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LeukemiaPhase 1NCT03066648

Study of PDR001 and/or MBG453 in Combination With Decitabine in Patients With AML or High Risk MDS

A Phase 1 study testing Decitabine, PDR001 and MBG453 in people with Leukemia and Leukemia, Myeloid, run by Novartis Pharmaceuticals at 11 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

To characterize the safety and tolerability of 1) MBG453 as a single agent or in combination with PDR001 or 2) PDR001 and/or MBG453 in combination with decitabine or azacitidine in AML and intermediate or high- risk MDS patients, and to identify recommended doses for future studies. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Decitabine, PDR001 and MBG453
Could I receive a placebo?
No, everyone receives an active treatment
How many people
241 participants
Where
11 sitesin 8 countries
Study dates
6 Jul 2017to 8 Sep 2023
Phase
Phase 1
Are there results?
None posted in the registry

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

  • Written informed consent must be obtained prior to any screening procedures
  • Male or female patients ≥ 18 years of age who present with one of the following:
  • Arms 1-3:
  • Relapsed/refractory AML following ≥1 prior therapies who have relapsed or exhibited refractory disease (primary failure) and are deemed by the investigator not to be candidates for standard therapy, including re-induction with cytarabine or other established chemotherapy regimens for patients with AML (patients who are suitable for standard re-induction chemotherapy or hematopoietic stem cell transplantation and willing to receive it are excluded)
  • Newly diagnosed AML patients who are suitable for treatment with decitabine (patients who are suitable for standard induction chemotherapy or hematopoietic stem cell transplantation and willing to receive it are excluded)
  • Intermediate or high risk MDS or MDS/MPN including CMML (patients who are suitable for standard re-induction chemotherapy or hematopoietic stem cell transplantation and willing to receive it are excluded)
Show all 16Show fewer
  • Arms 4-5:
  • Refractory / relapsed AML following ≥1 prior therapies (Arms 4a \& 5a)
  • Intermediate or high risk MDS or MDS/MPN including CMML who have failed hypomethylating agent therapy (Arms 4b \& 5b) (Note: hypomethylating agent failure is defined as progressive disease on hypomethylating agent therapy or lack of clinically meaningful response as deemed by investigator after at least 4 cycles of hypomethylating agent therapy.)
  • Arm 6:
  • Newly diagnosed AML patients who are suitable for treatment with azacitidine (patients who are suitable for standard induction chemotherapy or hematopoietic stem cell transplantation and willing to receive it are excluded) (Arm 6a)
  • Intermediate or high-risk MDS or MDS/MPN including CMML (patients who are suitable for standard induction chemotherapy or hematopoietic stem cell transplantation and willing to receive it are excluded) (Arm 6b)
  • Patient has an Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2
  • Patient must be a candidate for serial bone marrow aspirate and/or biopsy according to the institutions guidelines and be willing to undergo a bone marrow aspirate and/biopsy at screening, during and at the end of therapy on this study. Exceptions may be considered after documented discussion with Novartis.
  • Arms 1-3: Patients must be fit for standard treatment with decitabine as determined by the investigator and as per local decitabine package insert.
  • Arm 6: Patients must be fit for standard treatment with azacitidine as determined by the investigator and as per the local azacitidine package insert.

Who cannot join

  • Arms 1-3 or Arm 6: Patients who have received prior hypomethylating agent treatment for AML or MDS.
  • Patients with active, known or suspected autoimmune disease. Patients with vitiligo, type I diabetes, residual hypothyroidism only requiring hormone replacement, psoriasis not requiring systemic treatment or conditions not expected to recur should not be excluded.
  • History of, or current drug-induced interstitial lung disease or pneumonitis grade ≥ 2.
  • Patients who discontinued prior PD-1 or PD-L1 directed therapy due to a treatment related toxicity should not be included in the PDR001 containing arms of the study. Patients previously exposed to anti-PD-1/PD-L1 treatment who are adequately treated for skin rash or with replacement therapy for endocrinopathies should not be excluded.
  • Systemic antineoplastic therapy (including cytotoxic chemotherapy, alphainterferon, kinase inhibitors or other targeted small molecules, and toxinimmunoconjugates) or any experimental therapy within 14 days or 5 half-lives, whichever is shorter, before the first dose of study treatment.
  • Systemic chronic corticosteroid therapy (>10 mg/day prednisone or equivalent) or any immunosuppressive therapy within 7 days of first dose of study treatment. Topical, inhaled, nasal and ophthalmic steroids are allowed.
  • Other protocol-defined inclusion/exclusion criteria may apply.

Trial locations and contacts

11 sites in 8 countries.

11 sites in 8 countries

United States3 sites
  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

  • MD Anderson Cancer Center

    Houston, Texas, 77030

  • Oregon Health Sciences University Main Center

    Portland, Oregon, 97239

Other trials in United States

Germany2 sites
  • Novartis Investigative Site

    Dresden, 01307

  • Novartis Investigative Site

    Jena, 07740

Other trials in Germany

Australia1 site
  • Novartis Investigative Site

    Melbourne, Victoria, 3004

Other trials in Australia

Finland1 site
  • Novartis Investigative Site

    Helsinki, FIN 00290

Other trials in Finland

France1 site
  • Novartis Investigative Site

    Marseille, 13273

Other trials in France

Netherlands1 site
  • Novartis Investigative Site

    Amsterdam, 1081 HV

Other trials in Netherlands

Spain1 site
  • Novartis Investigative Site

    Barcelona, Catalonia, 08036

Other trials in Spain

United Kingdom1 site
  • Novartis Investigative Site

    Cardiff, CF4 4XN

Other trials in United Kingdom

About this study

Official title: Phase 1b, Multi-arm, Open-label Study of PDR001 and/or MBG453 in Combination With Decitabine in Patients With Acute Myeloid Leukemia or High Risk Myelodysplastic Syndrome

To characterize the safety and tolerability of 1) MBG453 as a single agent or in combination with PDR001 or 2) PDR001 and/or MBG453 in combination with decitabine or azacitidine in AML and intermediate or high- risk MDS patients, and to identify recommended doses for future studies.

Read the detailed description

This is a phase 1b, multi-arm, open-label study in patients with acute myeloid leukemia (AML) or intermediate or high risk myelodysplastic syndrome (MDS). Patients with myelodysplastic-myeloproliferative neoplasms (MDS/MPN), including chronic myelomonocytic leukemia (CMML) could also be enrolled.

The study was comprised of six arms as described below. Arms 1-3 enrolled patients with newly diagnosed AML who were planned for non-intensive chemotherapy, relapsed/refractory (R/R) AML, or intermediate or high-risk MDS.

  • Arm 1: Evaluation of a fixed dose of the standard of care agent decitabine in combination with fixed dose PDR001.
  • Arm 2: Evaluation of a fixed dose of the standard of care agent decitabine in combination with escalating dose MBG453.
  • Arm 3: Evaluation of a fixed dose of the standard of care agent decitabine in combination with fixed dose PDR001 and escalating dose MBG453.

Arms 4-5 enrolled patients with R/R AML or intermediate or high-risk MDS who had failed hypomethylating agent therapy.

  • Arm 4: Evaluation of an escalating dose of MBG453
  • Arm 5: Evaluation of an escalating dose of MBG453 in combination with fixed dose PDR001 Arm 6 enrolled patients with newly diagnosed AML who were planned for non-intensive chemotherapy, or intermediate or high-risk MDS.
  • Arm 6: Evaluation of a fixed dose of the standard of care agent azacitidine in combination with an escalating dose of MBG453.

Patients received the assigned treatment until disease progression, unacceptable toxicity, start of a new anti-neoplastic therapy, discontinuation at the discretion of the investigator or patient, lost to follow-up, death, or the study termination, whichever occurred first.

Being tested
Decitabine, PDR001, MBG453, Azacitidine
Keywords
Acute Myeloid Leukemia, Myelodysplastic syndromes, Chronic Myelomonocytic Leukemia
Medical subject headings
Leukemia, Leukemia, Myeloid, Leukemia, Myeloid, Acute, Myelodysplastic Syndromes, Preleukemia, Bone Marrow Diseases, Hematologic Diseases, Leukemia, Myelomonocytic, Chronic

What participants receive

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

  • DecitabineDrug

    Also called 5-aza-2'-deoxycytidine

    Decitabine is a cytidine deoxynucleoside analogue that selectively inhibits DNA methyltransferases at low doses, resulting in gene promoter hypomethylation.

  • PDR001Drug

    Also called spartalizumab

    PDR001 is a high-affinity, ligand-blocking, humanized IgG4 monoclonal antibody directed against PD-1 that blocks the binding of PD-L1 and PD-L2.

  • MBG453Drug

    Also called sabatolimab

    MBG453 is a high-affinity, humanized anti-TIM-3 IgG4 monoclonal antibody which blocks the binding of TIM-3 to phosphatidylserine (PtdSer).

  • AzacitidineDrug

    Also called 5-azacytidine

    Azacitidine (5-azacytidine) is a cytidine nucleoside analogue that selectively inhibits DNA methyltransferases at low doses, resulting in gene promoter hypomethylation

Study groups in NCT03066648
Study groupRoleWhat they receive
Decitabine and PDR001ExperimentalDecitabine in combination with PDR001
Receives: Drug: Decitabine; Drug: PDR001
Decitabine and MBG453ExperimentalDecitabine in combination with MBG453
Receives: Drug: Decitabine; Drug: MBG453
Decitabine, PDR001 and MBG453ExperimentalDecitabine in combination with PDR001 and MBG453
Receives: Drug: Decitabine; Drug: PDR001; Drug: MBG453
MBG453ExperimentalMBG453 alone
Receives: Drug: MBG453
MBG453 and PDR001ExperimentalMBG453 in combination with PDR001
Receives: Drug: PDR001; Drug: MBG453
Azacitidine and MBG453ExperimentalAzacitidine in combination with MBG453
Receives: Drug: MBG453; Drug: Azacitidine

What is being measured

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

  1. Safety of MBG453 single agent treatment or MBG453 in combination with PDR001 or PDR001 and/or MBG453 in combination with decitabine or azacitidine.

    Incidence and severity of AEs and SAEs

    Measured: 24 months

  2. Incidence of Dose Limiting Toxicities (DLTs)

    The incidence of DLTs during the first two cycles of treatment with MBG453 in combination with PDR001 or PDR001 and/or MBG453 in combination with decitabine.

    Measured: 2 months

  3. Incidence of Dose Limiting Toxicities (DLTs)

    The incidence of DLTs during the first cycle of MBG453 single agent treatment or during the first two cycles of treatment with MBG453 in combination with PDR001 or PDR001 and/or MBG453 in combination with decitabine.

    Measured: 1 month

  4. Tolerability of MBG453 single agent treatment or MBG453 in combination with PDR001 or PDR001 and/or MBG453 in combination with decitabine or azacitidine.

    Incidence and severity of AEs and SAEs

    Measured: 24 months

Secondary outcomes (10)
  1. AUC of PDR001, MBG453, decitabine and azacitidine.

    AUC

    Measured: 24 months

  2. Cmax of PDR001, MBG453, decitabine and azacitidine

    Cmax

    Measured: 24 months

  3. Tmax of PDR001, MBG453, decitabine and azacitidine

    Tmax

    Measured: 24 months

  4. Half-life of PDR001, MBG453, decitabine and azacitidine

    Half-life

    Measured: 24 months

  5. Overall Response Rate (ORR)

    Determine ORR in each arm of the study

    Measured: 24 months

  6. Best Overall Response (BOR)

    Determine BOR in each arm of the study

    Measured: 24 months

  7. Progression Free Survival (PFS)

    Determine PFS in each arm of the study

    Measured: 24 months

  8. Time to Progression (TTP)

    Determine TTP in each arm of the study

    Measured: 24 months

  9. Duration of Response (DOR)

    Determine DOR in each arm of the study

    Measured: 24 months

  10. Number of participants with anti-PDR001 and anti-MBG453 antibodies

    Presence of anti-PDR001 and anti-MBG453 antibodies.

    Measured: 24 months

Timeline

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

  1. First posted28 Feb 2017
  2. Study start6 Jul 2017
  3. Primary completion8 Sep 2023
  4. Study completion8 Sep 2023

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
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
241 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03066648
Sponsor's protocol ID
CPDR001X2105
Other IDs
2016-005060-33, 2016
Status last verified
May 2025
First submitted
18 Feb 2017
Last updated
18 May 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Decitabine, PDR001 and MBG453 in people with Leukemia and Leukemia, Myeloid, run by Novartis Pharmaceuticals at 11 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 16 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 18 May 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 11 sites in United States, Germany, Australia, Finland, France 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 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.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Safety of MBG453 single agent treatment or MBG453 in combination with PDR001 or PDR001 and/or MBG453 in combination with decitabine or azacitidine. (time frame: 24 months). The study lists 4 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 18 May 2025.

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