Trial Outcomes & Findings for CMC-544 in Relapsed Refractory Acute Lymphoblastic Leukemia (ALL) (NCT NCT01134575)

NCT ID: NCT01134575

Last Updated: 2024-07-16

Results Overview

Primary endpoint for efficacy is response which is defined as: Complete Remission (CR), Complete Remission without recovery of counts (CRi) or Partial Remission (PR). Complete remission (CR): Disappearance of all clinical and/or radiologic evidence of disease. Neutrophil count \> 1.0 x109/L, platelet count \>100x109/L, and normal marrow differential (\< 5% blasts). 8.2 Complete remission without recovery of counts (CRi): Peripheral blood and marrow results as for CR, but with incomplete recover of counts (platelets \< 100 x 109/L; neutrophils \< 1 x 109/L). Partial remission (PR): Peripheral blood count recovery as for CR, but with decrease in marrow blasts of \> 50% and not more than 25% abnormal cells in the marrow.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

90 participants

Primary outcome timeframe

After cycle 2, for up to 8 cycles

Results posted on

2024-07-16

Participant Flow

Recruitment period: June 2010 to October 2012

Participant milestones

Participant milestones
Measure
Period 1: CMC-544 (Inotuzumab Ozogamycin) 1.3mg/m^2
First patients \> 16 years and \< 16 years receive CMC-544 (Inotuzumab Ozogamycin) at a dose of 1.3 mg/m\^2 by vein (IV) over 1 hour during Course 1, and 1.8 mg/m\^2 IV over 1 hour during Course 2 and subsequently. In all other patients beginning dose of 1.8 mg/m\^2 IV over 1 hour every 4 week cycle. With no improvement after 2 courses of CMC-544, addition of Rituximab dose 375 mg/m\^2 IV (by vein) over 2-6 hours every 3-4 weeks. CMC-544 (Inotuzumab Ozogamycin): First patients \> 16 years and \< 16 years receive CMC-544 at a dose of 1.3 mg/m\^2 by vein (IV) over 1 hour during Course 1, and 1.8 mg/m\^2 IV over 1 hour during Course 2 and subsequently. In all other patients beginning dose of 1.8 mg/m\^2 IV over 1 hour every 4 week cycle. Rituximab: With no improvement after 2 courses of CMC-544, addition of Rituximab dose 375 mg/m\^2 IV (by vein) over 2-6 hours every 3-4 weeks.
Period 2: CMC-544 (Inotuzumab Ozogamycin) 1.8mg/m^2
First patients \> 16 years and \< 16 years receive CMC-544 (Inotuzumab Ozogamycin) at a dose of 1.3 mg/m\^2 by vein (IV) over 1 hour during Course 1, and 1.8 mg/m\^2 IV over 1 hour during Course 2 and subsequently. In all other patients beginning dose of 1.8 mg/m\^2 IV over 1 hour every 4 week cycle. With no improvement after 2 courses of CMC-544, addition of Rituximab dose 375 mg/m\^2 IV (by vein) over 2-6 hours every 3-4 weeks. CMC-544 (Inotuzumab Ozogamycin): First patients \> 16 years and \< 16 years receive CMC-544 at a dose of 1.3 mg/m\^2 by vein (IV) over 1 hour during Course 1, and 1.8 mg/m\^2 IV over 1 hour during Course 2 and subsequently. In all other patients beginning dose of 1.8 mg/m\^2 IV over 1 hour every 4 week cycle. Rituximab: With no improvement after 2 courses of CMC-544, addition of Rituximab dose 375 mg/m\^2 IV (by vein) over 2-6 hours every 3-4 weeks.
Period 3: Weekly CMC-544 (Inotuzumab Ozogamycin)
CMC-544 (Inotuzumab Ozogamycin) 0.8 mg/m\^2 IV over 1 hour (+ 15 minutes) on Day 1, 0.5 mg/m\^2 IV over 1 hour (+ 15 minutes) on Day 8, and 0.5 mg/m\^2 IV over 1 hour (+ 15 minutes) on Day 15. Weekly doses can be given at + 1 day. Course may be repeated every 3 weeks. Rituximab will be given on Day 1 and CMC-544 on Day 2 of the first dose; with subsequent weekly doses, both will be given weekly, rituximab preceding CMC-544. The weekly dose of rituximab will be 375 mg/m2. CMC-544 (Inotuzumab Ozogamycin): First patients \> 16 years and \< 16 years receive CMC-544 at a dose of 1.3 mg/m\^2 by vein (IV) over 1 hour during Course 1, and 1.8 mg/m\^2 IV over 1 hour during Course 2 and subsequently. In all other patients beginning dose of 1.8 mg/m\^2 IV over 1 hour every 4 week cycle. Rituximab: With no improvement after 2 courses of CMC-544, addition of Rituximab dose 375 mg/m\^2 IV (by vein) over 2-6 hours every 3-4 weeks.
Overall Study
STARTED
3
45
42
Overall Study
COMPLETED
3
45
42
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

CMC-544 in Relapsed Refractory Acute Lymphoblastic Leukemia (ALL)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Period 1: CMC-544 (Inotuzumab Ozogamycin) 1.3mg/m^2
n=3 Participants
First patients \> 16 years and \< 16 years receive CMC-544 (Inotuzumab Ozogamycin) at a dose of 1.3 mg/m\^2 by vein (IV) over 1 hour during Course 1, and 1.8 mg/m\^2 IV over 1 hour during Course 2 and subsequently. In all other patients beginning dose of 1.8 mg/m\^2 IV over 1 hour every 4 week cycle. With no improvement after 2 courses of CMC-544, addition of Rituximab dose 375 mg/m\^2 IV (by vein) over 2-6 hours every 3-4 weeks. CMC-544 (Inotuzumab Ozogamycin): First patients \> 16 years and \< 16 years receive CMC-544 at a dose of 1.3 mg/m\^2 by vein (IV) over 1 hour during Course 1, and 1.8 mg/m\^2 IV over 1 hour during Course 2 and subsequently. In all other patients beginning dose of 1.8 mg/m\^2 IV over 1 hour every 4 week cycle. Rituximab: With no improvement after 2 courses of CMC-544, addition of Rituximab dose 375 mg/m\^2 IV (by vein) over 2-6 hours every 3-4 weeks.
Period 2: CMC-544 (Inotuzumab Ozogamycin) 1.8mg/m^2
n=45 Participants
First patients \> 16 years and \< 16 years receive CMC-544 (Inotuzumab Ozogamycin) at a dose of 1.3 mg/m\^2 by vein (IV) over 1 hour during Course 1, and 1.8 mg/m\^2 IV over 1 hour during Course 2 and subsequently. In all other patients beginning dose of 1.8 mg/m\^2 IV over 1 hour every 4 week cycle. With no improvement after 2 courses of CMC-544, addition of Rituximab dose 375 mg/m\^2 IV (by vein) over 2-6 hours every 3-4 weeks. CMC-544 (Inotuzumab Ozogamycin): First patients \> 16 years and \< 16 years receive CMC-544 at a dose of 1.3 mg/m\^2 by vein (IV) over 1 hour during Course 1, and 1.8 mg/m\^2 IV over 1 hour during Course 2 and subsequently. In all other patients beginning dose of 1.8 mg/m\^2 IV over 1 hour every 4 week cycle. Rituximab: With no improvement after 2 courses of CMC-544, addition of Rituximab dose 375 mg/m\^2 IV (by vein) over 2-6 hours every 3-4 weeks.
Period 3: Weekly CMC-544 (Inotuzumab Ozogamycin)
n=42 Participants
CMC-544 (Inotuzumab Ozogamycin) 0.8 mg/m\^2 IV over 1 hour (+ 15 minutes) on Day 1, 0.5 mg/m\^2 IV over 1 hour (+ 15 minutes) on Day 8, and 0.5 mg/m\^2 IV over 1 hour (+ 15 minutes) on Day 15. Weekly doses can be given at + 1 day. Course may be repeated every 3 weeks. Rituximab will be given on Day 1 and CMC-544 on Day 2 of the first dose; with subsequent weekly doses, both will be given weekly, rituximab preceding CMC-544. The weekly dose of rituximab will be 375 mg/m2. CMC-544 (Inotuzumab Ozogamycin): First patients \> 16 years and \< 16 years receive CMC-544 at a dose of 1.3 mg/m\^2 by vein (IV) over 1 hour during Course 1, and 1.8 mg/m\^2 IV over 1 hour during Course 2 and subsequently. In all other patients beginning dose of 1.8 mg/m\^2 IV over 1 hour every 4 week cycle. Rituximab: With no improvement after 2 courses of CMC-544, addition of Rituximab dose 375 mg/m\^2 IV (by vein) over 2-6 hours every 3-4 weeks.
Total
n=90 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
3 Participants
n=7 Participants
2 Participants
n=5 Participants
5 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
2 Participants
n=5 Participants
33 Participants
n=7 Participants
30 Participants
n=5 Participants
65 Participants
n=4 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
9 Participants
n=7 Participants
10 Participants
n=5 Participants
20 Participants
n=4 Participants
Age, Continuous
32 years
n=5 Participants
38 years
n=7 Participants
51 years
n=5 Participants
40 years
n=4 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
24 Participants
n=7 Participants
15 Participants
n=5 Participants
39 Participants
n=4 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
21 Participants
n=7 Participants
27 Participants
n=5 Participants
51 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
5 Participants
n=7 Participants
2 Participants
n=5 Participants
7 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
3 Participants
n=7 Participants
2 Participants
n=5 Participants
5 Participants
n=4 Participants
Race (NIH/OMB)
White
3 Participants
n=5 Participants
33 Participants
n=7 Participants
35 Participants
n=5 Participants
71 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
4 Participants
n=7 Participants
3 Participants
n=5 Participants
7 Participants
n=4 Participants
Region of Enrollment
United States
3 participants
n=5 Participants
45 participants
n=7 Participants
42 participants
n=5 Participants
90 participants
n=4 Participants

PRIMARY outcome

Timeframe: After cycle 2, for up to 8 cycles

Primary endpoint for efficacy is response which is defined as: Complete Remission (CR), Complete Remission without recovery of counts (CRi) or Partial Remission (PR). Complete remission (CR): Disappearance of all clinical and/or radiologic evidence of disease. Neutrophil count \> 1.0 x109/L, platelet count \>100x109/L, and normal marrow differential (\< 5% blasts). 8.2 Complete remission without recovery of counts (CRi): Peripheral blood and marrow results as for CR, but with incomplete recover of counts (platelets \< 100 x 109/L; neutrophils \< 1 x 109/L). Partial remission (PR): Peripheral blood count recovery as for CR, but with decrease in marrow blasts of \> 50% and not more than 25% abnormal cells in the marrow.

Outcome measures

Outcome measures
Measure
Period 1: CMC-544 (Inotuzumab Ozogamycin) 1.3mg/m^2
n=3 Participants
First patients \> 16 years and \< 16 years receive CMC-544 (Inotuzumab Ozogamycin) at a dose of 1.3 mg/m\^2 by vein (IV) over 1 hour during Course 1, and 1.8 mg/m\^2 IV over 1 hour during Course 2 and subsequently. In all other patients beginning dose of 1.8 mg/m\^2 IV over 1 hour every 4 week cycle. With no improvement after 2 courses of CMC-544, addition of Rituximab dose 375 mg/m\^2 IV (by vein) over 2-6 hours every 3-4 weeks. CMC-544 (Inotuzumab Ozogamycin): First patients \> 16 years and \< 16 years receive CMC-544 at a dose of 1.3 mg/m\^2 by vein (IV) over 1 hour during Course 1, and 1.8 mg/m\^2 IV over 1 hour during Course 2 and subsequently. In all other patients beginning dose of 1.8 mg/m\^2 IV over 1 hour every 4 week cycle. Rituximab: With no improvement after 2 courses of CMC-544, addition of Rituximab dose 375 mg/m\^2 IV (by vein) over 2-6 hours every 3-4 weeks.
Period 2: CMC-544 (Inotuzumab Ozogamycin) 1.8mg/m^2
n=45 Participants
First patients \> 16 years and \< 16 years receive CMC-544 (Inotuzumab Ozogamycin) at a dose of 1.3 mg/m\^2 by vein (IV) over 1 hour during Course 1, and 1.8 mg/m\^2 IV over 1 hour during Course 2 and subsequently. In all other patients beginning dose of 1.8 mg/m\^2 IV over 1 hour every 4 week cycle. With no improvement after 2 courses of CMC-544, addition of Rituximab dose 375 mg/m\^2 IV (by vein) over 2-6 hours every 3-4 weeks. CMC-544 (Inotuzumab Ozogamycin): First patients \> 16 years and \< 16 years receive CMC-544 at a dose of 1.3 mg/m\^2 by vein (IV) over 1 hour during Course 1, and 1.8 mg/m\^2 IV over 1 hour during Course 2 and subsequently. In all other patients beginning dose of 1.8 mg/m\^2 IV over 1 hour every 4 week cycle. Rituximab: With no improvement after 2 courses of CMC-544, addition of Rituximab dose 375 mg/m\^2 IV (by vein) over 2-6 hours every 3-4 weeks.
Period 3: Weekly CMC-544 (Inotuzumab Ozogamycin)
n=42 Participants
CMC-544 (Inotuzumab Ozogamycin) 0.8 mg/m\^2 IV over 1 hour (+ 15 minutes) on Day 1, 0.5 mg/m\^2 IV over 1 hour (+ 15 minutes) on Day 8, and 0.5 mg/m\^2 IV over 1 hour (+ 15 minutes) on Day 15. Weekly doses can be given at + 1 day. Course may be repeated every 3 weeks. Rituximab will be given on Day 1 and CMC-544 on Day 2 of the first dose; with subsequent weekly doses, both will be given weekly, rituximab preceding CMC-544. The weekly dose of rituximab will be 375 mg/m2. CMC-544 (Inotuzumab Ozogamycin): First patients \> 16 years and \< 16 years receive CMC-544 at a dose of 1.3 mg/m\^2 by vein (IV) over 1 hour during Course 1, and 1.8 mg/m\^2 IV over 1 hour during Course 2 and subsequently. In all other patients beginning dose of 1.8 mg/m\^2 IV over 1 hour every 4 week cycle. Rituximab: With no improvement after 2 courses of CMC-544, addition of Rituximab dose 375 mg/m\^2 IV (by vein) over 2-6 hours every 3-4 weeks.
Number of Patients With Response
3 Participants
25 Participants
24 Participants

Adverse Events

Period 1: CMC-544 (Inotuzumab Ozogamycin) 1.3mg/m^2

Serious events: 2 serious events
Other events: 3 other events
Deaths: 1 deaths

Period 2: CMC-544 (Inotuzumab Ozogamycin) 1.8mg/m^2

Serious events: 26 serious events
Other events: 29 other events
Deaths: 2 deaths

Period 3: Weekly CMC-544 (Inotuzumab Ozogamycin)

Serious events: 10 serious events
Other events: 28 other events
Deaths: 5 deaths

Serious adverse events

Serious adverse events
Measure
Period 1: CMC-544 (Inotuzumab Ozogamycin) 1.3mg/m^2
n=3 participants at risk
First patients \> 16 years and \< 16 years receive CMC-544 (Inotuzumab Ozogamycin) at a dose of 1.3 mg/m\^2 by vein (IV) over 1 hour during Course 1, and 1.8 mg/m\^2 IV over 1 hour during Course 2 and subsequently. In all other patients beginning dose of 1.8 mg/m\^2 IV over 1 hour every 4 week cycle. With no improvement after 2 courses of CMC-544, addition of Rituximab dose 375 mg/m\^2 IV (by vein) over 2-6 hours every 3-4 weeks. CMC-544 (Inotuzumab Ozogamycin): First patients \> 16 years and \< 16 years receive CMC-544 at a dose of 1.3 mg/m\^2 by vein (IV) over 1 hour during Course 1, and 1.8 mg/m\^2 IV over 1 hour during Course 2 and subsequently. In all other patients beginning dose of 1.8 mg/m\^2 IV over 1 hour every 4 week cycle. Rituximab: With no improvement after 2 courses of CMC-544, addition of Rituximab dose 375 mg/m\^2 IV (by vein) over 2-6 hours every 3-4 weeks.
Period 2: CMC-544 (Inotuzumab Ozogamycin) 1.8mg/m^2
n=45 participants at risk
First patients \> 16 years and \< 16 years receive CMC-544 (Inotuzumab Ozogamycin) at a dose of 1.3 mg/m\^2 by vein (IV) over 1 hour during Course 1, and 1.8 mg/m\^2 IV over 1 hour during Course 2 and subsequently. In all other patients beginning dose of 1.8 mg/m\^2 IV over 1 hour every 4 week cycle. With no improvement after 2 courses of CMC-544, addition of Rituximab dose 375 mg/m\^2 IV (by vein) over 2-6 hours every 3-4 weeks. CMC-544 (Inotuzumab Ozogamycin): First patients \> 16 years and \< 16 years receive CMC-544 at a dose of 1.3 mg/m\^2 by vein (IV) over 1 hour during Course 1, and 1.8 mg/m\^2 IV over 1 hour during Course 2 and subsequently. In all other patients beginning dose of 1.8 mg/m\^2 IV over 1 hour every 4 week cycle. Rituximab: With no improvement after 2 courses of CMC-544, addition of Rituximab dose 375 mg/m\^2 IV (by vein) over 2-6 hours every 3-4 weeks.
Period 3: Weekly CMC-544 (Inotuzumab Ozogamycin)
n=42 participants at risk
CMC-544 (Inotuzumab Ozogamycin) 0.8 mg/m\^2 IV over 1 hour (+ 15 minutes) on Day 1, 0.5 mg/m\^2 IV over 1 hour (+ 15 minutes) on Day 8, and 0.5 mg/m\^2 IV over 1 hour (+ 15 minutes) on Day 15. Weekly doses can be given at + 1 day. Course may be repeated every 3 weeks. Rituximab will be given on Day 1 and CMC-544 on Day 2 of the first dose; with subsequent weekly doses, both will be given weekly, rituximab preceding CMC-544. The weekly dose of rituximab will be 375 mg/m2. CMC-544 (Inotuzumab Ozogamycin): First patients \> 16 years and \< 16 years receive CMC-544 at a dose of 1.3 mg/m\^2 by vein (IV) over 1 hour during Course 1, and 1.8 mg/m\^2 IV over 1 hour during Course 2 and subsequently. In all other patients beginning dose of 1.8 mg/m\^2 IV over 1 hour every 4 week cycle. Rituximab: With no improvement after 2 courses of CMC-544, addition of Rituximab dose 375 mg/m\^2 IV (by vein) over 2-6 hours every 3-4 weeks.
General disorders
Abdominal Pain
0.00%
0/3 • Up to two years
2.2%
1/45 • Number of events 1 • Up to two years
2.4%
1/42 • Number of events 1 • Up to two years
Immune system disorders
Allergic Reaction
0.00%
0/3 • Up to two years
4.4%
2/45 • Number of events 2 • Up to two years
0.00%
0/42 • Up to two years
General disorders
Bilateral Extremity Pain
33.3%
1/3 • Number of events 1 • Up to two years
0.00%
0/45 • Up to two years
0.00%
0/42 • Up to two years
General disorders
Bone Pain
0.00%
0/3 • Up to two years
2.2%
1/45 • Number of events 1 • Up to two years
0.00%
0/42 • Up to two years
General disorders
Chest Pain
33.3%
1/3 • Number of events 1 • Up to two years
2.2%
1/45 • Number of events 1 • Up to two years
0.00%
0/42 • Up to two years
Vascular disorders
Deep Vein Thrombosis
0.00%
0/3 • Up to two years
0.00%
0/45 • Up to two years
2.4%
1/42 • Number of events 1 • Up to two years
Gastrointestinal disorders
Dehydration
0.00%
0/3 • Up to two years
4.4%
2/45 • Number of events 2 • Up to two years
0.00%
0/42 • Up to two years
Gastrointestinal disorders
Diarrhea
0.00%
0/3 • Up to two years
2.2%
1/45 • Number of events 1 • Up to two years
0.00%
0/42 • Up to two years
Gastrointestinal disorders
Failure to Thrive
0.00%
0/3 • Up to two years
2.2%
1/45 • Number of events 1 • Up to two years
0.00%
0/42 • Up to two years
General disorders
Fever
33.3%
1/3 • Number of events 1 • Up to two years
4.4%
2/45 • Number of events 2 • Up to two years
0.00%
0/42 • Up to two years
General disorders
Headache
0.00%
0/3 • Up to two years
0.00%
0/45 • Up to two years
2.4%
1/42 • Number of events 1 • Up to two years
Nervous system disorders
Hemorrhage CNS
0.00%
0/3 • Up to two years
2.2%
1/45 • Number of events 1 • Up to two years
0.00%
0/42 • Up to two years
Cardiac disorders
Hypotension
0.00%
0/3 • Up to two years
2.2%
1/45 • Number of events 1 • Up to two years
0.00%
0/42 • Up to two years
Infections and infestations
Infection
0.00%
0/3 • Up to two years
4.4%
2/45 • Number of events 2 • Up to two years
0.00%
0/42 • Up to two years
Surgical and medical procedures
Laparoscopic Cholecystectomy
0.00%
0/3 • Up to two years
2.2%
1/45 • Number of events 1 • Up to two years
0.00%
0/42 • Up to two years
General disorders
Leukemic CNS Involvement
0.00%
0/3 • Up to two years
2.2%
1/45 • Number of events 1 • Up to two years
0.00%
0/42 • Up to two years
Gastrointestinal disorders
Nausea/Vomiting
0.00%
0/3 • Up to two years
2.2%
1/45 • Number of events 1 • Up to two years
2.4%
1/42 • Number of events 1 • Up to two years
Infections and infestations
Neutropenic Fever
66.7%
2/3 • Number of events 2 • Up to two years
33.3%
15/45 • Number of events 18 • Up to two years
14.3%
6/42 • Number of events 9 • Up to two years
Metabolism and nutrition disorders
Tumor Lysis Syndrome
0.00%
0/3 • Up to two years
2.2%
1/45 • Number of events 2 • Up to two years
0.00%
0/42 • Up to two years
Infections and infestations
Pneumonia
33.3%
1/3 • Number of events 1 • Up to two years
13.3%
6/45 • Number of events 6 • Up to two years
9.5%
4/42 • Number of events 5 • Up to two years
Infections and infestations
Bactremia
0.00%
0/3 • Up to two years
2.2%
1/45 • Number of events 1 • Up to two years
0.00%
0/42 • Up to two years
Infections and infestations
Urinary Tract Infection
0.00%
0/3 • Up to two years
2.2%
1/45 • Number of events 1 • Up to two years
4.8%
2/42 • Number of events 3 • Up to two years
Infections and infestations
Cellulitis
0.00%
0/3 • Up to two years
0.00%
0/45 • Up to two years
2.4%
1/42 • Number of events 1 • Up to two years
Respiratory, thoracic and mediastinal disorders
Respiratory Syncytial Virus
0.00%
0/3 • Up to two years
0.00%
0/45 • Up to two years
2.4%
1/42 • Number of events 1 • Up to two years

Other adverse events

Other adverse events
Measure
Period 1: CMC-544 (Inotuzumab Ozogamycin) 1.3mg/m^2
n=3 participants at risk
First patients \> 16 years and \< 16 years receive CMC-544 (Inotuzumab Ozogamycin) at a dose of 1.3 mg/m\^2 by vein (IV) over 1 hour during Course 1, and 1.8 mg/m\^2 IV over 1 hour during Course 2 and subsequently. In all other patients beginning dose of 1.8 mg/m\^2 IV over 1 hour every 4 week cycle. With no improvement after 2 courses of CMC-544, addition of Rituximab dose 375 mg/m\^2 IV (by vein) over 2-6 hours every 3-4 weeks. CMC-544 (Inotuzumab Ozogamycin): First patients \> 16 years and \< 16 years receive CMC-544 at a dose of 1.3 mg/m\^2 by vein (IV) over 1 hour during Course 1, and 1.8 mg/m\^2 IV over 1 hour during Course 2 and subsequently. In all other patients beginning dose of 1.8 mg/m\^2 IV over 1 hour every 4 week cycle. Rituximab: With no improvement after 2 courses of CMC-544, addition of Rituximab dose 375 mg/m\^2 IV (by vein) over 2-6 hours every 3-4 weeks.
Period 2: CMC-544 (Inotuzumab Ozogamycin) 1.8mg/m^2
n=45 participants at risk
First patients \> 16 years and \< 16 years receive CMC-544 (Inotuzumab Ozogamycin) at a dose of 1.3 mg/m\^2 by vein (IV) over 1 hour during Course 1, and 1.8 mg/m\^2 IV over 1 hour during Course 2 and subsequently. In all other patients beginning dose of 1.8 mg/m\^2 IV over 1 hour every 4 week cycle. With no improvement after 2 courses of CMC-544, addition of Rituximab dose 375 mg/m\^2 IV (by vein) over 2-6 hours every 3-4 weeks. CMC-544 (Inotuzumab Ozogamycin): First patients \> 16 years and \< 16 years receive CMC-544 at a dose of 1.3 mg/m\^2 by vein (IV) over 1 hour during Course 1, and 1.8 mg/m\^2 IV over 1 hour during Course 2 and subsequently. In all other patients beginning dose of 1.8 mg/m\^2 IV over 1 hour every 4 week cycle. Rituximab: With no improvement after 2 courses of CMC-544, addition of Rituximab dose 375 mg/m\^2 IV (by vein) over 2-6 hours every 3-4 weeks.
Period 3: Weekly CMC-544 (Inotuzumab Ozogamycin)
n=42 participants at risk
CMC-544 (Inotuzumab Ozogamycin) 0.8 mg/m\^2 IV over 1 hour (+ 15 minutes) on Day 1, 0.5 mg/m\^2 IV over 1 hour (+ 15 minutes) on Day 8, and 0.5 mg/m\^2 IV over 1 hour (+ 15 minutes) on Day 15. Weekly doses can be given at + 1 day. Course may be repeated every 3 weeks. Rituximab will be given on Day 1 and CMC-544 on Day 2 of the first dose; with subsequent weekly doses, both will be given weekly, rituximab preceding CMC-544. The weekly dose of rituximab will be 375 mg/m2. CMC-544 (Inotuzumab Ozogamycin): First patients \> 16 years and \< 16 years receive CMC-544 at a dose of 1.3 mg/m\^2 by vein (IV) over 1 hour during Course 1, and 1.8 mg/m\^2 IV over 1 hour during Course 2 and subsequently. In all other patients beginning dose of 1.8 mg/m\^2 IV over 1 hour every 4 week cycle. Rituximab: With no improvement after 2 courses of CMC-544, addition of Rituximab dose 375 mg/m\^2 IV (by vein) over 2-6 hours every 3-4 weeks.
Gastrointestinal disorders
Abdominal Distension
0.00%
0/3 • Up to two years
6.7%
3/45 • Number of events 3 • Up to two years
0.00%
0/42 • Up to two years
General disorders
Abdominal Pain
33.3%
1/3 • Number of events 1 • Up to two years
20.0%
9/45 • Number of events 9 • Up to two years
14.3%
6/42 • Number of events 6 • Up to two years
Psychiatric disorders
Agitation
0.00%
0/3 • Up to two years
2.2%
1/45 • Number of events 1 • Up to two years
4.8%
2/42 • Number of events 2 • Up to two years
Gastrointestinal disorders
Anorexia
33.3%
1/3 • Number of events 1 • Up to two years
2.2%
1/45 • Number of events 1 • Up to two years
4.8%
2/42 • Number of events 2 • Up to two years
Psychiatric disorders
Anxiety
0.00%
0/3 • Up to two years
11.1%
5/45 • Number of events 5 • Up to two years
2.4%
1/42 • Number of events 1 • Up to two years
Musculoskeletal and connective tissue disorders
Arthritis
0.00%
0/3 • Up to two years
0.00%
0/45 • Up to two years
4.8%
2/42 • Number of events 2 • Up to two years
General disorders
Back Pain
0.00%
0/3 • Up to two years
24.4%
11/45 • Number of events 12 • Up to two years
4.8%
2/42 • Number of events 2 • Up to two years
Metabolism and nutrition disorders
Increased Bilirubin
0.00%
0/3 • Up to two years
11.1%
5/45 • Number of events 9 • Up to two years
7.1%
3/42 • Number of events 3 • Up to two years
Metabolism and nutrition disorders
Blood Glucose Increased
33.3%
1/3 • Number of events 1 • Up to two years
8.9%
4/45 • Number of events 6 • Up to two years
2.4%
1/42 • Number of events 1 • Up to two years
Musculoskeletal and connective tissue disorders
Bone Pain
0.00%
0/3 • Up to two years
13.3%
6/45 • Number of events 7 • Up to two years
2.4%
1/42 • Number of events 1 • Up to two years
Cardiac disorders
Cardiac Arrhythmia
33.3%
1/3 • Number of events 1 • Up to two years
0.00%
0/45 • Up to two years
0.00%
0/42 • Up to two years
Eye disorders
Cataract
0.00%
0/3 • Up to two years
6.7%
3/45 • Number of events 3 • Up to two years
0.00%
0/42 • Up to two years
Cardiac disorders
Chest Pain
33.3%
1/3 • Number of events 1 • Up to two years
13.3%
6/45 • Number of events 6 • Up to two years
2.4%
1/42 • Number of events 1 • Up to two years
General disorders
Chills
33.3%
1/3 • Number of events 1 • Up to two years
22.2%
10/45 • Number of events 12 • Up to two years
2.4%
1/42 • Number of events 1 • Up to two years
Nervous system disorders
Confusion
0.00%
0/3 • Up to two years
2.2%
1/45 • Number of events 1 • Up to two years
4.8%
2/42 • Number of events 2 • Up to two years
Gastrointestinal disorders
Constipation
0.00%
0/3 • Up to two years
13.3%
6/45 • Number of events 7 • Up to two years
16.7%
7/42 • Number of events 7 • Up to two years
Respiratory, thoracic and mediastinal disorders
Cough
0.00%
0/3 • Up to two years
15.6%
7/45 • Number of events 7 • Up to two years
2.4%
1/42 • Number of events 1 • Up to two years
Metabolism and nutrition disorders
Creatinine Increased
0.00%
0/3 • Up to two years
2.2%
1/45 • Number of events 1 • Up to two years
9.5%
4/42 • Number of events 4 • Up to two years
Gastrointestinal disorders
Dehydration
0.00%
0/3 • Up to two years
6.7%
3/45 • Number of events 5 • Up to two years
2.4%
1/42 • Number of events 1 • Up to two years
Psychiatric disorders
Depression
0.00%
0/3 • Up to two years
2.2%
1/45 • Number of events 1 • Up to two years
7.1%
3/42 • Number of events 3 • Up to two years
Skin and subcutaneous tissue disorders
Dermatology/Skin
0.00%
0/3 • Up to two years
8.9%
4/45 • Number of events 6 • Up to two years
14.3%
6/42 • Number of events 7 • Up to two years
Gastrointestinal disorders
Diarrhea
66.7%
2/3 • Number of events 2 • Up to two years
20.0%
9/45 • Number of events 10 • Up to two years
9.5%
4/42 • Number of events 4 • Up to two years
Nervous system disorders
Dizziness
66.7%
2/3 • Number of events 2 • Up to two years
8.9%
4/45 • Number of events 5 • Up to two years
2.4%
1/42 • Number of events 1 • Up to two years
Eye disorders
Dry Eye Syndrome
0.00%
0/3 • Up to two years
6.7%
3/45 • Number of events 3 • Up to two years
0.00%
0/42 • Up to two years
Respiratory, thoracic and mediastinal disorders
Dyspnea
33.3%
1/3 • Number of events 2 • Up to two years
20.0%
9/45 • Number of events 10 • Up to two years
2.4%
1/42 • Number of events 1 • Up to two years
General disorders
Edema Limbs
0.00%
0/3 • Up to two years
20.0%
9/45 • Number of events 14 • Up to two years
14.3%
6/42 • Number of events 6 • Up to two years
General disorders
Fatigue
33.3%
1/3 • Number of events 1 • Up to two years
8.9%
4/45 • Number of events 7 • Up to two years
4.8%
2/42 • Number of events 2 • Up to two years
Infections and infestations
Febrile Neutropenia
0.00%
0/3 • Up to two years
22.2%
10/45 • Number of events 16 • Up to two years
7.1%
3/42 • Number of events 3 • Up to two years
Gastrointestinal disorders
Fecal Incontinence
0.00%
0/3 • Up to two years
0.00%
0/45 • Up to two years
4.8%
2/42 • Number of events 2 • Up to two years
General disorders
Fever
0.00%
0/3 • Up to two years
33.3%
15/45 • Number of events 22 • Up to two years
2.4%
1/42 • Number of events 1 • Up to two years
Gastrointestinal disorders
Gastrointestianl Other
0.00%
0/3 • Up to two years
8.9%
4/45 • Number of events 5 • Up to two years
4.8%
2/42 • Number of events 2 • Up to two years
General disorders
Headache
0.00%
0/3 • Up to two years
33.3%
15/45 • Number of events 18 • Up to two years
9.5%
4/42 • Number of events 4 • Up to two years
Ear and labyrinth disorders
Hearing Loss
0.00%
0/3 • Up to two years
0.00%
0/45 • Up to two years
4.8%
2/42 • Number of events 2 • Up to two years
Blood and lymphatic system disorders
Hematoma
33.3%
1/3 • Number of events 3 • Up to two years
4.4%
2/45 • Number of events 2 • Up to two years
4.8%
2/42 • Number of events 2 • Up to two years
Blood and lymphatic system disorders
Hemoglobin decreased
0.00%
0/3 • Up to two years
6.7%
3/45 • Number of events 3 • Up to two years
0.00%
0/42 • Up to two years
Blood and lymphatic system disorders
Hemorrhage/Bleeding
0.00%
0/3 • Up to two years
11.1%
5/45 • Number of events 5 • Up to two years
11.9%
5/42 • Number of events 5 • Up to two years
Gastrointestinal disorders
Hemorrhoids
0.00%
0/3 • Up to two years
4.4%
2/45 • Number of events 2 • Up to two years
4.8%
2/42 • Number of events 2 • Up to two years
Hepatobiliary disorders
Hepatic Failure
33.3%
1/3 • Number of events 1 • Up to two years
2.2%
1/45 • Number of events 1 • Up to two years
2.4%
1/42 • Number of events 1 • Up to two years
Hepatobiliary disorders
Hepatobiliary/Pancreas Other
0.00%
0/3 • Up to two years
0.00%
0/45 • Up to two years
9.5%
4/42 • Number of events 4 • Up to two years
Immune system disorders
Hypersensitivity
33.3%
1/3 • Number of events 1 • Up to two years
0.00%
0/45 • Up to two years
2.4%
1/42 • Number of events 1 • Up to two years
Cardiac disorders
Hypertension
33.3%
1/3 • Number of events 1 • Up to two years
8.9%
4/45 • Number of events 4 • Up to two years
4.8%
2/42 • Number of events 2 • Up to two years
Cardiac disorders
Hypotension
0.00%
0/3 • Up to two years
15.6%
7/45 • Number of events 8 • Up to two years
9.5%
4/42 • Number of events 4 • Up to two years
Endocrine disorders
Hypothyroidism
0.00%
0/3 • Up to two years
0.00%
0/45 • Up to two years
4.8%
2/42 • Number of events 2 • Up to two years
Respiratory, thoracic and mediastinal disorders
Hypoxia
33.3%
1/3 • Number of events 1 • Up to two years
4.4%
2/45 • Number of events 2 • Up to two years
2.4%
1/42 • Number of events 1 • Up to two years
Infections and infestations
Infection
66.7%
2/3 • Number of events 2 • Up to two years
8.9%
4/45 • Number of events 7 • Up to two years
7.1%
3/42 • Number of events 3 • Up to two years
General disorders
Insomnia
0.00%
0/3 • Up to two years
2.2%
1/45 • Number of events 1 • Up to two years
7.1%
3/42 • Number of events 3 • Up to two years
Nervous system disorders
Intracranial Hemorrhage
0.00%
0/3 • Up to two years
6.7%
3/45 • Number of events 3 • Up to two years
0.00%
0/42 • Up to two years
Skin and subcutaneous tissue disorders
Localized Edema
33.3%
1/3 • Number of events 1 • Up to two years
6.7%
3/45 • Number of events 3 • Up to two years
0.00%
0/42 • Up to two years
Blood and lymphatic system disorders
Lymphatics Other
0.00%
0/3 • Up to two years
0.00%
0/45 • Up to two years
7.1%
3/42 • Number of events 4 • Up to two years
Blood and lymphatic system disorders
Lymphedema
0.00%
0/3 • Up to two years
0.00%
0/45 • Up to two years
4.8%
2/42 • Number of events 2 • Up to two years
Metabolism and nutrition disorders
Metabolic/Laboratory
0.00%
0/3 • Up to two years
17.8%
8/45 • Number of events 16 • Up to two years
0.00%
0/42 • Up to two years
Gastrointestinal disorders
Mucositis Oral
0.00%
0/3 • Up to two years
4.4%
2/45 • Number of events 2 • Up to two years
4.8%
2/42 • Number of events 2 • Up to two years
Musculoskeletal and connective tissue disorders
Muscle Weakness
33.3%
1/3 • Number of events 1 • Up to two years
2.2%
1/45 • Number of events 1 • Up to two years
0.00%
0/42 • Up to two years
Gastrointestinal disorders
Nausea
100.0%
3/3 • Number of events 3 • Up to two years
22.2%
10/45 • Number of events 13 • Up to two years
16.7%
7/42 • Number of events 8 • Up to two years
General disorders
Neck Pain
0.00%
0/3 • Up to two years
6.7%
3/45 • Number of events 3 • Up to two years
0.00%
0/42 • Up to two years
Nervous system disorders
Neurology
0.00%
0/3 • Up to two years
2.2%
1/45 • Number of events 1 • Up to two years
7.1%
3/42 • Number of events 4 • Up to two years
Blood and lymphatic system disorders
Neutrophil Count Decreased
0.00%
0/3 • Up to two years
6.7%
3/45 • Number of events 4 • Up to two years
0.00%
0/42 • Up to two years
Skin and subcutaneous tissue disorders
Ocular/Visual Other
33.3%
1/3 • Number of events 1 • Up to two years
2.2%
1/45 • Number of events 1 • Up to two years
0.00%
0/42 • Up to two years
Gastrointestinal disorders
Oral Hemorrhage
0.00%
0/3 • Up to two years
6.7%
3/45 • Number of events 3 • Up to two years
2.4%
1/42 • Number of events 1 • Up to two years
General disorders
Pain
33.3%
1/3 • Number of events 1 • Up to two years
24.4%
11/45 • Number of events 20 • Up to two years
4.8%
2/42 • Number of events 2 • Up to two years
General disorders
Pain Extremity
33.3%
1/3 • Number of events 1 • Up to two years
26.7%
12/45 • Number of events 14 • Up to two years
9.5%
4/42 • Number of events 4 • Up to two years
Cardiac disorders
Pericardial Effusion
0.00%
0/3 • Up to two years
0.00%
0/45 • Up to two years
4.8%
2/42 • Number of events 2 • Up to two years
Nervous system disorders
Peripheral Sensory Neuropathy
0.00%
0/3 • Up to two years
11.1%
5/45 • Number of events 5 • Up to two years
0.00%
0/42 • Up to two years
Skin and subcutaneous tissue disorders
Petechiae
0.00%
0/3 • Up to two years
6.7%
3/45 • Number of events 3 • Up to two years
7.1%
3/42 • Number of events 4 • Up to two years
Respiratory, thoracic and mediastinal disorders
Pleural Effusion
0.00%
0/3 • Up to two years
13.3%
6/45 • Number of events 6 • Up to two years
9.5%
4/42 • Number of events 4 • Up to two years
Infections and infestations
Pneumonia
0.00%
0/3 • Up to two years
13.3%
6/45 • Number of events 6 • Up to two years
21.4%
9/42 • Number of events 9 • Up to two years
Infections and infestations
Pneumonitis
0.00%
0/3 • Up to two years
2.2%
1/45 • Number of events 1 • Up to two years
7.1%
3/42 • Number of events 3 • Up to two years
Skin and subcutaneous tissue disorders
Pruritis
0.00%
0/3 • Up to two years
0.00%
0/45 • Up to two years
7.1%
3/42 • Number of events 3 • Up to two years
Psychiatric disorders
Psychosis
33.3%
1/3 • Number of events 1 • Up to two years
0.00%
0/45 • Up to two years
0.00%
0/42 • Up to two years
Reproductive system and breast disorders
Pulmonary Other
33.3%
1/3 • Number of events 1 • Up to two years
13.3%
6/45 • Number of events 8 • Up to two years
7.1%
3/42 • Number of events 3 • Up to two years
Skin and subcutaneous tissue disorders
Rash Desquamation
0.00%
0/3 • Up to two years
6.7%
3/45 • Number of events 5 • Up to two years
0.00%
0/42 • Up to two years
Gastrointestinal disorders
Rectal Hemorrhage
33.3%
1/3 • Number of events 1 • Up to two years
4.4%
2/45 • Number of events 2 • Up to two years
0.00%
0/42 • Up to two years
General disorders
Rectal Pain
0.00%
0/3 • Up to two years
2.2%
1/45 • Number of events 1 • Up to two years
4.8%
2/42 • Number of events 2 • Up to two years
Renal and urinary disorders
Renal/Genitourinary Other
0.00%
0/3 • Up to two years
4.4%
2/45 • Number of events 2 • Up to two years
4.8%
2/42 • Number of events 2 • Up to two years
Infections and infestations
Sepsis
33.3%
1/3 • Number of events 1 • Up to two years
6.7%
3/45 • Number of events 4 • Up to two years
2.4%
1/42 • Number of events 1 • Up to two years
Metabolism and nutrition disorders
Serum Calcium Decreased
0.00%
0/3 • Up to two years
17.8%
8/45 • Number of events 8 • Up to two years
0.00%
0/42 • Up to two years
Metabolism and nutrition disorders
Serum Glucose Decreased
33.3%
1/3 • Number of events 1 • Up to two years
4.4%
2/45 • Number of events 2 • Up to two years
2.4%
1/42 • Number of events 1 • Up to two years
Metabolism and nutrition disorders
Serum Magnesium Decreased
0.00%
0/3 • Up to two years
20.0%
9/45 • Number of events 11 • Up to two years
0.00%
0/42 • Up to two years
Metabolism and nutrition disorders
Serum Phosphate Decreased
33.3%
1/3 • Number of events 2 • Up to two years
17.8%
8/45 • Number of events 12 • Up to two years
0.00%
0/42 • Up to two years
Metabolism and nutrition disorders
Serum Potassium Increased
33.3%
1/3 • Number of events 1 • Up to two years
4.4%
2/45 • Number of events 2 • Up to two years
0.00%
0/42 • Up to two years
Metabolism and nutrition disorders
Serum Sodium Decreased
0.00%
0/3 • Up to two years
13.3%
6/45 • Number of events 6 • Up to two years
0.00%
0/42 • Up to two years
Metabolism and nutrition disorders
Serum Potassium Decreased
0.00%
0/3 • Up to two years
26.7%
12/45 • Number of events 17 • Up to two years
4.8%
2/42 • Number of events 2 • Up to two years
Cardiac disorders
Sinus Bradycarida
33.3%
1/3 • Number of events 1 • Up to two years
0.00%
0/45 • Up to two years
0.00%
0/42 • Up to two years
Cardiac disorders
Sinus Tachycardia
0.00%
0/3 • Up to two years
11.1%
5/45 • Number of events 5 • Up to two years
0.00%
0/42 • Up to two years
Infections and infestations
Sinusitis
0.00%
0/3 • Up to two years
0.00%
0/45 • Up to two years
7.1%
3/42 • Number of events 3 • Up to two years
Vascular disorders
Thrombosis
33.3%
1/3 • Number of events 1 • Up to two years
2.2%
1/45 • Number of events 1 • Up to two years
2.4%
1/42 • Number of events 1 • Up to two years
General disorders
Toothache
0.00%
0/3 • Up to two years
2.2%
1/45 • Number of events 1 • Up to two years
4.8%
2/42 • Number of events 2 • Up to two years
Infections and infestations
Urinary Tract Infection
0.00%
0/3 • Up to two years
6.7%
3/45 • Number of events 3 • Up to two years
4.8%
2/42 • Number of events 2 • Up to two years
Gastrointestinal disorders
Vomiting
33.3%
1/3 • Number of events 1 • Up to two years
15.6%
7/45 • Number of events 11 • Up to two years
9.5%
4/42 • Number of events 5 • Up to two years

Additional Information

Hagop M. Kantarnian, MD/Chair

The University of Texas MD Anderson Cancer Center

Phone: 713-792-7026

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place