Phase 2
N=18
HM2014-26 DT2219 for Relapsed or Refractory B-Lineage Leukemia or Lymphoma
Refractory B-Lineage Leukemia · Relapsed B-Lineage Leukemia · Refractory B-Lineage Lymphoma · Relapsed B-Lineage Lymphoma
Bottom Line
View on ClinicalTrials.gov: NCT02370160 ↗Enrolled (actual)
18
Serious AEs
27.8%
Results posted
Jan 2020
Primary outcome: Primary: Phase I: Incidence of Any DLT Attributed to DT2219 in the First Cycle — 1; 3; 0 events
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- DT2219ARL (Biological)
- Age
- Pediatric, Adult, Older Adult · 12+ yrs
- Sex
- All
- Sponsor
- Masonic Cancer Center, University of Minnesota
- Primary completion
- Apr 2018
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Phase I: Incidence of Any DLT Attributed to DT2219 in the First Cycle |
1; 3; 0 | — |
| PRIMARY Phase ll: Overall Disease Response |
5 | — |
| SECONDARY Incidence of Serious Adverse Events |
2; 2; 1 | — |
| SECONDARY Phase II : Duration of Response |
59.5 | — |
| SECONDARY Disease-free Survival |
7; 5; 3 | — |
| SECONDARY Overall Survival |
3; 4; 2 | — |
| SECONDARY Time to Relapse/Progression |
27.3; 42; 30 | — |
Summary
This is a phase I/II study of DT2219 for the treatment of relapsed or refractory CD19 (+) and/or CD 22 (+) B-lineage leukemia and lymphoma. The study consists of two phases - a phase I dose/schedule finding component using the maximum tolerated dose identified during the previous phase I study, but with a higher number of doses and a two-stage phase II extension component to confirm safety and make a preliminary determination of the activity level by disease using the dose identified in phase I.
Eligibility Criteria
Inclusion Criteria
- Histologic verification of B-cell lineage leukemia or B cell non-Hodgkin lymphoma and evidence of relapse/refractory disease with the presence of CD19 and/or CD22 by flow cytometry or immunohistochemistry of bone marrow aspirate, peripheral blood or node/tumor biopsy
- Relapsed refractory disease that has failed conventional therapy and other therapies of higher priority
- Karnofsky Performance status of ≥ 60% or, if less than 16 years of age, Lansky Play Score of ≥ 60 (appendix II)
- Recovered from effects of prior therapy
- Peripheral blast count under 50 x 10^9/L
- Adequate organ function within 14 days (30 days for cardiac and pulmonary) of treatment start
- Women of childbearing potential and men should be advised and agree to practice effective methods of contraception during the course of study
- Voluntary written consent with appropriate parent/guardian consent and minor information sheet for participants < 18 years of age
Exclusion Criteria
- Presence of leukemic or infectious pulmonary parenchymal disease
- Presence of active CNS leukemia
- Presence of any uncontrolled systemic infection
- Documented uncontrolled seizure disorder- a seizure disorder controlled with medication
- Active neurologic disorder - peripheral neuropathy alone does not exclude a patient
- Active Hepatitis B or Hepatitis C (virus detectable by PCR)
- Documented penicillin or cephalosporin allergies
- Pregnant or lactating
Data sourced from ClinicalTrials.gov (NCT02370160). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.