Using ADCT-602 to treat patients with recurrent or refractory B-cell acute lymphoblastic leukemia

A Phase I/II Study to Evaluate the Safety and Anti-Tumor Activity of ADCT-602 Targeting CD22 in Patients With Relapsed or Refractory B-Cell Acute Lymphoblastic Leukemia

This study is testing a new treatment called ADCT-602 to see if it can help people with hard-to-treat B-cell acute lymphoblastic leukemia feel better and live longer.

Quick facts

• Phase: Phase1; Phase2
• Study type: Interventional
• Enrollment: 57 (estimated)
• Ages: 18 Years and up
• Sex: All
• Sponsor: M.D. Anderson Cancer Center (Academic / other)
• Drugs / interventions: chemotherapy, methotrexate
• Locations: 2 sites (Monrovia, California and 1 other locations)
• Trial ID: NCT03698552 on ClinicalTrials.gov

What this trial studies

This clinical trial evaluates the safety and effectiveness of ADCT-602, a monoclonal antibody, in patients with recurrent or refractory B-cell acute lymphoblastic leukemia (B-ALL). The study is divided into two phases: Phase 1 focuses on determining the maximum tolerated dose of ADCT-602, while Phase 2 assesses its efficacy in achieving complete response rates. Patients receive the treatment intravenously, and their progress is monitored over time to evaluate response duration and overall survival. The trial also explores the pharmacokinetics and immunogenicity of ADCT-602.

Who should consider this trial

Good fit: Ideal candidates include patients with relapsed or refractory B-ALL who express CD22 and have a minimum of 5% bone marrow blasts.

Not a fit: Patients who are in their first relapse with a complete remission duration of more than 12 months or those without CD22 expression may not benefit from this study.

Why it matters

Potential benefit: If successful, this treatment could provide a new therapeutic option for patients with difficult-to-treat B-cell acute lymphoblastic leukemia.

How similar studies have performed: Other studies using monoclonal antibodies for B-ALL have shown promising results, indicating potential for success in this approach.

Eligibility criteria

Inclusion Criteria:

* Patients with relapsed or refractory B-ALL. Philadelphia chromosome positive (Ph+) ALL is allowed after failing either first or second generation tyrosine kinase inhibitor. Note: Patients in first relapse with complete remission (CR1) duration \> 12 months are excluded
* Expression of CD22 in \>= 20% blasts (assessed by flow-cytometry or immunohistochemistry)
* Marrow blast count \>= 5%
* Eastern Cooperative Oncology Group (ECOG) performance status 0-2
* Serum creatinine =\< 1.5 mg/dL. If the patient has a creatinine \> 1.5 mg/dL, creatinine clearance must be \> 60 mL/min/1.73 m\^2, as calculated by the Cockcroft and Gault equation, or modification of diet in renal disease (MDRD) formula or 24-hour urine analysis
* Serum alanine aminotransferase (ALT) and aspartate aminotransferase (AST) =\< 2 times the upper limit of normal (ULN); =\< 5 times ULN if there is liver or bone involvement
* Total bilirubin =\< 1.5 times ULN. Patients with known Gilbert's syndrome may have a total bilirubin up to =\< 3 times ULN.

  * NOTE: In patients (pts) with elevated total bilirubin due to increased indirect bilirubin, patients with direct bilirubin =\< 1.5 x ULN are eligible
* Left ventricular ejection fraction (LVEF) \>= 45%
* Negative urine or serum beta-human chorionic gonadotropin (B-HCG) pregnancy test within 7 days prior to the cycle 1, day 1 visit, for women of child-bearing potential. Women of child bearing potential must agree to use an effective method of contraception from the time of giving informed consent until at least 16 weeks after the last dose of ADCT-602. Men with female partners who are of child bearing potential must agree that they or their partners will use a highly effective method of contraception from the time of giving informed consent until at least 16 weeks after the patient receives his last dose of ADCT-602

  * Women of child bearing potential defined as: Sexually mature women who have not undergone bilateral tubal ligation, bilateral oophorectomy, or hysterectomy; or who have not been postmenopausal (i.e., who have not menstruated at all) for at least 1 year
  * Effective method of contraception defined as: Hormonal contraceptives (oral, injectable, patch, intrauterine devices), male partner sterilization, or total abstinence from heterosexual intercourse, when this is the preferred and usual lifestyle of the patient

    * NOTE: The double-barrier method (e.g., synthetic condoms, diaphragm, or cervical cap with spermicidal foam, cream, or gel), periodic abstinence (such as calendar, symptothermal, post ovulation), withdrawal (coitus interruptus), lactational amenorrhea method, and spermicide-only are not acceptable as highly effective methods of contraception
* White blood cell (WBC) value of \< 15,000 cells/uL prior to cycle 1 day 1

Exclusion Criteria:

* Known active central nervous system (CNS) leukemia, defined as morphologic evidence of lymphoblasts in the cerebrospinal fluid (CSF), or symptomatic CNS leukemia (i.e., cranial nerve palsies or other significant neurologic dysfunction) within 28 days prior to screening.

  * NOTE: Patients may have a history of CNS leukemic involvement if they have received prior treatment for CNS involvement and no evidence of active disease (defined as \>= 2 consecutive spinal fluid assessments with no evidence of disease) is present at screening. Prophylactic intrathecal chemotherapy is allowed on the trial and is not a criterion for exclusion
* Patients with Burkitt's leukemia/lymphoma
* Active graft-versus-host disease (GVHD) or severe/extensive chronic GVHD
* Autologous or allogenic transplant within the 60 days prior to the cycle 1 day1
* Known history of immunogenicity or hypersensitivity to a CD22 antibody
* Known history of positive serum human adenosine deaminase (ADA)
* Known seropositive for human immunodeficiency (HIV), hepatitis B, or hepatitis C virus with confirmatory testing
* History of Stevens-Johnson syndrome or toxic epidermal necrolysis syndrome
* Pregnant or breastfeeding women
* Significant medical comorbidities, including uncontrolled hypertension (diastolic blood pressure \> 115 mm Hg), uncontrolled atrial or ventricular cardiac arrhythmias, unstable angina, congestive heart failure (greater than New York Heart Association class II), severe uncontrolled ventricular arrhythmias, electrocardiographic evidence of acute ischemia, poorly controlled diabetes, severe chronic pulmonary disease, coronary angioplasty, myocardial infarction within 6 months prior to screening
* Use of any other experimental medication(s) within 14 days or 5 half-lives, but in no case \< 14 days prior to the start of study treatment on cycle 1, day 1
* Major surgery, chemotherapy, systemic therapy (excluding hydroxyurea, steroids and any targeted small molecules or biologics), or radiotherapy within 14 days or 5 half-lives (whichever is shorter) prior to cycle 1, day 1 treatment

  * NOTE: a) To reduce the circulating lymphoblast count or palliation: steroids and hydroxyurea are allowed. No washout necessary for these agents. b) Cytarabine IV could be used for cytoreduction with a washout of 1 week. c) For ALL maintenance/treatment: mercaptopurine, oral methotrexate, vincristine, and/or tyrosine kinase inhibitors. These agents should be discontinued at least 48 hours prior to start of study drugs. d) Patients may have received prior CD22-directed therapy provided the blasts remain CD22+ (\>= 20%) and \> 3 months from prior anti-CD22 exposure
* Isolated extramedullary relapse (i.e., testicular, CNS)
* Uncontrolled active infection
* History of another primary invasive malignancy that has not been definitively treated or in remission for less than 2 years. Patients with non-melanoma skin cancers or with carcinomas in situ are eligible regardless of the time from diagnosis (including concomitant diagnoses)
* Any other significant medical illness, abnormality, or condition that would, in the Investigator's judgment, make the patient inappropriate for study participation or put the patient at risk
* Inability of the patient to consent themselves for this study
* Prior history or current veno-occlusive disease (VOD)

Where this trial is running

Monrovia, California and 1 other locations

• City of Hope Comprehensive Cancer — Monrovia, California, United States (Recruiting)
• M D Anderson Cancer Center — Houston, Texas, United States (Recruiting)

Study contacts

• Principal investigator: Nitin Jain — M.D. Anderson Cancer Center
• Study coordinator: Nitin Jain

Conditions Blasts 5 Percent or More of Bone Marrow Nucleated Cells; CD22 Positive; Philadelphia Chromosome Positive; Recurrent B Acute Lymphoblastic Leukemia; Refractory B Acute Lymphoblastic Leukemia