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Phase 3 N=41 Treatment

Study to Evaluate Safety and Efficacy of Blinatumomab in Subjects With Relapsed/Refractory (R/R) Aggressive B-Cell NHL

B-Cell Non Hodgkin Lymphoma

Enrolled (actual)
41
Serious AEs
48.8%
Results posted
Jan 2021
Primary outcome: Primary: Phase 2: Percentage of Participants Who Achieved Complete Metabolic Response (CMR) — 22.0 Percentage of participants

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Blinatumomab (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Amgen
Primary completion
Mar 2020

Outcome Measures

OutcomeResultp-value
PRIMARY
Phase 2: Percentage of Participants Who Achieved Complete Metabolic Response (CMR)
22.0
PRIMARY
Phase 3: Number of Participants Who Achieved Complete Metabolic Response (CMR)
SECONDARY
Phase 2: Overall Survival (OS)
11.2
SECONDARY
Phase 2: Objective Response Rate (ORR)
36.6
SECONDARY
Phase 2: Progression Free Survival (PFS)
2.9
SECONDARY
Phase 2: Duration of Response (DOR)
6.1
SECONDARY
Phase 2: Percentage of Participants Who Experienced Successful Mobilization
40.0
SECONDARY
Phase 2: Percentage of Participants Who Had Allogeneic or Autologous Post-baseline Hematopoietic Stem Cell Transplant (HSCT)
6.7; 53.3
SECONDARY
Phase 2: Cumulative Incidence Function Estimate of 100-day Mortality After HSCT Presented as Percentage of Participants That Died Not Due to Relapse, With Relapse and Death Due to Relapse as Competing Events
0.0
SECONDARY
Phase 2: Blinatumomab Steady State Concentrations (Css)
249; 804; 3470
SECONDARY
Phase 2: Blinatumomab Clearance (CL)
1.78
SECONDARY
Phase 2: Half-life of Blinatumomab
SECONDARY
Phase 2: Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE)
41; 37; 29; 12; 20; 7
SECONDARY
Phase 3: Objective Response Rate (ORR)
SECONDARY
Phase 3: Progression Free Survival (PFS)
SECONDARY
Phase 3: Duration of Response (DOR)
SECONDARY
Phase 3: Percentage of Participants Who Experienced Successful Mobilization
SECONDARY
Phase 3: Percentage of Participants Who Had Allogeneic or Autologous Post-baseline Hematopoietic Stem Cell Transplant (HSCT)
SECONDARY
Phase 3: Percentage of Participants Who Died Within 100 Days After Hematopoietic Stem Cell Transplantation (HSCT) That Was Not Due to Relapse
SECONDARY
Phase 3: Change From Baseline in Patient Reported Clinical Outcome Assessments Quality of Life (QOLCOA) Scores
SECONDARY
Phase 3: Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE)
SECONDARY
Phase 3: Serum Blinatumomab Steady State Concentration (Css)
SECONDARY
Phase 3: Blinatumomab Clearance (CL)
SECONDARY
Phase 3: Half-life of Blinatumomab

Summary

This is a phase 2/3 open label, multicenter trial testing blinatumomab monotherapy for the treatment of subjects with Relapsed/Refractory (R/R) aggressive B-NHL not achieving CMR after 2 cycles of standard platinum-based chemotherapy regimens administered as S1. This study incorporates multiple interim analyses for futility, efficacy, and unblinded sample-size re-estimation. In the phase 3 part of the study, blinatumomab will be compared to Investigator's Choice chemotherapy. In March 2019, decision made to not proceed with phase 3.

Eligibility Criteria

Inclusion Criteria

  • Biopsy proven aggressive B-cell Non-Hodgkin Lymphoma (B-NHL), including diffuse large B-cell lymphoma (DLBCL) not otherwise specified (NOS), follicular lymphoma Grade 3B, PMBCL, T-cell rich B-cell lymphoma, or DLBCL that represents transformation of indolent non-Hodgkin's Lymphoma (NHL), (including follicular, marginal zone, and lymphoplasmacytoid lymphoma) excluding chronic lymphocytic leukemia or Hodgkin Lymphoma. The following histologies are not eligible:
  • Lymphoblastic lymphoma
  • Burkitt lymphoma
  • Mantle cell lymphoma Any histologies not specifically mentioned must be discussed with medical monitor.
  • Refractory (no prior CR/CMR) or relapsed (prior CMR) following front line treatment of standard multiagent chemotherapy containing an anthracycline AND an approved anti-CD20 agent. For subjects with refractory disease and who have received radiotherapy, PET positivity should be demonstrated no less than 6 weeks after the last dose of radiotherapy
  • Biopsy proven confirmation of relapsed disease.
  • Received a minimum of 2 cycles of standard of care platinum-based chemotherapy in the S1 setting and had a response of progressive metabolic disease (PMD), no metabolic response (NMR), partial metabolic response (PMR) as centrally assessed by PET-/ CT scan or received at least 1 cycle of S1 chemotherapy and had evidence of PMD as centrally assessed. A pre-salvage scan is required to be submitted to the central reader if a subject had only 1 cycle of pre-salvage chemotherapy.
  • Radiographically measurable disease with a demarcated nodal lesion at least 1.5 cm in its largest dimension or a target extranodal lesion at least 1.0 cm in its largest dimension
  • Eastern Cooperative Oncology Group performance status less than or equal to 2
  • Intention to proceed to high dose chemotherapy (HDT) and autologous hematopoietic stem cell transplant (HSCT)
  • Laboratory parameters:

Hematology:

  • Absolute neutrophil count (ANC) ≥ 1.0 x 10^9/L
  • Platelets ≥ 75 x 10^9/L

Chemistry:

  • Creatinine clearance ≥ 50 mL/min
  • Aspartate aminotransferase (AST)/alanine aminotransferase (ALT) < 3X upper limit of normal (ULN)
  • Total bilirubin (TBL) < 2x ULN (unless Gilbert's disease or if liver involvement with lymphoma)

Exclusion Criteria

  • CMR following S1 chemotherapy
  • Treatment within 30 days prior to randomization with another investigational device or drug study (ies).
  • Prior anti-CD19-directed therapies
  • Prior HDT with autologous HSCT
  • Prior allogeneic HSCT
  • Clinically relevant central nervous system (CNS) pathology such as epilepsy, paresis, aphasia, stroke, severe brain injury, dementia, Parkinson's disease, cerebellar disease, organic brain syndrome, or psychosis
  • Evidence of CNS involvement by NHL
  • Known infection with human immunodeficiency virus or chronic infection with hepatitis B virus (hepatitis B surface antigen positive) or hepatitis C virus (anti hepatitis C virus positive)
  • History of malignancy other than B-NHL within the past 3 years with the exception of:
  • Malignancy treated with curative intent and with no known active disease present for ≥ 3 years before enrollment
  • Adequately treated non-melanoma skin cancer or lentigo maligna
  • Adequately treated cervical carcinoma in situ
  • Adequately treated breast ductal carcinoma in situ
  • Prostatic intraepithelial neoplasia without evidence of prostate cancer
  • Adequately treated urothelial papillary non-invasive carcinoma or carcinoma in situ
  • Known sensitivity to immunoglobulins or any of the components to be administered during dosing.
  • Subject likely to not be available to complete all protocol-required study visits or procedures, and/or to comply with all required procedures.
  • History or evidence of any other clinically significant disorder, condition or disease (with the exception of those outlined above) that would pose a risk to subject safety or interfere with the study evaluation, procedures or completion.
  • Female subjects who are pregnant o
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02910063). 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.

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