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Double-Blind Placebo-Controlled Randomized Phase 2 Study evaluating the efficacy of lirilumab (IPH2102/BMS-986015) as Maintenance Treatment administered in elderly patients with Acute Myeloid Leukemia (AML) in first complete remission
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| IPH2102 at 1 mg/kg | Experimental | lirilumab (IPH2102/BMS986015) at 1 mg/kg |
|
| IPH2102 at 0.1 mg/kg | Experimental | lirilumab (IPH2102/BMS986015) at 0.1 mg/kg |
|
| Placebo (Normal saline solution) | Placebo Comparator | Normal saline solution |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| IPH2102 at 0.1 mg/kg | Drug | every 3 months |
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| Measure | Description | Time Frame |
|---|---|---|
| Leukemia-Free Survival | from date of randomization until the date of first documented relapse, assessed up to 48 months |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Adverse Events | Number of Participants with Adverse Events based on full physical examination each treatment visit and collection of AEs | from the time of patient signing the consent form until 28 days after the last administration, or until the patient's last study visit, up to 24 months |
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Inclusion Criteria:
Primary or secondary Acute Myeloid Leukemia (AML, defined according to WHO 2008 criteria), in first CR/CRi (according to the revised recommendations of the International Working Group for Diagnosis, Standardization of Response Criteria, Treatment Outcomes, and Reporting Standards for Therapeutic Trials in Acute Myeloid Leukemia J Clin Oncol. 2003 Dec 15; 21(24):4642-9 see appendix 19.3) following induction chemotherapy and who received 1 or 2 consolidation cycles. Induction chemotherapy should be performed within 6 months before randomization. Consolidation cycle is defined as any chemotherapy administered within 3 months following CR and including aracytine irrespective of the administered dose(s). A minimum of one and maximum of 2 cycles should be administered before enrollment
Patients not eligible for an allogeneic hematopoietic cell transplantation
Age 60 to 80
ECOG Performance status of 0 or 1
Clinical laboratory values at screening
Recovery from acute toxicity of previous anti-tumor therapy
Male patients who accept and are able to use contraception methods recognized as highly effective.
Signed informed consent prior to any protocol specific procedure.
Exclusion Criteria:
Acute Promyelocytic Leukemia with t (15; 17), or its molecular equivalents (PML-RARA)
Favorable risk AML corresponding defined as t(8;21) or inv (16) and t(16;16) and their molecular equivalents (AML-ETO and CBFB-MYH11)
Last consolidation completed more than 3 months prior to first dosing
Concomitant treatment by chemotherapy, immunotherapy or by systemic corticosteroids
Within 28 days prior to first dosing: chemotherapy or systemic corticosteroid treatment
History of allogeneic hematopoietic cell transplantation or solid organ transplantation
History of high dose chemotherapy with autologous hematopoietic transplantation performed as treatment for AML
Use of any investigational agent within 2 months prior to the first dosing
Use of growth factors (G- or GM-CSF or EPO) within 28 days prior to first dosing
Any irradiation within the last 3 months except for analgesic intent
Intermittent or continuous renal replacement therapy
Abnormal cardiac status with any of the following
Current active infectious disease or positive serology for HIV, and/or HCV with detectable viremia and/ or HBV with positive Hbs Antigen and/or negative anti Hbs Antibody
Auto-immune disease:
Serious concurrent uncontrolled medical disorder
History of another malignancy (apart from myelodysplastic syndromes, basal cell carcinoma of the skin, or in situ cervix carcinoma) except if free of disease for ≥ 3 years
Any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule.
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| Name | Affiliation | Role |
|---|---|---|
| Norbert Vey, MD | Institut Paoli Calmettes Marseille France | Principal Investigator |
| Hervé Dombret, MD | ALFA cooperative Group | Study Chair |
| Norbert Ifrah, MD | GOELAMS Cooperative Group | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU d'Amiens | Amiens | 80054 | France | |||
| CHU Angers |
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169 patients were screened and 152 patients were randomized and treated in France
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| ID | Title | Description |
|---|---|---|
| FG000 | IPH2102 at 1 mg/kg | lirilumab (IPH2102/BMS986015) at 1 mg/kg IPH2102 at 1 mg/kg: every 4 weeks |
| FG001 | IPH2102 at 0.1 mg/kg | lirilumab (IPH2102/BMS986015) at 0.1 mg/kg IPH2102 at 0.1 mg/kg: every 3 months Placebo (normal saline solution): every 4 weeks |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| IPH2102 at 1 mg/kg | Drug | every 4 weeks |
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| Placebo (normal saline solution) | Drug | every 4 weeks |
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| Angers |
| 49933 |
| France |
| Centre hospitalier Victor Dupouy | Argenteuil | 95107 | France |
| Centre hospitalier de la côte Basque | Bayonne | 64100 | France |
| CHU de Besançon | Besançon | 25030 | France |
| CHG de Béziers | Béziers | 34500 | France |
| CH de Blois | Blois | 41000 | France |
| Hôpital Avicenne | Bobigny | 93000 | France |
| Hôpital Morvan CHU Brest | Brest | 29609 | France |
| CH René Dubos | Cergy-Pontoise | 95303 | France |
| Hôpital Militaire Percy | Clamart | 92141 | France |
| CHU Estaing | Clermont-Ferrand | 63003 | France |
| Centre hospitalier sud francilien | Corbeil-Essonnes | 91100 | France |
| Hôpital Henri Mondor | Créteil | 94010 | France |
| CHU de Grenoble | Grenoble | 38043 | France |
| Centre Hospitalier de Versailles | Le Chesnay | 78157 | France |
| Hôpital Claude Huriez | Lille | 59037 | France |
| CHU de Limoges | Limoges | 87042 | France |
| Institut Paoli - Calmettes | Marseille | 13273 | France |
| CH de Meaux | Meaux | 77104 | France |
| CHU Saint Eloi | Montpellier | 34295 | France |
| Centre Hospitalier de Mulhouse | Mulhouse | 68100 | France |
| CHU de Nantes | Nantes | 44000 | France |
| Centre Antoine Lacassagne | Nice | 06189 | France |
| CHU Caremeau | Nîmes | 30029 | France |
| CHR d'Orléans | Orléans | 45067 | France |
| Hôpital Saint-Louis | Paris | 75010 | France |
| Hôpital Saint-Antoine | Paris | 75012 | France |
| Hôpital Necker | Paris | 75743 | France |
| CH Saint-Jean | Perpignan | 66000 | France |
| CHU de Bordeaux - Hôpital Haut-Lévêque | Pessac | 33604 | France |
| Centre hospitalier Lyon Sud | Pierre-Bénite | 69495 | France |
| CHU de Poitiers | Poitiers | 86021 | France |
| CHR d'Annecy | Pringy | 74374 | France |
| CHU de Reims | Reims | 51092 | France |
| Centre Henri Becquerel | Rouen | 76038 | France |
| Centre René Huguenin | Saint-Cloud | 92210 | France |
| CH Saint-Quentin | Saint-Quentin | 02321 | France |
| Hôpital Haute Pierre et Hôpital Civil | Strasbourg | 67098 | France |
| CHU Purpan | Toulouse | 31059 | France |
| CH Valenciennes | Valenciennes | 59322 | France |
| CHU de Nancy Hôpitaux de Brabois | Vandœuvre-lès-Nancy | 54511 | France |
| Institut Gustave Roussy | Villejuif | 94805 | France |
| FG002 | Placebo (Normal Saline Solution) | Normal saline solution Placebo (normal saline solution): every 4 weeks |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | IPH2102 at 1 mg/kg | lirilumab (IPH2102/BMS986015) at 1 mg/kg IPH2102 at 1 mg/kg: every 4 weeks |
| BG001 | IPH2102 at 0.1 mg/kg | lirilumab (IPH2102/BMS986015) at 0.1 mg/kg IPH2102 at 0.1 mg/kg: every 3 months Placebo (normal saline solution): every 4 weeks |
| BG002 | Placebo (Normal Saline Solution) | Normal saline solution Placebo (normal saline solution): every 4 weeks |
| BG003 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | |||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Median | Full Range | years |
| ||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| |||||||||||
| Race and Ethnicity Not Collected | Race and Ethnicity were not collected from any participant. | Count of Participants | Participants |
| ||||||||||
| Region of Enrollment | Number | participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Leukemia-Free Survival | Posted | Median | 95% Confidence Interval | MONTHS | from date of randomization until the date of first documented relapse, assessed up to 48 months |
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| |||||||||||||||||||||||||||||||||
| Secondary | Number of Participants With Adverse Events | Number of Participants with Adverse Events based on full physical examination each treatment visit and collection of AEs | Posted | Count of Participants | Participants | from the time of patient signing the consent form until 28 days after the last administration, or until the patient's last study visit, up to 24 months |
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AEs and SAEs will be collected throughout the study from the time of patient signing the consent form until 28 days after the last administration, or until the patient's last study visit
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | IPH2102 at 1 mg/kg | lirilumab (IPH2102/BMS986015) at 1 mg/kg IPH2102 at 1 mg/kg: every 4 weeks | 32 | 51 | 12 | 51 | 38 | 51 |
| EG001 | IPH2102 at 0.1 mg/kg | lirilumab (IPH2102/BMS986015) at 0.1 mg/kg IPH2102 at 0.1 mg/kg: every 3 months Placebo (normal saline solution): every 4 weeks | 26 | 50 | 17 | 50 | 48 | 50 |
| EG002 | Placebo (Normal Saline Solution) | Normal saline solution Placebo (normal saline solution): every 4 weeks | 23 | 51 | 11 | 51 | 43 | 51 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | Systematic Assessment |
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| Neutropenia | Blood and lymphatic system disorders | Systematic Assessment |
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| Atrial fibrillation | Cardiac disorders | Systematic Assessment |
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| Hydrocele | Congenital, familial and genetic disorders | Systematic Assessment |
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| Hyperthyroidism | Endocrine disorders | Systematic Assessment |
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| Chorioretinal disorder | Eye disorders | Systematic Assessment |
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| Abdominal wall haematoma | Gastrointestinal disorders | Systematic Assessment |
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| Diarrhoea | Gastrointestinal disorders | Systematic Assessment |
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| Umbilical hernia | Gastrointestinal disorders | Systematic Assessment |
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| Fatigue | General disorders | Systematic Assessment |
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| General physical health deterioration | General disorders | Systematic Assessment |
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| Pyrexia | General disorders | Systematic Assessment |
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| Cholecystitis | Hepatobiliary disorders | Systematic Assessment |
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| Anal abscess | Infections and infestations | Systematic Assessment |
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| Device related infection | Infections and infestations | Systematic Assessment |
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| Peritonitis | Infections and infestations | Systematic Assessment |
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| Pneumonia | Infections and infestations | Systematic Assessment |
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| Sepsis | Infections and infestations | Systematic Assessment |
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| Septic shock | Infections and infestations | Systematic Assessment |
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| Sialoadenitis | Infections and infestations | Systematic Assessment |
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| Staphylococcal sepsis | Infections and infestations | Systematic Assessment |
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| Urinary tract infection | Infections and infestations | Systematic Assessment |
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| Urosepsis | Infections and infestations | Systematic Assessment |
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| Head injury | Injury, poisoning and procedural complications | Systematic Assessment |
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| Injury corneal | Injury, poisoning and procedural complications | Systematic Assessment |
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| Subdural haematoma | Injury, poisoning and procedural complications | Systematic Assessment |
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| Biopsy spleen | Investigations | Systematic Assessment |
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| Arthralgia | Musculoskeletal and connective tissue disorders | Systematic Assessment |
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| Chondrocalcinosis | Musculoskeletal and connective tissue disorders | Systematic Assessment |
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| Myalgia | Musculoskeletal and connective tissue disorders | Systematic Assessment |
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| Osteoarthritis | Musculoskeletal and connective tissue disorders | Systematic Assessment |
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| Basal cell carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Systematic Assessment |
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| Invasive lobular breast carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Systematic Assessment |
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| Lung cancer metastatic | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Systematic Assessment |
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| Lymphoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Systematic Assessment |
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| Myelodysplastic syndrome | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Systematic Assessment |
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| Myxofibrosarcoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Systematic Assessment |
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| Papillary thyroid cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Systematic Assessment |
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| Polycythaemia vera | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Systematic Assessment |
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| Rectal adenocarcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Systematic Assessment |
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| Encephalopathy | Nervous system disorders | Systematic Assessment |
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| Ischaemic stroke | Nervous system disorders | Systematic Assessment |
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| Sciatica | Nervous system disorders | Systematic Assessment |
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| Suicide attempt | Psychiatric disorders | Systematic Assessment |
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| Urinary incontinence | Renal and urinary disorders | Systematic Assessment |
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| Urinary retention | Renal and urinary disorders | Systematic Assessment |
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| Prostatitis | Reproductive system and breast disorders | Systematic Assessment |
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| Pulmonary embolism | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
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| Pulmonary mass | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
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| Acute febrile neutrophilic dermatosis | Skin and subcutaneous tissue disorders | Systematic Assessment |
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| Respiratory therapy | Surgical and medical procedures | Systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | Systematic Assessment |
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| Neutropenia | Blood and lymphatic system disorders | Systematic Assessment |
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| Thrombocytopenia | Blood and lymphatic system disorders | Systematic Assessment |
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| Conjunctivitis | Eye disorders | Systematic Assessment |
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| Abdominal pain | Gastrointestinal disorders | Systematic Assessment |
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| Abdominal pain upper | Gastrointestinal disorders | Systematic Assessment |
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| Constipation | Gastrointestinal disorders | Systematic Assessment |
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| Diarrhoea | Gastrointestinal disorders | Systematic Assessment |
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| Haemorrhoids | Gastrointestinal disorders | Systematic Assessment |
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| Nausea | Gastrointestinal disorders | Systematic Assessment |
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| Asthenia | General disorders | Systematic Assessment |
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| Chest pain | General disorders | Systematic Assessment |
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| Chills | General disorders | Systematic Assessment |
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| Fatigue | General disorders | Systematic Assessment |
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| Influenza like illness | General disorders | Systematic Assessment |
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| Oedema peripheral | General disorders | Systematic Assessment |
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| Pyrexia | General disorders | Systematic Assessment |
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| Bronchitis | Infections and infestations | Systematic Assessment |
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| Gastroenteritis | Infections and infestations | Systematic Assessment |
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| Nasopharyngitis | Infections and infestations | Systematic Assessment |
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| Oral herpes | Infections and infestations | Systematic Assessment |
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| Pharyngitis | Infections and infestations | Systematic Assessment |
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| Rhinitis | Infections and infestations | Systematic Assessment |
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| Urinary tract infection | Infections and infestations | Systematic Assessment |
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| Lipase increased | Investigations | Systematic Assessment |
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| Weight increased | Investigations | Systematic Assessment |
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| Arthralgia | Musculoskeletal and connective tissue disorders | Systematic Assessment |
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| Arthritis | Musculoskeletal and connective tissue disorders | Systematic Assessment |
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| Back pain | Musculoskeletal and connective tissue disorders | Systematic Assessment |
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| Muscle spasms | Musculoskeletal and connective tissue disorders | Systematic Assessment |
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| Musculoskeletal pain | Musculoskeletal and connective tissue disorders | Systematic Assessment |
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| Myalgia | Musculoskeletal and connective tissue disorders | Systematic Assessment |
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| Neck pain | Musculoskeletal and connective tissue disorders | Systematic Assessment |
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| Osteoarthritis | Musculoskeletal and connective tissue disorders | Systematic Assessment |
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| Headache | Nervous system disorders | Systematic Assessment |
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| Neuropathy peripheral | Nervous system disorders | Systematic Assessment |
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| Paraesthesia | Nervous system disorders | Systematic Assessment |
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| Sciatica | Nervous system disorders | Systematic Assessment |
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| Anxiety | Psychiatric disorders | Systematic Assessment |
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| Cough | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
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| Dyspnoea | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
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| Rhinorrhoea | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
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| Dry skin | Skin and subcutaneous tissue disorders | Systematic Assessment |
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| Pruritus | Skin and subcutaneous tissue disorders | Systematic Assessment |
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| Hypertension | Vascular disorders | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Director Clinical Operations | Innate Pharma | +33043030 | 30 | info@innate-pharma.fr |
| ID | Term |
|---|---|
| D015470 | Leukemia, Myeloid, Acute |
| ID | Term |
|---|---|
| D007951 | Leukemia, Myeloid |
| D007938 | Leukemia |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
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| ID | Term |
|---|---|
| C000723331 | lirilumab |
| D000077330 | Saline Solution |
| ID | Term |
|---|---|
| D000077324 | Crystalloid Solutions |
| D007552 | Isotonic Solutions |
| D012996 | Solutions |
| D004364 | Pharmaceutical Preparations |
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