Chronic Lymphocytic Leukemia (CLL)Phase 2NCT01466153
A Phase 2, Multicenter, Open-label Study of MEDI-551 in Adults With Relapsed or Refractory Chronic Lymphocytic Leukemia (CLL)
A Phase 2 study testing Rituximab, Bendamustine and MEDI-551 in people with Chronic Lymphocytic Leukemia (CLL), run by MedImmune LLC at 54 sites in 8 countries.
Trial summary
The overall purpose of the study was to determine if MEDI-551, when used in combination with salvage chemotherapy (bendamustine) in participants with relapsed or refractory CLL who are not eligible for Autologous Stem Cell Transplant (ASCT), had superior efficacy compared to rituximab in the same population. Read more about this study
- Who is it for?
- Ages 18 to 99 years
- Conditions the study is for
- Chronic Lymphocytic Leukemia (CLL)
- What is being tested?
- Rituximab, Bendamustine and MEDI-551
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 183 participants
- Where
- 54 sitesin 8 countries
- Study dates
- 7 Feb 2012to 8 Jan 2016
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 99 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Histologically confirmed B-cell Chronic Lymphocytic Leukemia (CLL) according to the National Cancer Institute criteria; Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2; Adequate hematological function
Who cannot join
- Any chemotherapy, radiotherapy, immunotherapy, biologic, investigational, or hormonal therapy for treatment of lymphoma within 28 days prior to treatment;
- Exposure to bendamustine within the 180 days before study enrollment
- Prior autologous or allogeneic stem cell transplantation (SCT);
- Clinically significant abnormality on electrocardiogram (ECG) as determined by the treating physician or medical monitor;
- History of other invasive malignancy within 5 years except for localized/in situ carcinomas;
- Evidence of active infection, Confirmed current central nervous system involvement by leukemia or lymphoma;
Trial locations and contacts
54 sites in 8 countries.
54 sites in 8 countries
Italy15 sites
Research Site
Bari
Research Site
Lecce
Research Site
Meldola
Research Site
Milan
Research Site
Modena
Research Site
Naples
Research Site
Orbassano
Research Site
Palermo
Research Site
Pisa
Research Site
Ravenna
Research Site
Rimini
Research Site
Roma
Research Site
San Giovanni Rotondo
Research Site
Torino
Research Site
Udine
United States14 sites
Research Site
Baltimore, Maryland
Research Site
Birmingham, Alabama
Research Site
Burbank, California
Research Site
Dayton, Ohio
Research Site
Detroit, Michigan
Research Site
Fargo, North Dakota
Research Site
La Jolla, California
Research Site
Lubbock, Texas
Research Site
Morgantown, West Virginia
Research Site
Newark, Ohio
Research Site
Palm Springs, California
Research Site
Shreveport, Louisiana
Research Site
Skokie, Illinois
Research Site
Watertown, South Dakota
France7 sites
Research Site
Amiens
Research Site
Bayonne
Research Site
Bordeaux
Research Site
Le Mans
Research Site
Libourne
Research Site
Marseille
Research Site
Nîmes
Belgium6 sites
Research Site
Antwerp
Research Site
Arlon
Research Site
Kortrijk
Research Site
Mons
Research Site
Wilrijk
Research Site
Yvoir
Germany5 sites
Research Site
Dortmund
Research Site
Essen
Research Site
Freiburg im Breisgau
Research Site
München
Research Site
Würzburg
Canada3 sites
Research Site
Greenfield Park, Quebec
Research Site
Montreal, Quebec
Research Site
Toronto, Ontario
About this study
Official title: A Phase 2 Open-label Study of MEDI-551 and Bendamustine vs Rituximab and Bendamustine in Adults With Relapsed or Refractory CLL
The overall purpose of the study was to determine if MEDI-551, when used in combination with salvage chemotherapy (bendamustine) in participants with relapsed or refractory CLL who are not eligible for Autologous Stem Cell Transplant (ASCT), had superior efficacy compared to rituximab in the same population.
- Conditions
- Chronic Lymphocytic Leukemia (CLL)
- Being tested
- Rituximab, Bendamustine, MEDI-551
- Keywords
- Chronic lymphocytic leukemia; leukemia; B-Cell malignancy; anti-CD19; monoclonal antibody; CLL; Refractory; Relapse; Non-Hodgkin's Lymphoma
- Medical subject headings
- Leukemia, Lymphocytic, Chronic, B-Cell, Leukemia, Recurrence, Lymphoma, Non-Hodgkin
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
RituximabDrug
Also called Rituxan; MabThera
Rituximab was administered by IV infusion as a dose of 375 mg/m^2 on Day 2 of Cycle 1 and then at 500 mg/m^2 on Day 1 of up to 5 subsequent 28-day cycles
BendamustineDrug
Bendamustine was administered by IV infusion as a dose of 70 mg/m^2 on Day 1 and Day 2 of each 5 subsequent 28-day cycle.
MEDI-551Drug
MEDI-551 was administered at 2 mg/kg or 4 mg/kg by IV infusion on Days 2 and 8 of Cycle 1 and then on Day 1 of up to 5 subsequent 28-day cycles.
| Study group | Role | What they receive |
|---|---|---|
| Rituximab + Bendamustine | Active comparator | Rituximab was administered by IV infusion as 375 mg/m^2 on Day 2 of Cycle 1 and then 500 mg/m^2 on Day 1 of up to 5 subsequent 28-day cycle. Bendamustine was also administered by IV infusion on Day 1 and Day 2 of every cycle (total 6 cycles). Bendamustine was administered before the administration of rituximab in each cycle. Receives: Drug: Rituximab; Drug: Bendamustine |
| MEDI-551 2 mg/kg + Bendamustine | Experimental | MEDI-551 2 mg/kg was administered by IV infusion on Days 2 and 8 of Cycle 1 and then on Day 1 of up to 5 subsequent 28-day cycle. Bendamustine was also administered by IV infusion on Day 1 and Day 2 of every cycle (total 6 cycles). Bendamustine was administered before the administration of MEDI-551 in each cycle. Receives: Drug: Bendamustine; Drug: MEDI-551 |
| MEDI-551 4 mg/kg + Bendamustine | Experimental | MEDI-551 4 mg/kg was administered by IV infusion on Days 2 and 8 of Cycle 1 and then on Day 1 of up to 5 subsequent 28-day cycle. Bendamustine was also administered by IV infusion on Day 1 and Day 2 of every cycle (total 6 cycles). Bendamustine was administered before the administration of MEDI-551 in each cycle. Receives: Drug: Bendamustine; Drug: MEDI-551 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Objective Response Rate
ORR, defined as the proportion of participants with complete response (CR) or partial response (PR) out of total number of participants. Responses were assessed by using National Cancer Institute - Working Group guidelines on CLL.
Measured: From treatment administration (Day 1) until disease progression, death, initiation of alternative therapy, withdrawal of consent, or end of study (up to 24 months)
Secondary outcomes (11)
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs) and Adverse Events of Special Interest (AESIs)
An adverse event (AE) was any untoward medical occurrence attributed to study drug in a participant who received study drug (MEDI-551). A serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience; persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between administration of study drug and Day 90 that were absent before treatment or that worsened relative to pre-treatment state. An AESIs was one of scientific and medical interest specific to understanding of study product and may have required close monitoring and rapid communication by investigator to the sponsor. Treatment emergent AESIs were collected from the time of dosing through Day 90 after the last dose of study drug.Hepatic function abnormality and infusion reactions resulting in discontinuation were considered as AESIs.
Measured: From time of consent to 90 days post last dose
Number of Participants With Abnormal Clinical Laboratory Parameters Reported as AEs
An abnormal laboratory finding which required an action or intervention by the investigator, or a finding judged by the investigator to represent a change beyond the range of normal physiologic fluctuation were reported as an adverse event. Laboratory evaluations (haematology, serum chemistry and urinalysis) of blood and urine samples were performed.
Measured: From time of consent to 90 days post last dose
Number of Participants With Abnormal Vital Signs and Electrocardiogram Reported as AEs
AEs observed in participants with clinically significant ECG abnormalities were assessed.
Measured: From time of consent to 90 days post last dose
Complete Response Rate
Complete response was as per IWG was the complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present before therapy.
Measured: From treatment administration (Day 1) until disease progression, death, initiation of alternative therapy, withdrawal of consent, or end of study (up to 24 months)
Minimal Residual Disease Negative Complete Response (CR) Rate
The MRD-negative CR rate was defined as the percentage of participants who achieved CR and became MRD-negative as determined by flow cytometry. CR as per International Working Group (IWG) was complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present before therapy.
Measured: From treatment administration (Day 1) until disease progression, death, initiation of alternative therapy, withdrawal of consent, or end of study (up to 24 months)
Time to Response
Time to response was evaluated using the Kaplan-Meier method.
Measured: From treatment administration (Day 1) until disease progression, death, initiation of alternative therapy, withdrawal of consent, or end of study (up to 24 months)
Time to Disease Progression (TTP)
TTP was defined as the time from onset of treatment with study drug until first evidence/diagnosis of progressive disease or - in the absence of any diagnosis of progressive disease - until the participant´s death.
Measured: From treatment administration (Day 1) until disease progression, death, initiation of alternative therapy, withdrawal of consent, or end of study (up to 24 months)
Progression Free Survival (PFS)
PFS was measured from the start of treatment with study drug until the first documentation of disease progression or death due to any cause, whichever occurred first. Kaplan-Meier method was used for evaluation.
Measured: From treatment administration (Day 1) until disease progression, death, initiation of alternative therapy, withdrawal of consent, or end of study (up to 24 months)
Overall Survival (OS)
OS was determined as the time from the start of treatment with study drug until death due to any cause. For participants who were alive at the end of the study or lost to follow-up, OS was censored on the last date when the participant was known be alive. Kaplan-Meier method was used for evaluation.
Measured: From treatment administration (Day 1) until disease progression, death, initiation of alternative therapy, withdrawal of consent, or end of study (up to 24 months)
Number of Participants Who Developed Detectable Anti-drug Antibodies (ADA)
A participant was considered ADA-positive across the study if they had a positive reading at any time point during the study.
Measured: From treatment administration (Day 1) until disease progression, death, initiation of alternative therapy, withdrawal of consent, or end of study (up to 24 months)
Terminal Half Life (t1/2) of MEDI-551
Terminal phase elimination half-life (T1/2) was the time required for half of the drug to be eliminated from the serum.
Measured: Pre-infusion and 1 hour post infusion on Days 2 and 8, Days 15 and 22 of cycle 1
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Nov 2011 (estimated)
- Study start7 Feb 2012
- Primary completion8 Jan 2016
- Study completion8 Jan 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Chronic Lymphocytic Leukemia (CLL)Studies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 183 participants (actual)
Sponsor and investigators
- Lead sponsor
- MedImmune LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- MedImmune, Study director, MedImmune LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01466153
- Sponsor's protocol ID
- CD-ON-MEDI-551-1019
- Status last verified
- Apr 2017
- First submitted
- 30 Sep 2011
- Last updated
- 31 May 2017
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 31 May 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2 Open-label Study of MEDI-551 and Bendamustine vs Rituximab and Bendamustine in Adults With Relapsed or Refractory CLL
- ClinicalTrials.gov ID
- NCT01466153
- Acronym / sponsor ID
- CD-ON-MEDI-551-1019
- Conditions
- Chronic Lymphocytic Leukemia (CLL)
- Keywords
- Chronic lymphocytic leukemia; leukemia; B-Cell malignancy; anti-CD19; monoclonal antibody; CLL; Refractory; Relapse; Non-Hodgkin's Lymphoma
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 183 participants (actual)
- Lead sponsor
- MedImmune LLCIndustry (pharma, biotech, devices)
- Study start
- 7 Feb 2012
- Primary completion
- 8 Jan 2016 (actual)
- Study completion
- 8 Jan 2016 (actual)
- First posted
- 7 Nov 2011 (estimated)
- Results
- Posted 31 May 2017
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The overall purpose of the study was to determine if MEDI-551, when used in combination with salvage chemotherapy (bendamustine) in participants with relapsed or refractory CLL who are not eligible for Autologous Stem Cell Transplant (ASCT), had superior efficacy compared to rituximab in the same population.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Rituximab + Bendamustine | Active comparator | Drug: Rituximab, Drug: BendamustineRituximab was administered by IV infusion as 375 mg/m^2 on Day 2 of Cycle 1 and then 500 mg/m^2 on Day 1 of up to 5 subsequent 28-day cycle. Bendamustine was also administered by IV infusion on Day 1 and Day 2 of every cycle (total 6 cycles). Bendamustine was administered before the administration of rituximab in each cycle. |
| MEDI-551 2 mg/kg + Bendamustine | Experimental | Drug: Bendamustine, Drug: MEDI-551MEDI-551 2 mg/kg was administered by IV infusion on Days 2 and 8 of Cycle 1 and then on Day 1 of up to 5 subsequent 28-day cycle. Bendamustine was also administered by IV infusion on Day 1 and Day 2 of every cycle (total 6 cycles). Bendamustine was administered before the administration of MEDI-551 in each cycle. |
| MEDI-551 4 mg/kg + Bendamustine | Experimental | Drug: Bendamustine, Drug: MEDI-551MEDI-551 4 mg/kg was administered by IV infusion on Days 2 and 8 of Cycle 1 and then on Day 1 of up to 5 subsequent 28-day cycle. Bendamustine was also administered by IV infusion on Day 1 and Day 2 of every cycle (total 6 cycles). Bendamustine was administered before the administration of MEDI-551 in each cycle. |
Who may qualify
- Ages
- 18 to 99 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- Histologically confirmed B-cell Chronic Lymphocytic Leukemia (CLL) according to the National Cancer Institute criteria; Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2; Adequate hematological function
Key exclusion criteria (6 listed)
- Any chemotherapy, radiotherapy, immunotherapy, biologic, investigational, or hormonal therapy for treatment of lymphoma within 28 days prior to treatment;
- Exposure to bendamustine within the 180 days before study enrollment
- Prior autologous or allogeneic stem cell transplantation (SCT);
- Clinically significant abnormality on electrocardiogram (ECG) as determined by the treating physician or medical monitor;
- History of other invasive malignancy within 5 years except for localized/in situ carcinomas;
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| RituximabAlso: Rituxan; MabTheraRituximab was administered by IV infusion as a dose of 375 mg/m^2 on Day 2 of Cycle 1 and then at 500 mg/m^2 on Day 1 of up to 5 subsequent 28-day cycles | Drug | Rituximab + Bendamustine |
| BendamustineBendamustine was administered by IV infusion as a dose of 70 mg/m^2 on Day 1 and Day 2 of each 5 subsequent 28-day cycle. | Drug | MEDI-551 2 mg/kg + Bendamustine, MEDI-551 4 mg/kg + Bendamustine, Rituximab + Bendamustine |
| MEDI-551MEDI-551 was administered at 2 mg/kg or 4 mg/kg by IV infusion on Days 2 and 8 of Cycle 1 and then on Day 1 of up to 5 subsequent 28-day cycles. | Drug | MEDI-551 2 mg/kg + Bendamustine, MEDI-551 4 mg/kg + Bendamustine |
Primary outcome
Objective Response Rate
Time frame: From treatment administration (Day 1) until disease progression, death, initiation of alternative therapy, withdrawal of consent, or end of study (up to 24 months)
ORR, defined as the proportion of participants with complete response (CR) or partial response (PR) out of total number of participants. Responses were assessed by using National Cancer Institute - Working Group guidelines on CLL.
11 secondary outcomes
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs) and Adverse Events of Special Interest (AESIs)
Time frame: From time of consent to 90 days post last dose
Number of Participants With Abnormal Clinical Laboratory Parameters Reported as AEs
Time frame: From time of consent to 90 days post last dose
Number of Participants With Abnormal Vital Signs and Electrocardiogram Reported as AEs
Time frame: From time of consent to 90 days post last dose
Complete Response Rate
Time frame: From treatment administration (Day 1) until disease progression, death, initiation of alternative therapy, withdrawal of consent, or end of study (up to 24 months)
Minimal Residual Disease Negative Complete Response (CR) Rate
Time frame: From treatment administration (Day 1) until disease progression, death, initiation of alternative therapy, withdrawal of consent, or end of study (up to 24 months)
Time to Response
Time frame: From treatment administration (Day 1) until disease progression, death, initiation of alternative therapy, withdrawal of consent, or end of study (up to 24 months)
Time to Disease Progression (TTP)
Time frame: From treatment administration (Day 1) until disease progression, death, initiation of alternative therapy, withdrawal of consent, or end of study (up to 24 months)
Progression Free Survival (PFS)
Time frame: From treatment administration (Day 1) until disease progression, death, initiation of alternative therapy, withdrawal of consent, or end of study (up to 24 months)
Overall Survival (OS)
Time frame: From treatment administration (Day 1) until disease progression, death, initiation of alternative therapy, withdrawal of consent, or end of study (up to 24 months)
Number of Participants Who Developed Detectable Anti-drug Antibodies (ADA)
Time frame: From treatment administration (Day 1) until disease progression, death, initiation of alternative therapy, withdrawal of consent, or end of study (up to 24 months)
Terminal Half Life (t1/2) of MEDI-551
Time frame: Pre-infusion and 1 hour post infusion on Days 2 and 8, Days 15 and 22 of cycle 1
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 31 May 2017.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
MedImmune study director
MedImmune LLC
54 sites in 8 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Rituximab, Bendamustine and MEDI-551 in people with Chronic Lymphocytic Leukemia (CLL), run by MedImmune LLC at 54 sites in 8 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 31 May 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 54 sites in Italy, United States, France, Belgium, Germany and 3 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 31 May 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Objective Response Rate (time frame: From treatment administration (Day 1) until disease progression, death, initiation of alternative therapy, withdrawal of consent, or end of study (up to 24 months)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 May 2017; AzTrials last refreshed its copy on 31 Oct 2026.