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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.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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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

Other trials in Italy

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

Other trials in United States

France7 sites
  • Research Site

    Amiens

  • Research Site

    Bayonne

  • Research Site

    Bordeaux

  • Research Site

    Le Mans

  • Research Site

    Libourne

  • Research Site

    Marseille

  • Research Site

    Nîmes

Other trials in France

Belgium6 sites
  • Research Site

    Antwerp

  • Research Site

    Arlon

  • Research Site

    Kortrijk

  • Research Site

    Mons

  • Research Site

    Wilrijk

  • Research Site

    Yvoir

Other trials in Belgium

Germany5 sites
  • Research Site

    Dortmund

  • Research Site

    Essen

  • Research Site

    Freiburg im Breisgau

  • Research Site

    München

  • Research Site

    Würzburg

Other trials in Germany

Canada3 sites
  • Research Site

    Greenfield Park, Quebec

  • Research Site

    Montreal, Quebec

  • Research Site

    Toronto, Ontario

Other trials in Canada

Israel2 sites
  • Research Site

    Haifa

  • Research Site

    Ramat Gan

Other trials in Israel

Poland2 sites
  • Research Site

    Gdynia

  • Research Site

    Warsaw

Other trials in Poland

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.

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 groups in NCT01466153
Study groupRoleWhat they receive
Rituximab + BendamustineActive comparatorRituximab 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 + BendamustineExperimentalMEDI-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 + BendamustineExperimentalMEDI-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.

  1. 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)
  1. 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

  2. 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

  3. 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

  4. 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)

  5. 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)

  6. 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)

  7. 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)

  8. 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)

  9. 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)

  10. 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)

  11. 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.

  1. First posted7 Nov 2011 (estimated)
  2. Study start7 Feb 2012
  3. Primary completion8 Jan 2016
  4. Study completion8 Jan 2016

Resources

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)
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
Data monitoring committee
Yes

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.

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