platelet (PLT-TI) transfusion. The first day of the >=8-week period with no transfusions is noted as the time at which participants first achieved TI.
Time frame: Up to 3.6 years
Time until TI for RBC and/or PLT will be measured from the date of entry into a study to the first day of the 8-weeks period with no transfusions.
Time frame: Up to 3.6 years
Time between the last transfusion before the start of the TI period and the first transfusion after the start of the TI period, which occurred >=8 weeks later.
Time frame: Up to 3.6 years
Time to neutrophil recovery will be calculated from number of days from Day 1 of commencing study treatment to first day neutrophils 0.5 * 10^9 per liter or 1.0 * 10^9 per liter.
Time frame: Up to 3.6 years
Time to platelet recovery will be calculated from number of days from day 1 of commencing study treatment to first day neutrophils 50 * 10^9 per liter or 100 * 10^9 per liter.
Time frame: Up to 3.6 years
Biomarkers including CD70 and CD27 assessment will be performed on bone marrow aspirates and/or whole blood.
Time frame: Up to 3.6 years
Levels of T, B and NK cells will be reported by immunophenotyping (performed by flow cytometry or mass cytometry). .
Time frame: Up to 3.6 years
Levels of B cells will be reported.
Time frame: Up to 3.6 years
Levels of NK cells will be reported.
OncoVerity, Inc.
Industry
A Phase I/II, Open-label, Dose-Escalating Study With a Proof of Concept Cohort to Evaluate the Safety, Tolerability and Efficacy of ARGX-110 in Combination With Azacytidine in Subjects With Newly Diagnosed Acute Myeloid Leukemia (AML) or High Risk Myelodysplatic Syndrome (MDS)
OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.
View the official ClinicalTrials.gov record (opens in a new tab)This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.
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