This is a phase 1/2 study to evaluate the combination of vadastuximab talirine (SGN-CD33A; 33A) and azacitidine in subjects with previously untreated International Prognostic Scoring System (IPSS) Intermediate-2 or high risk myelodysplastic syndrome (MDS).
In the phase 1 portion of the study, escalating doses of 33A will be evaluated in combination with azacitidine, and a dose of 33A will be selected to proceed to phase 2. The phase 2 portion of the study is randomized, double-blind and placebo-controlled; it is designed to compare the overall response rate (ORR) between 2 study arms.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
19
Intravenous (IV) push every 4 weeks
75 mg/m\^2 given intravenously or subcutaneously for 7 days every 4 weeks
Placebo supplied in single-use vials matching 33A, IV push every 4 weeks
Phase 1 Outcome Measure: Recommended Dose of Vadastuximab Talirine for the Phase 2 Portion of the Study
A recommended dose of vadastuximab talirine was not identified in Phase 1 due to study termination. Number of dose delays and reductions are reported in lieu of a dose recommendation.
Time frame: Up to 1 year
Phase 2 Outcome Measure: Overall Response Rate for the Phase 2 Portion of the Study
Time frame: N/A - End point not assessed
Safety of the Combination of Vadastuximab Talirine and Azacitidine Measured by the Number of Participants With Adverse Events and Laboratory Abnormalities
As defined by the number of participants with adverse events and laboratory abnormalities. Participants are included only once per row, even if the participant experienced multiple events applicable to the category.
Time frame: Up to 1 year
Complete Response Rate (CR)
Study did not progress to Phase 2. A comparison between the 2 arms (Phase 2) of the CR rate, as defined by the 2006 IWG criteria for MDS.
Time frame: N/A - End point not assessed
Hematologic Improvement (HI) Rate
Study did not progress to Phase 2. A comparison between the 2 arms (Phase 2) of the HI rate, as defined by the 2006 IWG criteria for MDS.
Time frame: N/A - End point not assessed
Duration of Response (DOR) Rate
Study did not progress to Phase 2. A comparison between the 2 arms (Phase 2) of the time from first observation of response (CR, PR, or Marrow CR) to disease progression/relapse or death from any cause, whichever occurs first.
Time frame: N/A - End point not assessed
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Augusta, Georgia, United States
Rush University Medical Center
Chicago, Illinois, United States
Center for Cancer and Blood Disorders
Bethesda, Maryland, United States
...and 24 more locations
Progression Free Survival (PFS)
Study did not progress to Phase 2. A comparison between the 2 arms (Phase 2) of the time from first dose of study medication to first documentation of disease progression/relapse, or to death due to any cause, whichever occurs first.
Time frame: N/A - End point not assessed
Rate of Transformation to Acute Myeloid Leukemia (AML)
Study did not progress to Phase 2. A comparison between the 2 arms (Phase 2) of the rate of transformation to AML after initiation of study therapy.
Time frame: N/A - End point not assessed
Overall Survival (OS)
Study did not progress to Phase 2. A comparison between the 2 arms (Phase 2) of the time from first dose of study medication to death due to any cause.
Time frame: N/A - End point not assessed