Confirmatory Phase II Study of Blinatumomab (MT103) in Patients With Minimal Residual Disease of B-precursor ALL (BLAST)

This study is currently recruiting participants.
Verified November 2012 by Amgen Research (Munich) GmbH
Sponsor:
Information provided by (Responsible Party):
Amgen Research (Munich) GmbH
ClinicalTrials.gov Identifier:
NCT01207388
First received: September 21, 2010
Last updated: November 20, 2012
Last verified: November 2012
  Purpose

The purpose of this study is to confirm whether the bispecific T cell engager blinatumomab (MT103) is effective, safe and tolerable in the treatment of ALL patients with minimal residual disease.


Condition Intervention Phase
B-cell Acute Lymphoblastic Leukemia
Drug: Blinatumomab
Phase 2

Study Type: Interventional
Study Design: Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Confirmatory Multicenter, Single-arm Study to Assess the Efficacy, Safety, and Tolerability of the BiTE® Antibody Blinatumomab in Adult Patients With Minimal Residual Disease (MRD) of B-precursor Acute Lymphoblastic Leukemia (BLAST)

Resource links provided by NLM:


Further study details as provided by Amgen Research (Munich) GmbH:

Primary Outcome Measures:
  • MRD response rate [ Time Frame: within 6 weeks ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Hematological relapse-free survival rate [ Time Frame: 18 months ] [ Designated as safety issue: No ]
  • Overall survival [ Time Frame: 5 years ] [ Designated as safety issue: No ]
  • Duration of complete MRD response [ Time Frame: 2 years ] [ Designated as safety issue: No ]
  • Overall incidence and severity of AEs [ Time Frame: until EoS ] [ Designated as safety issue: Yes ]
  • Quality of Life [ Time Frame: until EoS ] [ Designated as safety issue: No ]

Estimated Enrollment: 130
Study Start Date: September 2010
Estimated Study Completion Date: August 2016
Estimated Primary Completion Date: February 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Blinatumomab
single arm
Drug: Blinatumomab
intravenous infusion
Other Names:
  • AMG103
  • MT103

Detailed Description:

The detection of minimal residual disease (MRD) after induction therapy and/or consolidation therapy is an independent prognostic factor for poor outcome of adult ALL. No standard treatments are available for patients with MRD-positive B-precursor ALL. Blinatumomab (MT103) is a bispecific single-chain antibody construct designed to link B cells and T cells resulting in T-cell activation and a cytotoxic T-cell response against CD19 expressing cells. The purpose of this study is to confirm whether the bispecific T-cell engager blinatumomab (MT103) is effective, safe and tolerable in the treatment of ALL patients with minimal residual disease. Patients will receive up to four 4-week cycles of intravenous blinatumomab treatment.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients with B-precursor ALL in complete hematological remission after at least 3 intense chemotherapy blocks
  • Presence of minimal residual disease at a level of >=10-3
  • Availability of bone marrow specimen from primary diagnosis for clone-specific MRD assessment
  • Negative HIV test, negative hepatitis B (HbsAg) test and hepatitis C virus (anti-HCV) test
  • Negative pregnancy test in women of childbearing potential
  • ECOG performance status 0 or 1

Exclusion Criteria:

  • Presence of circulating blasts or current extra-medullary involvement by ALL
  • History of relevant CNS pathology or current CNS pathology
  • Prior allogeneic HSCT
  • Eligibility for treatment with TKIs
  • Systemic cancer chemotherapy within 2 weeks prior to study treatment
  • Therapy with monoclonal antibodies (rituximab, alemtuzumab) within 4 weeks prior to study treatment
  • Previous treatment with blinatumomab
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01207388

Contacts
Contact: Dirk Nagorsen, MD +49-89-895277 ext 337 dirkn@amgen.com
Contact: Julia Stieglmaier, PhD +49-89-895277 ext 359 jstieglm@amgen.com

  Hide Study Locations
Locations
Austria
1102 - LKH Graz Recruiting
Graz, Austria
Principal Investigator: Werner Linkesch, Prof. Dr.            
1107 - Krankenhaus der Elisabethinen Recruiting
Linz, Austria
Principal Investigator: Hedwig Kasparu, Dr.            
1106 Recruiting
Salzburg, Austria
Principal Investigator: Richard Greil, Prof. Dr.            
1101 - AKH Wien Recruiting
Vienna, Austria
Principal Investigator: Ulrich Jäger, Prof. Dr.            
Sub-Investigator: Alexander Hauswirth, PD Dr.            
Belgium
1504 Recruiting
Antwerpen, Belgium
Principal Investigator: Pierre Zachee, Prof. Dr.            
1502 - Cliniques Universitaires de Saint-Luc Recruiting
Brussels, Belgium
Principal Investigator: Violaine Havelange, Dr.            
1505 Recruiting
Brügge, Belgium
Principal Investigator: Dominik L Selleslag, Dr.            
1503 Recruiting
Gent, Belgium
Principal Investigator: Lucien Noens, Prof. Dr.            
1501 - Cliniques Universitaires UCL de Mont Godinne Recruiting
Yvoir, Belgium
Principal Investigator: Carlos Graux, Prof. Dr.            
France
1211 - CHU d'Angers Recruiting
Angers, France
Principal Investigator: Mathilde Hunault, Dr.            
1210 - CHU de Besançon Recruiting
Besançon, France
Principal Investigator: Pierre S Rohrlich, Prof. Dr.            
1206 - Hôpital de Pontoise Recruiting
Cergy Pontoise, France
Contact: Riad Benramdane, Dr.            
Principal Investigator: Riad Benramdane, MD            
1205 - CHU Henri Mondor Recruiting
Créteil, France
Principal Investigator: Sébastien Maury, Dr.            
1209 - CHU de Lyon Recruiting
Lyon, France
Principal Investigator: Xavier Thomas, Prof. Dr.            
1212 - Hôpital de l'hôtel Dieu Recruiting
Nantes, France
Principal Investigator: Patrice Chevallier, Dr.            
1213 - Centre Hospitalier Universitaire de Nice Recruiting
Nice, France
Principal Investigator: Faézeh Legrand, Dr.            
1201 - Hôpital Saint Louis Recruiting
Paris, France
Contact: Hervé Dombret, Prof. Dr.            
Principal Investigator: Hervé Dombret, Prof. Dr.            
1202 - CHU de Bordeaux - Hôpital Haut Lévêque Recruiting
Pessac, France
Principal Investigator: Thibaut Leguay, Dr.            
1208 - CHU de Purpan Recruiting
Toulouse, France
Principal Investigator: Françoise Rigal-Huguet, Dr.            
Germany
1011 - Charité Berlin Recruiting
Berlin, Germany
Principal Investigator: Stefan Schwartz, PD Dr.            
1022 - Universitätsklinkum Carl Gustav Carus Dresden Recruiting
Dresden, Germany
Principal Investigator: Gerhard Ehninger, Prof. Dr.            
1009 - Universitätsklinikum Essen Recruiting
Essen, Germany
Principal Investigator: Andreas Hüttmann, PD Dr.            
1002 - Klinikum der Goethe Universität Recruiting
Frankfurt, Germany
Principal Investigator: Nicola Gökbuget, Dr.            
1014 - Asklepiosklinik St. Georg Recruiting
Hamburg, Germany
Principal Investigator: Norbert Schmitz, Prof. Dr.            
1018 - Medizinische Hochschule Hannover Recruiting
Hannover, Germany
Principal Investigator: Arnold Ganser, Prof. Dr.            
1012 - Universitätsklinikum Heidelberg Recruiting
Heidelberg, Germany
Principal Investigator: Eike Buss, Dr.            
1003 - Universitätsklinikum Schleswig-Holstein Recruiting
Kiel, Germany
Principal Investigator: Svenja Neumann, Dr.            
1019 - Universitätsklinikum Leipzig Recruiting
Leipzig, Germany
Principal Investigator: Dietger Niederwieser, Prof. Dr.            
1010 - Klinikum der Universität München - Großhadern Recruiting
Munich, Germany
Principal Investigator: Marion Subklewe, PD Dr.            
1004 - Universitätsklinikum Münster Recruiting
Münster, Germany
Principal Investigator: Matthias Stelljes, Prof. Dr.            
1016 - Universitätsklinikum Regensburg Recruiting
Regensburg, Germany
Principal Investigator: Albrecht Reichle, Prof. Dr.            
1020 - Universitätsklinikum Rostock Recruiting
Rostock, Germany
Principal Investigator: Christian Junghanß, Prof. Dr.            
1007 - Robert-Bosch-Krankenhaus Recruiting
Stuttgart, Germany
Principal Investigator: Walter-Erich Aulitzky, Prof. Dr.            
1015 - Universitätsklinikum Tübingen Recruiting
Tübingen, Germany
Principal Investigator: Christoph Faul, Dr.            
1005 - Universitätsklinikum Ulm Recruiting
Ulm, Germany
Contact: Andreas Viardot, Dr.            
Principal Investigator: Andreas Viardot, Dr.            
1001 - Julius-Maximilians-Universität Würzburg Recruiting
Würzburg, Germany
Contact: Ralf C Bargou, Prof. Dr.            
Principal Investigator: Ralf C Bargou, Prof. Dr.            
Italy
1301 - Ospedali Riuniti di Bergamo Recruiting
Bergamo, Italy
Principal Investigator: Alessandro Rambaldi, Prof. Dr.            
1303 - Istituto di Ematologia "L.& A.Seràgnoli" Azienda Recruiting
Bologna, Italy
Principal Investigator: Giovanni Martinelli, Dr.            
1314 - Azienda Ospedaliera Spedali Civili Brescia Recruiting
Brescia, Italy
Principal Investigator: Guiseppe Rossi, Dr.            
1313 - Universita di Catania Recruiting
Catania, Italy
Principal Investigator: Francesco Di Raimondo, Prof. Dr.            
1312 - Azienda Ospedaliera Universitaria San Martino Recruiting
Genoa, Italy
Principal Investigator: Angelomichele Carella, Dr.            
1305 - Ospedale San Gerardo Recruiting
Monza, Italy
Principal Investigator: Enrico M Pogliani, Prof. Dr.            
1309 - Azienda Ospedaliera Antonio Cardarelli Recruiting
Napoli, Italy
Principal Investigator: Felicetto Ferrara, Dr.            
1308 - Ospedali Riuniti "Villa Sofia-Cervello" Recruiting
Palermo, Italy
Principal Investigator: Franceso Fabbiano, Dr.            
1302 - Università La Sapienza di Roma Recruiting
Rome, Italy
Principal Investigator: Robin Foà, Prof. Dr.            
1310 - Fondazione Policlinico Tor Vergata Recruiting
Rome, Italy
Principal Investigator: Sergio Amadori, Prof. Dr.            
1315 - Azienda Ospedaliero-Universitaria S. Giovanni Battista (Le Molinette) Recruiting
Torino, Italy
Principal Investigator: Fillippo Marmont, Dr.            
1311 - Azienda Ospedaliera di Verona Recruiting
Verona, Italy
Principal Investigator: Giovanni Pizzolo, Prof. Dr.            
Netherlands
2204 - UMC Groningen Recruiting
Groningen, Netherlands
Principal Investigator: Simon Daenen, Dr.            
2201 - Daniel Den Hoed Hospitaal Recruiting
Rotterdam, Netherlands
Principal Investigator: Jan Cornelissen, Prof. Dr.            
Poland
1905 - Uniwersytecki Szpital Kliniczny w Białymstoku Recruiting
Bialystok, Poland
Principal Investigator: Janusz Kłoczko, Prof. Dr.            
1907 - Uniwersyteckie Centrum Kliniczne Recruiting
Gdansk, Poland
Principal Investigator: Andrzej Hellmann, Prof. Dr.            
1908 - Swietokrzyskie Centrum Onkologii Recruiting
Kielce, Poland
Principal Investigator: Marcin Pasiarski, Dr.            
1902 - Uniwersytet Medyczny w Lublinie Recruiting
Lublin, Poland
Principal Investigator: Maria Cioch, Dr.            
1901 - Klinika Hematologii - Instytut Hematologii i Transfuzjologii Recruiting
Warsaw, Poland
Principal Investigator: Krzysztof Warzocha, Prof. Dr.            
1906 - MTZ Clinical Research Sp. z o.o. Recruiting
Warsaw, Poland
Principal Investigator: Wiesław Wiktor Jędrzejczak, Prof. Dr.            
1904 - Samodzielny Publiczny Recruiting
Wrocław, Poland
Principal Investigator: Kazimierz Kuliczkowski, Prof. Dr.            
Romania
2101 - Institutul Clinic Fundeni, Hematologie II Recruiting
Bucharest, Romania
Principal Investigator: Daniel Coriu, Prof            
2102 - Spitalul Clinic Coltea, Hematologie Recruiting
Bucharest, Romania
Principal Investigator: Gabriela Borsaru, Dr.            
2106 - Institutul Oncologic "Prof. Dr. I. Chiricuta" Recruiting
Cluj-Napoca, Romania
Principal Investigator: Andrei Mircea Cucuianu, Dr.            
2105 - Institutul Regional de Oncologie Recruiting
Iasi, Romania
Principal Investigator: Catalin Doru Danaila, Dr.            
Russian Federation
2001 - Russian Hematology Research Center Recruiting
Moscow, Russian Federation
Principal Investigator: Elena Parovichnikova, Dr.            
2003 - Municipal Hospital No. 15 Not yet recruiting
St. Petersburg, Russian Federation
Principal Investigator: Elena Karyagina, Dr.            
Spain
1401 - ICO Hospital Germans Trias I Pujol Recruiting
Badalona, Spain
Principal Investigator: Jose-María Ribera, Dr.            
1404 - Hospital Clínic Servei d´Hematologia Recruiting
Barcelona, Spain
Principal Investigator: Jordi Esteve, Dr.            
1402 - Complexo Hospitalario Universitario A Coruña Recruiting
La Coruña, Spain
Principal Investigator: Guillermo Deben, Dr.            
1408 - Hospital 12 de Octubre Recruiting
Madrid, Spain
Principal Investigator: Carlos Grande García, Dr.            
1405 - Hospital Universitari Son Espases Recruiting
Mallorca, Spain
Principal Investigator: Juan Besalduch-Vidal, Dr.            
1407 - Unidad de Citogenética Oncológica Recruiting
Salamanca, Spain
Principal Investigator: Jesús María Hernández-Rivas, Dr.            
1406 - Hospital Universitari i Politècnic La Fe de Valencia Recruiting
Valencia, Spain
Principal Investigator: Miguel Ángel Sanz, Dr.            
United Kingdom
1605 - Queen Elizabeth Hospital Recruiting
Birmingham, United Kingdom
Principal Investigator: Sridhar Chaganti, Dr.            
1602 - Bristol Royal Infirmary Recruiting
Bristol, United Kingdom
Principal Investigator: David Marks, Prof.            
1604 - University Hospital of Wales Recruiting
Cardiff, United Kingdom
Principal Investigator: Clare Judith Rowntree, Dr.            
1601 - Royal Free Hospital Recruiting
London, United Kingdom
Principal Investigator: Adele Fielding, Dr.            
1607 - Nottingham City Hospital NHS Trust Recruiting
Nottingham, United Kingdom
Principal Investigator: Andrew McMillan, Dr.            
Sponsors and Collaborators
Amgen Research (Munich) GmbH
Investigators
Principal Investigator: Ralf Bargou, MD Medizinische Klinik und Poliklinik II, Würzburg
Principal Investigator: Nicola Gökbuget, MD Klinikum der Goethe Universität Frankfurt
  More Information

No publications provided

Responsible Party: Amgen Research (Munich) GmbH
ClinicalTrials.gov Identifier: NCT01207388     History of Changes
Other Study ID Numbers: MT103-203
Study First Received: September 21, 2010
Last Updated: November 20, 2012
Health Authority: Germany: Paul-Ehrlich-Institut
Austria: Agency for Health and Food Safety
Belgium: Federal Agency for Medicinal Products and Health Products
France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis)
Spain: Agencia Española de Medicamentos y Productos Sanitarios
United Kingdom: Medicines and Healthcare Products Regulatory Agency
Russia: Ministry of Health of the Russian Federation
Romania: National Medicines Agency
Netherlands: The Central Committee on Research Involving Human Subjects (CCMO)

Keywords provided by Amgen Research (Munich) GmbH:
Blinatumomab
MRD
B-ALL
Minimal residual disease
adult ALL
Leukemia
ALL
Lymphatic diseases
Lymphoproliferative disorders
bispecific antibody
anti-CD19
Immunotherapeutic treatment

Additional relevant MeSH terms:
Burkitt Lymphoma
Leukemia
Leukemia, Lymphoid
Precursor Cell Lymphoblastic Leukemia-Lymphoma
Neoplasm, Residual
Epstein-Barr Virus Infections
Herpesviridae Infections
DNA Virus Infections
Virus Diseases
Tumor Virus Infections
Lymphoma, Non-Hodgkin
Lymphoma
Neoplasms by Histologic Type
Neoplasms
Lymphoma, B-Cell
Neoplasms, Experimental
Lymphoproliferative Disorders
Lymphatic Diseases
Immunoproliferative Disorders
Immune System Diseases
Neoplastic Processes
Pathologic Processes
Antibodies, Bispecific
Immunologic Factors
Physiological Effects of Drugs
Pharmacologic Actions

ClinicalTrials.gov processed this record on May 16, 2013