Safety and Efficacy of Isatuximab in Lymphoblastic Leukemia

NCT ID: NCT02999633

Last Updated: 2022-03-21

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

14 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-03-08

Study Completion Date

2017-11-14

Brief Summary

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Primary Objective:

To evaluate the efficacy of isatuximab.

Secondary Objectives:

* To evaluate the safety profile of isatuximab.
* To evaluate the duration of response (DOR).
* To evaluate progression free survival (PFS) and overall survival (OS).
* To evaluate the pharmacokinetics (PK) of isatuximab in participants with T-ALL or T-LBL.
* To evaluate immunogenicity of isatuximab in participants with T-ALL or T-LBL.
* To assess minimal residual disease (MRD) and correlate it with clinical outcome.

Detailed Description

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The study duration per participant included a 3-week screening period, an approximately 1 year of treatment period or until disease progression or discontinuation for any other reason, and a follow-up period of at least 30 days after the last investigational medicinal product administration.

Conditions

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T-cell Type Acute Leukemia-Precursor T-lymphoblastic Lymphoma/Leukaemia

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Isatuximab

Participants received intravenous administration of isatuximab at a dose of 20 milligrams/kilogram (mg/kg) at Day 1, 8, 15 and 22 of each Cycle (up to 2 treatment cycles, each cycle 28 days).

Group Type EXPERIMENTAL

Isatuximab SAR650984

Intervention Type DRUG

Pharmaceutical form:solution Route of administration: intravenous

dexamethasone

Intervention Type DRUG

Pharmaceutical form:pills Route of administration: oral

dexamethasone

Intervention Type DRUG

Pharmaceutical form:solution Route of administration: intravenous

acetaminophen

Intervention Type DRUG

Pharmaceutical form:pills Route of administration: oral

ranitidine

Intervention Type DRUG

Pharmaceutical form:solution Route of administration: intravenous

diphenhydramine

Intervention Type DRUG

Pharmaceutical form:solution Route of administration: intravenous

Interventions

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Isatuximab SAR650984

Pharmaceutical form:solution Route of administration: intravenous

Intervention Type DRUG

dexamethasone

Pharmaceutical form:pills Route of administration: oral

Intervention Type DRUG

dexamethasone

Pharmaceutical form:solution Route of administration: intravenous

Intervention Type DRUG

acetaminophen

Pharmaceutical form:pills Route of administration: oral

Intervention Type DRUG

ranitidine

Pharmaceutical form:solution Route of administration: intravenous

Intervention Type DRUG

diphenhydramine

Pharmaceutical form:solution Route of administration: intravenous

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Participants must had a known diagnosis of acute lymphoblastic leukemia (ALL) of T cell origin, including T-LBL and T-ALL with extramedullary involvement at relapse confirmed by biopsy.
* Participants must be previously treated for T-ALL or T-LBL and have relapsed or are refractory to most recent treatment. Participants in first relapse were be eligible regardless of the first remission duration.
* Participants must had been previously exposed to nelarabine in countries where this drug is available (unless due to a contraindication to its use or administrative issue).
* No more than 3 prior salvage therapies.

Exclusion Criteria

* Prior treatment with immunotherapy/investigational agents within 3 weeks, chemotherapy within 2 weeks of study treatment. Must have recovered from acute toxicity before first study treatment administration.
* Prior stem cell transplant within 4 months and/or evidence of active systemic Graft versus Host Disease and/or immunosuppressive therapy for Graft versus Host Disease within 1 week before the first study treatment administration.
* Clinical evidence of active central nervous system (CNS) leukemia.
* T-ALL with testicular involvement alone.

The above information was not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
Minimum Eligible Age

16 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sanofi

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Sciences & Operations

Role: STUDY_DIRECTOR

Sanofi

Locations

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Investigational Site Number 8400002

Atlanta, Georgia, United States

Site Status

Investigational Site Number 8400003

Hackensack, New Jersey, United States

Site Status

Investigational Site Number 8400001

Houston, Texas, United States

Site Status

Investigational Site Number 2460001

Helsinki, , Finland

Site Status

Investigational Site Number 2500005

Nantes, , France

Site Status

Investigational Site Number 2500001

Paris, , France

Site Status

Investigational Site Number 2500004

Pessac, , France

Site Status

Investigational Site Number 2500002

Pierre-Bénite, , France

Site Status

Investigational Site Number 3480001

Budapest, , Hungary

Site Status

Investigational Site Number 3480003

Budapest, , Hungary

Site Status

Investigational Site Number 3480002

Debrecen, , Hungary

Site Status

Investigational Site Number 3800001

Bergamo, , Italy

Site Status

Investigational Site Number 3800004

Brescia, , Italy

Site Status

Investigational Site Number 4400001

Vilnius, , Lithuania

Site Status

Investigational Site Number 6430003

Moscow, , Russia

Site Status

Investigational Site Number 6430004

Moscow, , Russia

Site Status

Investigational Site Number 6430001

Moscow, , Russia

Site Status

Countries

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United States Finland France Hungary Italy Lithuania Russia

References

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Wang A, Song Z, Zheng G, Nicolazzi C, Fromm JR, Shehu E, Srinivasan S, Chen X, Zhu C, Blondel MC, Adrian FJ. Evaluation of Preclinical Activity of Isatuximab in Patients with Acute Lymphoblastic Leukemia. Mol Cancer Ther. 2021 Oct;20(10):1916-1925. doi: 10.1158/1535-7163.MCT-21-0058. Epub 2021 Aug 10.

Reference Type DERIVED
PMID: 34376579 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2016-002739-14

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

U1111-1179-5294

Identifier Type: OTHER

Identifier Source: secondary_id

ACT14596

Identifier Type: -

Identifier Source: org_study_id

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