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AzTrials

LeukemiaPhase 1/2NCT02305563

An Investigational Immuno-therapy Study of Ulocuplumab in Combination With Low Dose Cytarabine in Patients With Newly Diagnosed Acute Myeloid Leukemia

A Phase 1/2 study testing BMS-936564 and Cytarabine in people with Leukemia, run by Bristol-Myers Squibb at 38 sites in 10 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The purpose of this study is to determine the safety and effectiveness of ulocuplumab in combination with low dose cytarabine in the treatment of Newly Diagnosed Acute Myeloid Leukemia (AML). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Leukemia
What is being tested?
BMS-936564 and Cytarabine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
70 participants
Where
38 sitesin 10 countries
Study dates
27 Jan 2015to 4 Jun 2019
Phase
Phase 1/2
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Newly Diagnosed Acute Myeloid Leukemia (AML)
  • Considered inappropriate for intensive remission induction therapy by an investigator
  • Not eligible for stem cell transplantation

Who cannot join

  • Acute promyelocytic leukemia
  • Current Myelodysplastic syndrome only subjects
  • Unstable angina or uncontrolled congestive heart failure
  • Any other malignancy, excluding basal or squamous cell carcinoma of the skin, in situ melanoma, cervical carcinoma in situ, localized prostate cancer, or superficial bladder cancer stage 0, from which the subject has not been disease-free for at least 3 years
  • Respiratory disease requiring continuous supplemental oxygen
  • Other protocol defined inclusion/exclusion criteria could apply

Trial locations and contacts

38 sites in 10 countries.

38 sites in 10 countries

United States9 sites
  • University Of Cincinnati

    Cincinnati, Ohio, 45219

  • Cleveland Clinic Taussig Cancer Center

    Cleveland, Ohio, 44195

  • Duke University Adult Bone Marrow Transplant Clinic

    Durham, North Carolina, 27705

  • The University Of Texas MD Anderson Cancer Center

    Houston, Texas, 77030

  • Ucla Center Health Sci

    Los Angeles, California, 90095-3075

  • Norton Cancer Institute

    Louisville, Kentucky, 40207

  • Froedtert Hospital & Medical College of Wisconsin

    Milwaukee, Wisconsin, 53226

  • NYU Langone Medical Center

    New York, New York, 10016

  • UF Health Cancer Center at Orlando Health

    Orlando, Florida, 32806

Other trials in United States

Japan8 sites
  • Local Institution

    Bunkyo-ku, Tokyo, 1138677

  • Local Institution

    Fukuyama-shi, Hiroshima, 7200001

  • Local Institution

    Hirakata-shi, Osaka, 5731191

  • Local Institution

    Isehara, Kanagawa, 2591193

  • Local Institution

    Nagoya, Aichi-ken, 4600001

  • Local Institution

    Shinagawa-ku, Tokyo, 1418625

  • Local Institution

    Shinjuku-Ku, Tokyo, 1608582

  • Local Institution

    Tachikawa, Tokyo, 1900014

Other trials in Japan

Brazil6 sites
  • Fundacao Pio Xii Hosp Cancer De Barretos

    Barretos, São Paulo, 14784-400

  • Liga Paranaense De Combate Ao Cancer Erasto Gaertner

    Curitiba, Paraná, 81520-060

  • Instituto Do Cancer Mae De Deus / Cor Hospital Mae De Deus

    Porto Alegre, Rio Grande do Sul, 90110-270

  • IEP Sao Lucas

    São Paulo, 01236-030

  • Local Institution

    São Paulo, 01246-000

  • Local Institution

    São Paulo, 05651-901

Other trials in Brazil

Italy4 sites
  • Azienda Ospedaliero Universitaria Policlinico Vittorio Emanuele

    Catania, 95123

  • Local Institution

    Milan, 20162

  • Azienda Ospedaliera Di Rilievo Nazionale A. Cardarelli

    Naples, 80131

  • Local Institution

    Roma, 00133

Other trials in Italy

Taiwan4 sites
  • Local Institution

    Kaohsiung City, 833

  • Local Institution

    New Taipei City, 235

  • Local Institution

    New Taipei City, 25173

  • Local Institution

    Taoyuan City, 33305

Other trials in Taiwan

Israel2 sites
  • Local Institution

    Jerusalem, 91031

  • Local Institution

    Tel Aviv, 94239

Other trials in Israel

South Korea2 sites
  • Local Institution

    Seoul, 06351

  • Local Institution

    Seoul, 06591

Other trials in South Korea

Canada1 site
  • Local Institution

    Halifax, Nova Scotia, B3H 2Y9

Other trials in Canada

China1 site
  • Local Institution

    Hong Kong

Other trials in China

Romania1 site
  • Local Institution

    Bucharest, 020125

Other trials in Romania

About this study

Official title: A Phase 1/2, Open-label Randomized Study of Ulocuplumab (BMS-936564) in Combination With Low Dose Cytarabine in Subjects With Newly Diagnosed Acute Myeloid Leukemia

The purpose of this study is to determine the safety and effectiveness of ulocuplumab in combination with low dose cytarabine in the treatment of Newly Diagnosed Acute Myeloid Leukemia (AML).

Conditions
Leukemia
Being tested
BMS-936564, Cytarabine
Medical subject headings
Leukemia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • BMS-936564Drug

    Also called Ulocuplumab, MDX-1338

  • CytarabineDrug

Study groups in NCT02305563
Study groupRoleWhat they receive
Ulocuplumab + low dose CytarabineExperimentalUlocuplumab + low dose Cytarabine (LDAC) Phase 1 (escalation cohort) - closed for enrollment
Receives: Drug: BMS-936564; Drug: Cytarabine
Ulocuplumab Dose A + low dose CytarabineExperimentalUlocuplumab Dose A + low dose Cytarabine Phase 2 (expansion cohort)
Receives: Drug: BMS-936564; Drug: Cytarabine
Ulocuplumab Dose B + low dose CytarabineExperimentalUlocuplumab Dose B + low dose Cytarabine Phase 2 (expansion cohort)
Receives: Drug: BMS-936564; Drug: Cytarabine
low dose Cytarabine onlyOtherLow Dose Cytarabine only Phase 2 (expansion cohort)
Receives: Drug: BMS-936564; Drug: Cytarabine

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Dose-Limiting Toxicities (DLTs) in Treatment Cycle 1 - Phase 1

    Safety data evaluated for DLTs. DLTs and all other toxicities were defined and evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.03 (NCI CTCAE v4.03). DLTs were defined based upon events that were considered to be related to ulocuplumab in combination with LDAC and that occurred during the first cycle of drug administration (28 days).

    Measured: From first dose to end of cycle 1 (28 days)

  2. Number of Participants With Adverse Events (AEs) - Phase 1

    The number of participants with an on-study adverse event (AE).

    Safety data are evaluated for AEs, defined and evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.03 (NCI CTCAE v4.03).

    Measured: From first dose to 30 days post last dose

  3. Number of Participants With >= Grade 3 AEs - Phase 1

    The number of participants with an on-study adverse event >= Grade level 3.

    Safety data are evaluated for >= Grade 3 AEs, defined and evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.03 (NCI CTCAE v4.03).

    Measured: From first dose to 30 days post last dose

  4. Number of Participants With AEs Leading to Discontinuation - Phase 1

    The number of participants with an on-study adverse event (AE) leading to discontinuation.

    Safety data are evaluated for AEs leading to discontinuation, defined and evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.03 (NCI CTCAE v4.03).

    Measured: From first dose to 30 days post last dose

  5. Number of Participants With Serious Adverse Events (SAEs) - Phase 1

    The number of participants with an on-study serious adverse event (SAE).

    Safety data are evaluated for SAEs, defined and evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.03 (NCI CTCAE v4.03).

    Measured: From first dose to 30 days post last dose

  6. Number of Deaths - Phase 1

    The number of participants who died.

    Measured: From first dose to 30 days post last dose

  7. Number of Participants With Laboratory Abnormalities - Phase 1

    The number of participants with an on-study laboratory abnormality.

    Safety data are evaluated for laboratory abnormalities, defined and evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.03 (NCI CTCAE v4.03).

    grades 1, 2, 3, 4, 5, unknown, with 5 being the worst outcome

    Measured: From first dose to 30 days post last dose

  8. Best Overall Response (BOR) - Phase 2

    The phase 2 primary endpoint was based on the rate of Complete Remission (CR/CRi) prior to the initiation of any alternative therapy (including any subsequent ulocuplumab 800 mg for participants in the LDAC alone arm). The phase 2 primary analysis was conducted after all participants had an opportunity for 6 months of follow-up.

    Complete remission rate: CR + CRi, confidence interval based on the Clopper and Pearson method.

    CR = complete response CRi = complete response, incomplete blood count

    Measured: From first dose until a minimum follow-up of up to 2 months

Secondary outcomes (25)
  1. Best Overall Response (BOR) - Phase 1

    Investigator assessed best overall response prior to the initiation of any alternative therapy for Phase 1 participants.

    Measured: From first dose until a minimum follow-up of up to 2 months

  2. Number of Participants With AEs - Phase 2

    The number of participants with an on-study adverse event (AE).

    Safety data are evaluated for AEs, defined and evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.03 (NCI CTCAE v4.03).

    Measured: From first dose until a minimum follow-up of up to 2 months

  3. Number of Participants With AEs Leading to Discontinuation - Phase 2

    The number of participants with an on-study adverse event (AE) leading to discontinuation.

    Safety data are evaluated for AEs leading to discontinuation, defined and evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.03 (NCI CTCAE v4.03).

    Measured: From first dose until a minimum follow-up of up to 2 months

  4. Number of Participants With SAEs - Phase 2

    The number of participants with an on-study serious adverse event (SAE).

    Safety data are evaluated for SAEs, defined and evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.03 (NCI CTCAE v4.03).

    Measured: From first dose until a minimum follow-up of up to 2 months

  5. Number of Deaths- Phase 2

    The number of participants who died.

    Safety data are evaluated for deaths, defined and evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.03 (NCI CTCAE v4.03).

    Measured: From first dose until a minimum follow-up of up to 2 months

  6. Number of Participants With Laboratory Abnormalities - Phase 2

    The number of participants with an on-study laboratory abnormality, assessed from Grade 1-4 Serum Chemistry, Electrolytes, and Hematology Laboratory Test results, with grade 4 being the worst.

    Safety data are evaluated for laboratory abnormalities, defined and evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.03 (NCI CTCAE v4.03).

    Measured: From first dose until a minimum follow-up of up to 2 months

  7. Number of Participants With Anti-drug Antibodies (ADA) Positive for Ulocuplumab - Phases 1 and 2

    Serum samples from ulocuplumab treated participants were evaluated for the presence of anti-ulocuplumab antibodies

    Measured: From first dose until a minimum follow-up of up to 2 months

  8. Maximum Observed Serum Concentration (Cmax) - Phases 1 and 2

    The Pharmacokinetic (PK) parameters are assessed for ulocuplumab following study drug administration

    EOT = end of treatment

    Measure type and method of dispersion are Geometric mean and %CV, respectively

    Measured: Cycle 1 Day 1

  9. Trough Observed Serum Concentration (Ctrough) - Phases 1 and 2

    The Pharmacokinetic (PK) parameters are assessed for ulocuplumab following study drug administration.

    EOT = end of treatment

    Measure type and method of dispersion are Geometric mean and %CV, respectively

    Measured: Days 1, 8, 15 for cycle 1; Days 8, 15 for cycle 2; Days 1, 8 for cycles 3-5; Day 1 every 4th cycle thereafter; EOT; 30 days post last dose (follow-up)

  10. Time of Maximum Observed Ulocuplumab Serum Concentration (Tmax) - Phases 1 and 2

    The Pharmacokinetic (PK) parameters are assessed for ulocuplumab following study drug administration.

    EOT = end of treatment

    Measured: Cycle 1 Day 1

  11. Area Under the Ulocuplumab Concentration-time Curve From Time Zero to the Last Quantifiable Concentration [AUC(0-T)] - Phases 1 and 2

    The Pharmacokinetic (PK) parameters are assessed for ulocuplumab following study drug administration.

    EOT = end of treatment

    AUC(0-T) calculated by log- and linear-trapezoidal summation

    Measure type and method of dispersion are Geometric mean and %CV, respectively

    Measured: Cycle 1 Day 1

  12. Area Under the Ulocuplumab Concentration-time Curve in One Dosing Interval [AUC(TAU)] - Phases 1 and 2

    The Pharmacokinetic (PK) parameters are assessed for ulocuplumab following study drug administration.

    EOT = end of treatment

    Measure type and method of dispersion are Geometric mean and %CV, respectively

    Measured: Cycle 1 Day 1

  13. Area Under the Ulocuplumab Concentration-time Curve From Time Zero to Infinity [AUC(INF)] - Phases 1 and 2

    The Pharmacokinetic (PK) parameters are assessed for ulocuplumab following study drug administration.

    EOT = end of treatment

    AUC(INF) calculated by summing AUC(0-T) and the extrapolated area, computed by the quotient Clast/λz

    Measure type and method of dispersion are Geometric mean and %CV, respectively

    Measured: Days 1, 8, 15 for cycles 1 and 2; Days 1, 8 for cycles 3-5; Day 1 every 4th cycle thereafter; EOT; 30 days post last dose (follow-up)

  14. Elimination Half-life (T-HALF) - Phases 1 and 2

    The Pharmacokinetic (PK) parameters are assessed for ulocuplumab following study drug administration.

    EOT = end of treatment

    T-HALF determined as 0.693/λz

    Measured: Days 1, 8, 15 for cycles 1 and 2; Days 1, 8 for cycles 3-5; Day 1 every 4th cycle thereafter; EOT; 30 days post last dose (follow-up)

  15. Total Body Clearance of Ulocuplumab (CLT) - Phases 1 and 2

    The Pharmacokinetic (PK) parameters are assessed for ulocuplumab following study drug administration.

    EOT = end of treatment

    CLT calculated by dividing the total dose of ulocuplumab by its corresponding AUC(INF) value

    Measure type and method of dispersion are Geometric mean and %CV, respectively

    Measured: Days 1, 8, 15 for cycles 1 and 2; Days 1, 8 for cycles 3-5; Day 1 every 4th cycle thereafter; EOT; 30 days post last dose (follow-up)

  16. Volume of Distribution at Steady State (Vss) - Phases 1 and 2

    The Pharmacokinetic (PK) parameters are assessed for ulocuplumab following study drug administration.

    EOT = end of treatment

    Measure type and method of dispersion are Geometric mean and %CV, respectively

    Measured: Days 1, 8, 15 for cycles 1 and 2; Days 1, 8 for cycles 3-5; Day 1 every 4th cycle thereafter; EOT; 30 days post last dose (follow-up)

  17. Overall Rate of Remission in Participants Treated With Ulocuplumab at Two Different Dose Levels 800 mg and 1000 mg in Combination With LDAC - Phase 2

    This phase 2 secondary endpoint was based on the rate of Overall Remission (OR=PR+CR +CRi) prior to the initiation of any alternative therapy (including any subsequent ulocuplumab 800 mg for participants in the LDAC alone arm). The phase 2 analysis was conducted after all participants had an opportunity for 6 months of follow-up.

    Overall remission rate: CR + CRi, + PR confidence interval based on the Clopper and Pearson method.

    CR = complete response CRi = complete response, incomplete blood count PR = partial remission

    Measured: From first dose until a minimum follow-up of up to 2 months

  18. Duration of Response in Participants With CR/CRi Treated With Ulocuplumab at Two Different Dose Levels 800 mg and 1000 mg in Combination With LDAC - Phase 2

    This phase 2 secondary endpoint was based on the duration of complete remission prior to the initiation of any alternative therapy (including any subsequent ulocuplumab 800 mg for participants in the LDAC alone arm). The phase 2 analysis was conducted after all participants had an opportunity for 6 months of follow-up.

    Measured: From first dose until a minimum follow-up of up to 2 months

  19. Rate of Complete Remission (CR/CRi) and Overall Rate of Remission in Participants Treated With LDAC Only - Phase 2

    This phase 2 secondary endpoint was based on the rate of Complete Remission (CR/CRi) and rate of Overall Remission (OR=PR+CR +CRi) prior to the initiation of any alternative therapy (including any subsequent ulocuplumab 800 mg for participants in the LDAC alone arm). The phase 2 analysis was conducted after all participants had an opportunity for 6 months of follow-up.

    Overall remission rate: CR + CRi, + PR confidence interval based on the Clopper and Pearson method.

    CR = complete response CRi = complete response, incomplete blood count PR = partial remission

    Measured: From first dose until a minimum follow-up of up to 2 months

  20. Duration of Response in Participants With CR/CRi Treated With LDAC Only - Phase 2

    This phase 2 secondary endpoint was based on the duration of complete remission prior to the initiation of any alternative therapy (including any subsequent ulocuplumab 800 mg for participants in the LDAC alone arm). The phase 2 analysis was conducted after all participants had an opportunity for 6 months of follow-up.

    Measured: From first dose until a minimum follow-up of up to 2 months

  21. Change From Baseline of Electrocardiogram (ECG) Endpoints: Heart Rate - Phases 1 and 2

    Change from baseline of ECG endpoints

    Heart rate measured in beats per minute (bpm)

    Measured: From first dose until a minimum follow-up of up to 2 months

  22. Change From Baseline of Electrocardiogram (ECG) Endpoints: PR Interval - Phases 1 and 2

    Change from baseline of ECG endpoints

    PR interval measured in milliseconds (msec)

    Measured: From first dose until a minimum follow-up of up to 2 months

  23. Change From Baseline of Electrocardiogram (ECG) Endpoints: QRS Interval - Phases 1 and 2

    Change from baseline of ECG endpoints

    QRS interval measured in milliseconds (msec)

    Measured: From first dose until a minimum follow-up of up to 2 months

  24. Change From Baseline of Electrocardiogram (ECG) Endpoints: QT Interval - Phases 1 and 2

    Change from baseline of ECG endpoints

    QT interval measured in milliseconds (msec)

    Measured: From first dose until a minimum follow-up of up to 2 months

  25. Overall Survival (OS) - Phases 1 and 2

    OS is defined as the time between the first date of treatment and the date of death due to any cause. A participant who has not died was be censored at the last known alive date.

    Measured: From first dose until a minimum follow-up of up to 2 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted2 Dec 2014 (estimated)
  2. Study start27 Jan 2015
  3. Primary completion4 Jun 2019
  4. Study completion4 Jun 2019

Why it stopped: Business objectives have changed, slow accrual, the standard of care for the patient population changed and we were unable to accrue any longer.

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 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
70 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02305563
Sponsor's protocol ID
CA212-016
Status last verified
Aug 2021
First submitted
27 Nov 2014
Last updated
16 Sep 2021
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing BMS-936564 and Cytarabine in people with Leukemia, run by Bristol-Myers Squibb at 38 sites in 10 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 3 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: stopped early, as of the sponsor's last update on 16 Sep 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 38 sites in United States, Japan, Brazil, Italy, Taiwan and 5 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 combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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 16 Sep 2021). 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?

Number of Participants With Dose-Limiting Toxicities (DLTs) in Treatment Cycle 1 - Phase 1 (time frame: From first dose to end of cycle 1 (28 days)). The study lists 8 primary outcomes in all. 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 16 Sep 2021.

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