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Rindopepimut with GM-CSF

Phase 3

Glioblastoma | Small molecule | Oncology |Celldex Therapeutics, Inc.|Last Updated: Feb 17, 2020

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
RandomizedDouble-BlindCONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment872
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01480479Phase III Study of Rindopepimut/GM-CSF in Patients With Newly Diagnosed GlioblastomaPHASE3 COMPLETED 745Nov 1, 2011Nov 1, 2016Jan 16, 2018223 United States, Australia +22
NCT01498328A Study of Rindopepimut/GM-CSF in Patients With Relapsed EGFRvIII-Positive GlioblastomaPHASE2 COMPLETED 127Dec 1, 2011May 17, 2016Feb 17, 202045 United States
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Study Endpoints
Primary Endpoints
Overall Survival
During treatment and every three months from end of treatment through end of study or approximately up to 5 years.

The primary efficacy endpoint of Overall Survival is defined as the number of months from randomization to the date of death (whatever the cause), and will be censored for patients who remain alive at completion of the study for patients with a gross total resection (\~n=374). The overall survival of patients will be monitored and compared between the two study arms until the end of the study.

Groups 1 and 2: Progression-free survival rate
6 months post-Day 1

Evaluate the antitumor activity of rindopepimut in adult patients with relapsed glioblastoma, as measured by the progression-free survival rate at 6 months post-Day 1 (PFS 6).

Group 2C: Objective Response Rate
Every 8 weeks from Day 1 through progression or initiation of other anti-cancer therapy

Evaluate the anti-tumor activity of rindopepimut in adult patients with relapsed glioblastoma, as measured by the objective response rate (ORR) for patients with measurable disease at study entry.

Secondary Endpoints
Progression-free survival
Every 12 weeks from Day 1 through progression or initiation of other anti-cancer therapy
Safety and Tolerability
Until day 28 of follow up
Anti-tumor activity
During treatment and every 8 weeks through follow up
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Rindopepimut/GM-CSF plus TemozolomideEXPERIMENTAL -
KLH plus TemozolomideACTIVE_COMPARATOR -
Group 1a: Bevacizumab Naïve with Bevacizumab + rindopepimut.EXPERIMENTALAbout half of the patients who have never received treatment with bevacizumab will receive rindopepimut/GM-CSF in a blinded fashion in combination with bevacizumab.
Group 1b: Bevacizumab Naïve with Bevacizumab + KLH controlEXPERIMENTALAbout half of the patients who have never received treatment with bevacizumab will receive KLH in a blinded fashion in combination with bevacizumab.
Group 2 and 2C: Refractory to BevacizumabEXPERIMENTALPatients with progressive disease while currently on or within two months after discontinuing bevacizumab will be administered rindopepimut/GM-CSF while continuing (or restarting if they had stopped bevacizumab).
Interventions
NameTypeDescription
Rindopepimut (CDX-110) with GM-CSFDRUGTwo intradermal injections two weeks apart, followed by monthly injections until tumor progression or intolerance. Each dose will be 0.8 mL containing approximately 500 mcg CDX-110 and 150 mcg GM CSF.
TemozolomideDRUG150 to 200 mg/m2 for 5 days during each 28-day cycle for a minimum of six cycles or a maximum of 12 cycles, or until intolerance or progression.
KLHDRUGTwo intradermal injections two weeks apart, followed by monthly injections until tumor progression or intolerance. Each dose will be 0.8mL containing approximately 100mcg of KLH.
BevacizumabDRUGA vascular endothelial growth factor (VEGF)-specific humanized monoclonal antibody angiogenesis inhibitor. Infusions of 10 mg/kg of bevacizumab will begin on day 1 and will be administered every two weeks until progression of disease or intolerance during the treatment period.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites223

Inclusion Criteria- Among other criteria, patients must meet the following conditions to be eligible for the study: 1. Adult patients, ≥ 18 years old 2. Newly diagnosed glioblastoma 3. Attempted surgical resection followed by conventional chemoradiation 4. Documented EGFRvIII positive tumor status...

Countries:United StatesAustraliaAustriaBelgiumBrazilCanadaColombiaCzechiaFranceGermanyGreeceHungaryIndiaIsraelItalyMexicoNetherlandsNew ZealandPeruSpainSwitzerlandTaiwanThailandUnited Kingdom
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