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Leukemia, Myeloid, AcutePhase 2/3NCT02472145

An Efficacy and Safety Study of Decitabine (DACOGEN) Plus Talacotuzumab (JNJ-56022473; Anti CD123) Versus Decitabine (DACOGEN) Alone in Participants With Acute Myeloid Leukemia (AML) Ineligible for Intensive Chemotherapy

A Phase 2/3 study testing Decitabine 20 mg/m^2 and Talacotuzumab 9 mg/kg in people with Leukemia, Myeloid, Acute, run by Janssen Research & Development, LLC at 81 sites in 14 countries.

Completed

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

Official record
Search all trials

Trial summary

The primary objective of study Part A is to assess the safety of talacotuzumab (formerly CSL362) monotherapy and confirm the recommended Phase 2 dose (RP2D) in participants with acute myeloid leukemia (AML) for whom experimental therapy is appropriate. Read more about this study

Who is it for?
Ages 65 years and older
Conditions the study is for
Leukemia, Myeloid, Acute
What is being tested?
Decitabine 20 mg/m^2 and Talacotuzumab 9 mg/kg
Could I receive a placebo?
No, everyone receives an active treatment
How many people
326 participants
Where
81 sitesin 14 countries
Study dates
4 Aug 2015to 25 Jan 2018
Phase
Phase 2/3
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 65 years and older
  • All sexes
  • No healthy volunteers
  • Older adult

Who may be able to join

  • De novo or secondary acute myeloid leukemia (AML) (post myelodysplastic syndrome [MDS] or myeloproliferative neoplasm [MPN] or after leukemogenic chemotherapy) according to WHO 2008 criteria
  • For Part A:
  • Participants With AML: treatment naive or relapsed for whom experimental therapy is appropriate (as assessed by their treating physician)
  • For Part B:
  • Greater than or equal to (>=) 75 years of age or >= 65 up to 75 years of age and have at least one of the following: congestive heart failure or ejection fraction less than or equal to (<=) 50 percent; creatinine greater than (>) 2 milligram per deciliter (mg/dL); dialysis or prior renal transplant; documented pulmonary disease with lung diffusing capacity for carbon monoxide (DLCO) <= 65 percent of expected, or forced expiratory volume in 1 second (FEV1) <= 65 percent of expected or dyspnea at rest requiring oxygen; eastern cooperative oncology group (ECOG) performance status of 2; prior or current malignancy that does not require concurrent treatment; unresolved infection; comorbidity that, in the Investigator's opinion, makes the participant unsuitable for intensive chemotherapy and must be documented and approved by the Sponsor before randomization
  • Previously untreated AML (except: emergency leukopheresis and/or hydroxyurea during the screening phase to control hyperleukocytosis but must be discontinued at least one day prior to start of study therapy)
Show all 11Show fewer
  • Not eligible for an allogeneic hematopoietic stem cell transplantation
  • ECOG Performance Status score of 0, 1 or 2
  • A woman must be either: Not of childbearing potential: postmenopausal (more than [>] 45 years of age with amenorrhea for at least 12 months; If, of childbearing potential must be practicing a highly effective method of birth control
  • A woman of childbearing potential must have a negative serum (beta-human chorionic gonadotropin [beta-hCG]) or urine pregnancy test at screening
  • A man who is sexually active with a woman of childbearing potential and has not had a vasectomy must agree to use a barrier method of birth control eg, either condom with spermicidal foam/gel/film/cream/suppository or partner with occlusive cap (diaphragm or cervical/vault caps) with spermicidal foam/gel/film/cream/suppository for at least 3 months after last study treatment

Who cannot join

  • Acute promyelocytic leukemia with t(15;17), or its molecular equivalent (PML-RARalpha)
  • For Part B only: Known leukemic involvement or clinical symptoms of leukemic involvement of the central nervous system
  • Participants who received prior treatment with a hypomethylating agent
  • For Part A only: Participants who did not recover from all clinically significant toxicities (excluding alopecia and hematologic toxicities) of any previous surgery, radiotherapy, targeted therapy, or chemotherapy to less than or equal to Grade 1
  • Any uncontrolled active systemic infection that requires treatment with intravenous (IV) antibiotics
  • A history of human immunodeficiency virus (HIV) antibody positive or tests positive for HIV if tested at screening
  • Active systemic hepatitis infection requiring treatment or other clinically active liver disease

Trial locations and contacts

81 sites in 14 countries.

81 sites in 14 countries

United States11 sites
  • Study site

    Aurora, Colorado

  • Study site

    Charleston, South Carolina

  • Study site

    Dallas, Texas

  • Study site

    Detroit, Michigan

  • Study site

    Houston, Texas

  • Study site

    Lebanon, New Hampshire

  • Study site

    Nashville, Tennessee

  • Study site

    New Orleans, Louisiana

  • Study site

    New York, New York

  • Study site

    Orange, California

  • Study site

    Rochester, New York

Other trials in United States

Germany9 sites
  • Study site

    Dresden

  • Study site

    Düsseldorf

  • Study site

    Essen

  • Study site

    Frankfurt am Main

  • Study site

    Hamburg

  • Study site

    München

  • Study site

    Münster

  • Study site

    Ulm

  • Study site

    Würzburg

Other trials in Germany

Belgium7 sites
  • Study site

    Antwerp

  • Study site

    Hasselt

  • Study site

    Leuven

  • Study site

    Liège

  • Study site

    Mons

  • Study site

    Turnhout

  • Study site

    Wilrijk

Other trials in Belgium

France7 sites
  • Study site

    Grenoble

  • Study site

    Lyon

  • Study site

    Marseille

  • Study site

    Montpellier

  • Study site

    Nantes

  • Study site

    Paris

  • Study site

    Toulouse

Other trials in France

Russia7 sites
  • Study site

    Chelyabinsk

  • Study site

    Dzerzhinsk

  • Study site

    Moscow

  • Study site

    Nizhny Novgorod

  • Study site

    Ryazan

  • Study site

    Samara

  • Study site

    Yekaterinburg

Other trials in Russia

Spain7 sites
  • Study site

    Badalona, Barcelona

  • Study site

    Barcelona

  • Study site

    Madrid

  • Study site

    Pozuelo de Alarcon, Madrid

  • Study site

    Salamanca

  • Study site

    Seville

  • Study site

    Valencia

Other trials in Spain

Australia5 sites
  • Study site

    Herston

  • Study site

    Melbourne

  • Study site

    Perth

  • Study site

    South Woodville

  • Study site

    Woolloongabba

Other trials in Australia

Poland5 sites
  • Study site

    Katowice

  • Study site

    Krakow

  • Study site

    Lodz

  • Study site

    Lublin

  • Study site

    Warsaw

Other trials in Poland

Israel4 sites
  • Study site

    Haifa

  • Study site

    Jerusalem

  • Study site

    Ramat Gan

  • Study site

    Tel Aviv

Other trials in Israel

South Korea4 sites
  • Study site

    Busan

  • Study site

    Daegu

  • Study site

    Hwasun Gun

  • Study site

    Seoul

Other trials in South Korea

Sweden4 sites
  • Study site

    Gothenburg

  • Study site

    Örebro

  • Study site

    Stockholm

  • Study site

    Uppsala

Other trials in Sweden

Taiwan4 sites
  • Study site

    Chiayi City

  • Study site

    Taichung

  • Study site

    Tainan

  • Study site

    Taipei

Other trials in Taiwan

Turkey (Türkiye)4 sites
  • Study site

    Ankara

  • Study site

    Atakum

  • Study site

    Istanbul

  • Study site

    Izmir

Other trials in Turkey (Türkiye)

United Kingdom3 sites
  • Study site

    Bournemouth

  • Study site

    Cardiff

  • Study site

    Wolverhampton

Other trials in United Kingdom

About this study

Official title: A Randomized Phase 2/3 Study of DACOGEN® (Decitabine) Plus Talacotuzumab (JNJ-56022473; Anti CD123) Versus DACOGEN (Decitabine) Alone in Patients With AML Who Are Not Candidates for Intensive Chemotherapy

The primary objective of study Part A is to assess the safety of talacotuzumab (formerly CSL362) monotherapy and confirm the recommended Phase 2 dose (RP2D) in participants with acute myeloid leukemia (AML) for whom experimental therapy is appropriate. The primary objective of study Part B are to assess complete response (CR) rate and overall survival (OS) in participants with AML who are not eligible for intense induction chemotherapy and who are randomly assigned to receive decitabine plus talacotuzumab at the RP2D or decitabine alone.

Read the detailed description

This is a 2-part, open-label, multicenter, Phase 2/3 study conducted in participants with AML who are suitable for experimental therapy (Part A) and in participants with untreated AML who are not eligible for intense induction chemotherapy or hematopoeitic stem cell transplantation (HSCT) (Part B). In Study Part A, the safety, pharmacokinetic (PK) and pharmacodynamic (PD) profile will be assessed to confirm the RP2D of 9 milligram per kilogram (mg/kg) talacotuzumab. In Study Part B, participants will be randomized in a 1:1 ratio into either decitabine + talacotuzumab (arm 1) or decitabine alone (arm 2). Blood and bone marrow sampling will be done in Part A and B for disease assessment, PK, PD, and biomarkers will be collected in all participants. Safety will be monitored throughout the study.

Being tested
Decitabine 20 mg/m^2, Talacotuzumab 9 mg/kg
Keywords
Leukemia, myeloid, acute, DACOGEN, Decitabine, JNJ-56022473, CLS362
Medical subject headings
Leukemia, Myeloid, Acute

What participants receive

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

  • Decitabine 20 mg/m^2Drug

    Also called DACOGEN

    Decitabine 20 milligram per square meter (mg/[m^2]) from Day 1, 2, 3, 4 and 5 of a 28-day cycle.

  • Talacotuzumab 9 mg/kgDrug

    Also called CSL362

    Talacotuzumab 9 milligram per kilogram mg/kg on Day 8 and 22 of a 28-day cycle.

Study groups in NCT02472145
Study groupRoleWhat they receive
Decitabine plus TalacotuzumabExperimentalPart A: For Cycle 1 of Part A, participants will receive talacotuzumab on Day 1. Starting from Cycle 2 of Part A, participants may receive decitabine on Day 1, 2, 3, 4, and 5, and talacotuzumab on Day 8 and 22 of a 28-day cycle. Part B Arm 1: Participants will receive decitabine on Day 1, 2, 3, 4, and 5, and talacotuzumab on Day 8 and 22 of a 28-day cycle.
Receives: Drug: Decitabine 20 mg/m^2; Drug: Talacotuzumab 9 mg/kg
DecitabineActive comparatorParticipants in Part B Arm 2 will receive decitabine on Day 1,2, 3, 4 and 5 of a 28-day cycle.
Receives: Drug: Decitabine 20 mg/m^2

What is being measured

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

  1. Part B: Percentage of Participants Who Achieved Complete Response (Complete Response Rate) Based on Investigator Assessment

    Complete response rate defined as percentage of participants who achieved complete response as per modified International Working Group (IWG) criteria. CR: Bone marrow blasts less than (<)5 percent (%); absence of blasts with Auer rods; absence of extramedullary disease; absolute neutrophil count greater than (>)1.0*10^9/liter (L) (1000/micro liter [mcL]); platelet count >100*10^9/L (100 000/mcL); independence of red cell transfusions. This endpoint is reported here for Part B only as per the planned analysis.

    Measured: Approximately up to 2.5 years

  2. Part B: Overall Survival

    Overall Survival (OS) was defined as the time from the date of randomization to date of death from any cause. Median Overall Survival was estimated by using the Kaplan-Meier method. This endpoint is reported here for Part B only as per the planned analysis.

    Measured: Approximately up to 2.5 years

Secondary outcomes (5)
  1. Part B: Event-free Survival (EFS) Based on Investigator Assessment

    EFS defined as time from randomization to treatment failure, relapse from CR/CRi, or death from any cause, whichever occurs first, per modified IWG criteria. Treatment failure: >25% absolute increase in the bone marrow blast count from baseline to present assessment (example, 20% to 46%) on bone marrow aspirate (or biopsy in case of dry tap); Relapse: Bone marrow blasts greater than equal to (>=)5%; reappearance of blasts in blood; or development of extramedullary disease; CR: Bone marrow blasts <5 %; absence of blasts with Auer rods; absence of extramedullary disease; absolute neutrophil count > 1.0*10^9/L (1000/mcL); platelet count >100*10^9/L (100 000/mcL);independence of red cell transfusions; CRi: Bone marrow blasts <5 %; absence of blasts with Auer rods; absence of extramedullary disease; residual neutropenia <1.0*10^9/L (1000/mcL) or thrombocytopenia <100*10^9/L (100 000/mcL); independence of red cell transfusions. Endpoint reported is for Part B only as per planned analysis.

    Measured: Approximately up to 2.5 years

  2. Part B: Percentage of Participants Who Achieved CR and CRi (Overall Response Rate)

    Percentage of participants who achieved CR and CRi, as per modified IWG criteria. CR: Bone marrow blasts less than (<)5 %; absence of blasts with Auer rods; absence of extramedullary disease; absolute neutrophil count greater than (>)1.0 *10^9/liter (L) (1000/ mcL); platelet count >100 *10^9/L (100 000/mcL); independence of red cell transfusions; CRi: Bone marrow blasts <5 %; absence of blasts with Auer rods; absence of extramedullary disease; residual neutropenia <1.0*10^9/L (1000/mcL) or thrombocytopenia <100*10^9/L (100 000/mcL); independence of red cell transfusions. This endpoint is reported here for Part B only as per the planned analysis.

    Measured: Approximately up to 2.5 years

  3. Part B: Percentage of Participants With Complete Response (CR) Plus Minimal Residual Disease (MRD) Negative Complete Response With Incomplete Recovery (CRi)

    Percentage of participants who achieved CR plus MRD-negative CRi were reported. MRD negativity defined as <1 blast or leukemic stem cell in 10,000 leukocytes (MRD level <10^4).CR: Bone marrow blasts less than (<)5 percent (%); absence of blasts with Auer rods; absence of extramedullary disease; absolute neutrophil count greater than (>)1.0*10^9/liter (L) (1000/mcL); platelet count >100*10^9/L (100 000/mcL); independence of red cell transfusions; CRi: Bone marrow blasts <5 %; absence of blasts with Auer rods; absence of extramedullary disease; residual neutropenia <1.0*10^9/L (1000/mcL) or thrombocytopenia <100*10^9/L (100 000/mcL); independence of red cell transfusions. This endpoint is reported here for Part B only as per the planned analysis.

    Measured: Approximately 2.5 years

  4. Part B: Time to Best Response

    Time to best response is calculated as the time from the randomization date to the first documented date for the best response for participants who achieved CR or CRi, as per modified IWG criteria. CR: Bone marrow blasts less than (<)5 %; absence of blasts with Auer rods; absence of extramedullary disease; absolute neutrophil count greater than (>)1.0 *10^9/liter (L) (1000/mcL); platelet count >100*10^9/L (100 000/mcL); independence of red cell transfusions; CRi: Bone marrow blasts <5 %; absence of blasts with Auer rods; absence of extramedullary disease; residual neutropenia <1.0*10^9/L (1000/mcL) or thrombocytopenia <100*10^9/L (100 000/mcL); independence of red cell transfusions. This endpoint is reported here for Part B only as per the planned analysis.

    Measured: Approximately 2.5 years

  5. Part B: Duration of Response (DOR) Based on Investigator Assessment

    DOR defined as number of weeks from documented best response (CR or CRi) for participants who achieved CR or CRi to relapse, death due to relapse, date of censoring. As per modified IWG criteria: CR: Bone marrow blasts <5 %; absence of blasts with Auer rods; absence of extramedullary disease;absolute neutrophil count >1.0*10^9/L (1000/mcL); platelet count >100*10^9/L (100 000/mcL); independence of red cell transfusions; CRi: Bone marrow blasts <5 %; absence of blasts with Auer rods; absence of extramedullary disease; residual neutropenia <1.0* 10^9/L (1000/mcL) or thrombocytopenia <100*10^9/L (100 000/mcL); independence of red cell transfusions. This endpoint is reported here for Part B only as per the planned analysis.

    Measured: Approximately 2.5 years

Timeline

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

  1. First posted15 Jun 2015 (estimated)
  2. Study start4 Aug 2015
  3. Primary completion25 Jan 2018
  4. Study completion25 Jan 2018

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 2/3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
326 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02472145
Sponsor's protocol ID
CR107273
Other IDs
56022473AML2002, 2015-001611-12, 2015
Status last verified
Mar 2019
First submitted
29 Apr 2015
Last updated
19 Mar 2019
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Peipert JD, Efficace F, Pierson R, Loefgren C, Cella D, He J. Patient-reported outcomes predict overall survival in older patients with acute myeloid leukemia. J Geriatr Oncol. 2022 Sep;13(7):935-939. doi: 10.1016/j.jgo.2021.09.007. Epub 2021 Sep 11.

    PubMed 34521609

Questions about this trial

What is this clinical trial studying?

A Phase 2/3 study testing Decitabine 20 mg/m^2 and Talacotuzumab 9 mg/kg in people with Leukemia, Myeloid, Acute, run by Janssen Research & Development, LLC at 81 sites in 14 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 11 inclusion and 7 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 19 Mar 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 81 sites in United States, Germany, Belgium, France, Russia and 9 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 28 Feb 2019). 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?

Part B: Percentage of Participants Who Achieved Complete Response (Complete Response Rate) Based on Investigator Assessment (time frame: Approximately up to 2.5 years). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02472145, which also lists 1 linked publication.

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 19 Mar 2019.

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