Study of ADCT-402 in Patients With Relapsed or Refractory B-cell Lineage Acute Lymphoblastic Leukemia (B-ALL)

Sponsor
ADC Therapeutics S.A. (Industry)
Overall Status
Terminated
CT.gov ID
NCT02669264
Collaborator
(none)
35
10
2
28.1
3.5
0.1

Study Details

Study Description

Brief Summary

This study evaluates ADCT-402 in participants with relapsed or refractory B-cell lineage acute lymphoblastic leukemia (B-ALL). Participants will participate in a dose-escalation phase (Part 1) and dose expansion (Part 2). In Part 2, participants will receive the dose level identified in Part 1.

Condition or Disease Intervention/Treatment Phase
Phase 1

Detailed Description

Study ADCT-402-102 is the first clinical study with ADCT-402 in participants with B-cell lineage acute lymphoblastic leukemia (B-ALL).

ADCT-402 is an antibody drug conjugate (ADC) composed of a humanized antibody directed against human cluster of differentiation 19 (CD19), stochastically conjugated via a valine-alanine cleavable, maleimide linker to a pyrrolobenzodiazepine (PBD) dimer cytotoxin.

The study will be conducted in 2 parts. In Part 1 (dose escalation) participants will receive an infusion of ADCT-402 either on weekly administration or every 3-week administration. participants on weekly administration will receive an infusion of ADCT-402 on Days 1, 8, and 15 of each 3 week treatment cycle. Participants on 3-week administration will receive an infusion of ADCT-402 on Day 1, every 3 weeks. Dose escalation will continue until the maximum tolerated dose (MTD) is determined.

In Part 2 (expansion), all participants will be assigned to the recommended dose and/or schedule of ADCT-402 identified in Part 1 by the Dose Escalation Steering Committee.

For each patient, the study will include a screening period (up to 28 days), a treatment period (until withdrawal), and a follow-up period to assess disease progression and survival for up to 12 months after the last dose of study drug. The total study duration will be dependent on overall patient tolerability to the study drug and response to treatment. It is anticipated that the duration of the entire study (Parts 1 and 2) could be approximately 3 years from first patient treated to last patient completed.

Study Design

Study Type:
Interventional
Actual Enrollment :
35 participants
Allocation:
Non-Randomized
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Phase 1, Open-label, Adaptive Dose-escalation, Multicenter Study to Evaluate the Tolerability, Safety, Pharmacokinetics, and Anti-tumor Activity of ADCT-402 in Patients With Relapsed or Refractory B-cell Lineage Acute Lymphoblastic Leukemia (B-ALL)
Study Start Date :
Mar 1, 2016
Actual Primary Completion Date :
Jul 3, 2018
Actual Study Completion Date :
Jul 3, 2018

Arms and Interventions

Arm Intervention/Treatment
Experimental: Part 1: ADCT-402 dose escalation

Weekly administration - Participants will receive an intravenous (IV) infusion of ADCT-402, on Days 1, 8, and 15 of each 3-week (21-day) cycle. 3-week administration - Participants will receive an IV infusion of ADCT-402, on Day 1 of each 3-week (21-day) cycle. The dose escalation will be conducted according to a 3+3 design.

Drug: ADCT-402
Intravenous infusion
Other Names:
  • Loncastuximab tesirine
  • Zynlonta
  • Experimental: Part 2: ADCT-402 expansion

    All participants will be assigned to the recommended dose and/or schedule of ADCT-402 identified in Part 1 by the Dose Escalation Steering Committee

    Drug: ADCT-402
    Intravenous infusion
    Other Names:
  • Loncastuximab tesirine
  • Zynlonta
  • Outcome Measures

    Primary Outcome Measures

    1. Number of Participants Who Experienced Dose-Limiting Toxicities (DLTs) [Day 1 to End of Cycle 1 (3 weeks)]

      A DLT is defined as any of the following events, except those that are clearly due to underlying disease or extraneous causes: A hematologic DLT is defined as: - Grade 3 or higher event of neutropenia or thrombocytopenia, or a Grade 4 anemia, with a hypocellular bone marrow lasting for 6 weeks or more after the start of a cycle, in the absence of residual leukemia (i.e., with <5% blasts). In case of a normocellular bone marrow with <5% blasts, 8 weeks with ≥Grade 3 pancytopenia will be considered a DLT. A non-hematologic DLT is defined as: Grade 4 tumor lysis syndrome (Grade 3 TLS will not constitute DLT unless it leads to irreversible end-organ damage). Grade 3 or higher AE (including nausea, vomiting, diarrhea, and electrolyte imbalances lasting more than 48 hours despite optimal therapy; excluding all grades of alopecia). CTCAE Grade 3 or higher hypersensitivity reaction (regardless of premedication). CTCAE Grade 3 or higher skin ulceration.

    2. Recommended Dose of ADCT-402 for Part 2 [Day 1 to End of Cycle 1 (3 weeks)]

      The recommended dose was to be established by the dose escalation steering committee and based on safety findings during part 1 of the study.

    3. Number of Participants Reporting at Least One Treatment Emergent Adverse Event (TEAE) [From first dose of study drug up to 12 weeks after last dose (up to 39 weeks)]

      An adverse event (AE) is defined as any untoward medical occurrence in a participants enrolled into this study regardless of its causal relationship to study drug. A TEAE is defined as any event not present before exposure to study drug or any event already present that worsens in either intensity or frequency after exposure to study drug.

    4. Number of Participants Reporting at Least One Treatment Emergent Serious Adverse Event (SAE) [From first dose of study drug up to 12 weeks after last dose (up to 39 weeks)]

      An adverse event (AE) is defined as any untoward medical occurrence in a participant enrolled into this study regardless of its causal relationship to study drug. A treatment-emergent AE (TEAE) is defined as any event not present before exposure to study drug or any event already present that worsens in either intensity or frequency after exposure to study drug. An SAE is defined as any event that results in death, is immediately life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, or is a congenital anomaly/birth defect.

    Secondary Outcome Measures

    1. Overall Response Rate (ORR) [From 6 days prior to Day 1 of Cycle 3 and 5, and at each subsequent cycle, until discontinuation, assessed up to 12 months after last dose of study drug]

      ORR is defined as the number of participants with a best overall response of complete response (CR), complete response with incomplete blood count recovery (Cri) or partial response (PR) at the time each participant discontinues treatment with ADCT-402. CR is defined as achieving each of the following: Bone marrow differential showing ≤5% blast cells. Absolute neutrophil count (ANC) ≥1.0 x 10^9/L and platelet count ≥100 x 10^9/L. Absence of extramedullary disease. Participant is independent of red blood cell transfusions. Cri is defined as achieving all CR criteria except that values for ANC may be <1.0 x 10^9/L and/or values for platelets may be <100 x 10^9/L. PR is defined as achieving each of the following: ANC ≥1.0 x 10^9/L and platelet count ≥100 x 10^9/L. Bone marrow differential showing a ≥50% decrease from baseline in the percentage of bone marrow blast cells to a level >5% and ≤25%, or bone marrow differential showing <5% blast cells.

    2. Duration of Response [From 6 days prior to Day 1 of Cycle 3 and 5, and at each subsequent cycle, until discontinuation, assessed up to 12 months after last dose of study drug]

      Duration of response is defined among responders (complete response [CR], complete response with incomplete blood count recovery [Cri], and partial response [PR]) as the time from the earliest date of first response until the first date of either disease progression or death due to any cause. Disease progression is defined as: For participants with CR or CRi, the first date of reappearance of blast cells in bone marrow and/or peripheral blood to a level ≥5%, or development of extramedullary disease. For participants with PR, the first date of an increase in blast cells in bone marrow and/or peripheral blood such that the patient does not continue to meet the criteria for PR.

    3. Overall Survival [From 6 days prior to Day 1 of Cycle 3 and 5, and at each subsequent cycle, until discontinuation, assessed up to 12 months after last dose of study drug]

      Overall survival is defined as the time from the first dose of study drug treatment until the date of death due to any cause.

    4. Progression-free Survival [From 6 days prior to Day 1 of Cycle 3 and 5, and at each subsequent cycle, until discontinuation, assessed up to 12 months after last dose of study drug]

      Progression-free survival is defined among the efficacy population as the time from first dose of study drug until the first date of either disease progression or death due to any cause.

    5. Maximum Observed Serum Concentration (Cmax) for ADCT-402 Administered Every 3 Weeks (Q3W) [Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2]

      Cmax for Pyrrolobenzodiazepine (PBD) conjugated antibody (Ab), total Ab and free warhead (SG3199) for the Q3W cohorts.

    6. Maximum Observed Serum Concentration (Cmax) for ADCT-402 Administered Every Week (QW) [Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2]

      Cmax for Pyrrolobenzodiazepine (PBD) conjugated antibody (Ab), total Ab and free warhead (SG3199) for the QW cohort.

    7. Time to Reach the Maximum Serum Concentration (Tmax) for ADCT-402 Administered Every 3 Weeks (Q3W) [Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2]

      Tmax for Pyrrolobenzodiazepine (PBD) conjugated antibody (Ab), total Ab and free warhead (SG3199) for the Q3W cohorts.

    8. Time to Reach the Maximum Serum Concentration (Tmax) for ADCT-402 Administered Every Week (QW) [Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2]

      Tmax for Pyrrolobenzodiazepine (PBD) conjugated antibody (Ab), total Ab and free warhead (SG3199) for the QW cohort.

    9. Area Under the Serum Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) for ADCT-402 Administered Every 3 Weeks (Q3W) [Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2]

      AUClast for Pyrrolobenzodiazepine (PBD) conjugated antibody (Ab), total Ab and free warhead (SG3199) for the Q3W cohorts.

    10. Area Under the Serum Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) for ADCT-402 Administered Every Week (QW) [Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2]

      AUClast for Pyrrolobenzodiazepine (PBD) conjugated antibody (Ab), total Ab and free warhead (SG3199) for the QW cohort.

    11. Area Under the Serum Concentration-time Curve From Time 0 to Infinity (AUC∞) for ADCT-402 Administered Every 3 Weeks (Q3W) [Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2]

      AUC∞ for Pyrrolobenzodiazepine (PBD) conjugated antibody (Ab), total Ab and free warhead (SG3199) for the Q3W cohorts.

    12. Area Under the Serum Concentration-time Curve From Time 0 to Infinity (AUC∞) for ADCT-402 Administered Weekly (QW) [Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2]

      AUC∞ for Pyrrolobenzodiazepine (PBD) conjugated antibody (Ab), total Ab and free warhead (SG3199) for the QW cohort.

    13. Area Under the Serum Concentration-time Curve From Time 0 to the End of the Dosing Interval (AUC0-tau) for ADCT-402 Administered Every 3 Weeks (Q3W) [Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2]

      AUCtau for Pyrrolobenzodiazepine (PBD) conjugated antibody (Ab), total Ab and free warhead (SG3199) for the Q3W cohorts.

    14. Area Under the Serum Concentration-time Curve From Time 0 to the End of the Dosing Interval (AUC0-tau) for ADCT-402 Administered Every Week (QW) [Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2]

      AUCtau for Pyrrolobenzodiazepine (PBD) conjugated antibody (Ab), total Ab and free warhead (SG3199) for the QW cohort.

    15. Accumulation Index (AI) for ADCT-402 Administered Every 3 Weeks (Q3W) [Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2]

      AI for Pyrrolobenzodiazepine (PBD) conjugated antibody (Ab), total Ab and free warhead (SG3199) for the Q3W cohorts. AI is the ratio of AUC 0-24 after multiple doses versus a single dose. It is the increase in drug plasma concentration after multiple dosing until a steady state is reached.

    16. Accumulation Index (AI) for ADCT-402 Administered Weekly (QW) [Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2]

      AI for Pyrrolobenzodiazepine (PBD) conjugated antibody (Ab), total Ab and free warhead (SG3199) for the QW cohort. AI is the ratio of AUC 0-24 after multiple doses versus a single dose. It is the increase in drug plasma concentration after multiple dosing until a steady state is reached.

    17. Volume of Distribution at Steady State for ADCT-402 [Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2]

    18. Mean Residence Time for ADCT-402 [Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2]

    19. Terminal Elimination Phase Rate Constant for ADCT-402 [Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2]

    20. Apparent Terminal Phase Elimination Half-life (T1/2) for ADCT-402 Administered Every 3 Weeks (Q3W) [Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2]

      T1/2 for Pyrrolobenzodiazepine (PBD) conjugated antibody (Ab), total Ab and free warhead (SG3199) for the Q3W cohorts.

    21. Apparent Terminal Phase Elimination Half-life (T1/2) for ADCT-402 Administered Every Week (QW) [Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2]

      T1/2 for Pyrrolobenzodiazepine (PBD) conjugated antibody (Ab), total Ab and free warhead (SG3199) for the QW cohort.

    22. Apparent Clearance at Steady State for ADCT-402 Administered Every 3 Weeks (Q3W) [Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2]

      Apparent clearance for Pyrrolobenzodiazepine (PBD) conjugated antibody (Ab), total Ab and free warhead (SG3199) for the Q3W cohorts.

    23. Apparent Clearance at Steady State for ADCT-402 Administered Every Week (QW) [Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2]

      Apparent clearance for Pyrrolobenzodiazepine (PBD) conjugated antibody (Ab), total Ab and free warhead (SG3199) for the QW cohort.

    24. Apparent Volume of Distribution (Vd Beta) for ADCT-402 Administered Every 3 Weeks (Q3W) [Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2]

      Vd beta for Pyrrolobenzodiazepine (PBD) conjugated antibody (Ab), total Ab and free warhead (SG3199) for the Q3W cohorts.

    25. Apparent Volume of Distribution (Vd Beta) for ADCT-402 Administered Every Week (QW) [Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2]

      Vd beta for Pyrrolobenzodiazepine (PBD) conjugated antibody (Ab), total Ab and free warhead (SG3199) for the QW cohort.

    26. Number of Participants With Anti-drug Antibody Response (ADA) Against ADCT-402 [Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2]

      Blood serum samples were collected and analysed to determine the presence or absence of ADA.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    12 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Male or female patients, ages 12 years and older, with relapsed or refractory B-ALL who have failed, or are intolerant to, any established therapy; or for whom no other treatment options are available.

    • Eastern Cooperative Oncology Group (ECOG) performance status 0-2.

    • Serum/plasma creatinine ≤1.5mg/dL.

    • Serum/plasma alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤2 times the upper limit of normal (ULN); ≤5 times ULN if there is liver or bone involvement.

    • Total serum/plasma bilirubin ≤1.5 times ULN.

    • White Blood Cell Count value of <15,000 cells/μL prior to Cycle 1 Day 1.

    • Negative urine or serum beta-human chorionic gonadotropin (β-HCG) pregnancy test within 7 days prior to the Cycle 1, Day 1 visit, for women of childbearing potential.

    • Males, and female patients who are biologically capable of having children, must agree to use a medically acceptable method of birth control.

    Exclusion Criteria:
    • Patients who have an option for other treatment for B-ALL at the current state of disease.

    • Known active central nervous system (CNS) leukemia.

    • Patients with Burkitt's leukemia/lymphoma.

    • Active graft-versus-host disease.

    • Autologous or allogenic transplant within the 60 days prior to Screening.

    • Known history of immunogenicity or hypersensitivity to a CD19 antibody.

    • Known history of positive serum human ADA.

    • Active autoimmune disease, motor neuropathy considered of autoimmune origin, or other central nervous system autoimmune disease.

    • Known seropositive for human immunodeficiency (HIV) virus, hepatitis B surface antigen (HbsAg), or antibody to hepatitis C virus (anti-HCV).

    • History of Stevens-Johnson syndrome or toxic epidermal necrolysis syndrome.

    • Pregnant or breastfeeding women.

    • Significant medical comorbidities, including uncontrolled hypertension (diastolic blood pressure >115 mm Hg), unstable angina, congestive heart failure (greater than New York Heart Association class II), severe uncontrolled ventricular arrhythmias, electrocardiographic evidence of acute ischemia, poorly controlled diabetes, severe chronic pulmonary disease, coronary angioplasty, myocardial infarction within 6 months prior to Screening, or uncontrolled atrial or ventricular cardiac arrhythmias.

    • Use of any other experimental medication(s) within 14 days or 5 half-lives, but in no case <14 days prior to the start of treatment on Cycle 1, Day 1, except if approved by the Sponsor.

    • Major surgery, chemotherapy, systemic therapy (excluding hydroxyurea,steroids and any targeted small molecules or biologics), or radiotherapy, within 14 days or 5 half-lives (whichever is shorter) prior to the Cycle 1, Day 1 treatment, except if approved by the Sponsor.

    • Failure to recover from acute non hematologic toxicity (except alopecia or Grade 2 or lower neuropathy), due to previous therapy, prior to Screening.

    • Isolated extramedullary relapse.

    • Congenital long QT syndrome or a corrected QTc interval of ≥450 ms at the Screening visit.

    • Active second primary malignancy other than non-melanoma skin cancers, nonmetastatic prostate cancer, in situ cervical cancer, ductal or lobular carcinoma in situ of the breast, or other malignancy determined not be exclusionary.

    • Any other significant medical illness, abnormality, or condition that would make the patient inappropriate for study participation or put the patient at risk.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 UC San Diego Moores Cancer Center La Jolla California United States 92093
    2 Smilow Cancer Hospital at Yale-New Haven New Haven Connecticut United States 06510
    3 Emory University Hospital Atlanta Georgia United States 30322
    4 The University of Chicago Medical Center Chicago Illinois United States 60637
    5 John Theurer Cancer Center at Hackensack University Medical Center Hackensack New Jersey United States 07601
    6 Rutgers Cancer Institute of New Jersey New Brunswick New Jersey United States 08903
    7 University Hospital of Cleveland Cleveland Ohio United States 44106
    8 The Ohio State University Wexner Medical Center, James Cancer Hospital Columbus Ohio United States 43210
    9 The University of Texas MD Anderson Cancer Center Houston Texas United States 77030
    10 Froedtert Hospital & the Medical College of Wisconsin Milwaukee Wisconsin United States 53226

    Sponsors and Collaborators

    • ADC Therapeutics S.A.

    Investigators

    None specified.

    Study Documents (Full-Text)

    More Information

    Publications

    None provided.
    Responsible Party:
    ADC Therapeutics S.A.
    ClinicalTrials.gov Identifier:
    NCT02669264
    Other Study ID Numbers:
    • ADCT-402-102
    First Posted:
    Feb 1, 2016
    Last Update Posted:
    May 24, 2021
    Last Verified:
    Apr 1, 2021
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Keywords provided by ADC Therapeutics S.A.
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail
    Arm/Group Title 15 μg/kg Q3W 30 μg/kg Q3W 60 μg/kg Q3W 90 μg/kg Q3W 120 μg/kg Q3W 150 μg/kg Q3W 50 μg/kg QW
    Arm/Group Description Participants received 15 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 30 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 60 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 90 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 120 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 150 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 50 μg/kg ADCT-402 weekly on Days 1, 8 and 15 of each 3-week (21-day) treatment cycle. This dose level for the weekly (QW) dosing schedule was based on the safety and tolerability of participants who had been treated on the every 3-week (Q3W) schedule.
    Period Title: Overall Study
    STARTED 5 7 3 4 5 6 5
    COMPLETED 0 1 0 1 0 0 0
    NOT COMPLETED 5 6 3 3 5 6 5

    Baseline Characteristics

    Arm/Group Title 15 μg/kg Q3W 30 μg/kg Q3W 60 μg/kg Q3W 90 μg/kg Q3W 120 μg/kg Q3W 150 μg/kg Q3W 50 μg/kg QW Total
    Arm/Group Description Participants received 15 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 30 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 60 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 90 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 120 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 150 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 50 μg/kg ADCT-402 on Days 1, 8 and 15 of each 3-week (21-day) treatment cycle. This dose level for the QW dosing was based on the safety and tolerability of participants who have been treated on the every 3-week (Q3W) schedule. Total of all reporting groups
    Overall Participants 5 7 3 4 5 6 5 35
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    43.6
    (21.22)
    49.6
    (21.95)
    50.3
    (6.51)
    63.8
    (7.09)
    46.8
    (18.14)
    45.2
    (19.61)
    42.8
    (24.30)
    48.3
    (18.66)
    Sex: Female, Male (Count of Participants)
    Female
    3
    60%
    1
    14.3%
    1
    33.3%
    1
    25%
    2
    40%
    4
    66.7%
    4
    80%
    16
    45.7%
    Male
    2
    40%
    6
    85.7%
    2
    66.7%
    3
    75%
    3
    60%
    2
    33.3%
    1
    20%
    19
    54.3%
    Ethnicity (NIH/OMB) (Count of Participants)
    Hispanic or Latino
    2
    40%
    3
    42.9%
    1
    33.3%
    0
    0%
    2
    40%
    5
    83.3%
    2
    40%
    15
    42.9%
    Not Hispanic or Latino
    3
    60%
    4
    57.1%
    2
    66.7%
    4
    100%
    3
    60%
    1
    16.7%
    3
    60%
    20
    57.1%
    Unknown or Not Reported
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Race (NIH/OMB) (Count of Participants)
    American Indian or Alaska Native
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Asian
    1
    20%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    1
    2.9%
    Native Hawaiian or Other Pacific Islander
    0
    0%
    0
    0%
    1
    33.3%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    1
    2.9%
    Black or African American
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    1
    20%
    1
    2.9%
    White
    4
    80%
    7
    100%
    1
    33.3%
    4
    100%
    5
    100%
    3
    50%
    3
    60%
    27
    77.1%
    More than one race
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Unknown or Not Reported
    0
    0%
    0
    0%
    1
    33.3%
    0
    0%
    0
    0%
    3
    50%
    1
    20%
    5
    14.3%
    Region of Enrollment (Count of Participants)
    United States
    5
    100%
    7
    100%
    3
    100%
    4
    100%
    5
    100%
    6
    100%
    5
    100%
    35
    100%
    Height (cm) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [cm]
    162.40
    (8.510)
    167.97
    (17.050)
    162.60
    (0.000)
    164.78
    (11.943)
    172.32
    (10.146)
    163.58
    (7.398)
    155.75
    (5.072)
    164.83
    (11.211)
    Weight (kg) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [kg]
    76.44
    (26.043)
    93.80
    (31.551)
    87.13
    (13.301)
    58.33
    (15.745)
    78.00
    (11.663)
    83.05
    (38.842)
    70.58
    (11.576)
    79.28
    (25.631)
    Body Mass Index (BMI) (kg/m^2) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [kg/m^2]
    28.62
    (7.192)
    34.05
    (13.059)
    30.43
    (3.504)
    21.07
    (3.356)
    26.22
    (2.949)
    32.70
    (12.605)
    27.93
    (5.741)
    29.15
    (9.142)
    Eastern Cooperative Oncology Group (ECOG) Performance Status (Score on a scale) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [Score on a scale]
    1.00
    (0.000)
    1.29
    (0.488)
    0.67
    (0.577)
    1.50
    (0.577)
    1.60
    (0.548)
    1.33
    (1.033)
    1.40
    (0.548)
    1.29
    (0.622)

    Outcome Measures

    1. Primary Outcome
    Title Number of Participants Who Experienced Dose-Limiting Toxicities (DLTs)
    Description A DLT is defined as any of the following events, except those that are clearly due to underlying disease or extraneous causes: A hematologic DLT is defined as: - Grade 3 or higher event of neutropenia or thrombocytopenia, or a Grade 4 anemia, with a hypocellular bone marrow lasting for 6 weeks or more after the start of a cycle, in the absence of residual leukemia (i.e., with <5% blasts). In case of a normocellular bone marrow with <5% blasts, 8 weeks with ≥Grade 3 pancytopenia will be considered a DLT. A non-hematologic DLT is defined as: Grade 4 tumor lysis syndrome (Grade 3 TLS will not constitute DLT unless it leads to irreversible end-organ damage). Grade 3 or higher AE (including nausea, vomiting, diarrhea, and electrolyte imbalances lasting more than 48 hours despite optimal therapy; excluding all grades of alopecia). CTCAE Grade 3 or higher hypersensitivity reaction (regardless of premedication). CTCAE Grade 3 or higher skin ulceration.
    Time Frame Day 1 to End of Cycle 1 (3 weeks)

    Outcome Measure Data

    Analysis Population Description
    Safety analysis set
    Arm/Group Title 15 μg/kg Q3W 30 μg/kg Q3W 60 μg/kg Q3W 90 μg/kg Q3W 120 μg/kg Q3W 150 μg/kg Q3W 50 μg/kg QW
    Arm/Group Description Participants received 15 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 30 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 60 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 90 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 120 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 150 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 50 μg/kg ADCT-402 weekly on Days 1, 8 and 15 of each 3-week (21-day) treatment cycle. This dose level for the weekly (QW) dosing schedule was based on the safety and tolerability of participants who had been treated on the every 3-week (Q3W) schedule.
    Measure Participants 5 7 3 4 5 6 5
    Count of Participants [Participants]
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    1
    16.7%
    0
    0%
    2. Primary Outcome
    Title Recommended Dose of ADCT-402 for Part 2
    Description The recommended dose was to be established by the dose escalation steering committee and based on safety findings during part 1 of the study.
    Time Frame Day 1 to End of Cycle 1 (3 weeks)

    Outcome Measure Data

    Analysis Population Description
    This analysis was planned, but data was not collected as the study was terminated prematurely.
    Arm/Group Title Part 1: ADCT-402 Dose Escalation
    Arm/Group Description Weekly administration (QW) - Participants received an intravenous (IV) infusion of ADCT-402, on Days 1, 8, and 15 of each 3- week (21-day) cycle. 3-week administration (Q3W) - Participants received an IV infusion of ADCT-402, on Day 1 of each 3-week (21-day) cycle. The dose escalation was conducted according to a 3+3 design.
    Measure Participants 0
    3. Primary Outcome
    Title Number of Participants Reporting at Least One Treatment Emergent Adverse Event (TEAE)
    Description An adverse event (AE) is defined as any untoward medical occurrence in a participants enrolled into this study regardless of its causal relationship to study drug. A TEAE is defined as any event not present before exposure to study drug or any event already present that worsens in either intensity or frequency after exposure to study drug.
    Time Frame From first dose of study drug up to 12 weeks after last dose (up to 39 weeks)

    Outcome Measure Data

    Analysis Population Description
    Safety analysis set
    Arm/Group Title 15 μg/kg Q3W 30 μg/kg Q3W 60 μg/kg Q3W 90 μg/kg Q3W 120 μg/kg Q3W 150 μg/kg Q3W 50 μg/kg QW
    Arm/Group Description Participants received 15 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 30 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 60 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 90 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 120 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 150 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 50 μg/kg ADCT-402 weekly on Days 1, 8 and 15 of each 3-week (21-day) treatment cycle. This dose level for the weekly (QW) dosing schedule was based on the safety and tolerability of participants who had been treated on the every 3-week (Q3W) schedule.
    Measure Participants 5 7 3 4 5 6 5
    Count of Participants [Participants]
    5
    100%
    7
    100%
    3
    100%
    4
    100%
    5
    100%
    6
    100%
    5
    100%
    4. Primary Outcome
    Title Number of Participants Reporting at Least One Treatment Emergent Serious Adverse Event (SAE)
    Description An adverse event (AE) is defined as any untoward medical occurrence in a participant enrolled into this study regardless of its causal relationship to study drug. A treatment-emergent AE (TEAE) is defined as any event not present before exposure to study drug or any event already present that worsens in either intensity or frequency after exposure to study drug. An SAE is defined as any event that results in death, is immediately life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, or is a congenital anomaly/birth defect.
    Time Frame From first dose of study drug up to 12 weeks after last dose (up to 39 weeks)

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title 15 μg/kg Q3W 30 μg/kg Q3W 60 μg/kg Q3W 90 μg/kg Q3W 120 μg/kg Q3W 150 μg/kg Q3W 50 μg/kg QW
    Arm/Group Description Participants received 15 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 30 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 60 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 90 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 120 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 150 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 50 μg/kg ADCT-402 weekly on Days 1, 8 and 15 of each 3-week (21-day) treatment cycle. This dose level for the weekly (QW) dosing schedule was based on the safety and tolerability of participants who had been treated on the every 3-week (Q3W) schedule.
    Measure Participants 5 7 3 4 5 6 5
    Count of Participants [Participants]
    5
    100%
    4
    57.1%
    2
    66.7%
    3
    75%
    5
    100%
    5
    83.3%
    4
    80%
    5. Secondary Outcome
    Title Overall Response Rate (ORR)
    Description ORR is defined as the number of participants with a best overall response of complete response (CR), complete response with incomplete blood count recovery (Cri) or partial response (PR) at the time each participant discontinues treatment with ADCT-402. CR is defined as achieving each of the following: Bone marrow differential showing ≤5% blast cells. Absolute neutrophil count (ANC) ≥1.0 x 10^9/L and platelet count ≥100 x 10^9/L. Absence of extramedullary disease. Participant is independent of red blood cell transfusions. Cri is defined as achieving all CR criteria except that values for ANC may be <1.0 x 10^9/L and/or values for platelets may be <100 x 10^9/L. PR is defined as achieving each of the following: ANC ≥1.0 x 10^9/L and platelet count ≥100 x 10^9/L. Bone marrow differential showing a ≥50% decrease from baseline in the percentage of bone marrow blast cells to a level >5% and ≤25%, or bone marrow differential showing <5% blast cells.
    Time Frame From 6 days prior to Day 1 of Cycle 3 and 5, and at each subsequent cycle, until discontinuation, assessed up to 12 months after last dose of study drug

    Outcome Measure Data

    Analysis Population Description
    This analysis was planned, but data was not collected as the study was terminated prematurely.
    Arm/Group Title 15 μg/kg Q3W 30 μg/kg Q3W 60 μg/kg Q3W 90 μg/kg Q3W 120 μg/kg Q3W 150 μg/kg Q3W 50 μg/kg QW
    Arm/Group Description Participants received 15 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 30 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 60 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 90 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 120 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 150 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 50 μg/kg ADCT-402 weekly on Days 1, 8 and 15 of each 3-week (21-day) treatment cycle. This dose level for the weekly (QW) dosing schedule was based on the safety and tolerability of participants who had been treated on the every 3-week (Q3W) schedule.
    Measure Participants 0 0 0 0 0 0 0
    6. Secondary Outcome
    Title Duration of Response
    Description Duration of response is defined among responders (complete response [CR], complete response with incomplete blood count recovery [Cri], and partial response [PR]) as the time from the earliest date of first response until the first date of either disease progression or death due to any cause. Disease progression is defined as: For participants with CR or CRi, the first date of reappearance of blast cells in bone marrow and/or peripheral blood to a level ≥5%, or development of extramedullary disease. For participants with PR, the first date of an increase in blast cells in bone marrow and/or peripheral blood such that the patient does not continue to meet the criteria for PR.
    Time Frame From 6 days prior to Day 1 of Cycle 3 and 5, and at each subsequent cycle, until discontinuation, assessed up to 12 months after last dose of study drug

    Outcome Measure Data

    Analysis Population Description
    This analysis was planned, but data was not collected as the study was terminated prematurely.
    Arm/Group Title 15 μg/kg Q3W 30 μg/kg Q3W 60 μg/kg Q3W 90 μg/kg Q3W 120 μg/kg Q3W 150 μg/kg Q3W 50 μg/kg QW
    Arm/Group Description Participants received 15 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 30 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 60 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 90 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 120 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 150 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 50 μg/kg ADCT-402 weekly on Days 1, 8 and 15 of each 3-week (21-day) treatment cycle. This dose level for the weekly (QW) dosing schedule was based on the safety and tolerability of participants who had been treated on the every 3-week (Q3W) schedule.
    Measure Participants 0 0 0 0 0 0 0
    7. Secondary Outcome
    Title Overall Survival
    Description Overall survival is defined as the time from the first dose of study drug treatment until the date of death due to any cause.
    Time Frame From 6 days prior to Day 1 of Cycle 3 and 5, and at each subsequent cycle, until discontinuation, assessed up to 12 months after last dose of study drug

    Outcome Measure Data

    Analysis Population Description
    This analysis was planned, but data was not collected as the study was terminated prematurely.
    Arm/Group Title 15 μg/kg Q3W 30 μg/kg Q3W 60 μg/kg Q3W 90 μg/kg Q3W 120 μg/kg Q3W 150 μg/kg Q3W 50 μg/kg QW
    Arm/Group Description Participants received 15 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 30 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 60 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 90 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 120 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 150 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 50 μg/kg ADCT-402 weekly on Days 1, 8 and 15 of each 3-week (21-day) treatment cycle. This dose level for the weekly (QW) dosing schedule was based on the safety and tolerability of participants who had been treated on the every 3-week (Q3W) schedule.
    Measure Participants 0 0 0 0 0 0 0
    8. Secondary Outcome
    Title Progression-free Survival
    Description Progression-free survival is defined among the efficacy population as the time from first dose of study drug until the first date of either disease progression or death due to any cause.
    Time Frame From 6 days prior to Day 1 of Cycle 3 and 5, and at each subsequent cycle, until discontinuation, assessed up to 12 months after last dose of study drug

    Outcome Measure Data

    Analysis Population Description
    This analysis was planned, but data was not collected as the study was terminated prematurely.
    Arm/Group Title 15 μg/kg Q3W 30 μg/kg Q3W 60 μg/kg Q3W 90 μg/kg Q3W 120 μg/kg Q3W 150 μg/kg Q3W 50 μg/kg QW
    Arm/Group Description Participants received 15 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 30 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 60 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 90 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 120 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 150 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 50 μg/kg ADCT-402 weekly on Days 1, 8 and 15 of each 3-week (21-day) treatment cycle. This dose level for the weekly (QW) dosing schedule was based on the safety and tolerability of participants who had been treated on the every 3-week (Q3W) schedule.
    Measure Participants 0 0 0 0 0 0 0
    9. Secondary Outcome
    Title Maximum Observed Serum Concentration (Cmax) for ADCT-402 Administered Every 3 Weeks (Q3W)
    Description Cmax for Pyrrolobenzodiazepine (PBD) conjugated antibody (Ab), total Ab and free warhead (SG3199) for the Q3W cohorts.
    Time Frame Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2

    Outcome Measure Data

    Analysis Population Description
    Only participants with evaluable pharmacokinetic results were included in the analysis. Where data is not presented, the pharmacokinetic profiles were non-measurable or short-lived in duration; therefore, no analysis could be performed.
    Arm/Group Title 15 μg/kg Q3W 30 μg/kg Q3W 60 μg/kg Q3W 90 μg/kg Q3W 120 μg/kg Q3W 150 μg/kg Q3W
    Arm/Group Description Participants received 15 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 30 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 60 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 90 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 120 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 150 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle.
    Measure Participants 5 7 3 4 5 6
    PBD-Conjugated Ab : Cycle 1
    178
    (128)
    258
    (162)
    449
    (282)
    1058
    (893)
    1291
    (1020)
    2145
    (1054)
    PBD-Conjugated Ab : Cycle 2
    2150
    (NA)
    339
    (276)
    661
    (412)
    1813
    (1650)
    1515
    (1001)
    3033
    (1458)
    Total Ab (ADCT-402) : Cycle 1
    205
    (162)
    317
    (194)
    717
    (429)
    1049
    (892)
    1722
    (785)
    2761
    (1718)
    Total Ab (ADCT-402) : Cycle 2
    1251
    (1724)
    366
    (251)
    689
    (382)
    1845
    (1676)
    2125
    (944)
    4338
    (2460)
    SG3199 : Cycle 1
    0.0428
    (0.0000707)
    0.0617
    (0.0238)
    0.0810
    (0.0288)
    0.0907
    (0.0500)
    SG3199 : Cycle 2
    0.0459
    (NA)
    0.0697
    (NA)
    0.0551
    (NA)
    0.108
    (0.0239)
    0.0550
    (0.0277)
    10. Secondary Outcome
    Title Maximum Observed Serum Concentration (Cmax) for ADCT-402 Administered Every Week (QW)
    Description Cmax for Pyrrolobenzodiazepine (PBD) conjugated antibody (Ab), total Ab and free warhead (SG3199) for the QW cohort.
    Time Frame Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2

    Outcome Measure Data

    Analysis Population Description
    Only participants with evaluable pharmacokinetic results were included in the analysis. Where data is not presented, the pharmacokinetic profiles were non-measurable or short-lived in duration; therefore, no analysis could be performed.
    Arm/Group Title 50 μg/kg QW
    Arm/Group Description Participants received 50 μg/kg ADCT-402 weekly on Days 1, 8 and 15 of each 3-week (21-day) treatment cycle. This dose level for the weekly (QW) dosing schedule was based on the safety and tolerability of participants who had been treated on the every 3-week (Q3W) schedule.
    Measure Participants 3
    PBD-Conjugated Ab : Cycle 1 Week 1
    777
    (NA)
    PBD-Conjugated Ab : Cycle 1 Week 2
    788
    (456)
    PBD-Conjugated Ab : Cycle 2 Week 1
    444
    (NA)
    PBD-Conjugated Ab : Cycle 2 Week 2
    757
    (NA)
    PBD-Conjugated Ab : Cycle 2 Week 3
    773
    (NA)
    Total Ab (ADCT-402): Cycle 1 Week 1
    363
    (390)
    Total Ab (ADCT-402): Cycle 1 Week 2
    544
    (492)
    Total Ab (ADCT-402): Cycle 1 Week 3
    293
    (313)
    Total Ab (ADCT-402): Cycle 2 Week 1
    300
    (294)
    Total Ab (ADCT-402): Cycle 2 Week 2
    480
    (414)
    Total Ab (ADCT-402): Cycle 2 Week 3
    730
    (NA)
    11. Secondary Outcome
    Title Time to Reach the Maximum Serum Concentration (Tmax) for ADCT-402 Administered Every 3 Weeks (Q3W)
    Description Tmax for Pyrrolobenzodiazepine (PBD) conjugated antibody (Ab), total Ab and free warhead (SG3199) for the Q3W cohorts.
    Time Frame Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2

    Outcome Measure Data

    Analysis Population Description
    Only participants with evaluable pharmacokinetic results were included in the analysis. Where data is not presented, the pharmacokinetic profiles were non-measurable or short-lived in duration; therefore, no analysis could be performed.
    Arm/Group Title 15 μg/kg Q3W 30 μg/kg Q3W 60 μg/kg Q3W 90 μg/kg Q3W 120 μg/kg Q3W 150 μg/kg Q3W
    Arm/Group Description Participants received 15 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 30 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 60 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 90 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 120 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 150 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle.
    Measure Participants 4 7 3 3 5 6
    PBD-Conjugated Ab : Cycle 1
    0.0525
    (0.00957)
    0.0671
    (0.0547)
    0.0433
    (0.00577)
    0.0567
    (0.0208)
    0.0460
    (0.00548)
    0.0517
    (0.00983)
    PBD-Conjugated Ab: Cycle 2
    0.0600
    (NA)
    0.0475
    (0.0250)
    0.0300
    (0.0141)
    0.0500
    (0.0424)
    0.0500
    (0.0212)
    0.0525
    (0.0250)
    Total Ab (ADCT-402) : Cycle 1
    0.0600
    (0.0216)
    0.0729
    (0.0547)
    0.0450
    (0.00707)
    0.0433
    (0.00577)
    0.0450
    (0.00577)
    0.0517
    (0.00983)
    Total Ab (ADCT-402) : Cycle 2
    0.0600
    (NA)
    0.0700
    (0.0678)
    0.0300
    (0.0141)
    0.0500
    (0.0424)
    0.0600
    (0.0141)
    0.0625
    (0.0263)
    SG3199 : Cycle 1
    0.0600
    (0.0283)
    0.125
    (0.0636)
    0.0867
    (0.00577)
    0.395
    (0.777)
    SG3199 : Cycle 2
    0.0600
    (NA)
    0.0600
    (NA)
    0.0400
    (NA)
    0.0867
    (0.00577)
    0.0600
    (0.0283)
    12. Secondary Outcome
    Title Time to Reach the Maximum Serum Concentration (Tmax) for ADCT-402 Administered Every Week (QW)
    Description Tmax for Pyrrolobenzodiazepine (PBD) conjugated antibody (Ab), total Ab and free warhead (SG3199) for the QW cohort.
    Time Frame Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2

    Outcome Measure Data

    Analysis Population Description
    Only participants with evaluable pharmacokinetic results were included in the analysis. Where data is not presented, the pharmacokinetic profiles were non-measurable or short-lived in duration; therefore, no analysis could be performed.
    Arm/Group Title 50 μg/kg QW
    Arm/Group Description Participants received 50 μg/kg ADCT-402 weekly on Days 1, 8 and 15 of each 3-week (21-day) treatment cycle. This dose level for the weekly (QW) dosing schedule was based on the safety and tolerability of participants who had been treated on the every 3-week (Q3W) schedule.
    Measure Participants 3
    PBD-Conjugated Ab : Cycle 1 Week 1
    0.0500
    (NA)
    PBD-Conjugated Ab : Cycle 1 Week 2
    0.0400
    (0.0141)
    PBD-Conjugated Ab : Cycle 2 Week 1
    0.0400
    (NA)
    PBD-Conjugated Ab : Cycle 2 Week 2
    0.0400
    (NA)
    PBD-Conjugated Ab : Cycle 2 Week 3
    0.0400
    (NA)
    Total Ab (ADCT-402): Cycle 1 Week 1
    0.0500
    (0.0100)
    Total Ab (ADCT-402): Cycle 1 Week 2
    0.697
    (1.14)
    Total Ab (ADCT-402): Cycle 1 Week 3
    0.110
    (0.0849)
    Total Ab (ADCT-402): Cycle 2 Week 1
    0.0400
    (0)
    Total Ab (ADCT-402): Cycle 2 Week 2
    0.0300
    (0.0141)
    Total Ab (ADCT-402): Cycle 2 Week 3
    0.0400
    (NA)
    13. Secondary Outcome
    Title Area Under the Serum Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) for ADCT-402 Administered Every 3 Weeks (Q3W)
    Description AUClast for Pyrrolobenzodiazepine (PBD) conjugated antibody (Ab), total Ab and free warhead (SG3199) for the Q3W cohorts.
    Time Frame Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2

    Outcome Measure Data

    Analysis Population Description
    Only participants with evaluable pharmacokinetic results were included in the analysis. Where data is not presented, the pharmacokinetic profiles were non-measurable or short-lived in duration; therefore, no analysis could be performed.
    Arm/Group Title 15 μg/kg Q3W 30 μg/kg Q3W 60 μg/kg Q3W 90 μg/kg Q3W 120 μg/kg Q3W 150 μg/kg Q3W
    Arm/Group Description Participants received 15 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 30 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 60 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 90 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 120 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 150 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle.
    Measure Participants 4 7 3 3 5 6
    PBD-Conjugated Ab : Cycle 1
    337
    (651)
    127
    (229)
    43.0
    (37.3)
    671
    (1083)
    3907
    (8159)
    688
    (570)
    PBD-Conjugated Ab : Cycle 2
    1596
    (NA)
    735
    (1400)
    50.6
    (9.08)
    3370
    (4562)
    8744
    (17745)
    7553
    (727)
    Total Ab (ADCT-402) : Cycle 1
    610
    (1190)
    408
    (623)
    59.9
    (43.5)
    558
    (899)
    5718
    (9648)
    1091
    (673)
    Total Ab (ADCT-402) : Cycle 2
    1012
    (1301)
    1140
    (2096)
    40.2
    (0.0244)
    3671
    (5062)
    13519
    (22799)
    10493
    (2021)
    SG3199 : Cycle 1
    0.00355
    (0.00147)
    0.00930
    (0.00675)
    0.0194
    (0.0231)
    0.0338
    (0.0150)
    SG3199 : Cycle 2
    0.00522
    (NA)
    0.0129
    (NA)
    0.00830
    (NA)
    0.0433
    (0.0316)
    0.00927
    (0.00881)
    14. Secondary Outcome
    Title Area Under the Serum Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) for ADCT-402 Administered Every Week (QW)
    Description AUClast for Pyrrolobenzodiazepine (PBD) conjugated antibody (Ab), total Ab and free warhead (SG3199) for the QW cohort.
    Time Frame Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2

    Outcome Measure Data

    Analysis Population Description
    Only participants with evaluable pharmacokinetic results were included in the analysis. Where data is not presented, the pharmacokinetic profiles were non-measurable or short-lived in duration; therefore, no analysis could be performed.
    Arm/Group Title 50 μg/kg QW
    Arm/Group Description Participants received 50 μg/kg ADCT-402 weekly on Days 1, 8 and 15 of each 3-week (21-day) treatment cycle. This dose level for the weekly (QW) dosing schedule was based on the safety and tolerability of participants who had been treated on the every 3-week (Q3W) schedule.
    Measure Participants 3
    PBD-Conjugated Ab : Cycle 1 Week 1
    518
    (NA)
    PBD-Conjugated Ab : Cycle 1 Week 2
    1063
    (1334)
    PBD-Conjugated Ab : Cycle 2 Week 1
    1548
    (NA)
    PBD-Conjugated Ab : Cycle 2 Week 2
    2631
    (NA)
    PBD-Conjugated Ab : Cycle 2 Week 3
    3918
    (NA)
    Total Ab (ADCT-402): Cycle 1 Week 1
    464
    (290)
    Total Ab (ADCT-402): Cycle 1 Week 2
    821
    (886)
    Total Ab (ADCT-402): Cycle 1 Week 3
    1286
    (1158)
    Total Ab (ADCT-402): Cycle 2 Week 1
    1157
    (962)
    Total Ab (ADCT-402): Cycle 2 Week 2
    9.08
    (9.78)
    Total Ab (ADCT-402): Cycle 2 Week 3
    3927
    (NA)
    15. Secondary Outcome
    Title Area Under the Serum Concentration-time Curve From Time 0 to Infinity (AUC∞) for ADCT-402 Administered Every 3 Weeks (Q3W)
    Description AUC∞ for Pyrrolobenzodiazepine (PBD) conjugated antibody (Ab), total Ab and free warhead (SG3199) for the Q3W cohorts.
    Time Frame Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2

    Outcome Measure Data

    Analysis Population Description
    Only participants with evaluable pharmacokinetic results were included in the analysis. Where data is not presented, the pharmacokinetic profiles were non-measurable or short-lived in duration; therefore, no analysis could be performed.
    Arm/Group Title 15 μg/kg Q3W 30 μg/kg Q3W 60 μg/kg Q3W 90 μg/kg Q3W 120 μg/kg Q3W 150 μg/kg Q3W
    Arm/Group Description Participants received 15 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 30 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 60 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 90 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 120 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 150 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle.
    Measure Participants 1 2 1 3 2 5
    PBD-Conjugated Ab : Cycle 1
    1378
    (NA)
    395
    (371)
    677
    (1091)
    282
    (324)
    486
    (259)
    Total Ab (ADCT-402) : Cycle 1
    535
    (668)
    94.1
    (NA)
    1634
    (NA)
    1140
    (1283)
    16. Secondary Outcome
    Title Area Under the Serum Concentration-time Curve From Time 0 to Infinity (AUC∞) for ADCT-402 Administered Weekly (QW)
    Description AUC∞ for Pyrrolobenzodiazepine (PBD) conjugated antibody (Ab), total Ab and free warhead (SG3199) for the QW cohort.
    Time Frame Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2

    Outcome Measure Data

    Analysis Population Description
    Only participants with evaluable pharmacokinetic results were included in the analysis. Where data is not presented, the pharmacokinetic profiles were non-measurable or short-lived in duration; therefore, no analysis could be performed.
    Arm/Group Title 50 μg/kg QW
    Arm/Group Description Participants received 50 μg/kg ADCT-402 weekly on Days 1, 8 and 15 of each 3-week (21-day) treatment cycle. This dose level for the weekly (QW) dosing schedule was based on the safety and tolerability of participants who had been treated on the every 3-week (Q3W) schedule.
    Measure Participants 1
    PBD-Conjugated Ab : Cycle 1 Week 1
    545
    (NA)
    17. Secondary Outcome
    Title Area Under the Serum Concentration-time Curve From Time 0 to the End of the Dosing Interval (AUC0-tau) for ADCT-402 Administered Every 3 Weeks (Q3W)
    Description AUCtau for Pyrrolobenzodiazepine (PBD) conjugated antibody (Ab), total Ab and free warhead (SG3199) for the Q3W cohorts.
    Time Frame Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2

    Outcome Measure Data

    Analysis Population Description
    Only participants with evaluable pharmacokinetic results were included in the analysis. Where data is not presented, the pharmacokinetic profiles were non-measurable or short-lived in duration; therefore, no analysis could be performed.
    Arm/Group Title 15 μg/kg Q3W 30 μg/kg Q3W 60 μg/kg Q3W 90 μg/kg Q3W 120 μg/kg Q3W 150 μg/kg Q3W
    Arm/Group Description Participants received 15 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 30 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 60 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 90 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 120 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 150 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle.
    Measure Participants 1 3 2 2 4 4
    PBD-Conjugated Ab : Cycle 2
    1810
    (NA)
    985
    (1606)
    53.3
    (9.99)
    3595
    (4876)
    8282
    (14386)
    7444
    (831)
    Total Ab (ADCT-402) : Cycle 2
    2500
    (NA)
    1607
    (2330)
    41.2
    (NA)
    7820
    (NA)
    10198
    (15433)
    10112
    (1753)
    SG3199 : Cycle 2
    0.104
    (NA)
    18. Secondary Outcome
    Title Area Under the Serum Concentration-time Curve From Time 0 to the End of the Dosing Interval (AUC0-tau) for ADCT-402 Administered Every Week (QW)
    Description AUCtau for Pyrrolobenzodiazepine (PBD) conjugated antibody (Ab), total Ab and free warhead (SG3199) for the QW cohort.
    Time Frame Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2

    Outcome Measure Data

    Analysis Population Description
    Only participants with evaluable pharmacokinetic results were included in the analysis. Where data is not presented, the pharmacokinetic profiles were non-measurable or short-lived in duration; therefore, no analysis could be performed.
    Arm/Group Title 50 μg/kg QW
    Arm/Group Description Participants received 50 μg/kg ADCT-402 weekly on Days 1, 8 and 15 of each 3-week (21-day) treatment cycle. This dose level for the weekly (QW) dosing schedule was based on the safety and tolerability of participants who had been treated on the every 3-week (Q3W) schedule.
    Measure Participants 2
    PBD-Conjugated Ab : Cycle 1 Week 2
    1293
    (1640)
    PBD-Conjugated Ab : Cycle 2 Week 3
    3542
    (NA)
    Total Ab (ADCT-402): Cycle 1 Week 2
    1402
    (1314)
    Total Ab (ADCT-402): Cycle 1 Week 3
    2066
    (NA)
    Total Ab (ADCT-402): Cycle 2 Week 1
    449
    (NA)
    Total Ab (ADCT-402): Cycle 2 Week 3
    3463
    (NA)
    19. Secondary Outcome
    Title Accumulation Index (AI) for ADCT-402 Administered Every 3 Weeks (Q3W)
    Description AI for Pyrrolobenzodiazepine (PBD) conjugated antibody (Ab), total Ab and free warhead (SG3199) for the Q3W cohorts. AI is the ratio of AUC 0-24 after multiple doses versus a single dose. It is the increase in drug plasma concentration after multiple dosing until a steady state is reached.
    Time Frame Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2

    Outcome Measure Data

    Analysis Population Description
    Only participants with evaluable pharmacokinetic results were included in the analysis. Where data is not presented, the pharmacokinetic profiles were non-measurable or short-lived in duration; therefore, no analysis could be performed.
    Arm/Group Title 15 μg/kg Q3W 30 μg/kg Q3W 60 μg/kg Q3W 90 μg/kg Q3W 120 μg/kg Q3W 150 μg/kg Q3W
    Arm/Group Description Participants received 15 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 30 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 60 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 90 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 120 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 150 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle.
    Measure Participants 1 3 1 1 3 4
    PBD-Conjugated Ab : Cycle 2
    1.01
    (NA)
    1.14
    (0.242)
    1.00
    (NA)
    1.06
    (NA)
    1.30
    (0.509)
    1.03
    (0.0187)
    Total Ab (ADCT-402) : Cycle 2
    1.04
    (NA)
    1.62
    (0.433)
    1.00
    (NA)
    1.08
    (NA)
    1.67
    (0.939)
    1.06
    (0.0532)
    20. Secondary Outcome
    Title Accumulation Index (AI) for ADCT-402 Administered Weekly (QW)
    Description AI for Pyrrolobenzodiazepine (PBD) conjugated antibody (Ab), total Ab and free warhead (SG3199) for the QW cohort. AI is the ratio of AUC 0-24 after multiple doses versus a single dose. It is the increase in drug plasma concentration after multiple dosing until a steady state is reached.
    Time Frame Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2

    Outcome Measure Data

    Analysis Population Description
    Only participants with evaluable pharmacokinetic results were included in the analysis. Where data is not presented, the pharmacokinetic profiles were non-measurable or short-lived in duration; therefore, no analysis could be performed.
    Arm/Group Title 50 μg/kg QW
    Arm/Group Description Participants received 50 μg/kg ADCT-402 weekly on Days 1, 8 and 15 of each 3-week (21-day) treatment cycle. This dose level for the weekly (QW) dosing schedule was based on the safety and tolerability of participants who had been treated on the every 3-week (Q3W) schedule.
    Measure Participants 2
    PBD-Conjugated Ab : Cycle 1 Week 2
    1.13
    (0.0410)
    Total Ab (ADCT-402) : Cycle 1 Week 2
    2.52
    (1.92)
    21. Secondary Outcome
    Title Volume of Distribution at Steady State for ADCT-402
    Description
    Time Frame Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2

    Outcome Measure Data

    Analysis Population Description
    This analysis was planned, but data was not collected as the study was terminated prematurely.
    Arm/Group Title 15 μg/kg Q3W 30 μg/kg Q3W 60 μg/kg Q3W 90 μg/kg Q3W 120 μg/kg Q3W 150 μg/kg Q3W 50 μg/kg QW
    Arm/Group Description Participants received 15 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 30 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 60 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 90 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 120 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 150 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 50 μg/kg ADCT-402 weekly on Days 1, 8 and 15 of each 3-week (21-day) treatment cycle. This dose level for the weekly (QW) dosing schedule was based on the safety and tolerability of participants who had been treated on the every 3-week (Q3W) schedule.
    Measure Participants 0 0 0 0 0 0 0
    22. Secondary Outcome
    Title Mean Residence Time for ADCT-402
    Description
    Time Frame Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2

    Outcome Measure Data

    Analysis Population Description
    This analysis was planned, but data was not collected as the study was terminated prematurely.
    Arm/Group Title 15 μg/kg Q3W 30 μg/kg Q3W 60 μg/kg Q3W 90 μg/kg Q3W 120 μg/kg Q3W 150 μg/kg Q3W 50 μg/kg QW
    Arm/Group Description Participants received 15 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 30 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 60 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 90 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 120 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 150 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 50 μg/kg ADCT-402 weekly on Days 1, 8 and 15 of each 3-week (21-day) treatment cycle. This dose level for the weekly (QW) dosing schedule was based on the safety and tolerability of participants who had been treated on the every 3-week (Q3W) schedule.
    Measure Participants 0 0 0 0 0 0 0
    23. Secondary Outcome
    Title Terminal Elimination Phase Rate Constant for ADCT-402
    Description
    Time Frame Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2

    Outcome Measure Data

    Analysis Population Description
    This analysis was planned, but data was not collected as the study was terminated prematurely.
    Arm/Group Title 15 μg/kg Q3W 30 μg/kg Q3W 60 μg/kg Q3W 90 μg/kg Q3W 120 μg/kg Q3W 150 μg/kg Q3W 50 μg/kg QW
    Arm/Group Description Participants received 15 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 30 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 60 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 90 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 120 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 150 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 50 μg/kg ADCT-402 weekly on Days 1, 8 and 15 of each 3-week (21-day) treatment cycle. This dose level for the weekly (QW) dosing schedule was based on the safety and tolerability of participants who had been treated on the every 3-week (Q3W) schedule.
    Measure Participants 0 0 0 0 0 0 0
    24. Secondary Outcome
    Title Apparent Terminal Phase Elimination Half-life (T1/2) for ADCT-402 Administered Every 3 Weeks (Q3W)
    Description T1/2 for Pyrrolobenzodiazepine (PBD) conjugated antibody (Ab), total Ab and free warhead (SG3199) for the Q3W cohorts.
    Time Frame Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2

    Outcome Measure Data

    Analysis Population Description
    Only participants with evaluable pharmacokinetic results were included in the analysis. Where data is not presented, the pharmacokinetic profiles were non-measurable or short-lived in duration; therefore, no analysis could be performed.
    Arm/Group Title 15 μg/kg Q3W 30 μg/kg Q3W 60 μg/kg Q3W 90 μg/kg Q3W 120 μg/kg Q3W 150 μg/kg Q3W
    Arm/Group Description Participants received 15 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 30 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 60 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 90 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 120 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 150 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle.
    Measure Participants 1 3 1 3 3 5
    PBD-Conjugated Ab : Cycle 1
    5.23
    (NA)
    1.87
    (0.287)
    0.355
    (0.501)
    0.156
    (0.164)
    0.713
    (0.596)
    PBD-Conjugated Ab : Cycle 2
    2.91
    (NA)
    4.31
    (6.62)
    0.282
    (NA)
    4.96
    (NA)
    7.55
    (10.3)
    3.99
    (0.723)
    Total Ab (ADCT-402) : Cycle 1
    1.28
    (1.66)
    0.0538
    (NA)
    0.784
    (NA)
    0.275
    (0.306)
    Total Ab (ADCT-402) : Cycle 2
    4.42
    (NA)
    15.0
    (6.88)
    0.0342
    (NA)
    5.59
    (NA)
    14.5
    (16.4)
    4.67
    (1.68)
    SG3199 : Cycle 2
    0.508
    (NA)
    25. Secondary Outcome
    Title Apparent Terminal Phase Elimination Half-life (T1/2) for ADCT-402 Administered Every Week (QW)
    Description T1/2 for Pyrrolobenzodiazepine (PBD) conjugated antibody (Ab), total Ab and free warhead (SG3199) for the QW cohort.
    Time Frame Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2

    Outcome Measure Data

    Analysis Population Description
    Only participants with evaluable pharmacokinetic results were included in the analysis. Where data is not presented, the pharmacokinetic profiles were non-measurable or short-lived in duration; therefore, no analysis could be performed.
    Arm/Group Title 50 μg/kg QW
    Arm/Group Description Participants received 50 μg/kg ADCT-402 weekly on Days 1, 8 and 15 of each 3-week (21-day) treatment cycle. This dose level for the weekly (QW) dosing schedule was based on the safety and tolerability of participants who had been treated on the every 3-week (Q3W) schedule.
    Measure Participants 2
    PBD-Conjugated Ab : Cycle 1 Week 1
    2.29
    (NA)
    PBD-Conjugated Ab : Cycle 1 Week 2
    2.26
    (0.288)
    Total Ab (ADCT-402): Cycle 1 Week 2
    9.39
    (9.77)
    26. Secondary Outcome
    Title Apparent Clearance at Steady State for ADCT-402 Administered Every 3 Weeks (Q3W)
    Description Apparent clearance for Pyrrolobenzodiazepine (PBD) conjugated antibody (Ab), total Ab and free warhead (SG3199) for the Q3W cohorts.
    Time Frame Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2

    Outcome Measure Data

    Analysis Population Description
    Only participants with evaluable pharmacokinetic results were included in the analysis. Where data is not presented, the pharmacokinetic profiles were non-measurable or short-lived in duration; therefore, no analysis could be performed.
    Arm/Group Title 15 μg/kg Q3W 30 μg/kg Q3W 60 μg/kg Q3W 90 μg/kg Q3W 120 μg/kg Q3W 150 μg/kg Q3W
    Arm/Group Description Participants received 15 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 30 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 60 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 90 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 120 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 150 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle.
    Measure Participants 1 3 2 3 4 5
    PBD-Conjugated Ab : Cycle 1
    0.650
    (NA)
    14.0
    (14.3)
    80.8
    (106)
    84.3
    (102)
    27.4
    (12.4)
    PBD-Conjugated Ab : Cycle 2
    0.495
    (NA)
    69.3
    (92.3)
    86.4
    (34.6)
    9.63
    (12.5)
    31.1
    (37.0)
    1.57
    (0.726)
    Total Ab (ADCT-402) : Cycle 1
    31.3
    (40.0)
    55.5
    (NA)
    3.98
    (NA)
    18.9
    (21.8)
    Total Ab (ADCT-402) : Cycle 2
    0.422
    (NA)
    16.4
    (19.9)
    146
    (NA)
    0.831
    (NA)
    10.3
    (16.7)
    1.37
    (0.656)
    SG3199 : Cycle 2
    838
    (NA)
    27. Secondary Outcome
    Title Apparent Clearance at Steady State for ADCT-402 Administered Every Week (QW)
    Description Apparent clearance for Pyrrolobenzodiazepine (PBD) conjugated antibody (Ab), total Ab and free warhead (SG3199) for the QW cohort.
    Time Frame Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2

    Outcome Measure Data

    Analysis Population Description
    Only participants with evaluable pharmacokinetic results were included in the analysis. Where data is not presented, the pharmacokinetic profiles were non-measurable or short-lived in duration; therefore, no analysis could be performed.
    Arm/Group Title 50 μg/kg QW
    Arm/Group Description Participants received 50 μg/kg ADCT-402 weekly on Days 1, 8 and 15 of each 3-week (21-day) treatment cycle. This dose level for the weekly (QW) dosing schedule was based on the safety and tolerability of participants who had been treated on the every 3-week (Q3W) schedule.
    Measure Participants 2
    PBD-Conjugated Ab : Cycle 1 Week 1
    5.77
    (NA)
    PBD-Conjugated Ab : Cycle 1 Week 2
    14.0
    (18.0)
    PBD-Conjugated Ab : Cycle 2 Week 3
    1.01
    (NA)
    Total Ab (ADCT-402): Cycle 1 Week 2
    5.23
    (5.16)
    Total Ab (ADCT-402): Cycle 1 Week 3
    2.03
    (NA)
    Total Ab (ADCT-402): Cycle 2 Week 1
    8.46
    (NA)
    Total Ab (ADCT-402): Cycle 2 Week 3
    1.21
    (NA)
    28. Secondary Outcome
    Title Apparent Volume of Distribution (Vd Beta) for ADCT-402 Administered Every 3 Weeks (Q3W)
    Description Vd beta for Pyrrolobenzodiazepine (PBD) conjugated antibody (Ab), total Ab and free warhead (SG3199) for the Q3W cohorts.
    Time Frame Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2

    Outcome Measure Data

    Analysis Population Description
    Only participants with evaluable pharmacokinetic results were included in the analysis. Where data is not presented, the pharmacokinetic profiles were non-measurable or short-lived in duration; therefore, no analysis could be performed.
    Arm/Group Title 15 μg/kg Q3W 30 μg/kg Q3W 60 μg/kg Q3W 90 μg/kg Q3W 120 μg/kg Q3W 150 μg/kg Q3W
    Arm/Group Description Participants received 15 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 30 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 60 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 90 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 120 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 150 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle.
    Measure Participants 1 3 1 3 3 5
    PBD-Conjugated Ab : Cycle 1
    4.91
    (NA)
    40.7
    (44.3)
    10.5
    (12.6)
    6.89
    (3.13)
    34.2
    (35.5)
    PBD-Conjugated Ab : Cycle 2
    2.08
    (NA)
    24.0
    (18.1)
    45.1
    (NA)
    5.61
    (NA)
    8.33
    (5.43)
    9.45
    (5.27)
    Total Ab (ADCT-402) : Cycle 1
    9.77
    (1.09)
    4.31
    (NA)
    4.50
    (NA)
    2.68
    (0.309)
    Total Ab (ADCT-402) : Cycle 2
    2.69
    (NA)
    145
    (190)
    7.22
    (NA)
    6.71
    (NA)
    11.4
    (0.101)
    9.14
    (5.96)
    SG3199 : Cycle 2
    614
    (NA)
    29. Secondary Outcome
    Title Apparent Volume of Distribution (Vd Beta) for ADCT-402 Administered Every Week (QW)
    Description Vd beta for Pyrrolobenzodiazepine (PBD) conjugated antibody (Ab), total Ab and free warhead (SG3199) for the QW cohort.
    Time Frame Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2

    Outcome Measure Data

    Analysis Population Description
    Only participants with evaluable pharmacokinetic results were included in the analysis. Where data is not presented, the pharmacokinetic profiles were non-measurable or short-lived in duration; therefore, no analysis could be performed.
    Arm/Group Title 50 μg/kg QW
    Arm/Group Description Participants received 50 μg/kg ADCT-402 weekly on Days 1, 8 and 15 of each 3-week (21-day) treatment cycle. This dose level for the weekly (QW) dosing schedule was based on the safety and tolerability of participants who had been treated on the every 3-week (Q3W) schedule.
    Measure Participants 2
    PBD-Conjugated Ab : Cycle 1 Week 1
    19.1
    (NA)
    PBD-Conjugated Ab : Cycle 1 Week 2
    49.5
    (64.6)
    Total Ab (ADCT-402): Cycle 1 Week 2
    107
    (144)
    30. Secondary Outcome
    Title Number of Participants With Anti-drug Antibody Response (ADA) Against ADCT-402
    Description Blood serum samples were collected and analysed to determine the presence or absence of ADA.
    Time Frame Day 1 (before infusion, end of infusion, and 1, 3 and 6 hours after infusion) and Days 2, 3, 5, 8 and 15 for Cycles 1 and 2

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title Part 1: ADCT-402 Dose Escalation
    Arm/Group Description Weekly administration (QW) - Participants received an intravenous (IV) infusion of ADCT-402, on Days 1, 8, and 15 of each 3- week (21-day) cycle. 3-week administration (Q3W) - Participants received an IV infusion of ADCT-402, on Day 1 of each 3-week (21-day) cycle. The dose escalation was conducted according to a 3+3 design.
    Measure Participants 35
    Confirmed positive ADA pre-dose
    1
    20%
    Confirmed positive ADA post-dose
    0
    0%
    Confirmed positive ADA at any time
    1
    20%

    Adverse Events

    Time Frame From first dose of study drug up to 12 weeks after last dose (up to 39 weeks)
    Adverse Event Reporting Description
    Arm/Group Title 15 μg/kg Q3W 30 μg/kg Q3W 60 μg/kg Q3W 90 μg/kg Q3W 120 μg/kg Q3W 150 μg/kg Q3W 50 μg/kg QW
    Arm/Group Description Participants received 15 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 30 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 60 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 90 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 120 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 150 μg/kg ADCT-402 on Day 1 of each 3-week treatment cycle. Participants received 50 μg/kg ADCT-402 weekly on Days 1, 8 and 15 of each 3-week (21-day) treatment cycle. This dose level for the weekly (QW) dosing schedule was based on the safety and tolerability of participants who had been treated on the every 3-week (Q3W) schedule.
    All Cause Mortality
    15 μg/kg Q3W 30 μg/kg Q3W 60 μg/kg Q3W 90 μg/kg Q3W 120 μg/kg Q3W 150 μg/kg Q3W 50 μg/kg QW
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 5/5 (100%) 5/7 (71.4%) 3/3 (100%) 3/4 (75%) 3/5 (60%) 6/6 (100%) 3/5 (60%)
    Serious Adverse Events
    15 μg/kg Q3W 30 μg/kg Q3W 60 μg/kg Q3W 90 μg/kg Q3W 120 μg/kg Q3W 150 μg/kg Q3W 50 μg/kg QW
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 5/5 (100%) 4/7 (57.1%) 2/3 (66.7%) 3/4 (75%) 5/5 (100%) 5/6 (83.3%) 4/5 (80%)
    Blood and lymphatic system disorders
    Febrile neutropenia 0/5 (0%) 1/7 (14.3%) 1/3 (33.3%) 1/4 (25%) 2/5 (40%) 2/6 (33.3%) 1/5 (20%)
    Leukocytosis 1/5 (20%) 1/7 (14.3%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Cardiac disorders
    Pericarditis 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 0/6 (0%) 0/5 (0%)
    Ear and labyrinth disorders
    Ear pain 1/5 (20%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Gastrointestinal disorders
    Abdominal pain 0/5 (0%) 1/7 (14.3%) 0/3 (0%) 1/4 (25%) 0/5 (0%) 0/6 (0%) 1/5 (20%)
    Diarrhoea 1/5 (20%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Lip oedema 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Proctalgia 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Upper gastrointestinal haemorrhage 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 0/6 (0%) 0/5 (0%)
    General disorders
    Asthenia 0/5 (0%) 1/7 (14.3%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Disease progression 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 0/6 (0%) 0/5 (0%)
    Fatigue 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 0/6 (0%) 0/5 (0%)
    Localised oedema 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Non-cardiac chest pain 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Pain 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 0/6 (0%) 0/5 (0%)
    Pyrexia 1/5 (20%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Immune system disorders
    Cytokine release syndrome 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 0/6 (0%) 0/5 (0%)
    Infections and infestations
    Acute sinusitis 1/5 (20%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Bacteraemia 0/5 (0%) 0/7 (0%) 0/3 (0%) 2/4 (50%) 0/5 (0%) 0/6 (0%) 1/5 (20%)
    Bacterial infection 0/5 (0%) 0/7 (0%) 0/3 (0%) 1/4 (25%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Candida sepsis 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Enterococcal bacteraemia 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 1/5 (20%)
    Fungaemia 0/5 (0%) 0/7 (0%) 0/3 (0%) 1/4 (25%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Lung infection 0/5 (0%) 1/7 (14.3%) 1/3 (33.3%) 0/4 (0%) 1/5 (20%) 0/6 (0%) 0/5 (0%)
    Pneumonia 0/5 (0%) 1/7 (14.3%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 1/6 (16.7%) 0/5 (0%)
    Sepsis 0/5 (0%) 2/7 (28.6%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 0/6 (0%) 1/5 (20%)
    Injury, poisoning and procedural complications
    Hip fracture 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 0/6 (0%) 0/5 (0%)
    Subdural haematoma 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Investigations
    Alanine aminotransferase increased 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 1/5 (20%)
    Aspartate aminotransferase increased 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 1/5 (20%)
    Blast cells present 1/5 (20%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Metabolism and nutrition disorders
    Fluid overload 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Tumour lysis syndrome 1/5 (20%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Musculoskeletal and connective tissue disorders
    Back pain 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 0/6 (0%) 0/5 (0%)
    Bone pain 1/5 (20%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Acute lymphocytic leukaemia 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Nervous system disorders
    Haemorrhage intracranial 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Headache 1/5 (20%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Seizure 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Subarachnoid haemorrhage 0/5 (0%) 1/7 (14.3%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Respiratory, thoracic and mediastinal disorders
    Hypoxia 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 2/6 (33.3%) 0/5 (0%)
    Skin and subcutaneous tissue disorders
    Rash maculo-papular 0/5 (0%) 0/7 (0%) 1/3 (33.3%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Other (Not Including Serious) Adverse Events
    15 μg/kg Q3W 30 μg/kg Q3W 60 μg/kg Q3W 90 μg/kg Q3W 120 μg/kg Q3W 150 μg/kg Q3W 50 μg/kg QW
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 5/5 (100%) 7/7 (100%) 3/3 (100%) 4/4 (100%) 5/5 (100%) 6/6 (100%) 5/5 (100%)
    Blood and lymphatic system disorders
    Febrile neutropenia 0/5 (0%) 0/7 (0%) 0/3 (0%) 2/4 (50%) 1/5 (20%) 3/6 (50%) 1/5 (20%)
    Anaemia 0/5 (0%) 2/7 (28.6%) 1/3 (33.3%) 1/4 (25%) 0/5 (0%) 0/6 (0%) 1/5 (20%)
    Neutropenia 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Thrombocytopenia 0/5 (0%) 0/7 (0%) 0/3 (0%) 1/4 (25%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Cardiac disorders
    Atrial fibrillation 0/5 (0%) 1/7 (14.3%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 0/6 (0%) 0/5 (0%)
    Bradycardia 0/5 (0%) 1/7 (14.3%) 1/3 (33.3%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Ischaemic cardiomyopathy 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 0/6 (0%) 0/5 (0%)
    Pericardial effusion 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Sinus bradycardia 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 0/6 (0%) 0/5 (0%)
    Sinus tachycardia 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 0/6 (0%) 0/5 (0%)
    Tachycardia 1/5 (20%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Ear and labyrinth disorders
    External ear inflammation 0/5 (0%) 1/7 (14.3%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Hypoacusis 0/5 (0%) 0/7 (0%) 0/3 (0%) 1/4 (25%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Tinnitus 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Eye disorders
    Vision blurred 0/5 (0%) 0/7 (0%) 0/3 (0%) 1/4 (25%) 1/5 (20%) 0/6 (0%) 0/5 (0%)
    Conjunctival haemorrhage 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 0/6 (0%) 0/5 (0%)
    Eye pain 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 0/6 (0%) 0/5 (0%)
    Eye pruritus 0/5 (0%) 1/7 (14.3%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Gastrointestinal disorders
    Nausea 1/5 (20%) 2/7 (28.6%) 1/3 (33.3%) 2/4 (50%) 3/5 (60%) 5/6 (83.3%) 1/5 (20%)
    Vomiting 0/5 (0%) 1/7 (14.3%) 0/3 (0%) 1/4 (25%) 3/5 (60%) 3/6 (50%) 1/5 (20%)
    Abdominal pain 0/5 (0%) 0/7 (0%) 1/3 (33.3%) 1/4 (25%) 0/5 (0%) 3/6 (50%) 2/5 (40%)
    Diarrhoea 0/5 (0%) 1/7 (14.3%) 1/3 (33.3%) 2/4 (50%) 0/5 (0%) 1/6 (16.7%) 1/5 (20%)
    Dyspepsia 0/5 (0%) 2/7 (28.6%) 1/3 (33.3%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Ascites 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 2/6 (33.3%) 0/5 (0%)
    Colitis 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 1/5 (20%)
    Constipation 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 1/6 (16.7%) 0/5 (0%)
    Tongue ulceration 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 0/6 (0%) 1/5 (20%)
    Abdominal pain lower 0/5 (0%) 0/7 (0%) 0/3 (0%) 1/4 (25%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Abdominal pain upper 0/5 (0%) 0/7 (0%) 1/3 (33.3%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Anal incontinence 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Angina bullosa haemorrhagica 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 0/6 (0%) 0/5 (0%)
    Gastritis 0/5 (0%) 0/7 (0%) 0/3 (0%) 1/4 (25%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Gingival pain 0/5 (0%) 0/7 (0%) 0/3 (0%) 1/4 (25%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Mouth haemorrhage 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 1/5 (20%)
    Mouth ulceration 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 1/5 (20%)
    Rectal haemorrhage 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 1/5 (20%)
    Stomatitis 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    General disorders
    Fatigue 0/5 (0%) 3/7 (42.9%) 1/3 (33.3%) 3/4 (75%) 1/5 (20%) 0/6 (0%) 0/5 (0%)
    Pyrexia 0/5 (0%) 1/7 (14.3%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 3/6 (50%) 0/5 (0%)
    Oedema peripheral 0/5 (0%) 1/7 (14.3%) 0/3 (0%) 1/4 (25%) 2/5 (40%) 1/6 (16.7%) 0/5 (0%)
    Asthenia 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 2/6 (33.3%) 0/5 (0%)
    Chills 0/5 (0%) 0/7 (0%) 1/3 (33.3%) 0/4 (0%) 1/5 (20%) 1/6 (16.7%) 0/5 (0%)
    Non-cardiac chest pain 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 0/6 (0%) 0/5 (0%)
    Pain 0/5 (0%) 0/7 (0%) 1/3 (33.3%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Catheter site erythema 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Chest discomfort 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Face oedema 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Malaise 0/5 (0%) 0/7 (0%) 0/3 (0%) 1/4 (25%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Multiple organ dysfunction syndrome 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 1/5 (20%)
    Oedema 0/5 (0%) 0/7 (0%) 1/3 (33.3%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Localised oedema 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Hepatobiliary disorders
    Cholecystitis acute 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 1/5 (20%)
    Immune system disorders
    Graft versus host disease 0/5 (0%) 0/7 (0%) 0/3 (0%) 1/4 (25%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Infections and infestations
    Bacteraemia 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 1/6 (16.7%) 1/5 (20%)
    Pneumonia 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 2/6 (33.3%) 0/5 (0%)
    Cellulitis 0/5 (0%) 0/7 (0%) 1/3 (33.3%) 1/4 (25%) 0/5 (0%) 2/6 (33.3%) 0/5 (0%)
    Candida infection 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 2/6 (33.3%) 0/5 (0%)
    Staphylococcal infection 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 1/6 (16.7%) 0/5 (0%)
    Urinary tract infection 0/5 (0%) 1/7 (14.3%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Cytomegalovirus infection 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Escherichia infection 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Gingivitis 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 1/5 (20%)
    Otitis externa 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 1/5 (20%)
    Periorbital cellulitis 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 0/6 (0%) 0/5 (0%)
    Rectal abscess 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Sinusitis 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 0/6 (0%) 0/5 (0%)
    Injury, poisoning and procedural complications
    Infusion related reaction 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 2/5 (40%) 1/6 (16.7%) 1/5 (20%)
    Fall 0/5 (0%) 0/7 (0%) 1/3 (33.3%) 1/4 (25%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Subdural haematoma 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 1/6 (16.7%) 0/5 (0%)
    Contusion 0/5 (0%) 0/7 (0%) 0/3 (0%) 1/4 (25%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Tongue injury 0/5 (0%) 1/7 (14.3%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Investigations
    Aspartate aminotransferase increased 0/5 (0%) 0/7 (0%) 2/3 (66.7%) 2/4 (50%) 2/5 (40%) 4/6 (66.7%) 0/5 (0%)
    Gamma-glutamyltransferase increased 1/5 (20%) 0/7 (0%) 0/3 (0%) 2/4 (50%) 3/5 (60%) 3/6 (50%) 1/5 (20%)
    Alanine aminotransferase increased 0/5 (0%) 0/7 (0%) 1/3 (33.3%) 2/4 (50%) 2/5 (40%) 2/6 (33.3%) 2/5 (40%)
    Blood alkaline phosphatase increased 0/5 (0%) 0/7 (0%) 2/3 (66.7%) 1/4 (25%) 1/5 (20%) 3/6 (50%) 2/5 (40%)
    Blood bilirubin increased 0/5 (0%) 0/7 (0%) 1/3 (33.3%) 0/4 (0%) 2/5 (40%) 2/6 (33.3%) 1/5 (20%)
    Blood lactate dehydrogenase increased 1/5 (20%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 2/5 (40%) 1/6 (16.7%) 0/5 (0%)
    Neutrophil count decreased 0/5 (0%) 2/7 (28.6%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 1/6 (16.7%) 0/5 (0%)
    Blood creatinine increased 1/5 (20%) 0/7 (0%) 1/3 (33.3%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Lipase increased 0/5 (0%) 0/7 (0%) 1/3 (33.3%) 0/4 (0%) 1/5 (20%) 1/6 (16.7%) 0/5 (0%)
    Platelet count decreased 0/5 (0%) 0/7 (0%) 0/3 (0%) 1/4 (25%) 0/5 (0%) 1/6 (16.7%) 1/5 (20%)
    White blood cell count decreased 0/5 (0%) 2/7 (28.6%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    International normalised ratio increased 0/5 (0%) 0/7 (0%) 1/3 (33.3%) 0/4 (0%) 1/5 (20%) 0/6 (0%) 0/5 (0%)
    Amylase decreased 0/5 (0%) 1/7 (14.3%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Amylase increased 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 0/6 (0%) 0/5 (0%)
    Aspergillus test positive 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 0/6 (0%) 0/5 (0%)
    Blood bilirubin decreased 0/5 (0%) 0/7 (0%) 0/3 (0%) 1/4 (25%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Blood cholesterol increased 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 0/6 (0%) 0/5 (0%)
    Blood creatine phosphokinase decreased 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 0/6 (0%) 0/5 (0%)
    Body temperature increased 0/5 (0%) 0/7 (0%) 0/3 (0%) 1/4 (25%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Electrocardiogram QT prolonged 0/5 (0%) 1/7 (14.3%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Hepatic enzyme increased 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    High density lipoprotein decreased 0/5 (0%) 0/7 (0%) 0/3 (0%) 1/4 (25%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Lipase decreased 0/5 (0%) 1/7 (14.3%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Lymphocyte count increased 0/5 (0%) 1/7 (14.3%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Protein total decreased 0/5 (0%) 0/7 (0%) 0/3 (0%) 1/4 (25%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Prothrombin time prolonged 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 0/6 (0%) 0/5 (0%)
    Troponin I increased 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 0/6 (0%) 0/5 (0%)
    Metabolism and nutrition disorders
    Hypocalcaemia 0/5 (0%) 0/7 (0%) 0/3 (0%) 1/4 (25%) 1/5 (20%) 3/6 (50%) 0/5 (0%)
    Hypomagnesaemia 1/5 (20%) 0/7 (0%) 0/3 (0%) 1/4 (25%) 2/5 (40%) 0/6 (0%) 1/5 (20%)
    Hyponatraemia 1/5 (20%) 0/7 (0%) 0/3 (0%) 1/4 (25%) 0/5 (0%) 2/6 (33.3%) 0/5 (0%)
    Hyperglycaemia 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 2/6 (33.3%) 0/5 (0%)
    Hypertriglyceridaemia 1/5 (20%) 1/7 (14.3%) 0/3 (0%) 1/4 (25%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Hypophosphataemia 0/5 (0%) 0/7 (0%) 1/3 (33.3%) 1/4 (25%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Decreased appetite 0/5 (0%) 0/7 (0%) 0/3 (0%) 1/4 (25%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Fluid overload 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 2/6 (33.3%) 0/5 (0%)
    Hypoalbuminaemia 0/5 (0%) 0/7 (0%) 0/3 (0%) 1/4 (25%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Hypokalaemia 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 2/6 (33.3%) 0/5 (0%)
    Dehydration 0/5 (0%) 0/7 (0%) 0/3 (0%) 1/4 (25%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Hypercalcaemia 1/5 (20%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Hyperkalaemia 0/5 (0%) 1/7 (14.3%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Hypernatraemia 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Hypervolaemia 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 1/5 (20%)
    Metabolic acidosis 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 0/6 (0%) 0/5 (0%)
    Musculoskeletal and connective tissue disorders
    Arthralgia 0/5 (0%) 1/7 (14.3%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 0/6 (0%) 1/5 (20%)
    Back pain 0/5 (0%) 0/7 (0%) 0/3 (0%) 1/4 (25%) 0/5 (0%) 0/6 (0%) 1/5 (20%)
    Bone pain 0/5 (0%) 1/7 (14.3%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Muscle spasms 1/5 (20%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 1/6 (16.7%) 0/5 (0%)
    Musculoskeletal pain 0/5 (0%) 0/7 (0%) 1/3 (33.3%) 0/4 (0%) 1/5 (20%) 0/6 (0%) 1/5 (20%)
    Myalgia 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 2/6 (33.3%) 1/5 (20%)
    Flank pain 0/5 (0%) 0/7 (0%) 0/3 (0%) 1/4 (25%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Pain in extremity 0/5 (0%) 0/7 (0%) 1/3 (33.3%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Neck pain 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 1/5 (20%)
    Pain in jaw 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Nervous system disorders
    Headache 0/5 (0%) 2/7 (28.6%) 1/3 (33.3%) 0/4 (0%) 2/5 (40%) 2/6 (33.3%) 1/5 (20%)
    Dizziness 0/5 (0%) 0/7 (0%) 1/3 (33.3%) 1/4 (25%) 2/5 (40%) 2/6 (33.3%) 2/5 (40%)
    Haemorrhage intracranial 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 1/6 (16.7%) 0/5 (0%)
    Neuropathy peripheral 0/5 (0%) 0/7 (0%) 0/3 (0%) 2/4 (50%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Cerebrovascular accident 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Lethargy 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Seizure 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Somnolence 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 1/5 (20%)
    Syncope 0/5 (0%) 0/7 (0%) 1/3 (33.3%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Tremor 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Psychiatric disorders
    Insomnia 0/5 (0%) 1/7 (14.3%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 2/6 (33.3%) 1/5 (20%)
    Anxiety 0/5 (0%) 1/7 (14.3%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 1/5 (20%)
    Delirium 0/5 (0%) 1/7 (14.3%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Confusional state 0/5 (0%) 1/7 (14.3%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Depression 0/5 (0%) 1/7 (14.3%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Mental status changes 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 1/5 (20%)
    Renal and urinary disorders
    Acute kidney injury 1/5 (20%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 1/5 (20%)
    Haematuria 0/5 (0%) 1/7 (14.3%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Reproductive system and breast disorders
    Vaginal haemorrhage 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 1/5 (20%)
    Respiratory, thoracic and mediastinal disorders
    Dyspnoea 0/5 (0%) 1/7 (14.3%) 1/3 (33.3%) 3/4 (75%) 0/5 (0%) 1/6 (16.7%) 1/5 (20%)
    Cough 0/5 (0%) 2/7 (28.6%) 1/3 (33.3%) 0/4 (0%) 1/5 (20%) 1/6 (16.7%) 1/5 (20%)
    Epistaxis 0/5 (0%) 0/7 (0%) 1/3 (33.3%) 1/4 (25%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Hypoxia 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 1/6 (16.7%) 0/5 (0%)
    Oropharyngeal pain 0/5 (0%) 1/7 (14.3%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 1/5 (20%)
    Hiccups 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 1/6 (16.7%) 0/5 (0%)
    Dyspnoea exertional 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 1/5 (20%)
    Haemoptysis 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 1/5 (20%)
    Lung infiltration 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Pleural effusion 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Pneumonitis 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Rhinalgia 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Sneezing 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Wheezing 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Skin and subcutaneous tissue disorders
    Rash maculo-papular 0/5 (0%) 1/7 (14.3%) 0/3 (0%) 1/4 (25%) 2/5 (40%) 2/6 (33.3%) 2/5 (40%)
    Erythema 0/5 (0%) 0/7 (0%) 1/3 (33.3%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Pruritus 0/5 (0%) 1/7 (14.3%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Rash 0/5 (0%) 0/7 (0%) 1/3 (33.3%) 0/4 (0%) 1/5 (20%) 0/6 (0%) 0/5 (0%)
    Skin hyperpigmentation 0/5 (0%) 1/7 (14.3%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Skin mass 0/5 (0%) 0/7 (0%) 0/3 (0%) 1/4 (25%) 0/5 (0%) 0/6 (0%) 1/5 (20%)
    Alopecia 0/5 (0%) 1/7 (14.3%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Decubitus ulcer 0/5 (0%) 0/7 (0%) 0/3 (0%) 1/4 (25%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Penile ulceration 0/5 (0%) 1/7 (14.3%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Petechiae 0/5 (0%) 0/7 (0%) 0/3 (0%) 1/4 (25%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Photosensitivity reaction 0/5 (0%) 1/7 (14.3%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Purpura 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Rash erythematous 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 1/6 (16.7%) 0/5 (0%)
    Vascular disorders
    Hypertension 2/5 (40%) 1/7 (14.3%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 3/5 (60%)
    Hypotension 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 2/6 (33.3%) 1/5 (20%)
    Embolism 0/5 (0%) 1/7 (14.3%) 0/3 (0%) 0/4 (0%) 0/5 (0%) 0/6 (0%) 0/5 (0%)
    Pallor 0/5 (0%) 0/7 (0%) 0/3 (0%) 0/4 (0%) 1/5 (20%) 0/6 (0%) 0/5 (0%)

    Limitations/Caveats

    The study was early terminated prior to part 2 because of slow accrual. Formal assessment of potential anti-leukemic effect was not undertaken because of the early termination of the study.

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    PI can publish after first multi-site publication, or if no multi-site publication is made within 18 months of study completion/termination. The only disclosure restriction on the PI is the sponsor can review results comms. prior to public release and can embargo comms. regarding trial results for a period that is more than 60 but less than or equal to 180 days from the time submitted to sponsor for review. The sponsor can't require changes to the communication and can't extend the embargo.

    Results Point of Contact

    Name/Title ADC Therapeutics
    Organization ADC Therapeutics
    Phone 954-903-7994
    Email clinical.trials@adctherapeutics.com
    Responsible Party:
    ADC Therapeutics S.A.
    ClinicalTrials.gov Identifier:
    NCT02669264
    Other Study ID Numbers:
    • ADCT-402-102
    First Posted:
    Feb 1, 2016
    Last Update Posted:
    May 24, 2021
    Last Verified:
    Apr 1, 2021