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Marqibo

Phase 2

Acute Lymphoblastic Leukemia (ALL) | Small molecule | Oncology |Assertio Holdings, Inc.|Last Updated: Mar 5, 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
UNCONTROLLEDBiomarker
Total Trials1
Total Enrollment65
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00495079Safety and Efficacy of Marqibo in Relapsed Acute Lymphoblastic LeukemiaPHASE2 COMPLETED 65May 1, 2007Aug 8, 2010Mar 5, 202133 United States, Canada +3
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Study Endpoints
Primary Endpoints
Complete Remission Plus Complete Remission Without Full Platelet Recovery (CR + CRi)
Response assessment performed at the end of each 28 day course.

CR is defined as no evidence of ALL: ANC\>or=1x10\^9/L or platelet count\>100x10\^9/L, absence of leukemia blast cells in blood and marrow (\<5% blasts), resolution of all sites of extramedullary disease (EMD). CR with incomplete blood count recovery (CRi): As per CR but platelet count\< 100x10\^9/L or ANC\< 1x10\^9/L. Partial remission(PR):CR with\>5-25% abnormal cells in the marrow or 50% decrease in bone marrow blasts. Reduction in EMD by at least 50%. Hematologic Improvement. Bone marrow blast(BMB) response: BMB\<5% in the absence of HI. Stable disease(SD):No significant hematological and extramedullary change from baseline.

Clinical Response Assessment Per Independent Response Review Committee (IRRC) Evaluation
Response assessment at the end of each 28 days course

Number of subjects who achieved Complete Remission (CR)as assessed by the IRRC. CR is defined as no evidence of ALL. ANC\>=1X10\^9/L or Platelet count\>=100x10\^9/L, absence of blasts in blood and morrow (\<5%), resolution of all sites of extramedullary disease (EMD). CR with incomplete blood count recovery(CRi)is defined as per CR but platelet count \<100x10\^9/L or ANC\<1x10\^9/L.

Secondary Endpoints
Duration of CR + CRi
CR + CRi duration was calculated from the date the subject first met the definition of CR or CRi until the date of relapse
Overall Survival
unlimited
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
MarqiboEXPERIMENTALEligible subjects received study drug at 2.25 mg/m\^2 intravenously via peripheral or central venous access over 60 minutes (± 10 minutes).
Interventions
NameTypeDescription
Marqibo® (vincristine sulfate liposomes injection)DRUGDosing was done every 7 days (± 3 days) on Days 1, 8, 15, and 22 with no less than 4 days between dosing days. Dose calculations were based on body surface area using the subject's height (from Screening) and actual weight for each course.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites33

Inclusion Criteria: * Age ≥18 years. * Had Ph- ALL or lymphoblastic lymphoma and was in second relapse, or had failed 2 treatment lines of anti-leukemia chemotherapy. * Had histologically or cytologically proven ALL and ≥ 10% bone marrow blasts. If \< 10% bone marrow blasts, subject must have had h...

Countries:United StatesCanadaGermanyIsraelUnited Kingdom
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