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CAT-8015

Phase 1

Acute Lymphoblastic Leukemia | Small molecule | Oncology |AstraZeneca PLC|Last Updated: Oct 2, 2017

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
CONTROLLEDBiomarker
Total Trials1
Total Enrollment57
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00659425CAT-8015 in Children, Adolescents and Young Adults With Acute Lymphoblastic Leukemia or Non-Hodgkin's LymphomaPHASE1 COMPLETED 57Sep 1, 2008Dec 1, 2014Oct 2, 20175 United States, Canada
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Study Endpoints
Primary Endpoints
Number of Participants With Dose Limiting Toxicities (DLTs)
Day 1 up to 21 days of Cycle 1 (each cycle duration was of 21 days)

Adverse events that were suspected of a relationship to moxetumomab pasudotox and were greater than or equal to (\>=) Grade 3 in severity were considered DLTs with the following additional criteria or exceptions: Participants with hematologic abnormalities of any grade, Grade 2 allergic reactions of bronchospasm or urticaria, or any Grade ≥ 3 allergic reaction, in the presence of premedication.

Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs)
From start of study drug administration until 30 days after the last dose of study drug

An adverse event (AE) was any untoward medical occurrence attributed to study drug in a participant who received investigational product. A serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent were events between administration of investigational product and 30 days after the last dose of study drug that were absent before treatment or that worsened relative to pre-treatment state.

Number of Participants With Vital Signs Abnormalities Recorded as Treatment-Emergent Adverse Events (TEAEs)
From start of study drug administration until 30 days after the last dose of study drug

Vital signs included parameters as heart rate, blood pressure, temperature, weight, pulse oximetry and respiratory rate. TEAEs were events present at baseline that worsened in intensity after administration of study drug or events absent at baseline that emerged after administration of study drug, for the period extending to 30 days after the last dose of study drug.

Number of Participants With Clinically Significant Laboratory Abnormalities Recorded as Treatment-Emergent Adverse Events (TEAEs)
From start of study drug administration up to 30 days after the last dose of study drug

An abnormal laboratory finding which required an action or intervention by the investigator, or a finding judged by the investigator to represent a change beyond the range of normal physiologic fluctuation were reported as an adverse event. Treatment-emergent were events between first dose of study drug and 30 days after the last dose that were absent before treatment or that worsened relative to pretreatment state. Number of participants with grade 3 or higher treatment-emergent adverse events (5% cut off) for laboratory abnormalities were reported as clinically relevant laboratory changes.

Treatment-Emergent Adverse Events (TEAEs) Related to Chemistry Abnormalities Occurring in Greater Than (>) 5 Percent of Participants
From start of study drug administration up to 30 days after the last dose of study drug

An abnormal chemistry finding which required an action or intervention by the investigator, or a finding judged by the investigator to represent a change beyond the range of normal physiologic fluctuation were reported as an adverse event. Treatment-emergent were events between first dose of study drug and 30 days after the last dose that were absent before treatment or that worsened relative to pretreatment state.

Number of Participants With Abnormalities in Ophthalmologic Examination at End of Treatment That Were Not Present at Baseline
Baseline and end of treatment (up to 1 year after the last participants begins study drug treatment)

Ophthalmologic examination included evaluation of retinal, corneal and lens abnormalities at baseline and end of treatment that were not present at screening. Participants who experienced abnormalitities during ophthalmologic examination recorded and reported.

Number of Participants With Change From Baseline in Normal Sinus Rhythm Findings in ECG
Baseline and end of treatment (up to 1 year after the last participant begins study drug treatment)

Number of participants with abnormal ECG changes (compared with baseline) as assessed by study cardiologist

Change From Baseline to End of Treatment in Clinical Findings in Electrocardiogram (ECG) QT, QTC Interval and Ventricular Rate
Baseline and end of treatment (up to 1 year after the last participants begins study drug treatment)

The 12-lead ECG data were summarized and evaluated for the following parameters: ,QT, QTC intervals and ventricular rate. Change from baseline in these parameters were reported.

Best Overall Tumor Response
Baseline and end of treatment (up to 1 year after the last participant begins study drug treatment)

Antitumor activity was assessed by best overall tumor response.

Objective Response Rate (ORR)
Baseline until end of treatment (up to 1 year after the last participant begins study drug treatment)

Objective response based on assessment of confirmed composite complete response (CRc) or partial response (PR) according to disease specific criteria \[modified criteria for response in acute lymphoblastic leukemia (ALL)\].

Percentage of Participants With Relapse of Disease
Baseline until end of treatment (up to 1 year after the last participant begins study drug treatment)

Relapse is defined as progressive disease (PD) following complete response (CR). Rate of relapse was only calculated for the subgroup of participants with complete response.

Time to Disease Response
Baseline and end of treatment (up to 1 year after the last participant begins study drug treatment)

Time to disease response was measured from the start of moxetumomab pasudotox administration to the first documentation of response (CR or PR) and was assessed in participants who achieved objective response.

Duration of Response (DR)
Baseline and end of treatment (up to 1 year after the last participant begins study drug treatment

Duration of response was defined as the duration from the first documentation of objective response to the first documented disease progression.

Time to Disease Progression (TDP)
Baseline and end of treatment (up to 1 year after the last participant begins study drug treatment

Time to disease progression was measured from the start of treatment with moxetumomab pasudotox until the documentation of disease progression. Number of progressions were reported here.

Progression-Free Survival (PFS)
Baseline and end of treatment (up to 1 year after the last participant begins study drug treatment)

Progression-free survival was measured from the start of treatment with moxetumomab pasudotox until the documentation of disease progression or death due to any cause, whichever occurs first. Number of progressions/deaths were reported here.

Overall Survival (OS)
Baseline and end of treatment (up to 1 year after the last participant begins study drug treatment)

Overall survival was determined as the time from the start of treatment with Moxetumomab Pasudotox until death. Number of deaths were reported here.

Maximum Observed Serum Concentration (Cmax) for Moxetumomab Pasudotox
Cycles 1, 2 and every 4th cycle: pre-dose, end of infusion (EOI), 1, 1.5, 2.5, 4 and 8 hours post-dose of Dose 1; pre-dose and end of infusion after Dose 6

The Cmax is the maximum observed plasma concentration of Moxetumomab Pasudotox.

Area Under the Serum Concentration Time Curve From Time Zero to Infinity (AUC [0 to Infinity]) for Moxetumomab Pasudotox
Cycles 1, 2 and every 4th cycle: pre-dose, end of infusion (EOI), 1, 1.5, 2.5, 4 and 8 hours post-dose of Dose 1; pre-dose and end of infusion after Dose 6

The AUC (0 to infinity) is the area under the plasma concentration-time curve from time zero to infinity hours.

Systemic Clearance (CL) for Moxetumomab Pasudotox
Cycles 1, 2 and every 4th cycle: pre-dose, end of infusion (EOI), 1, 1.5, 2.5, 4 and 8 hours post-dose of Dose 1; pre-dose and end of infusion after Dose 6

The CL is a quantitative measure of the rate at which a drug substance is removed from the body. The total systemic clearance after intravenous dose was estimated by dividing the total administered dose by the plasma area under the plasma concentration-time curve from time zone to infinite time (AUC\[0-infinity\]).

Terminal Phase Elimination Half Life (t1/2) for Moxetumomab Pasudotox
Cycles 1, 2 and every 4th cycle: pre-dose, end of infusion (EOI), 1, 1.5, 2.5, 4 and 8 hours post-dose of Dose 1; pre-dose and end of infusion after Dose 6

Plasma decay half-life is the time measured for the plasma concentration to decrease by one half.

Secondary Endpoints
Number of Participants With Positive Anti-Drug Antibody (ADA) and Neutralizing Antibody
Baseline until end of treatment (up to 1 year after the last participant begins study drug treatment)
CD22 Expression Cells in Peripheral Blood by Best Response
Baseline until end of treatment (up to 1 year after the last participant begins study drug treatment)
Number of Participants With Potential Biomarkers of Predicting Capillary Leak Syndrome (CLS)
Baseline and end of treatment (up to 1 year after the last participant begins study drug treatment)
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
5 microgram per kilogram (mcg/kg)EXPERIMENTALParticipants received intravenous infusion of 5 mcg/kg moxetumomab pasudotox (CAT-8015) without concomitant corticosteroid administration every other day (QoD) in a 21-day cycle for a total of 6 doses per cycle.
10 microgram per kilogram (mcg/kg)EXPERIMENTALParticipants received intravenous infusion of 10 mcg/kg moxetumomab pasudotox (CAT-8015) without concomitant corticosteroid administration every other day (QoD) in a 21-day cycle for a total of 6 doses per cycle.
20 microgram per kilogram (mcg/kg): Schema AEXPERIMENTALParticipants received intravenous infusion of 20 mcg/kg moxetumomab pasudotox (CAT-8015) without concomitant corticosteroid administration every other day (QoD) in a 21-day cycle for a total of 6 doses per cycle.
20 microgram per kilogram (mcg/kg): Schema BEXPERIMENTALParticipants received intravenous infusion of 20 mcg/kg moxetumomab pasudotox (CAT-8015) with concomitant corticosteroid administration every other day (QoD) in a 21-day cycle for a total of 6 doses per cycle.
30 microgram per kilogram (mcg/kg): Schema AEXPERIMENTALParticipants received intravenous infusion of 30 mcg/kg moxetumomab pasudotox (CAT-8015) without concomitant corticosteroid administration every other day (QoD) in a 21-day cycle for a total of 6 doses per cycle.
30 microgram per kilogram (mcg/kg): Schema BEXPERIMENTALParticipants received intravenous infusion of 30 mcg/kg moxetumomab pasudotox (CAT-8015) with concomitant corticosteroid administration every other day (QoD) in a 21-day cycle for a total of 6 doses per cycle.
40 microgram per kilogram (mcg/kg): Schema BEXPERIMENTALParticipants received intravenous infusion of 40 mcg/kg moxetumomab pasudotox (CAT-8015) with concomitant corticosteroid administration every other day (QoD) in a 21-day cycle for a total of 6 doses per cycle.
32 microgram per kilogram (mcg/kg): Schema CEXPERIMENTALParticipants received intravenous infusion of 32 mcg/kg moxetumomab pasudotox (CAT-8015) of process 3 material every other day (QoD) in a 21-day cycle for a total of 10 doses per cycle.
50 microgram per kilogram (mcg/kg): Schema BEXPERIMENTALParticipants received intravenous infusion of 50 mcg/kg moxetumomab pasudotox (CAT-8015) without concomitant corticosteroid administration every other day (QoD) in a 21-day cycle for a total of 6 doses per cycle.
50 microgram per kilogram (mcg/kg): Schema CEXPERIMENTALParticipants received intravenous infusion of 50 mcg/kg moxetumomab pasudotox (CAT-8015) continuous every other day (QoD) in a 21-day cycle for a total of 10 doses per cycle.
Interventions
NameTypeDescription
CAT-8015 (Moxetumomab Pasudotox)DRUGParticipants received intravenous infusion of 5 mcg/kg moxetumomab pasudotox (CAT-8015) without concomitant corticosteroid administration every other day (QoD) in a 21-day cycle for a total of 6 doses per cycle.
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Eligibility Criteria
Age Range6 Months — 25 Years
SexALL
Healthy VolunteersNo
Study Sites5

Inclusion Criteria: \- Histologically confirmed diagnosis of acute lymphoblastic leukemia (ALL) or non-Hodgkin's lymphoma (NHL) including lymphoblastic lymphoma, Burkitt's lymphoma, and large cell lymphoma; - Measurable or evaluable disease. - Evidence of CD22-positive malignancy by one of the foll...

Countries:United StatesCanada
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