Clinical Trial Results:
Open-Label, Multi-Center, Phase 2 Study of Anti-CCR4 Monoclonal Antibody KW 0761 (mogamulizumab) in Subjects with Previously Treated Peripheral T-cell Lymphoma (PTCL)
Summary
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EudraCT number |
2011-004151-39 |
Trial protocol |
GB DE ES DK NL |
Global end of trial date |
22 Jul 2015
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Results information
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Results version number |
v1(current) |
This version publication date |
13 Aug 2016
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First version publication date |
13 Aug 2016
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Other versions |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
0761-007
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
NCT01611142 | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
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Sponsor organisation name |
Kyowa Hakko Kirin Pharma, Inc.
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Sponsor organisation address |
212 Carnegie Center, Suite 101, Princeton, United States, NJ 08540
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Public contact |
Clinical Trial Information, Kyowa Hakko Kirin Pharma, Inc., 001 6099191100, KKD.KW-0761@kyowakirin.com
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Scientific contact |
Clinical Trial Information, Kyowa Hakko Kirin Pharma, Inc., 001 6099191100, KKD.KW-0761@kyowakirin.com
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
16 Dec 2015
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Is this the analysis of the primary completion data? |
Yes
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Primary completion date |
22 Jul 2015
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Global end of trial reached? |
Yes
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Global end of trial date |
22 Jul 2015
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Was the trial ended prematurely? |
No
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General information about the trial
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Main objective of the trial |
To determine the overall response rate of KW-0761 for the treatment of subjects with relapsed or refractory PTCL
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Protection of trial subjects |
The study was conducted in accordance with the principles of the Declaration of Helsinki, the International Conference on Harmonization (ICH) consolidated guideline E6 - Good Clinical Practice (GCP) and any applicable national and local laws and regulations. Subjects were provided with written and oral information about the study (aims, methods, anticipated benefits, potential hazards and insurance arrangements). No procedures were conducted until informed consent was provided. The protocol included wording for the treatment of skin rash and hypersensitivity-like reactions (wording regarding premedication prior to KW-0761 infusion was also included in the protocol).
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Background therapy |
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Evidence for comparator |
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Actual start date of recruitment |
06 Jun 2012
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
No
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
Netherlands: 4
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Country: Number of subjects enrolled |
Spain: 5
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Country: Number of subjects enrolled |
United Kingdom: 8
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Country: Number of subjects enrolled |
Denmark: 2
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Country: Number of subjects enrolled |
France: 15
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Country: Number of subjects enrolled |
Italy: 4
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Worldwide total number of subjects |
38
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EEA total number of subjects |
38
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
0
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Adolescents (12-17 years) |
0
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Adults (18-64 years) |
23
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From 65 to 84 years |
14
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85 years and over |
1
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Recruitment
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Recruitment details |
Recruitment opened in May 2012 and closed in October 2013. | ||||||||||||
Pre-assignment
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Screening details |
All subjects were screened for eligibility to participate in the trial. Subjects that met all inclusion/exclusion criteria as per protocol, were eligible for entry into the study.A total of 59 subjects were screened of which 21 failed the screening process. 38 patients were therefore enrolled into the study. | ||||||||||||
Period 1
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Period 1 title |
Overall study (overall period)
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Is this the baseline period? |
Yes | ||||||||||||
Allocation method |
Not applicable
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Blinding used |
Not blinded | ||||||||||||
Arms
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Arm title
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Mogamulizumab (KW-0761) | ||||||||||||
Arm description |
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Arm type |
Experimental | ||||||||||||
Investigational medicinal product name |
Mogamulizumab (KW-0761)
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Concentrate for solution for infusion
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Routes of administration |
Intravenous use
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Dosage and administration details |
1.0mg/kg over at least 1 hr on Days 1, 8, 15 and 22 of the first cycle and Days 1 and 15 of each subsequent 28-day cycle.
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Baseline characteristics reporting groups
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Reporting group title |
Overall study
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Reporting group description |
- | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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End points reporting groups
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Reporting group title |
Mogamulizumab (KW-0761)
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Reporting group description |
- |
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End point title |
Number of patients achieving overall response [1] | ||||||
End point description |
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End point type |
Primary
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End point timeframe |
Disease response was assessed every 8 weeks.
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Notes [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: Descriptive analysis was ultilised for this primary endpoint. |
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No statistical analyses for this end point |
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End point title |
Number of patient achieving progression free survival | ||||||
End point description |
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End point type |
Secondary
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End point timeframe |
Disease response was assessed every 8 weeks.
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No statistical analyses for this end point |
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End point title |
Duration of Response (days) | ||||||
End point description |
Four subjects had response durations of >1, 43, 77, >539 study days.
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End point type |
Secondary
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End point timeframe |
Duration of response was measured from the time measurement criteria were met for CR/PR (whichever was first recorded) until the first date that PD or death was objectively documented.
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No statistical analyses for this end point |
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Adverse events information
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Timeframe for reporting adverse events |
From pre-treatment visit until 90 days after the last dose.
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Assessment type |
Systematic | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary version |
15
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Reporting groups
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Reporting group title |
Baseline
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Reporting group description |
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Frequency threshold for reporting non-serious adverse events: 5% | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? Yes | |||
Date |
Amendment |
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05 Mar 2012 |
• Added only CCR4-positive subjects and the most common PTCL subtypes who expressed the CCR4 target excluding those with indolent disease and/or lower CCR4 expression;
• Excluded subjects with a history of moderate or severe psoriasis or with psoriasis associated with systemic symptoms or with a 1st degree relative with history of psoriasis that required medical intervention;
• Allowed subjects with known bone marrow involvement to participate if their platelet count was ≥75,000 and allowed for laboratory retesting if the criteria for hematologic, hepatic, and renal function were not met;
• Specified that safety surveillance would be performed on a regular basis by the Sponsor and independent therapeutic experts and extended the safety monitoring period from 30 to 90 days after the last dose of study medication;
• The subject was required to use contraception for 3 months after the last dose of study drug;
• Provided guidelines for documenting and treating a treatment-emergent skin rash;
• Incorporated the mSWAT for subjects with skin disease with the IWG response criteria (definitions added) for assessment of global response;
• Included the assessment of AEs from the time of informed consent rather than after the first dose of study drug;
• Allowed subjects to continue monthly treatment with mogamulizumab, at the discretion of the investigator, beyond CR;
• Updated the guidelines for the treatment of hypersensitivity-like reactions;
• Allowed skin biopsies for CCR4 expression in subjects with skin disease. |
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16 Apr 2013 |
• To modify the Inclusion/Exclusion Criteria;
• To increase the number of sites;
• To specify the permissible dosing interval for mogamulizumab;
• To allow subjects with PD in one disease compartment to continue treatment for a period of up to 8 weeks and allow additional time for the demonstration of an objective response;
• To allow subjects who experienced a CR to continue to be treated for a period of 12 months or until progression, whichever occurred first;
• To clarify the guidance for the treatment of hypersensitivity-like reactions;
• To remove clinical laboratory assessments (i.e., CD4 and CD8 cell counts) not necessary for the conduct of this study.
• To lengthen the Screening period;
• To clarify the acceptable age of archived lymph node or skin biopsy sample (i.e., collected within 3 months Pretreatment) and to allocate a portion of the sample collected to test a second method of CCR4 analysis in order to establish compatibility between the tests;
• To clarify that the SWAT must be performed for all subjects;
• To clarify that certain body weight changes requires dose adjustment and to describe the storage conditions of the reconstituted drug product;
• To specify that in this study, disease progression and lymphopenia should not be considered adverse events. |
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Interruptions (globally) |
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Were there any global interruptions to the trial? No | |||
Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
None reported |