Trial Outcomes & Findings for Anti-GD2 3F8 Monoclonal Antibody and GM-CSF for High-Risk Neuroblastoma (NCT NCT02100930)

NCT ID: NCT02100930

Last Updated: 2020-02-28

Results Overview

Disease status is defined by the International Neuroblastoma Response Criteria - Complete response/remission (CR): NED; Partial response/remission: \>50% decrease in all disease parameters, exceptbone scan unchanged or improved; no more than 1 positive bone marrow site; Stable disease: \<50% decrease in all tumor markers; Progressive disease (PD): new lesion, or \>25 % increase in any disease marker.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

69 participants

Primary outcome timeframe

2 years

Results posted on

2020-02-28

Participant Flow

Participant milestones

Participant milestones
Measure
Neuroblastoma
This is a single-arm, open label, open access study to provide the anti-GD2 murine IgG3 MoAb 3F8 combined with granulocyte-macrophage colony stimulating factor (GM-CSF) to patients with high-risk neuroblastoma (NB). This immunotherapy has shown efficacy against minimal residual disease (MRD) in such patients. Anti-GD2 3F8 Monoclonal Antibody GM-CSF (granulocyte-macrophage colony-stimulating factor) oral isotretinoin
Overall Study
STARTED
69
Overall Study
COMPLETED
69
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Anti-GD2 3F8 Monoclonal Antibody and GM-CSF for High-Risk Neuroblastoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Neuroblastoma
n=69 Participants
This is a single-arm, open label, open access study to provide the anti-GD2 murine IgG3 MoAb 3F8 combined with granulocyte-macrophage colony stimulating factor (GM-CSF) to patients with high-risk neuroblastoma (NB). This immunotherapy has shown efficacy against minimal residual disease (MRD) in such patients. Anti-GD2 3F8 Monoclonal Antibody GM-CSF (granulocyte-macrophage colony-stimulating factor) oral isotretinoin
Age, Continuous
4 years
n=5 Participants
Sex: Female, Male
Female
29 Participants
n=5 Participants
Sex: Female, Male
Male
40 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
68 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
4 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
6 Participants
n=5 Participants
Race (NIH/OMB)
White
52 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
7 Participants
n=5 Participants
Region of Enrollment
United States
69 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 2 years

Disease status is defined by the International Neuroblastoma Response Criteria - Complete response/remission (CR): NED; Partial response/remission: \>50% decrease in all disease parameters, exceptbone scan unchanged or improved; no more than 1 positive bone marrow site; Stable disease: \<50% decrease in all tumor markers; Progressive disease (PD): new lesion, or \>25 % increase in any disease marker.

Outcome measures

Outcome measures
Measure
Neuroblastoma
n=69 Participants
This is a single-arm, open label, open access study to provide the anti-GD2 murine IgG3 MoAb 3F8 combined with granulocyte-macrophage colony stimulating factor (GM-CSF) to patients with high-risk neuroblastoma (NB). This immunotherapy has shown efficacy against minimal residual disease (MRD) in such patients. Anti-GD2 3F8 Monoclonal Antibody GM-CSF (granulocyte-macrophage colony-stimulating factor) oral isotretinoin
Therapeutic Response
No Evidence of Disease
40 Participants
Therapeutic Response
Complete Response
3 Participants
Therapeutic Response
Partial Response
1 Participants
Therapeutic Response
Stable Disease
6 Participants
Therapeutic Response
Progression of Disease
19 Participants

PRIMARY outcome

Timeframe: 2 years

Disease status is defined by the International Neuroblastoma Response Criteria - Complete response/remission (CR): NED; Partial response/remission: \>50% decrease in all disease parameters, exceptbone scan unchanged or improved; no more than 1 positive bone marrow site; Stable disease: \<50% decrease in all tumor markers; Progressive disease (PD): new lesion, or \>25 % increase in any disease marker.

Outcome measures

Outcome measures
Measure
Neuroblastoma
n=69 Participants
This is a single-arm, open label, open access study to provide the anti-GD2 murine IgG3 MoAb 3F8 combined with granulocyte-macrophage colony stimulating factor (GM-CSF) to patients with high-risk neuroblastoma (NB). This immunotherapy has shown efficacy against minimal residual disease (MRD) in such patients. Anti-GD2 3F8 Monoclonal Antibody GM-CSF (granulocyte-macrophage colony-stimulating factor) oral isotretinoin
Complete Remission
Stable Disease
6 Participants
Complete Remission
Progression of Disease
19 Participants
Complete Remission
No Evidence of Disease
40 Participants
Complete Remission
Complete Response
3 Participants
Complete Remission
Partial Response
1 Participants

Adverse Events

Neuroblastoma

Serious events: 26 serious events
Other events: 69 other events
Deaths: 16 deaths

Serious adverse events

Serious adverse events
Measure
Neuroblastoma
n=69 participants at risk
This is a single-arm, open label, open access study to provide the anti-GD2 murine IgG3 MoAb 3F8 combined with granulocyte-macrophage colony stimulating factor (GM-CSF) to patients with high-risk neuroblastoma (NB). This immunotherapy has shown efficacy against minimal residual disease (MRD) in such patients. Anti-GD2 3F8 Monoclonal Antibody GM-CSF (granulocyte-macrophage colony-stimulating factor) oral isotretinoin
Gastrointestinal disorders
Abdominal Pain
1.4%
1/69 • 2 year
Metabolism and nutrition disorders
Acidosis
1.4%
1/69 • 2 year
Immune system disorders
Anaphylaxis
1.4%
1/69 • 2 year
Cardiac disorders
Cardiac arrest
1.4%
1/69 • 2 year
Gastrointestinal disorders
Constipation
1.4%
1/69 • 2 year
Respiratory, thoracic and mediastinal disorders
Cough
1.4%
1/69 • 2 year
Metabolism and nutrition disorders
Dehydration
1.4%
1/69 • 2 year
Gastrointestinal disorders
Diarrhea
2.9%
2/69 • 2 year
Blood and lymphatic system disorders
Febrile neutropenia
2.9%
2/69 • 2 year
General disorders
Fever
7.2%
5/69 • 2 year
Metabolism and nutrition disorders
Hyperkalemia
1.4%
1/69 • 2 year
Vascular disorders
Hypertension
14.5%
10/69 • 2 year
Metabolism and nutrition disorders
Hypocalcemia
2.9%
2/69 • 2 year
Metabolism and nutrition disorders
Hypoglycemia
1.4%
1/69 • 2 year
Metabolism and nutrition disorders
Hypokalemia
1.4%
1/69 • 2 year
Vascular disorders
Hypotension
4.3%
3/69 • 2 year
General disorders
Hypothermia
1.4%
1/69 • 2 year
Respiratory, thoracic and mediastinal disorders
Hypoxia
4.3%
3/69 • 2 year
Infections and infestations
Infections and infestations - Other, specify
11.6%
8/69 • 2 year
Nervous system disorders
Intracranial hemorrhage
1.4%
1/69 • 2 year
Investigations
Neutrophil count decreased
1.4%
1/69 • 2 year
Investigations
Platelet count decreased
2.9%
2/69 • 2 year
Respiratory, thoracic and mediastinal disorders
Pulmonary edema
1.4%
1/69 • 2 year
Respiratory, thoracic and mediastinal disorders
Resp, thoracic & mediastinal disorder Other, spec
2.9%
2/69 • 2 year
Infections and infestations
Skin infection
4.3%
3/69 • 2 year
Gastrointestinal disorders
Small intestinal obstruction
1.4%
1/69 • 2 year
Respiratory, thoracic and mediastinal disorders
Stridor
1.4%
1/69 • 2 year
Infections and infestations
Upper respiratory infection
1.4%
1/69 • 2 year
Renal and urinary disorders
Urinary retention
1.4%
1/69 • 2 year
Infections and infestations
Urinary tract infection
1.4%
1/69 • 2 year
Gastrointestinal disorders
Vomiting
1.4%
1/69 • 2 year
Respiratory, thoracic and mediastinal disorders
Wheezing
2.9%
2/69 • 2 year
Investigations
White blood cell decreased
1.4%
1/69 • 2 year
Infections and infestations
Wound infection
1.4%
1/69 • 2 year

Other adverse events

Other adverse events
Measure
Neuroblastoma
n=69 participants at risk
This is a single-arm, open label, open access study to provide the anti-GD2 murine IgG3 MoAb 3F8 combined with granulocyte-macrophage colony stimulating factor (GM-CSF) to patients with high-risk neuroblastoma (NB). This immunotherapy has shown efficacy against minimal residual disease (MRD) in such patients. Anti-GD2 3F8 Monoclonal Antibody GM-CSF (granulocyte-macrophage colony-stimulating factor) oral isotretinoin
General disorders
Edema face
8.7%
6/69 • 2 year
General disorders
Pain
8.7%
6/69 • 2 year
Skin and subcutaneous tissue disorders
Pruritus
8.7%
6/69 • 2 year
Skin and subcutaneous tissue disorders
Urticaria
8.7%
6/69 • 2 year
Gastrointestinal disorders
Abdominal pain
7.2%
5/69 • 2 year
Vascular disorders
Flushing
7.2%
5/69 • 2 year
Musculoskeletal and connective tissue disorders
Pain in extremity
7.2%
5/69 • 2 year
Gastrointestinal disorders
Vomiting
7.2%
5/69 • 2 year
Psychiatric disorders
Agitation
5.8%
4/69 • 2 year
Vascular disorders
Hypotension
5.8%
4/69 • 2 year
Psychiatric disorders
Anxiety
4.3%
3/69 • 2 year
Vascular disorders
Hypertension
4.3%
3/69 • 2 year
General disorders
Localized edema
4.3%
3/69 • 2 year
Gastrointestinal disorders
Nausea
4.3%
3/69 • 2 year
Respiratory, thoracic and mediastinal disorders
Sore throat
4.3%
3/69 • 2 year
Metabolism and nutrition disorders
Anorexia
2.9%
2/69 • 2 year
Respiratory, thoracic and mediastinal disorders
Cough
2.9%
2/69 • 2 year
Skin and subcutaneous tissue disorders
Dry skin
2.9%
2/69 • 2 year
General disorders
Fever
2.9%
2/69 • 2 year
Nervous system disorders
Headache
2.9%
2/69 • 2 year
Psychiatric disorders
Irritability
2.9%
2/69 • 2 year
Musculoskeletal and connective tissue disorders
Neck pain
2.9%
2/69 • 2 year
Gastrointestinal disorders
Oral pain
2.9%
2/69 • 2 year
Respiratory, thoracic and mediastinal disorders
Wheezing
2.9%
2/69 • 2 year

Additional Information

Dr. Brian Kushner, MD

Memorial Sloan Kettering Cancer Center

Phone: 212-639-6793

Results disclosure agreements

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