The Phase I part of the study aims to evaluate the safety, efficacy, and tolerability of subcutaneous (SC) blinatumomab for treatment of Relapsed or Refractory B cell Precursor Acute Lymphoblastic Leukemia (R/R B-ALL), to determine the maximum tolerated dose (MTD), and recommended phase 2 dose(s) (RP2D) of SC administered blinatumomab. The Phase II part of the study will evaluate the safety, efficacy, and tolerability of SC blinatumomab for treatment of R/R B-ALL and Minimum Residual Disease Positive (MRD+) B-ALL in participants 12 years old and greater. It will also conduct a clinical pharmacokinetic (PK) evaluation of SC1 and SC2 blinatumomab formulations.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
281
Blinatumomab will be administered as a subcutaneous (SC) injection.
City of Hope National Medical Center
Duarte, California, United States
RECRUITINGUniversity of Illinois Chicago
Chicago, Illinois, United States
RECRUITINGJohns Hopkins University
Baltimore, Maryland, United States
RECRUITINGC.S. Mott Children's Hospital - University of Michigan
Ann Arbor, Michigan, United States
Dose Escalation Phase: Number of participants who experience dose limiting toxicities (DLTs)
Time frame: Up to 29 days
Dose Escalation Phase: Number of participants who experience one or more treatment-emergent adverse events (TEAEs)
Time frame: Up to approximately 28 weeks
Dose Escalation Phase: Number of participants who experience one or more serious TEAEs
Time frame: Up to approximately 28 weeks
Dose Escalation Phase: Number of participants who experience one or more treatment-related TEAEs
Time frame: Up to approximately 28 weeks
Dose Escalation Phase: Number of participants who experience one or more adverse events (AEs) of Interest (AEIs)
Time frame: Up to approximately 28 weeks
Dose Expansion and Phase 2 Ph-IIR cohort: Number of participants who achieve complete remission (CR) / complete remission with partial hematological recovery (CRh)
Time frame: Up to 10 weeks
Phase 2 Ph-IIC cohort: Maximum concentration (Cmax) of blinatumomab SC1 and SC2
Time frame: Up to approximately 4 weeks
Phase 2 Ph-IIC cohort: Average concentration (Cavg) of blinatumomab SC1 and SC2
Time frame: Up to approximately 4 weeks
Phase 2 Ph-IIC cohort: Time to reach maximum concentration (Tmax) of blinatumomab SC1 and SC2
Time frame: Up to approximately 4 weeks
Phase 2 Ph-IIC cohort: Area under the concentration-time curve (AUC) of blinatumomab SC1 and SC2
Time frame: Up to approximately 4 weeks
Phase 2 Ph-IIM cohort: Number of participants who achieve CR with MRD-negative response
Time frame: Up to 10 weeks
Dose Escalation and Dose Expansion Phase: Minimum concentration over the dosing interval (Cmin) of blinatumomab
Time frame: Up to approximately 10 weeks
Dose Escalation and Dose Expansion Phase: Cmax of blinatumomab
Time frame: Up to approximately 10 weeks
Dose Escalation and Dose Expansion Phase: Tmax of blinatumomab
Time frame: Up to approximately 10 weeks
Dose Escalation and Dose Expansion Phase: AUC of blinatumomab
Time frame: Up to approximately 10 weeks
Dose Escalation Phase and Phase 2 (Ph-IIC cohort): Number of participants who achieve CR/CRh
Time frame: Up to 10 weeks
Dose Escalation Phase, Dose Expansion Phase and Phase 2 (Ph-IIR cohort, Ph-IIM cohort and Ph-IIC cohort): Number of participants with incidence of anti-blinatumomab antibody formation
Time frame: Up to approximately 28 weeks
Dose Expansion Phase and Phase 2 (Ph-IIR cohort, Ph-IIM cohort and Ph-IIC cohort): Overall survival (OS)
Time frame: Up to approximately 2 years
Dose Expansion Phase and Phase 2 (Ph-IIR cohort and Ph-IIC cohort): Duration of response
Time frame: Up to approximately 2 years
Dose Expansion Phase and Phase 2 (Ph-IIR cohort, Ph-IIM cohort and Ph-IIC cohort): Relapse free survival
Time frame: Up to approximately 2 years
Dose Expansion Phase and Phase 2 (Ph-IIR cohort, Ph-IIM cohort and Ph-IIC cohort): Number of participants who experience one or more TEAEs
Time frame: Up to approximately 28 weeks
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New York University Grossman School of Medicine and New York University Langone Hospitals
New York, New York, United States
RECRUITINGAlbert Einstein College of Medicine - Montefiore Medical Center
The Bronx, New York, United States
RECRUITINGUniversity of Texas MD Anderson Cancer Center
Houston, Texas, United States
RECRUITINGFred Hutchinson Cancer Center
Seattle, Washington, United States
RECRUITINGFred Hutchinson Cancer Center
Seattle, Washington, United States
COMPLETEDThe Medical College of Wisconsin
Milwaukee, Wisconsin, United States
RECRUITING...and 63 more locations
Dose Expansion Phase and Phase 2 (Ph-IIR cohort, Ph-IIM cohort and Ph-IIC cohort): Number of participants who experience one or more serious treatment-emergent adverse event
Time frame: Up to approximately 2 years
Dose Expansion Phase and Phase 2 (Ph-IIR cohort, Ph-IIM cohort and Ph-IIC cohort): Number of participants who experience one or more treatment-related treatment-emergent adverse events
Time frame: Up to approximately 28 weeks
Dose Expansion Phase and Phase 2 (Ph-IIR cohort, Ph-IIM cohort and Ph-IIC cohort): Number of participants who experience one or more AEIs
Time frame: Up to approximately 28 weeks
Dose Expansion Phase and Phase 2 (Ph-IIR cohort, Ph-IIM cohort and Ph-IIC cohort): Summary scores of quality of life at each assessment as assessed by the EORTC QLQ-C30 for participants aged ≥ 17 years at the time of consent
The EORTC QLQ-C30 is defined as the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire.
Time frame: Baseline (Day 1) up to approximately 28 weeks
Dose Expansion Phase and Phase 2 (Ph-IIR cohort, Ph-IIM cohort and Ph-IIC cohort): Change from baseline of quality of life as assessed by the EORTC QLQ-C30 for participants aged ≥ 17 years at the time of consent
Time frame: Baseline (Day 1) up to approximately 28 weeks
Phase 2 (Ph-IIR cohort and Ph-IIM cohort): Summary scores of quality of life at each assessment as assessed by PedsQL Generic Core Scale for participants aged 12 to < 17 years at time of consent
Time frame: Baseline (Day 1) up to approximately 28 weeks
Phase 2 (Ph-IIR cohort and Ph-IIM cohort): Change from baseline of quality of life as assessed by PedsQL Generic Core Scale for participants aged 12 to < 17 years at time of consent
Time frame: Baseline (Day 1) up to approximately 28 weeks
Phase 2 (Ph-IIR cohort): Number of participants who achieve CR
Time frame: Up to 10 weeks
Phase 2 (Ph-IIR cohort): Number of participants who achieve CR, CRh, CRi (complete remission with incomplete hematological recovery) or blast free hypoplastic or aplastic bone marrow (BM)
Time frame: Up to 10 weeks
Phase 2 (Ph-IIM cohort): Number of participants who achieve CR, CRh, CRi or blast free hypoplastic or aplastic BM with MRD-negative response
Time frame: Up to 10 weeks
Phase 2 (Ph-IIR cohort and Ph-IIM cohort): Number of participants who achieve CR or CRh with MRD-negative response
Time frame: Up to 10 weeks
Phase 2 (Ph-IIR cohort and Ph-IIM cohort): Duration of molecular response
Time frame: Up to approximately 2 years
Phase 2 (Ph-IIR cohort and Ph-IIM cohort): Cmax of blinatumomab for participants participating in intense PK sampling assessment
Time frame: Up to approximately 4 weeks
Phase 2 (Ph-IIR cohort and Ph-IIM cohort): Tmax of blinatumomab for participants participating in intense PK sampling assessment
Time frame: Up to approximately 4 weeks
Phase 2 (Ph-IIR cohort and Ph-IIM cohort): AUC of blinatumomab for participants participating in intense PK sampling assessment
Time frame: Up to approximately 4 weeks
Phase 2 (Ph-IIR cohort and Ph-IIM cohort): Blinatumomab serum concentrations for participants not participating in intense PK sampling assessment
Time frame: Up to approximately 4 weeks
Phase 2 (Ph-IIR cohort and Ph-IIM cohort): Proportion of time on treatment with high side effect bother from baseline to end of treatment as measured by Functional Assessment of Chronic Illness Therapy (FACIT) GP5 item for participants aged ≥ 17 years
This endpoint applies to participants aged ≥ 17 years at time of consent.
Time frame: Baseline (Day 1) up to approximately 28 weeks
Phase 2 (Ph-IIR cohort and Ph-IIM cohort): Pain difference between pain score before and after injection as reported using the Numeric Rating Scale (NRS-11) for participants aged 12 to < 17 years at time of consent
Time frame: Up to approximately 28 weeks