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TRU-016 and bendamustine

Phase 1

Chronic Lymphocytic Leukemia (CLL) | Small molecule | Oncology |Aptevo Therapeutics Inc.|Last Updated: Jun 10, 2021

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedACTIVE_CONTROLLEDDMC
Total Trials2
Total Enrollment175
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01188681Safety and Efficacy Study of TRU-016 Plus Bendamustine vs. Bendamustine in Relapsed Chronic Lymphocytic LeukemiaPHASE1 COMPLETED 79Sep 1, 2010Dec 1, 2014Jun 10, 202125 United States, Austria +3
NCT00614042Phase 1/1b Study of TRU-016 in Patients With Previously Treated CLL or Select Subtypes of Non-Hodgkin's LymphomaPHASE1 COMPLETED 96Jan 1, 2008Mar 1, 2012Jun 28, 20177 United States
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Study Endpoints
Primary Endpoints
Response Per International Workshop on Chronic Lymphocytic Leukemia (IWCLL) Criteria
1 and 2 months after end of treatment, then every 3 months until disease progression, death, initiation of new therapy, study withdrawal, or 2 years

Patients had full clinical response assessment monthly during treatment, at the end of treatment (EOT) visit, 30 and 60 days after the EOT visit, and subsequently every 3 months until the earliest of progression of CLL, death, initiation of new therapy, withdrawal from the study, or completion of 18 months of follow-up evaluations. Clinical response assessment included physical examination with measurement of spleen, liver, and lymph nodes, disease-related symptoms, and laboratory measurements, specifically complete blood count (CBC) with differential.

Safety and tolerability of TRU-016 administered IV in patients with CLL or NHL
4 weeks after treatment
Secondary Endpoints
Response Per NCI Criteria
1 and 2 months after end of treatment, then every 3 months until disease progression, death, initiation of new therapy, study withdrawal, or 2 years
Preliminary indication of response as defined by NCI 1996 criteria
3 months after treatment
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Phase 1: 15 mg/kg TRU-016 + BendamustineEXPERIMENTALTRU-016 (15 mg/kg) and bendamustine (70 mg/m2), n = 6 patients
Phase 1: 20 mg/kg TRU-016 + BendamustineEXPERIMENTALTRU-016 (20 mg/kg) and bendamustine (70 mg/m2), n = 6 patients
Phase 2: TRU-016 and bendamustineEXPERIMENTALTRU-016 (20 mg/kg) and bendamustine (70 mg/m2), n = 32 patients
Phase 2: BendamustineACTIVE_COMPARATORBendamustine (70 mg/m2), n = 33 patients
1EXPERIMENTALDose escalation and expansion cohorts
Interventions
NameTypeDescription
TRU-016 and bendamustineDRUGTRU-016 at 20 mg/kg, weekly by IV infusion x 2 cycles, then every 14 days x 4 cycles PLUS bendamustine (70 mg/m2 by IV infusion on Days 1 and 2 of every 28-day cycle, for 6 cycles
BendamustineDRUGBendamustine at 70 mg/m2 by IV infusion on Days 1 and 2 of every 28-day cycle, for 6 cycles
15 mg/kg TRU-016 and bendamustineDRUGTRU-016 at 15 mg/kg, weekly by IV infusion x 2 cycles, then every 14 days x 4 cycles PLUS bendamustine (70 mg/m2 by IV infusion on Days 1 and 2 of every 28-day cycle, for 6 cycles
20 mg/kg TRU-016 and bendamustineDRUGTRU-016 at 20 mg/kg, weekly by IV infusion x 2 cycles, then every 14 days x 4 cycles PLUS bendamustine (70 mg/m2 by IV infusion on Days 1 and 2 of every 28-day cycle, for 6 cycles
TRU-016 (anti-CD37 protein therapeutic)DRUGTRU-016 administered via IV infusion weekly for 8 weeks and then monthly
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites25

Inclusion Criteria: * Diagnosis of relapsed CLL with 1 to 3 prior treatments * Demonstrated active disease requiring treatment * No prior bendamustine treatment * Not refractory to fludarabine or other purines, either as a single agent or in combination * Age \>/=18 years; male or female * Eastern ...

Countries:United StatesAustriaGermanyPolandSpain
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