Acute Lymphoid LeukemiaPhase 2NCT01461538
Brentuximab Vedotin in Patients With CD30-positive Nonlymphomatous Malignancies
A Phase 2 study testing brentuximab vedotin in people with Acute Lymphoid Leukemia and Acute Myeloid Leukemia, run by Seagen Inc. at 29 sites in United States.
Trial summary
This is an open-label, multicenter, phase 2 clinical trial to evaluate the antitumor activity of brentuximab vedotin as a single agent in patients with CD30-positive nonlymphomatous malignancies. Read more about this study
- Who is it for?
- Ages 6 years and older
- Conditions the study is for
- Acute Lymphoid Leukemia, Acute Myeloid Leukemia, Anemia, Refractory, With Excess of Blasts
- What is being tested?
- brentuximab vedotin
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 84 participants
- Where
- 29 sitesUnited States
- Study dates
- Oct 2011to Dec 2014
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 6 years and older
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Histologically-confirmed by central review CD30-positive nonlymphomatous malignancy
- Have failed, refused, or have been deemed ineligible for standard therapy
- Measurable disease
- Eastern Cooperative Oncology Group (ECOG) Performance Status score of 0 or 1 or a Karnofsky or Lansky Performance Status score greater than or equal to 70
Who cannot join
- Primary diagnosis of lymphoma or central nervous system (CNS) malignancy
- History of another primary invasive malignancy that has not been definitively treated or in remission for at least 3 years
- Evidence of active cerebral/meningeal disease
Trial locations and contacts
29 sites in 1 country.
29 sites in 1 country
United States29 sites
New York Oncology Hematology, P.C.
Albany, New York, 12206
Rocky Mountain Cancer Centers - Aurora
Aurora, Colorado, 80012
Texas Oncology - Bedford
Bedford, Texas, 76022
University of Alabama at Birmingham
Birmingham, Alabama, 35294-3300
Oncology and Hematology Assoc of SW VA DBA Blue Ridge Cancer Care
Blacksburg, Virginia, 24060
Dana-Farber Cancer Institute
Boston, Massachusetts, 02215
University Hospitals Case Medical Center
Cleveland, Ohio, 44106-5055
Texas Oncology - Medical City Dallas
Dallas, Texas, 75230
Texas Oncology - Dallas Presbyterian
Dallas, Texas, 75231
Texas Oncology Denton South
Denton, Texas, 76210
City of Hope
Duarte, California, 91010-3000
Puget Sound Cancer Centers
Edmonds, Washington, 98026
Willamette Valley Cancer and Research / USOR
Eugene, Oregon, 97401
Virginia Cancer Specialists, PC
Fairfax, Virginia, 22031
Texas Oncology - Fort Worth 12th Avenue
Fort Worth, Texas, 76104
St. Francis Hospital
Greenville, South Carolina, 29605
MD Anderson Cancer Center / University of Texas
Houston, Texas, 77030-4003
MD Anderson Cancer Center Leukemia Group
Houston, Texas, 77030
Indiana University Simon Cancer Center
Indianapolis, Indiana, 46202
Mayo Clinic Cancer Center
Jacksonville, Florida, 32224
Minnesota Oncology Hematology P.A.
Minneapolis, Minnesota, 55404
Ocala Oncology Center
Ocala, Florida, 34471
PMK Medical Group Inc., DBA Ventura County Hematology Oncology Specialists
Oxnard, California, 93030
Texas Oncology - Central Austin Cancer Center
Round Rock, Texas, 78731
Cancer Centers of South Texas - HOAST
San Antonio, Texas, 78229
Cancer Care Northwest
Spokane Valley, Washington, 99216
Northwest Cancer Specialists, P.C.
Tulatin, Oregon, 97062
Texas Oncology - Waco
Waco, Texas, 76712
Yakima Valley Memorial Hospital / North Star Lodge
Yakima, Washington, 98902
About this study
Official title: A Phase 2, Open-label Study of Brentuximab Vedotin in Patients With CD30-positive Nonlymphomatous Malignancies
This is an open-label, multicenter, phase 2 clinical trial to evaluate the antitumor activity of brentuximab vedotin as a single agent in patients with CD30-positive nonlymphomatous malignancies.
- Conditions
- Acute Lymphoid Leukemia, Acute Myeloid Leukemia, Anemia, Refractory, With Excess of Blasts, Solid Tumors
- Being tested
- brentuximab vedotin
- Keywords
- Acute Lymphoid Leukemia, Myelodysplastic Syndrome, Acute Myeloid Leukemia, Solid Tumors, Anemia, Refractory, with Excess of Blasts, Antibodies, Monoclonal, Antibody-Drug Conjugate, Antigens, CD30, Drug Therapy, Hematologic Diseases, Immunotherapy, Monomethyl Auristatin E
- Medical subject headings
- Precursor Cell Lymphoblastic Leukemia-Lymphoma, Leukemia, Myeloid, Acute, Anemia, Refractory, with Excess of Blasts, Myelodysplastic Syndromes, Hematologic Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
brentuximab vedotinDrug
Also called Adcetris; SGN-35
1.8 mg/kg every 3 weeks by intravenous (IV) infusion
brentuximab vedotinDrug
Also called Adcetris; SGN-35
2.4 mg/kg every 3 weeks by intravenous (IV) infusion
brentuximab vedotinDrug
Also called Adcetris; SGN-35
1.2 mg/kg weekly, 3 out of 4 weeks, by intravenous (IV) infusion
| Study group | Role | What they receive |
|---|---|---|
| Brentuximab vedotin 1.8 mg/kg | Experimental | Brentuximab vedotin 1.8 mg/kg every 3 weeks by IV infusion Receives: Drug: brentuximab vedotin |
| Brentuximab vedotin 2.4 mg/kg | Experimental | Brentuximab vedotin 2.4 mg/kg every 3 weeks by IV infusion Receives: Drug: brentuximab vedotin |
| Brentuximab vedotin 1.2 mg/kg | Experimental | Brentuximab vedotin 1.2 mg/kg weekly, 3 out of 4 weeks, by IV infusion Receives: Drug: brentuximab vedotin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Objective Response Rate (ORR) by Investigator
Percentage of participants who achieved a best response of complete response/remission (CR), CR without hematologic recovery (CRi; leukemia only), or partial remission (PR) per the applicable response criteria. Response criteria for solid tumors (by radiographic tumor imaging) per Response Evaluation Criteria for Solid Tumors (RECIST) 1.1 (Eisenhauer 2009); response criteria for leukemia (by peripheral blood and bone marrow aspirate or biopsy) per International Working Group (Cheson 2003).
Measured: Up to approximately 3 years
Secondary outcomes (11)
Complete Remission (CR) Rate by Investigator
Percentage of participants who achieved a best response of CR per the applicable response criteria. Response criteria for solid tumors (by radiographic tumor imaging) per Response Evaluation Criteria for Solid Tumors (RECIST) 1.1 (Eisenhauer 2009); response criteria for leukemia (by peripheral blood and bone marrow aspirate or biopsy) per International Working Group (Cheson 2003).
Measured: Up to approximately 3 years
Duration of Objective Response by Kaplan-Meier Analysis
Duration of objective response (CR [+CRi; leukemia] + PR), defined as time of initial response until disease progression or death. Response criteria for solid tumors (by radiographic tumor imaging) per Response Evaluation Criteria for Solid Tumors (RECIST) 1.1 (Eisenhauer 2009); response criteria for leukemia (by peripheral blood and bone marrow aspirate or biopsy) per International Working Group (Cheson 2003).
Measured: Up to approximately 2 years
Duration of Complete Response by Kaplan-Meier Analysis
Duration of CR, defined as time of initial response until disease progression or death. Response criteria for solid tumors (by radiographic tumor imaging) per Response Evaluation Criteria for Solid Tumors (RECIST) 1.1 (Eisenhauer 2009); response criteria for leukemia (by peripheral blood and bone marrow aspirate or biopsy) per International Working Group (Cheson 2003).
Measured: Up to approximately 2 years
Progression-Free Survival by Kaplan-Meier Analysis
Progression-free survival, defined as time from start of study treatment to disease progression per investigator or death due to any cause
Measured: Up to approximately 2 years
Adverse Events by Severity, Seriousness, and Relationship to Treatment
Counts of participants who had treatment-emergent adverse events (TEAE, defined as newly occurring or worsening after first dose on Study SGN35-013). Serious adverse events are reported from the time of informed consent. National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE version 4.03) were used to assess severity (1=mild, 2=moderate, 3=severe, 4=life-threatening/disabling, 5=fatal). Relatedness to study drug was assessed by the investigator (Yes/No). Participants with multiple occurrences of an adverse event within a category are counted once within the category.
Measured: Up to approximately 3 years
Laboratory Abnormalities >/= Grade 3
Counts of study participants with post-baseline laboratory abnormalities of Grade 3 or greater per NCI CTCAE version 4.03. Participants with multiple occurrences of a laboratory abnormality within a category are counted once in that category
Measured: Up to approximately 3 years
Brentuximab Vedotin Antibody-Drug Conjugate (ADC) Concentration at End of Infusion (Ceoi)
Measured: Up to approximately 3 years
Brentuximab Vedotin Antibody-Drug Conjugate (ADC) Trough Concentration (Ctrough)
Measured: Up to approximately 3 years
Maximum Concentration (Cmax) of Brentuximab Vedotin Monomethyl Auristatin E (MMAE)
Measured: Up to approximately 3 years
Brentuximab Vedotin Monomethyl Auristatin E (MMAE) Trough Concentration (Ctrough)
Measured: Up to approximately 3 years
Incidence of Anti-therapeutic Antibodies (ATA)
Counts of participants with post-baseline anti-brentuximab vedotin antibodies. Persistently positive is defined as confirmed ATA in more than 2 post-baseline samples and transiently positive is defined as confirmed ATA in 1 or 2 post-baseline samples.
Measured: Up to approximately 3 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Oct 2011 (estimated)
- Study startOct 2011
- Primary completionDec 2014
- Study completionDec 2014
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Acute Lymphoid LeukemiaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 84 participants (actual)
Sponsor and investigators
- Lead sponsor
- Seagen Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Neil Josephson, MD, Study director, Seagen Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01461538
- Sponsor's protocol ID
- SGN35-013
- Status last verified
- Feb 2016
- First submitted
- 24 Oct 2011
- Last updated
- 4 Mar 2016
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Albany C, Einhorn L, Garbo L, Boyd T, Josephson N, Feldman DR. Treatment of CD30-Expressing Germ Cell Tumors and Sex Cord Stromal Tumors with Brentuximab Vedotin: Identification and Report of Seven Cases. Oncologist. 2018 Mar;23(3):316-323. doi: 10.1634/theoncologist.2017-0544. Epub 2017 Dec 8.
PubMed 29222199Borate U, Mehta A, Reddy V, Tsai M, Josephson N, Schnadig I. Treatment of CD30-positive systemic mastocytosis with brentuximab vedotin. Leuk Res. 2016 May;44:25-31. doi: 10.1016/j.leukres.2016.02.010. Epub 2016 Feb 27.
PubMed 26994848Giannatempo P, Paolini B, Miceli R, Raggi D, Nicolai N, Fare E, Catanzaro M, Biasoni D, Torelli T, Stagni S, Piva L, Mariani L, Salvioni R, Colecchia M, Gianni AM, Necchi A. Persistent CD30 expression by embryonal carcinoma in the treatment time course: prognostic significance of a worthwhile target for personalized treatment. J Urol. 2013 Nov;190(5):1919-24. doi: 10.1016/j.juro.2013.04.057. Epub 2013 Apr 25.
PubMed 23624209
Study at a glance
From the registry record, last updated by the sponsor on 4 Mar 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2, Open-label Study of Brentuximab Vedotin in Patients With CD30-positive Nonlymphomatous Malignancies
- ClinicalTrials.gov ID
- NCT01461538
- Acronym / sponsor ID
- SGN35-013
- Conditions
- Acute Lymphoid Leukemia, Acute Myeloid Leukemia, Anemia, Refractory, With Excess of Blasts, Solid Tumors
- Keywords
- Acute Lymphoid Leukemia, Myelodysplastic Syndrome, Acute Myeloid Leukemia, Solid Tumors, Anemia, Refractory, with Excess of Blasts, Antibodies, Monoclonal, Antibody-Drug Conjugate, Antigens, CD30
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 84 participants (actual)
- Lead sponsor
- Seagen Inc.Industry (pharma, biotech, devices)
- Study start
- Oct 2011
- Primary completion
- Dec 2014 (actual)
- Study completion
- Dec 2014 (actual)
- First posted
- 28 Oct 2011 (estimated)
- Results
- Posted 4 Mar 2016
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is an open-label, multicenter, phase 2 clinical trial to evaluate the antitumor activity of brentuximab vedotin as a single agent in patients with CD30-positive nonlymphomatous malignancies.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Brentuximab vedotin 1.8 mg/kg | Experimental | Drug: brentuximab vedotinBrentuximab vedotin 1.8 mg/kg every 3 weeks by IV infusion |
| Brentuximab vedotin 2.4 mg/kg | Experimental | Drug: brentuximab vedotinBrentuximab vedotin 2.4 mg/kg every 3 weeks by IV infusion |
| Brentuximab vedotin 1.2 mg/kg | Experimental | Drug: brentuximab vedotinBrentuximab vedotin 1.2 mg/kg weekly, 3 out of 4 weeks, by IV infusion |
Who may qualify
- Ages
- 6 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (4 listed)
- Histologically-confirmed by central review CD30-positive nonlymphomatous malignancy
- Have failed, refused, or have been deemed ineligible for standard therapy
- Measurable disease
- Eastern Cooperative Oncology Group (ECOG) Performance Status score of 0 or 1 or a Karnofsky or Lansky Performance Status score greater than or equal to 70
Key exclusion criteria (3 listed)
- Primary diagnosis of lymphoma or central nervous system (CNS) malignancy
- History of another primary invasive malignancy that has not been definitively treated or in remission for at least 3 years
- Evidence of active cerebral/meningeal disease
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| brentuximab vedotinAlso: Adcetris; SGN-351.8 mg/kg every 3 weeks by intravenous (IV) infusion | Drug | Brentuximab vedotin 1.8 mg/kg |
| brentuximab vedotinAlso: Adcetris; SGN-352.4 mg/kg every 3 weeks by intravenous (IV) infusion | Drug | Brentuximab vedotin 2.4 mg/kg |
| brentuximab vedotinAlso: Adcetris; SGN-351.2 mg/kg weekly, 3 out of 4 weeks, by intravenous (IV) infusion | Drug | Brentuximab vedotin 1.2 mg/kg |
Primary outcome
Objective Response Rate (ORR) by Investigator
Time frame: Up to approximately 3 years
Percentage of participants who achieved a best response of complete response/remission (CR), CR without hematologic recovery (CRi; leukemia only), or partial remission (PR) per the applicable response criteria. Response criteria for solid tumors (by radiographic tumor imaging) per Response Evaluation Criteria for Solid Tumors (RECIST) 1.1 (Eisenhauer 2009); response criteria for leukemia (by peripheral blood and bone marrow aspirate or biopsy) per International Working Group (Cheson 2003).
11 secondary outcomes
Complete Remission (CR) Rate by Investigator
Time frame: Up to approximately 3 years
Duration of Objective Response by Kaplan-Meier Analysis
Time frame: Up to approximately 2 years
Duration of Complete Response by Kaplan-Meier Analysis
Time frame: Up to approximately 2 years
Progression-Free Survival by Kaplan-Meier Analysis
Time frame: Up to approximately 2 years
Adverse Events by Severity, Seriousness, and Relationship to Treatment
Time frame: Up to approximately 3 years
Laboratory Abnormalities >/= Grade 3
Time frame: Up to approximately 3 years
Brentuximab Vedotin Antibody-Drug Conjugate (ADC) Concentration at End of Infusion (Ceoi)
Time frame: Up to approximately 3 years
Brentuximab Vedotin Antibody-Drug Conjugate (ADC) Trough Concentration (Ctrough)
Time frame: Up to approximately 3 years
Maximum Concentration (Cmax) of Brentuximab Vedotin Monomethyl Auristatin E (MMAE)
Time frame: Up to approximately 3 years
Brentuximab Vedotin Monomethyl Auristatin E (MMAE) Trough Concentration (Ctrough)
Time frame: Up to approximately 3 years
Incidence of Anti-therapeutic Antibodies (ATA)
Time frame: Up to approximately 3 years
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Mar 2016.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 29222199Albany C, Einhorn L, Garbo L, Boyd T, Josephson N, Feldman DR. Treatment of CD30-Expressing Germ Cell Tumors and Sex Cord Stromal Tumors with Brentuximab Vedotin: Identification and Report of Seven Cases. Oncologist. 2018 Mar;23(3):316-323. doi: 10.1634/theoncologist.2017-0544. Epub 2017 Dec 8.
- Derived from this study: PubMed 26994848Borate U, Mehta A, Reddy V, Tsai M, Josephson N, Schnadig I. Treatment of CD30-positive systemic mastocytosis with brentuximab vedotin. Leuk Res. 2016 May;44:25-31. doi: 10.1016/j.leukres.2016.02.010. Epub 2016 Feb 27.
- Derived from this study: PubMed 23624209Giannatempo P, Paolini B, Miceli R, Raggi D, Nicolai N, Fare E, Catanzaro M, Biasoni D, Torelli T, Stagni S, Piva L, Mariani L, Salvioni R, Colecchia M, Gianni AM, Necchi A. Persistent CD30 expression by embryonal carcinoma in the treatment time course: prognostic significance of a worthwhile target for personalized treatment. J Urol. 2013 Nov;190(5):1919-24. doi: 10.1016/j.juro.2013.04.057. Epub 2013 Apr 25.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Neil Josephson, MD study director
Seagen Inc.
29 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing brentuximab vedotin in people with Acute Lymphoid Leukemia and Acute Myeloid Leukemia, run by Seagen Inc. at 29 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 4 Mar 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 29 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 4 Mar 2016). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Objective Response Rate (ORR) by Investigator (time frame: Up to approximately 3 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01461538, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Mar 2016.