Trial Outcomes & Findings for CMC-544 and Allogeneic Transplantation for CD22 Positive-Lymphoid Malignancies (NCT NCT01664910)

NCT ID: NCT01664910

Last Updated: 2024-07-23

Results Overview

Number of participants received inotuzumab in each cohort without DLT

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

27 participants

Primary outcome timeframe

Up to 30 days

Results posted on

2024-07-23

Participant Flow

All recruitment done at the University of Texas MD Anderson Cancer Center.

Participant milestones

Participant milestones
Measure
Cohort 1:Allogeneic TP for CD22(+) Lymphoid Malignancy Conditioned w/ Flu/Ben/Rit/CMC544(0.6 mg/m2)
Patients receive inotuzumab ozogamicin IV over 1 hour on day -13, and fludarabine phosphate IV over 1 hour and bendamustine hydrochloride IV over 30 minutes to 1 hour on days -5 to -3. Patients with CD20-positive disease also receive rituximab IV over 4-6 hours on days -6, 1, and 8 and patients with MUD receive anti-thymocyte globulin IV over 3-4 hours on days -2 to -1. All patients also receive tacrolimus IV over 24 hours continuously or PO daily beginning on days -2 to 180 followed by taper in the absence of GVHD and methotrexate IV over 30 minutes on days 1, 3, and 6 (1, 3, 6, and 11 in patients with MUD). Patients undergo allogeneic BM or PBSC transplant on day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BM transplant Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic PBSC or BM transplant Anti-Thymocyte Globulin: Given IV Bendamustine Hydrochloride: Given IV Fludarabine Phosphate: Given IV Inotuzumab Ozogamicin: Given IV at 0.6 mg/m2 Methotrexate: Given IV Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSC transplant Rituximab: Given IV Tacrolimus: Given IV or PO
Cohort 2:Allogeneic TP for CD22(+) Lymphoid Malignancy Conditioned w/ Flu/Ben/Rit/CMC544(1.2 mg/m2)
Patients receive inotuzumab ozogamicin IV over 1 hour on day -13, and fludarabine phosphate IV over 1 hour and bendamustine hydrochloride IV over 30 minutes to 1 hour on days -5 to -3. Patients with CD20-positive disease also receive rituximab IV over 4-6 hours on days -6, 1, and 8 and patients with MUD receive anti-thymocyte globulin IV over 3-4 hours on days -2 to -1. All patients also receive tacrolimus IV over 24 hours continuously or PO daily beginning on days -2 to 180 followed by taper in the absence of GVHD and methotrexate IV over 30 minutes on days 1, 3, and 6 (1, 3, 6, and 11 in patients with MUD). Patients undergo allogeneic BM or PBSC transplant on day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BM transplant Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic PBSC or BM transplant Anti-Thymocyte Globulin: Given IV Bendamustine Hydrochloride: Given IV Fludarabine Phosphate: Given IV Inotuzumab Ozogamicin: Given IV at 1.2 mg/m2 Methotrexate: Given IV Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSC transplant Rituximab: Given IV Tacrolimus: Given IV or PO
Cohort 3:Allogeneic TP for CD22(+) Lymphoid Malignancy Conditioned w/ Flu/Ben/Rit/CMC544(1.8 mg/m2)
Patients receive inotuzumab ozogamicin IV over 1 hour on day -13, and fludarabine phosphate IV over 1 hour and bendamustine hydrochloride IV over 30 minutes to 1 hour on days -5 to -3. Patients with CD20-positive disease also receive rituximab IV over 4-6 hours on days -6, 1, and 8 and patients with MUD receive anti-thymocyte globulin IV over 3-4 hours on days -2 to -1. All patients also receive tacrolimus IV over 24 hours continuously or PO daily beginning on days -2 to 180 followed by taper in the absence of GVHD and methotrexate IV over 30 minutes on days 1, 3, and 6 (1, 3, 6, and 11 in patients with MUD). Patients undergo allogeneic BM or PBSC transplant on day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BM transplant Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic PBSC or BM transplant Anti-Thymocyte Globulin: Given IV Bendamustine Hydrochloride: Given IV Fludarabine Phosphate: Given IV Inotuzumab Ozogamicin: Given IV at 1.8 mg/m2 Methotrexate: Given IV Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSC transplant Rituximab: Given IV Tacrolimus: Given IV or PO
Overall Study
STARTED
4
2
21
Overall Study
COMPLETED
4
2
20
Overall Study
NOT COMPLETED
0
0
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Cohort 1:Allogeneic TP for CD22(+) Lymphoid Malignancy Conditioned w/ Flu/Ben/Rit/CMC544(0.6 mg/m2)
Patients receive inotuzumab ozogamicin IV over 1 hour on day -13, and fludarabine phosphate IV over 1 hour and bendamustine hydrochloride IV over 30 minutes to 1 hour on days -5 to -3. Patients with CD20-positive disease also receive rituximab IV over 4-6 hours on days -6, 1, and 8 and patients with MUD receive anti-thymocyte globulin IV over 3-4 hours on days -2 to -1. All patients also receive tacrolimus IV over 24 hours continuously or PO daily beginning on days -2 to 180 followed by taper in the absence of GVHD and methotrexate IV over 30 minutes on days 1, 3, and 6 (1, 3, 6, and 11 in patients with MUD). Patients undergo allogeneic BM or PBSC transplant on day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BM transplant Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic PBSC or BM transplant Anti-Thymocyte Globulin: Given IV Bendamustine Hydrochloride: Given IV Fludarabine Phosphate: Given IV Inotuzumab Ozogamicin: Given IV at 0.6 mg/m2 Methotrexate: Given IV Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSC transplant Rituximab: Given IV Tacrolimus: Given IV or PO
Cohort 2:Allogeneic TP for CD22(+) Lymphoid Malignancy Conditioned w/ Flu/Ben/Rit/CMC544(1.2 mg/m2)
Patients receive inotuzumab ozogamicin IV over 1 hour on day -13, and fludarabine phosphate IV over 1 hour and bendamustine hydrochloride IV over 30 minutes to 1 hour on days -5 to -3. Patients with CD20-positive disease also receive rituximab IV over 4-6 hours on days -6, 1, and 8 and patients with MUD receive anti-thymocyte globulin IV over 3-4 hours on days -2 to -1. All patients also receive tacrolimus IV over 24 hours continuously or PO daily beginning on days -2 to 180 followed by taper in the absence of GVHD and methotrexate IV over 30 minutes on days 1, 3, and 6 (1, 3, 6, and 11 in patients with MUD). Patients undergo allogeneic BM or PBSC transplant on day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BM transplant Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic PBSC or BM transplant Anti-Thymocyte Globulin: Given IV Bendamustine Hydrochloride: Given IV Fludarabine Phosphate: Given IV Inotuzumab Ozogamicin: Given IV at 1.2 mg/m2 Methotrexate: Given IV Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSC transplant Rituximab: Given IV Tacrolimus: Given IV or PO
Cohort 3:Allogeneic TP for CD22(+) Lymphoid Malignancy Conditioned w/ Flu/Ben/Rit/CMC544(1.8 mg/m2)
Patients receive inotuzumab ozogamicin IV over 1 hour on day -13, and fludarabine phosphate IV over 1 hour and bendamustine hydrochloride IV over 30 minutes to 1 hour on days -5 to -3. Patients with CD20-positive disease also receive rituximab IV over 4-6 hours on days -6, 1, and 8 and patients with MUD receive anti-thymocyte globulin IV over 3-4 hours on days -2 to -1. All patients also receive tacrolimus IV over 24 hours continuously or PO daily beginning on days -2 to 180 followed by taper in the absence of GVHD and methotrexate IV over 30 minutes on days 1, 3, and 6 (1, 3, 6, and 11 in patients with MUD). Patients undergo allogeneic BM or PBSC transplant on day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BM transplant Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic PBSC or BM transplant Anti-Thymocyte Globulin: Given IV Bendamustine Hydrochloride: Given IV Fludarabine Phosphate: Given IV Inotuzumab Ozogamicin: Given IV at 1.8 mg/m2 Methotrexate: Given IV Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSC transplant Rituximab: Given IV Tacrolimus: Given IV or PO
Overall Study
Adverse Event
0
0
1

Baseline Characteristics

CMC-544 and Allogeneic Transplantation for CD22 Positive-Lymphoid Malignancies

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cohort 1:Allogeneic TP for CD22(+) Lymphoid Malignancy Conditioned w/ Flu/Ben/Rit/CMC544(0.6 mg/m2)
n=4 Participants
Patients receive inotuzumab ozogamicin IV over 1 hour on day -13, and fludarabine phosphate IV over 1 hour and bendamustine hydrochloride IV over 30 minutes to 1 hour on days -5 to -3. Patients with CD20-positive disease also receive rituximab IV over 4-6 hours on days -6, 1, and 8 and patients with MUD receive anti-thymocyte globulin IV over 3-4 hours on days -2 to -1. All patients also receive tacrolimus IV over 24 hours continuously or PO daily beginning on days -2 to 180 followed by taper in the absence of GVHD and methotrexate IV over 30 minutes on days 1, 3, and 6 (1, 3, 6, and 11 in patients with MUD). Patients undergo allogeneic BM or PBSC transplant on day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BM transplant Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic PBSC or BM transplant Anti-Thymocyte Globulin: Given IV Bendamustine Hydrochloride: Given IV Fludarabine Phosphate: Given IV Inotuzumab Ozogamicin: Given IV at 0.6 mg/m2 Methotrexate: Given IV Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSC transplant Rituximab: Given IV Tacrolimus: Given IV or PO
Cohort 2:Allogeneic TP for CD22(+) Lymphoid Malignancy Conditioned w/ Flu/Ben/Rit/CMC544(1.2 mg/m2)
n=2 Participants
Patients receive inotuzumab ozogamicin IV over 1 hour on day -13, and fludarabine phosphate IV over 1 hour and bendamustine hydrochloride IV over 30 minutes to 1 hour on days -5 to -3. Patients with CD20-positive disease also receive rituximab IV over 4-6 hours on days -6, 1, and 8 and patients with MUD receive anti-thymocyte globulin IV over 3-4 hours on days -2 to -1. All patients also receive tacrolimus IV over 24 hours continuously or PO daily beginning on days -2 to 180 followed by taper in the absence of GVHD and methotrexate IV over 30 minutes on days 1, 3, and 6 (1, 3, 6, and 11 in patients with MUD). Patients undergo allogeneic BM or PBSC transplant on day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BM transplant Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic PBSC or BM transplant Anti-Thymocyte Globulin: Given IV Bendamustine Hydrochloride: Given IV Fludarabine Phosphate: Given IV Inotuzumab Ozogamicin: Given IV at 1.2 mg/m2 Methotrexate: Given IV Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSC transplant Rituximab: Given IV Tacrolimus: Given IV or PO
Cohort 3:Allogeneic TP for CD22(+) Lymphoid Malignancy Conditioned w/ Flu/Ben/Rit/CMC544(1.8 mg/m2)
n=21 Participants
Patients receive inotuzumab ozogamicin IV over 1 hour on day -13, and fludarabine phosphate IV over 1 hour and bendamustine hydrochloride IV over 30 minutes to 1 hour on days -5 to -3. Patients with CD20-positive disease also receive rituximab IV over 4-6 hours on days -6, 1, and 8 and patients with MUD receive anti-thymocyte globulin IV over 3-4 hours on days -2 to -1. All patients also receive tacrolimus IV over 24 hours continuously or PO daily beginning on days -2 to 180 followed by taper in the absence of GVHD and methotrexate IV over 30 minutes on days 1, 3, and 6 (1, 3, 6, and 11 in patients with MUD). Patients undergo allogeneic BM or PBSC transplant on day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BM transplant Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic PBSC or BM transplant Anti-Thymocyte Globulin: Given IV Bendamustine Hydrochloride: Given IV Fludarabine Phosphate: Given IV Inotuzumab Ozogamicin: Given IV at 1.8 mg/m2 Methotrexate: Given IV Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSC transplant Rituximab: Given IV Tacrolimus: Given IV or PO
Total
n=27 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
4 Participants
n=5 Participants
2 Participants
n=7 Participants
17 Participants
n=5 Participants
23 Participants
n=4 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
4 Participants
n=5 Participants
4 Participants
n=4 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
0 Participants
n=7 Participants
8 Participants
n=5 Participants
12 Participants
n=4 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
2 Participants
n=7 Participants
13 Participants
n=5 Participants
15 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
2 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
4 Participants
n=5 Participants
2 Participants
n=7 Participants
19 Participants
n=5 Participants
25 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Region of Enrollment
United States
4 participants
n=5 Participants
2 participants
n=7 Participants
21 participants
n=5 Participants
27 participants
n=4 Participants

PRIMARY outcome

Timeframe: Up to 30 days

Number of participants received inotuzumab in each cohort without DLT

Outcome measures

Outcome measures
Measure
Cohort 1:Allogeneic TP for CD22(+) Lymphoid Malignancy Conditioned w/ Flu/Ben/Rit/CMC544(0.6 mg/m2)
n=4 Participants
Patients receive inotuzumab ozogamicin IV over 1 hour on day -13, and fludarabine phosphate IV over 1 hour and bendamustine hydrochloride IV over 30 minutes to 1 hour on days -5 to -3. Patients with CD20-positive disease also receive rituximab IV over 4-6 hours on days -6, 1, and 8 and patients with MUD receive anti-thymocyte globulin IV over 3-4 hours on days -2 to -1. All patients also receive tacrolimus IV over 24 hours continuously or PO daily beginning on days -2 to 180 followed by taper in the absence of GVHD and methotrexate IV over 30 minutes on days 1, 3, and 6 (1, 3, 6, and 11 in patients with MUD). Patients undergo allogeneic BM or PBSC transplant on day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BM transplant Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic PBSC or BM transplant Anti-Thymocyte Globulin: Given IV Bendamustine Hydrochloride: Given IV Fludarabine Phosphate: Given IV Inotuzumab Ozogamicin: Given IV at 0.6 mg/m2 Methotrexate: Given IV Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSC transplant Rituximab: Given IV Tacrolimus: Given IV or PO
Cohort 2:Allogeneic TP for CD22(+) Lymphoid Malignancy Conditioned w/ Flu/Ben/Rit/CMC544(1.2 mg/m2)
n=2 Participants
Patients receive inotuzumab ozogamicin IV over 1 hour on day -13, and fludarabine phosphate IV over 1 hour and bendamustine hydrochloride IV over 30 minutes to 1 hour on days -5 to -3. Patients with CD20-positive disease also receive rituximab IV over 4-6 hours on days -6, 1, and 8 and patients with MUD receive anti-thymocyte globulin IV over 3-4 hours on days -2 to -1. All patients also receive tacrolimus IV over 24 hours continuously or PO daily beginning on days -2 to 180 followed by taper in the absence of GVHD and methotrexate IV over 30 minutes on days 1, 3, and 6 (1, 3, 6, and 11 in patients with MUD). Patients undergo allogeneic BM or PBSC transplant on day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BM transplant Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic PBSC or BM transplant Anti-Thymocyte Globulin: Given IV Bendamustine Hydrochloride: Given IV Fludarabine Phosphate: Given IV Inotuzumab Ozogamicin: Given IV at 1.2 mg/m2 Methotrexate: Given IV Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSC transplant Rituximab: Given IV Tacrolimus: Given IV or PO
Cohort 3:Allogeneic TP for CD22(+) Lymphoid Malignancy Conditioned w/ Flu/Ben/Rit/CMC544(1.8 mg/m2)
n=21 Participants
Patients receive inotuzumab ozogamicin IV over 1 hour on day -13, and fludarabine phosphate IV over 1 hour and bendamustine hydrochloride IV over 30 minutes to 1 hour on days -5 to -3. Patients with CD20-positive disease also receive rituximab IV over 4-6 hours on days -6, 1, and 8 and patients with MUD receive anti-thymocyte globulin IV over 3-4 hours on days -2 to -1. All patients also receive tacrolimus IV over 24 hours continuously or PO daily beginning on days -2 to 180 followed by taper in the absence of GVHD and methotrexate IV over 30 minutes on days 1, 3, and 6 (1, 3, 6, and 11 in patients with MUD). Patients undergo allogeneic BM or PBSC transplant on day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BM transplant Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic PBSC or BM transplant Anti-Thymocyte Globulin: Given IV Bendamustine Hydrochloride: Given IV Fludarabine Phosphate: Given IV Inotuzumab Ozogamicin: Given IV at 1.8 mg/m2 Methotrexate: Given IV Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSC transplant Rituximab: Given IV Tacrolimus: Given IV or PO
Maximum-tolerated Dose (MTD) of Inotuzumab Without DLT
4 Participants
2 Participants
20 Participants

SECONDARY outcome

Timeframe: Up to 3 years

Overall response (CR+PR) with estimated with a 95% confidence interval in the dose that is declared the MTD. Complete Response is no clinical or radiological evidence of disease. Partial remission is equal to or more than 50% reduction in lymphadenopathy, liver and or spleen if abnormal at pre-treatment.

Outcome measures

Outcome measures
Measure
Cohort 1:Allogeneic TP for CD22(+) Lymphoid Malignancy Conditioned w/ Flu/Ben/Rit/CMC544(0.6 mg/m2)
n=4 Participants
Patients receive inotuzumab ozogamicin IV over 1 hour on day -13, and fludarabine phosphate IV over 1 hour and bendamustine hydrochloride IV over 30 minutes to 1 hour on days -5 to -3. Patients with CD20-positive disease also receive rituximab IV over 4-6 hours on days -6, 1, and 8 and patients with MUD receive anti-thymocyte globulin IV over 3-4 hours on days -2 to -1. All patients also receive tacrolimus IV over 24 hours continuously or PO daily beginning on days -2 to 180 followed by taper in the absence of GVHD and methotrexate IV over 30 minutes on days 1, 3, and 6 (1, 3, 6, and 11 in patients with MUD). Patients undergo allogeneic BM or PBSC transplant on day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BM transplant Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic PBSC or BM transplant Anti-Thymocyte Globulin: Given IV Bendamustine Hydrochloride: Given IV Fludarabine Phosphate: Given IV Inotuzumab Ozogamicin: Given IV at 0.6 mg/m2 Methotrexate: Given IV Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSC transplant Rituximab: Given IV Tacrolimus: Given IV or PO
Cohort 2:Allogeneic TP for CD22(+) Lymphoid Malignancy Conditioned w/ Flu/Ben/Rit/CMC544(1.2 mg/m2)
n=2 Participants
Patients receive inotuzumab ozogamicin IV over 1 hour on day -13, and fludarabine phosphate IV over 1 hour and bendamustine hydrochloride IV over 30 minutes to 1 hour on days -5 to -3. Patients with CD20-positive disease also receive rituximab IV over 4-6 hours on days -6, 1, and 8 and patients with MUD receive anti-thymocyte globulin IV over 3-4 hours on days -2 to -1. All patients also receive tacrolimus IV over 24 hours continuously or PO daily beginning on days -2 to 180 followed by taper in the absence of GVHD and methotrexate IV over 30 minutes on days 1, 3, and 6 (1, 3, 6, and 11 in patients with MUD). Patients undergo allogeneic BM or PBSC transplant on day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BM transplant Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic PBSC or BM transplant Anti-Thymocyte Globulin: Given IV Bendamustine Hydrochloride: Given IV Fludarabine Phosphate: Given IV Inotuzumab Ozogamicin: Given IV at 1.2 mg/m2 Methotrexate: Given IV Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSC transplant Rituximab: Given IV Tacrolimus: Given IV or PO
Cohort 3:Allogeneic TP for CD22(+) Lymphoid Malignancy Conditioned w/ Flu/Ben/Rit/CMC544(1.8 mg/m2)
n=21 Participants
Patients receive inotuzumab ozogamicin IV over 1 hour on day -13, and fludarabine phosphate IV over 1 hour and bendamustine hydrochloride IV over 30 minutes to 1 hour on days -5 to -3. Patients with CD20-positive disease also receive rituximab IV over 4-6 hours on days -6, 1, and 8 and patients with MUD receive anti-thymocyte globulin IV over 3-4 hours on days -2 to -1. All patients also receive tacrolimus IV over 24 hours continuously or PO daily beginning on days -2 to 180 followed by taper in the absence of GVHD and methotrexate IV over 30 minutes on days 1, 3, and 6 (1, 3, 6, and 11 in patients with MUD). Patients undergo allogeneic BM or PBSC transplant on day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BM transplant Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic PBSC or BM transplant Anti-Thymocyte Globulin: Given IV Bendamustine Hydrochloride: Given IV Fludarabine Phosphate: Given IV Inotuzumab Ozogamicin: Given IV at 1.8 mg/m2 Methotrexate: Given IV Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSC transplant Rituximab: Given IV Tacrolimus: Given IV or PO
Overall Response
Complete Response
4 Participants
2 Participants
19 Participants
Overall Response
Partial Response
0 Participants
0 Participants
1 Participants
Overall Response
Not Evaluable
0 Participants
0 Participants
1 Participants

SECONDARY outcome

Timeframe: Up to 3 years

Participants are disease free and alive at 3 years post transplant.

Outcome measures

Outcome measures
Measure
Cohort 1:Allogeneic TP for CD22(+) Lymphoid Malignancy Conditioned w/ Flu/Ben/Rit/CMC544(0.6 mg/m2)
n=4 Participants
Patients receive inotuzumab ozogamicin IV over 1 hour on day -13, and fludarabine phosphate IV over 1 hour and bendamustine hydrochloride IV over 30 minutes to 1 hour on days -5 to -3. Patients with CD20-positive disease also receive rituximab IV over 4-6 hours on days -6, 1, and 8 and patients with MUD receive anti-thymocyte globulin IV over 3-4 hours on days -2 to -1. All patients also receive tacrolimus IV over 24 hours continuously or PO daily beginning on days -2 to 180 followed by taper in the absence of GVHD and methotrexate IV over 30 minutes on days 1, 3, and 6 (1, 3, 6, and 11 in patients with MUD). Patients undergo allogeneic BM or PBSC transplant on day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BM transplant Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic PBSC or BM transplant Anti-Thymocyte Globulin: Given IV Bendamustine Hydrochloride: Given IV Fludarabine Phosphate: Given IV Inotuzumab Ozogamicin: Given IV at 0.6 mg/m2 Methotrexate: Given IV Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSC transplant Rituximab: Given IV Tacrolimus: Given IV or PO
Cohort 2:Allogeneic TP for CD22(+) Lymphoid Malignancy Conditioned w/ Flu/Ben/Rit/CMC544(1.2 mg/m2)
n=2 Participants
Patients receive inotuzumab ozogamicin IV over 1 hour on day -13, and fludarabine phosphate IV over 1 hour and bendamustine hydrochloride IV over 30 minutes to 1 hour on days -5 to -3. Patients with CD20-positive disease also receive rituximab IV over 4-6 hours on days -6, 1, and 8 and patients with MUD receive anti-thymocyte globulin IV over 3-4 hours on days -2 to -1. All patients also receive tacrolimus IV over 24 hours continuously or PO daily beginning on days -2 to 180 followed by taper in the absence of GVHD and methotrexate IV over 30 minutes on days 1, 3, and 6 (1, 3, 6, and 11 in patients with MUD). Patients undergo allogeneic BM or PBSC transplant on day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BM transplant Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic PBSC or BM transplant Anti-Thymocyte Globulin: Given IV Bendamustine Hydrochloride: Given IV Fludarabine Phosphate: Given IV Inotuzumab Ozogamicin: Given IV at 1.2 mg/m2 Methotrexate: Given IV Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSC transplant Rituximab: Given IV Tacrolimus: Given IV or PO
Cohort 3:Allogeneic TP for CD22(+) Lymphoid Malignancy Conditioned w/ Flu/Ben/Rit/CMC544(1.8 mg/m2)
n=21 Participants
Patients receive inotuzumab ozogamicin IV over 1 hour on day -13, and fludarabine phosphate IV over 1 hour and bendamustine hydrochloride IV over 30 minutes to 1 hour on days -5 to -3. Patients with CD20-positive disease also receive rituximab IV over 4-6 hours on days -6, 1, and 8 and patients with MUD receive anti-thymocyte globulin IV over 3-4 hours on days -2 to -1. All patients also receive tacrolimus IV over 24 hours continuously or PO daily beginning on days -2 to 180 followed by taper in the absence of GVHD and methotrexate IV over 30 minutes on days 1, 3, and 6 (1, 3, 6, and 11 in patients with MUD). Patients undergo allogeneic BM or PBSC transplant on day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BM transplant Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic PBSC or BM transplant Anti-Thymocyte Globulin: Given IV Bendamustine Hydrochloride: Given IV Fludarabine Phosphate: Given IV Inotuzumab Ozogamicin: Given IV at 1.8 mg/m2 Methotrexate: Given IV Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSC transplant Rituximab: Given IV Tacrolimus: Given IV or PO
Overall Survival (OS)
4 Participants
2 Participants
14 Participants

Adverse Events

Cohort 1:Allogeneic TP for CD22(+) Lymphoid Malignancy Conditioned w/ Flu/Ben/Rit/CMC544(0.6 mg/m2)

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Cohort 2:Allogeneic TP for CD22(+) Lymphoid Malignancy Conditioned w/ Flu/Ben/Rit/CMC544(1.2 mg/m2)

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Cohort 3:Allogeneic TP for CD22(+) Lymphoid Malignancy Conditioned w/ Flu/Ben/Rit/CMC544(1.8 mg/m2)

Serious events: 2 serious events
Other events: 16 other events
Deaths: 7 deaths

Serious adverse events

Serious adverse events
Measure
Cohort 1:Allogeneic TP for CD22(+) Lymphoid Malignancy Conditioned w/ Flu/Ben/Rit/CMC544(0.6 mg/m2)
n=4 participants at risk
Patients receive inotuzumab ozogamicin IV over 1 hour on day -13, and fludarabine phosphate IV over 1 hour and bendamustine hydrochloride IV over 30 minutes to 1 hour on days -5 to -3. Patients with CD20-positive disease also receive rituximab IV over 4-6 hours on days -6, 1, and 8 and patients with MUD receive anti-thymocyte globulin IV over 3-4 hours on days -2 to -1. All patients also receive tacrolimus IV over 24 hours continuously or PO daily beginning on days -2 to 180 followed by taper in the absence of GVHD and methotrexate IV over 30 minutes on days 1, 3, and 6 (1, 3, 6, and 11 in patients with MUD). Patients undergo allogeneic BM or PBSC transplant on day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BM transplant Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic PBSC or BM transplant Anti-Thymocyte Globulin: Given IV Bendamustine Hydrochloride: Given IV Fludarabine Phosphate: Given IV Inotuzumab Ozogamicin: Given IV at 0.6 mg/m2 Methotrexate: Given IV Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSC transplant Rituximab: Given IV Tacrolimus: Given IV or PO
Cohort 2:Allogeneic TP for CD22(+) Lymphoid Malignancy Conditioned w/ Flu/Ben/Rit/CMC544(1.2 mg/m2)
n=2 participants at risk
Patients receive inotuzumab ozogamicin IV over 1 hour on day -13, and fludarabine phosphate IV over 1 hour and bendamustine hydrochloride IV over 30 minutes to 1 hour on days -5 to -3. Patients with CD20-positive disease also receive rituximab IV over 4-6 hours on days -6, 1, and 8 and patients with MUD receive anti-thymocyte globulin IV over 3-4 hours on days -2 to -1. All patients also receive tacrolimus IV over 24 hours continuously or PO daily beginning on days -2 to 180 followed by taper in the absence of GVHD and methotrexate IV over 30 minutes on days 1, 3, and 6 (1, 3, 6, and 11 in patients with MUD). Patients undergo allogeneic BM or PBSC transplant on day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BM transplant Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic PBSC or BM transplant Anti-Thymocyte Globulin: Given IV Bendamustine Hydrochloride: Given IV Fludarabine Phosphate: Given IV Inotuzumab Ozogamicin: Given IV at 1.2 mg/m2 Methotrexate: Given IV Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSC transplant Rituximab: Given IV Tacrolimus: Given IV or PO
Cohort 3:Allogeneic TP for CD22(+) Lymphoid Malignancy Conditioned w/ Flu/Ben/Rit/CMC544(1.8 mg/m2)
n=21 participants at risk
Patients receive inotuzumab ozogamicin IV over 1 hour on day -13, and fludarabine phosphate IV over 1 hour and bendamustine hydrochloride IV over 30 minutes to 1 hour on days -5 to -3. Patients with CD20-positive disease also receive rituximab IV over 4-6 hours on days -6, 1, and 8 and patients with MUD receive anti-thymocyte globulin IV over 3-4 hours on days -2 to -1. All patients also receive tacrolimus IV over 24 hours continuously or PO daily beginning on days -2 to 180 followed by taper in the absence of GVHD and methotrexate IV over 30 minutes on days 1, 3, and 6 (1, 3, 6, and 11 in patients with MUD). Patients undergo allogeneic BM or PBSC transplant on day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BM transplant Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic PBSC or BM transplant Anti-Thymocyte Globulin: Given IV Bendamustine Hydrochloride: Given IV Fludarabine Phosphate: Given IV Inotuzumab Ozogamicin: Given IV at 1.8 mg/m2 Methotrexate: Given IV Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSC transplant Rituximab: Given IV Tacrolimus: Given IV or PO
Infections and infestations
Bacterial
0.00%
0/4 • Up to 3 years
0.00%
0/2 • Up to 3 years
9.5%
2/21 • Number of events 2 • Up to 3 years
Nervous system disorders
Encephalopathy
0.00%
0/4 • Up to 3 years
0.00%
0/2 • Up to 3 years
4.8%
1/21 • Number of events 1 • Up to 3 years
Blood and lymphatic system disorders
HSCT related microangiopathy (TA-TMA)
0.00%
0/4 • Up to 3 years
0.00%
0/2 • Up to 3 years
4.8%
1/21 • Number of events 1 • Up to 3 years
Respiratory, thoracic and mediastinal disorders
DAH
0.00%
0/4 • Up to 3 years
0.00%
0/2 • Up to 3 years
9.5%
2/21 • Number of events 2 • Up to 3 years
Gastrointestinal disorders
GI GvHD
0.00%
0/4 • Up to 3 years
0.00%
0/2 • Up to 3 years
9.5%
2/21 • Number of events 2 • Up to 3 years
Gastrointestinal disorders
Chronic GI GvHD
0.00%
0/4 • Up to 3 years
0.00%
0/2 • Up to 3 years
4.8%
1/21 • Number of events 1 • Up to 3 years
Hepatobiliary disorders
Liver GvHD
0.00%
0/4 • Up to 3 years
0.00%
0/2 • Up to 3 years
4.8%
1/21 • Number of events 1 • Up to 3 years

Other adverse events

Other adverse events
Measure
Cohort 1:Allogeneic TP for CD22(+) Lymphoid Malignancy Conditioned w/ Flu/Ben/Rit/CMC544(0.6 mg/m2)
n=4 participants at risk
Patients receive inotuzumab ozogamicin IV over 1 hour on day -13, and fludarabine phosphate IV over 1 hour and bendamustine hydrochloride IV over 30 minutes to 1 hour on days -5 to -3. Patients with CD20-positive disease also receive rituximab IV over 4-6 hours on days -6, 1, and 8 and patients with MUD receive anti-thymocyte globulin IV over 3-4 hours on days -2 to -1. All patients also receive tacrolimus IV over 24 hours continuously or PO daily beginning on days -2 to 180 followed by taper in the absence of GVHD and methotrexate IV over 30 minutes on days 1, 3, and 6 (1, 3, 6, and 11 in patients with MUD). Patients undergo allogeneic BM or PBSC transplant on day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BM transplant Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic PBSC or BM transplant Anti-Thymocyte Globulin: Given IV Bendamustine Hydrochloride: Given IV Fludarabine Phosphate: Given IV Inotuzumab Ozogamicin: Given IV at 0.6 mg/m2 Methotrexate: Given IV Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSC transplant Rituximab: Given IV Tacrolimus: Given IV or PO
Cohort 2:Allogeneic TP for CD22(+) Lymphoid Malignancy Conditioned w/ Flu/Ben/Rit/CMC544(1.2 mg/m2)
n=2 participants at risk
Patients receive inotuzumab ozogamicin IV over 1 hour on day -13, and fludarabine phosphate IV over 1 hour and bendamustine hydrochloride IV over 30 minutes to 1 hour on days -5 to -3. Patients with CD20-positive disease also receive rituximab IV over 4-6 hours on days -6, 1, and 8 and patients with MUD receive anti-thymocyte globulin IV over 3-4 hours on days -2 to -1. All patients also receive tacrolimus IV over 24 hours continuously or PO daily beginning on days -2 to 180 followed by taper in the absence of GVHD and methotrexate IV over 30 minutes on days 1, 3, and 6 (1, 3, 6, and 11 in patients with MUD). Patients undergo allogeneic BM or PBSC transplant on day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BM transplant Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic PBSC or BM transplant Anti-Thymocyte Globulin: Given IV Bendamustine Hydrochloride: Given IV Fludarabine Phosphate: Given IV Inotuzumab Ozogamicin: Given IV at 1.2 mg/m2 Methotrexate: Given IV Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSC transplant Rituximab: Given IV Tacrolimus: Given IV or PO
Cohort 3:Allogeneic TP for CD22(+) Lymphoid Malignancy Conditioned w/ Flu/Ben/Rit/CMC544(1.8 mg/m2)
n=21 participants at risk
Patients receive inotuzumab ozogamicin IV over 1 hour on day -13, and fludarabine phosphate IV over 1 hour and bendamustine hydrochloride IV over 30 minutes to 1 hour on days -5 to -3. Patients with CD20-positive disease also receive rituximab IV over 4-6 hours on days -6, 1, and 8 and patients with MUD receive anti-thymocyte globulin IV over 3-4 hours on days -2 to -1. All patients also receive tacrolimus IV over 24 hours continuously or PO daily beginning on days -2 to 180 followed by taper in the absence of GVHD and methotrexate IV over 30 minutes on days 1, 3, and 6 (1, 3, 6, and 11 in patients with MUD). Patients undergo allogeneic BM or PBSC transplant on day 0. Allogeneic Bone Marrow Transplantation: Undergo allogeneic BM transplant Allogeneic Hematopoietic Stem Cell Transplantation: Undergo allogeneic PBSC or BM transplant Anti-Thymocyte Globulin: Given IV Bendamustine Hydrochloride: Given IV Fludarabine Phosphate: Given IV Inotuzumab Ozogamicin: Given IV at 1.8 mg/m2 Methotrexate: Given IV Peripheral Blood Stem Cell Transplantation: Undergo allogeneic PBSC transplant Rituximab: Given IV Tacrolimus: Given IV or PO
Gastrointestinal disorders
Diarrhea
50.0%
2/4 • Number of events 2 • Up to 3 years
0.00%
0/2 • Up to 3 years
19.0%
4/21 • Number of events 4 • Up to 3 years
Gastrointestinal disorders
Nausea
100.0%
4/4 • Number of events 4 • Up to 3 years
50.0%
1/2 • Number of events 1 • Up to 3 years
76.2%
16/21 • Number of events 16 • Up to 3 years
General disorders
ATG fevers
50.0%
2/4 • Number of events 2 • Up to 3 years
0.00%
0/2 • Up to 3 years
0.00%
0/21 • Up to 3 years
General disorders
Fluid overload
25.0%
1/4 • Number of events 1 • Up to 3 years
0.00%
0/2 • Up to 3 years
47.6%
10/21 • Number of events 10 • Up to 3 years
Infections and infestations
Bacterial Infection
50.0%
2/4 • Number of events 2 • Up to 3 years
50.0%
1/2 • Number of events 1 • Up to 3 years
38.1%
8/21 • Number of events 8 • Up to 3 years
Infections and infestations
Viral Infections
75.0%
3/4 • Number of events 3 • Up to 3 years
50.0%
1/2 • Number of events 1 • Up to 3 years
52.4%
11/21 • Number of events 11 • Up to 3 years
Investigations
Elevated bilirubin
25.0%
1/4 • Number of events 1 • Up to 3 years
0.00%
0/2 • Up to 3 years
14.3%
3/21 • Number of events 3 • Up to 3 years
Musculoskeletal and connective tissue disorders
Arthralgia due to Chronic GvHD
25.0%
1/4 • Number of events 1 • Up to 3 years
0.00%
0/2 • Up to 3 years
0.00%
0/21 • Up to 3 years
Renal and urinary disorders
BK virus induced hemohrragic cystitis
25.0%
1/4 • Number of events 1 • Up to 3 years
0.00%
0/2 • Up to 3 years
9.5%
2/21 • Number of events 2 • Up to 3 years
Respiratory, thoracic and mediastinal disorders
Chronic lung GvHD
25.0%
1/4 • Number of events 1 • Up to 3 years
0.00%
0/2 • Up to 3 years
4.8%
1/21 • Number of events 1 • Up to 3 years
Skin and subcutaneous tissue disorders
Chronic skin GvHD
25.0%
1/4 • Number of events 1 • Up to 3 years
0.00%
0/2 • Up to 3 years
42.9%
9/21 • Number of events 9 • Up to 3 years
Skin and subcutaneous tissue disorders
Skin GvHD
75.0%
3/4 • Number of events 3 • Up to 3 years
50.0%
1/2 • Number of events 1 • Up to 3 years
38.1%
8/21 • Number of events 8 • Up to 3 years
Skin and subcutaneous tissue disorders
Skin rash due to ATG
25.0%
1/4 • Number of events 1 • Up to 3 years
0.00%
0/2 • Up to 3 years
0.00%
0/21 • Up to 3 years
Blood and lymphatic system disorders
Neutropenic fevers
0.00%
0/4 • Up to 3 years
50.0%
1/2 • Number of events 1 • Up to 3 years
4.8%
1/21 • Number of events 1 • Up to 3 years
Eye disorders
Chronic ocular GvHD
0.00%
0/4 • Up to 3 years
50.0%
1/2 • Number of events 1 • Up to 3 years
0.00%
0/21 • Up to 3 years
Gastrointestinal disorders
Chronic oral GvHD
0.00%
0/4 • Up to 3 years
100.0%
2/2 • Number of events 2 • Up to 3 years
47.6%
10/21 • Number of events 10 • Up to 3 years
Gastrointestinal disorders
GI GvHD
0.00%
0/4 • Up to 3 years
50.0%
1/2 • Number of events 1 • Up to 3 years
4.8%
1/21 • Number of events 1 • Up to 3 years
General disorders
Fevers
0.00%
0/4 • Up to 3 years
50.0%
1/2 • Number of events 1 • Up to 3 years
33.3%
7/21 • Number of events 7 • Up to 3 years
Skin and subcutaneous tissue disorders
Skin rash
0.00%
0/4 • Up to 3 years
50.0%
1/2 • Number of events 1 • Up to 3 years
9.5%
2/21 • Number of events 2 • Up to 3 years
Gastrointestinal disorders
Abdominal pain
0.00%
0/4 • Up to 3 years
0.00%
0/2 • Up to 3 years
4.8%
1/21 • Number of events 1 • Up to 3 years
Gastrointestinal disorders
Ascitis
0.00%
0/4 • Up to 3 years
0.00%
0/2 • Up to 3 years
4.8%
1/21 • Number of events 1 • Up to 3 years
Gastrointestinal disorders
Chronic GI GvHD
0.00%
0/4 • Up to 3 years
0.00%
0/2 • Up to 3 years
14.3%
3/21 • Number of events 3 • Up to 3 years
General disorders
Chronic GvHD_Fascitis
0.00%
0/4 • Up to 3 years
0.00%
0/2 • Up to 3 years
23.8%
5/21 • Number of events 5 • Up to 3 years
Hepatobiliary disorders
Chronic liver GvHD
0.00%
0/4 • Up to 3 years
0.00%
0/2 • Up to 3 years
23.8%
5/21 • Number of events 5 • Up to 3 years
Reproductive system and breast disorders
Chronic vaginal GvHD
0.00%
0/4 • Up to 3 years
0.00%
0/2 • Up to 3 years
14.3%
3/21 • Number of events 3 • Up to 3 years
Investigations
Creatinine increased
0.00%
0/4 • Up to 3 years
0.00%
0/2 • Up to 3 years
14.3%
3/21 • Number of events 3 • Up to 3 years
Skin and subcutaneous tissue disorders
Dry skin
0.00%
0/4 • Up to 3 years
0.00%
0/2 • Up to 3 years
4.8%
1/21 • Number of events 1 • Up to 3 years
Investigations
Ejection fraction decreased
0.00%
0/4 • Up to 3 years
0.00%
0/2 • Up to 3 years
4.8%
1/21 • Number of events 1 • Up to 3 years
General disorders
Elevated transminitis
0.00%
0/4 • Up to 3 years
0.00%
0/2 • Up to 3 years
14.3%
3/21 • Number of events 3 • Up to 3 years
General disorders
Flu like syndrome
0.00%
0/4 • Up to 3 years
0.00%
0/2 • Up to 3 years
4.8%
1/21 • Number of events 1 • Up to 3 years
Infections and infestations
Fungal Infections
0.00%
0/4 • Up to 3 years
0.00%
0/2 • Up to 3 years
4.8%
1/21 • Number of events 1 • Up to 3 years
Nervous system disorders
Headache
0.00%
0/4 • Up to 3 years
0.00%
0/2 • Up to 3 years
9.5%
2/21 • Number of events 2 • Up to 3 years
Respiratory, thoracic and mediastinal disorders
Hiccups
0.00%
0/4 • Up to 3 years
0.00%
0/2 • Up to 3 years
4.8%
1/21 • Number of events 1 • Up to 3 years
Vascular disorders
Hypertension
0.00%
0/4 • Up to 3 years
0.00%
0/2 • Up to 3 years
14.3%
3/21 • Number of events 3 • Up to 3 years
Eye disorders
Ocular GvHD
0.00%
0/4 • Up to 3 years
0.00%
0/2 • Up to 3 years
23.8%
5/21 • Number of events 5 • Up to 3 years
Nervous system disorders
Orthostatic hypotension
0.00%
0/4 • Up to 3 years
0.00%
0/2 • Up to 3 years
4.8%
1/21 • Number of events 1 • Up to 3 years
Respiratory, thoracic and mediastinal disorders
Pneumonitis
0.00%
0/4 • Up to 3 years
0.00%
0/2 • Up to 3 years
14.3%
3/21 • Number of events 3 • Up to 3 years
General disorders
Venous occlusive disease
0.00%
0/4 • Up to 3 years
0.00%
0/2 • Up to 3 years
4.8%
1/21 • Number of events 1 • Up to 3 years

Additional Information

Dr. Issa Khouri, MD/Stem Cell Transplantation and Cellular Therapy Department

The University of Texas MD Anderson Cancer Center

Phone: 713-745-0049

Results disclosure agreements

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