KW-0761 or Investigator's Choice in Subjects With Previously Treated Adult T-cell Leukemia-Lymphoma (ATL)

Sponsor
Kyowa Kirin, Inc. (Industry)
Overall Status
Completed
CT.gov ID
NCT01626664
Collaborator
(none)
71
20
2
68
3.6
0.1

Study Details

Study Description

Brief Summary

The purpose of this study is to estimate the overall response rate of subjects with relapsed or refractory Adult T-cell Leukemia-Lymphoma (ATL).

Condition or Disease Intervention/Treatment Phase
Phase 2

Detailed Description

CCR4 expression in ATL patients has been demonstrated to be very high and has been associated with shorter survival compared with CCR4-negative patients. KW-0761, a monoclonal antibody targeted to CCR4, has been shown to be safe and tolerable in several clinical trials in subjects with a variety of T-cell malignancies, including ATL, mycosis fungoides and Sézary syndrome. The objective of this study is to estimate the overall response rate of KW-0761 for subjects with relapsed or refractory ATL.

Study Design

Study Type:
Interventional
Actual Enrollment :
71 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Multi-Center, Open-Label, Randomized Study of Anti-CCR4 Monoclonal Antibody KW-0761 or Investigator's Choice in Subjects With Previously Treated Adult T-cell Leukemia-Lymphoma (ATL)
Study Start Date :
Jun 1, 2012
Actual Primary Completion Date :
Aug 1, 2015
Actual Study Completion Date :
Feb 1, 2018

Arms and Interventions

Arm Intervention/Treatment
Experimental: KW-0761

anti-CCR4 monoclonal antibody KW-0761 (mogamulizumab)

Biological: KW-0761
1.0 mg/kg weekly x 4 in cycle 1 then every other week until progression
Other Names:
  • mogamulizumab
  • POTELIGEO®
  • Active Comparator: investigator's choice

    Comparator is investigator's choice of pralatrexate or gemcitabine plus oxaliplatin or DHAP

    Drug: Pralatrexate
    30 mg/m2 weekly for 3 weeks followed by 1 week of no therapy until progression
    Other Names:
  • Folotyn
  • Drug: gemcitabine plus oxaliplatin
    gemcitabine 1000 mg/m2, followed by oxaliplatin 100 mg/m2 every 2 weeks until progression
    Other Names:
  • Gemzar
  • Eloxatin
  • GemOx
  • Drug: DHAP
    dexamethasone 40 mg on Day 1-4, cisplatin 100 mg/m2 on Day 1 followed by 2 doses of cytarabine 2000 mg/m2 every 4 weeks until progression
    Other Names:
  • Decadron, Dexasone, Baycadron
  • Platinol
  • Depocyt, Ara-C
  • Outcome Measures

    Primary Outcome Measures

    1. Overall Response Rate [every 8 weeks from date of randomization until the date of first documented progression or date of death from any cause, whichever came first]

      Overall Response Rate was determined based on the response in all compartments (lymph nodes, extranodal masses, spleen/liver, skin, peripheral blood, and bone marrow), referencing Tsukasaki, 2009 as follows: Complete Response (CR) = All compartments involved with disease must be CR; Uncertified Complete Response (CRu) = > 75% decrease in lymph nodes and/or extranodal disease with all other compartments involved with disease CR; Partial Response (PR) = If any compartment is CR/PR and all other compartments involved with disease are at least SD; Stable Disease (SD) = All compartments involved with disease are SD; Progressive Disease (PD) = PD in any compartment. Lymph node and extranodal masses response ≥50% decrease by CT, skin response ≥50% decrease in mSWAT score; blood response ≥50% decrease in malignant cells by flow cytometry; normal bone marrow if abnormal at baseline. PD equals New or ≥50% increase in any compartment.

    Secondary Outcome Measures

    1. Progression Free Survival [From date of randomization until the date of first documented progression, start of alternative therapy, or date of death from any cause, whichever came first, up to 36 months]

      Progression-free survival was defined as the time from the first date of treatment until the date that PD or death was first reported. Disease progression included PD in any compartment per ATL response criteria, clinical progression at the end of the randomized treatment, or disease progression reported during the follow-up period. The date of PD was the earliest date at which disease progression could be declared.

    2. Overall Survival [up to 36 months]

      The estimates and summary statistics for OS were calculated based on Kaplan-Meier method, and the median OS was 4.9 months for subjects randomized to the mogamulizumab group versus 6.87 months for subjects randomized to the Investigator's Choice group.

    3. Change in Functional Assessment of Cancer Therapy-Lymphoma (FACT-Lym) Total Score [From date of randomization until the date of first documented progression, up to 36 months]

      The FACT-Lym consists of a 27-item general core questionnaire (i.e., Functional Assessment of Cancer Therapy - General [FACT-G]) and a 15-item disease-specific questionnaire (Lymphoma Subscale). The FACT-G includes 4 domains: physical well-being, social/family well-being, emotional well-being, and functional well-being. The total FACT-Lym score (0-168) was obtained by summing individual subscale scores. Higher scores for the scales indicate better quality of life. Change was calculated as the value at the last observation minus the value at baseline.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Males and female subjects ≥ 18 years of age

    • Confirmed diagnosis of ATL (excluding smoldering subtype)

    • Subjects must currently have evidence of disease in at least one of the following:

    • Lymph nodes

    • Extranodal masses

    • Spleen or liver

    • Skin

    • Peripheral blood

    • Bone marrow

    • Relapsed or refractory after at least one prior systemic therapy regimen for ATL;

    • Eastern Cooperative Oncology Group (ECOG) performance status score of ≤ 2 at study entry

    • Resolution of all clinically significant toxic effects of prior cancer therapy to grade ≤1 by the National Cancer Institute Common Terminology Criteria for Adverse Events, version 4.0 (NCI-CTCAE, v.4.0)

    • Adequate hematological, hepatic and renal function

    Exclusion Criteria:
    • Smoldering subtype of ATL;

    • Lymphomatous or acute subtype subject with > 2 prior systemic therapy regimens and who has not achieved a response (CR or PR) or maintained stable disease for at least 12 weeks on last immediate prior therapy;

    • History of allogeneic transplant;

    • Autologous hematopoietic stem cell transplant within 90 days of study entry;

    • Untreated human immunodeficiency virus (HIV)

    • Has known hepatitis C. Patients who are hepatitis C antibody positive but are hepatitis C quantitative PCR negative may be enrolled;

    • Has hepatitis B based on PCR testing for hepatitis B virus DNA. Patients who are hepatitis B core antibody positive but PCR negative may be enrolled if placed on appropriate anti-hepatitis B virus prophylaxis prior to commencing treatment with KW-0761. Patients who are hepatitis B core antibody positive based on prior vaccination need not receive prophylaxis;

    • Have had a malignancy in the past two years except non-melanoma skin cancers, melanoma in situ, localized cancer of the prostate with current PSA < 0.1 µg/mL, treated thyroid cancer or cervical carcinoma in situ or ductal/lobular carcinoma in situ of the breast who is currently without evidence of disease;

    • Clinical evidence of central nervous system (CNS) involvement or metastasis. In subjects suspected of having CNS disease, an MRI of the brain and/or lumbar puncture should be done to confirm;

    • Psychiatric illness, disability or social situation that would compromise the subject's safety or ability to provide consent, or limit compliance with study requirements;

    • Significant uncontrolled intercurrent illness

    • Experienced allergic reactions to monoclonal antibodies or other therapeutic proteins;

    • Known active autoimmune diseases will be excluded (For example; Grave's disease; systemic lupus erythematosus; rheumatoid arthritis; Crohn's disease);

    • Is pregnant (confirmed by beta human chorionic gonadotrophin [β-HCG]) or lactating.

    • Prior treatment with KW-0761;

    • Initiation of treatment with systemic corticosteroids while on study is only permitted for acute and brief complications of underlying disease (e.g., hypercalcemia) or for treatment related side effects (e.g., including pre-medication for infusion reaction, nausea and vomiting). Subjects on systemic corticosteroids prior to enrollment must be off for 7 days before initiation of study treatment, unless specifically indicated for the treatment of hypercalcemia. (subjects may receive inhalation corticosteroids and replacement doses of systemic corticosteroids as needed);

    • Initiation of treatment with topical corticosteroids while on study is not permitted except to treat an acute rash. Subjects on a stable dose of medium or low potency topical corticosteroids for at least 4 weeks prior to Pre-treatment Visit may continue use at the same dose, although the investigator should attempt to taper the use to lowest dose tolerable;

    • Have had interferon-α and/or zidovudine within 1 week, or anti-neoplastic chemotherapy, radiation, immunotherapy, or investigational medications within 2 weeks of first study treatment;

    • Subjects on any immunomodulatory drug. Subjects on any immunomodulatory drug within 4 weeks of their first dose of KW-0761 are also excluded.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Cedars-Sinai Medical Center Los Angeles California United States 90048
    2 University of Miami / Sylvester Comprehensive Cancer Center Miami Florida United States 33136
    3 Northwestern University Chicago Illinois United States 60611
    4 National Cancer Institute Bethesda Maryland United States 20892
    5 Washington University School of Medicine Saint Louis Missouri United States 63110
    6 Hackensack University Medical Center Hackensack New Jersey United States 07601
    7 Montefiore Medical Center Bronx New York United States 10467
    8 Memorial Sloan Kettering New York New York United States 10021
    9 Columbia Presbyterian New York New York United States 10032
    10 Weill Cornell Medical College New York New York United States 10065
    11 Cliniques Universitaires Saint-Luc Bruxelles Belgium 1200
    12 Hospital Universitario Professor Edgard Santos- UFBA Salvador, Bahia Brazil 40110-060
    13 Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo Sao Paulo- SP Brazil CEP 05403-000
    14 CHU de Fort de France Fort De France Cedex France BP 632 97261
    15 Hospital Necker Paris France 75743
    16 Hospital Nacional Edgardo Rebagliati Martins Lima Peru Lima11
    17 Instituto Oncologico Miraflores Lima Peru Lima18
    18 Guy's Hospital London United Kingdom SE1 9RT
    19 Imperial College London United Kingdom W2 1PG
    20 Sandwell General Hospital West Midlands United Kingdom B71 4HJ

    Sponsors and Collaborators

    • Kyowa Kirin, Inc.

    Investigators

    • Study Director: Michael Kurman, MD, Kyowa Hakko Kirin Pharma, Inc.

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Kyowa Kirin, Inc.
    ClinicalTrials.gov Identifier:
    NCT01626664
    Other Study ID Numbers:
    • PROTOCOL 0761-009
    First Posted:
    Jun 25, 2012
    Last Update Posted:
    Sep 19, 2018
    Last Verified:
    Mar 1, 2018

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail
    Arm/Group Title KW-0761 Investigator's Choice IC Original Then Crossover to KW-0761
    Arm/Group Description anti-CCR4 monoclonal antibody KW-0761 (mogamulizumab) KW-0761: 1.0 mg/kg weekly x 4 in cycle 1 then every other week until progression Comparator is investigator's choice of pralatrexate or gemcitabine plus oxaliplatin or DHAP Pralatrexate: 30 mg/m2 weekly for 3 weeks followed by 1 week of no therapy until progression gemcitabine plus oxaliplatin: gemcitabine 1000 mg/m2, followed by oxaliplatin 100 mg/m2 every 2 weeks until progression DHAP: dexamethasone 40 mg on Day 1-4, cisplatin 100 mg/m2 on Day 1 followed by 2 doses of cytarabine 2000 mg/m2 every 4 weeks until progression Subjects who were randomized to the Investigator's Choice regimen could be crossed over to receive mogamulizumab upon disease progression and with permission from the Medical Monitor.
    Period Title: Randomization Period
    STARTED 47 24 0
    COMPLETED 47 24 0
    NOT COMPLETED 0 0 0
    Period Title: Randomization Period
    STARTED 0 0 18
    COMPLETED 0 0 18
    NOT COMPLETED 0 0 0

    Baseline Characteristics

    Arm/Group Title KW-0761 Investigator's Choice Total
    Arm/Group Description anti-CCR4 monoclonal antibody KW-0761 (mogamulizumab) KW-0761: 1.0 mg/kg weekly x 4 in cycle 1 then every other week until progression Comparator is investigator's choice of pralatrexate or gemcitabine plus oxaliplatin or DHAP Pralatrexate: 30 mg/m2 weekly for 3 weeks followed by 1 week of no therapy until progression gemcitabine plus oxaliplatin: gemcitabine 1000 mg/m2, followed by oxaliplatin 100 mg/m2 every 2 weeks until progression DHAP: dexamethasone 40 mg on Day 1-4, cisplatin 100 mg/m2 on Day 1 followed by 2 doses of cytarabine 2000 mg/m2 every 4 weeks until progression Total of all reporting groups
    Overall Participants 47 24 71
    Age (Count of Participants)
    <=18 years
    0
    0%
    0
    0%
    0
    0%
    Between 18 and 65 years
    35
    74.5%
    22
    91.7%
    57
    80.3%
    >=65 years
    12
    25.5%
    2
    8.3%
    14
    19.7%
    Age (years) [Mean (Full Range) ]
    Mean (Full Range) [years]
    55
    49
    53
    Sex: Female, Male (Count of Participants)
    Female
    23
    48.9%
    14
    58.3%
    37
    52.1%
    Male
    24
    51.1%
    10
    41.7%
    34
    47.9%
    Ethnicity (NIH/OMB) (Count of Participants)
    Hispanic or Latino
    9
    19.1%
    6
    25%
    15
    21.1%
    Not Hispanic or Latino
    31
    66%
    14
    58.3%
    45
    63.4%
    Unknown or Not Reported
    7
    14.9%
    4
    16.7%
    11
    15.5%
    Race/Ethnicity, Customized (Count of Participants)
    White
    6
    12.8%
    5
    20.8%
    11
    15.5%
    Asian
    2
    4.3%
    1
    4.2%
    3
    4.2%
    Black or African American
    32
    68.1%
    15
    62.5%
    47
    66.2%
    Other
    1
    2.1%
    0
    0%
    1
    1.4%
    Not Applicable
    6
    12.8%
    3
    12.5%
    9
    12.7%
    Region of Enrollment (participants) [Number]
    United States
    25
    53.2%
    14
    58.3%
    39
    54.9%
    Brazil
    3
    6.4%
    0
    0%
    3
    4.2%
    United Kingdom
    9
    19.1%
    4
    16.7%
    13
    18.3%
    France
    6
    12.8%
    3
    12.5%
    9
    12.7%
    Peru
    4
    8.5%
    3
    12.5%
    7
    9.9%

    Outcome Measures

    1. Primary Outcome
    Title Overall Response Rate
    Description Overall Response Rate was determined based on the response in all compartments (lymph nodes, extranodal masses, spleen/liver, skin, peripheral blood, and bone marrow), referencing Tsukasaki, 2009 as follows: Complete Response (CR) = All compartments involved with disease must be CR; Uncertified Complete Response (CRu) = > 75% decrease in lymph nodes and/or extranodal disease with all other compartments involved with disease CR; Partial Response (PR) = If any compartment is CR/PR and all other compartments involved with disease are at least SD; Stable Disease (SD) = All compartments involved with disease are SD; Progressive Disease (PD) = PD in any compartment. Lymph node and extranodal masses response ≥50% decrease by CT, skin response ≥50% decrease in mSWAT score; blood response ≥50% decrease in malignant cells by flow cytometry; normal bone marrow if abnormal at baseline. PD equals New or ≥50% increase in any compartment.
    Time Frame every 8 weeks from date of randomization until the date of first documented progression or date of death from any cause, whichever came first

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title KW-0761 Investigator's Choice
    Arm/Group Description anti-CCR4 monoclonal antibody KW-0761 (mogamulizumab) KW-0761: 1.0 mg/kg weekly x 4 in cycle 1 then every other week until progression Comparator is investigator's choice of pralatrexate or gemcitabine plus oxaliplatin or DHAP Pralatrexate: 30 mg/m2 weekly for 3 weeks followed by 1 week of no therapy until progression gemcitabine plus oxaliplatin: gemcitabine 1000 mg/m2, followed by oxaliplatin 100 mg/m2 every 2 weeks until progression DHAP: dexamethasone 40 mg on Day 1-4, cisplatin 100 mg/m2 on Day 1 followed by 2 doses of cytarabine 2000 mg/m2 every 4 weeks until progression
    Measure Participants 47 24
    Complete Response
    2
    4.3%
    0
    0%
    Uncertified Complete Response
    0
    0%
    0
    0%
    Partial Response
    11
    23.4%
    2
    8.3%
    Stable Disease
    0
    0%
    4
    16.7%
    Relapsed Disease or Progressive Disease
    16
    34%
    13
    54.2%
    Not Assessable
    18
    38.3%
    5
    20.8%
    Overall Response Rate (Confirmed and Unconfirmed)
    13
    27.7%
    2
    8.3%
    Overall Response Rate Confirmed
    5
    10.6%
    0
    0%
    2. Secondary Outcome
    Title Progression Free Survival
    Description Progression-free survival was defined as the time from the first date of treatment until the date that PD or death was first reported. Disease progression included PD in any compartment per ATL response criteria, clinical progression at the end of the randomized treatment, or disease progression reported during the follow-up period. The date of PD was the earliest date at which disease progression could be declared.
    Time Frame From date of randomization until the date of first documented progression, start of alternative therapy, or date of death from any cause, whichever came first, up to 36 months

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title KW-0761 Investigator's Choice
    Arm/Group Description anti-CCR4 monoclonal antibody KW-0761 (mogamulizumab) KW-0761: 1.0 mg/kg weekly x 4 in cycle 1 then every other week until progression Comparator is investigator's choice of pralatrexate or gemcitabine plus oxaliplatin or DHAP Pralatrexate: 30 mg/m2 weekly for 3 weeks followed by 1 week of no therapy until progression gemcitabine plus oxaliplatin: gemcitabine 1000 mg/m2, followed by oxaliplatin 100 mg/m2 every 2 weeks until progression DHAP: dexamethasone 40 mg on Day 1-4, cisplatin 100 mg/m2 on Day 1 followed by 2 doses of cytarabine 2000 mg/m2 every 4 weeks until progression
    Measure Participants 47 24
    PFS Subjects (%) Alive for at Least: 1 Month
    47.5
    44.1
    PFS Subjects (%) Alive for at Least: 2 Months
    29.8
    33.0
    PFS Subjects (%) Alive for at Least: 3 Months
    24.4
    26.4
    PFS Subjects (%) Alive for at Least: 4 Months
    18.3
    13.2
    PFS Subjects (%) Alive for at Least: 5 Months
    18.3
    0
    PFS Subjects (%) Alive for at Least: 6 Months
    12.2
    0
    3. Secondary Outcome
    Title Overall Survival
    Description The estimates and summary statistics for OS were calculated based on Kaplan-Meier method, and the median OS was 4.9 months for subjects randomized to the mogamulizumab group versus 6.87 months for subjects randomized to the Investigator's Choice group.
    Time Frame up to 36 months

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title KW-0761 Investigator's Choice
    Arm/Group Description anti-CCR4 monoclonal antibody KW-0761 (mogamulizumab) KW-0761: 1.0 mg/kg weekly x 4 in cycle 1 then every other week until progression Comparator is investigator's choice of pralatrexate or gemcitabine plus oxaliplatin or DHAP Pralatrexate: 30 mg/m2 weekly for 3 weeks followed by 1 week of no therapy until progression gemcitabine plus oxaliplatin: gemcitabine 1000 mg/m2, followed by oxaliplatin 100 mg/m2 every 2 weeks until progression DHAP: dexamethasone 40 mg on Day 1-4, cisplatin 100 mg/m2 on Day 1 followed by 2 doses of cytarabine 2000 mg/m2 every 4 weeks until progression
    Measure Participants 47 24
    Subjects (%) Alive for at Least: 1 Month
    87.0
    91.7
    Subjects (%) Alive for at Least: 2 Months
    75.6
    79.2
    Subjects (%) Alive for at Least: 3 Months
    59.1
    70.8
    Subjects (%) Alive for at Least: 4 Months
    54.3
    66.7
    Subjects (%) Alive for at Least: 5 Months
    49.5
    54.2
    Subjects (%) Alive for at Least: 6 Months
    44.3
    54.2
    4. Secondary Outcome
    Title Change in Functional Assessment of Cancer Therapy-Lymphoma (FACT-Lym) Total Score
    Description The FACT-Lym consists of a 27-item general core questionnaire (i.e., Functional Assessment of Cancer Therapy - General [FACT-G]) and a 15-item disease-specific questionnaire (Lymphoma Subscale). The FACT-G includes 4 domains: physical well-being, social/family well-being, emotional well-being, and functional well-being. The total FACT-Lym score (0-168) was obtained by summing individual subscale scores. Higher scores for the scales indicate better quality of life. Change was calculated as the value at the last observation minus the value at baseline.
    Time Frame From date of randomization until the date of first documented progression, up to 36 months

    Outcome Measure Data

    Analysis Population Description
    All participants in Intention-to-Treat who had both the values at baseline and last observation
    Arm/Group Title KW-0761 Investigator's Choice
    Arm/Group Description anti-CCR4 monoclonal antibody KW-0761 (mogamulizumab) KW-0761: 1.0 mg/kg weekly x 4 in cycle 1 then every other week until progression Comparator is investigator's choice of pralatrexate or gemcitabine plus oxaliplatin or DHAP Pralatrexate: 30 mg/m2 weekly for 3 weeks followed by 1 week of no therapy until progression gemcitabine plus oxaliplatin: gemcitabine 1000 mg/m2, followed by oxaliplatin 100 mg/m2 every 2 weeks until progression DHAP: dexamethasone 40 mg on Day 1-4, cisplatin 100 mg/m2 on Day 1 followed by 2 doses of cytarabine 2000 mg/m2 every 4 weeks until progression
    Measure Participants 41 24
    Baseline
    110.1
    (22.15)
    106.8
    (25.84)
    Last Observation Change from Baseline
    -12.1
    (25.60)
    -14.9
    (25.56)

    Adverse Events

    Time Frame From pre-treatment visit until 90 days after the last dose, approximately three months overall
    Adverse Event Reporting Description
    Arm/Group Title KW-0761 Investigator's Choice IC Original Then Crossover to KW-0761
    Arm/Group Description anti-CCR4 monoclonal antibody KW-0761 (mogamulizumab) KW-0761: 1.0 mg/kg weekly x 4 in cycle 1 then every other week until progression Comparator is investigator's choice of pralatrexate or gemcitabine plus oxaliplatin or DHAP Pralatrexate: 30 mg/m2 weekly for 3 weeks followed by 1 week of no therapy until progression gemcitabine plus oxaliplatin: gemcitabine 1000 mg/m2, followed by oxaliplatin 100 mg/m2 every 2 weeks until progression DHAP: dexamethasone 40 mg on Day 1-4, cisplatin 100 mg/m2 on Day 1 followed by 2 doses of cytarabine 2000 mg/m2 every 4 weeks until progression Subjects who were randomized to the Investigator's Choice regimen could be crossed over to receive mogamulizumab upon disease progression and with permission from the Medical Monitor.
    All Cause Mortality
    KW-0761 Investigator's Choice IC Original Then Crossover to KW-0761
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 10/47 (21.3%) 1/24 (4.2%) 12/18 (66.7%)
    Serious Adverse Events
    KW-0761 Investigator's Choice IC Original Then Crossover to KW-0761
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 26/47 (55.3%) 10/24 (41.7%) 9/18 (50%)
    Blood and lymphatic system disorders
    Anaemia 1/47 (2.1%) 1 0/24 (0%) 0 0/18 (0%) 0
    Leukocytosis 0/47 (0%) 0 1/24 (4.2%) 1 0/18 (0%) 0
    Thrombocytopenia 0/47 (0%) 0 2/24 (8.3%) 2 0/18 (0%) 0
    Cardiac disorders
    Acute Coronary Syndrome 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Acute Myocardial Infarction 1/47 (2.1%) 1 0/24 (0%) 0 0/18 (0%) 0
    Atrial Fibrillation 2/47 (4.3%) 2 0/24 (0%) 0 0/18 (0%) 0
    Myocarditis 0/47 (0%) 0 1/24 (4.2%) 1 0/18 (0%) 0
    Gastrointestinal disorders
    Abdominal Distension 1/47 (2.1%) 1 0/24 (0%) 0 0/18 (0%) 0
    Abdominal Pain 1/47 (2.1%) 2 1/24 (4.2%) 1 0/18 (0%) 0
    Constipation 1/47 (2.1%) 1 0/24 (0%) 0 0/18 (0%) 0
    Haematemsis 1/47 (2.1%) 1 0/24 (0%) 0 0/18 (0%) 0
    Ileitis 0/47 (0%) 0 1/24 (4.2%) 1 0/18 (0%) 0
    Nausea 1/47 (2.1%) 1 1/24 (4.2%) 1 0/18 (0%) 0
    Vomiting 2/47 (4.3%) 2 1/24 (4.2%) 1 0/18 (0%) 0
    General disorders
    Asthenia 1/47 (2.1%) 1 0/24 (0%) 0 1/18 (5.6%) 1
    Disease Progression 2/47 (4.3%) 2 0/24 (0%) 0 0/18 (0%) 0
    Fatigue 1/47 (2.1%) 1 0/24 (0%) 0 1/18 (5.6%) 1
    Multi-Organ Failure 2/47 (4.3%) 2 0/24 (0%) 0 1/18 (5.6%) 1
    Pyrexia 2/47 (4.3%) 2 0/24 (0%) 0 0/18 (0%) 0
    Immune system disorders
    Anaphylactic Reaction 1/47 (2.1%) 1 0/24 (0%) 0 0/18 (0%) 0
    Infections and infestations
    Catheter Site Infection 1/47 (2.1%) 1 0/24 (0%) 0 0/18 (0%) 0
    Cellulitis 0/47 (0%) 0 1/24 (4.2%) 1 0/18 (0%) 0
    Clostridial Infection 1/47 (2.1%) 1 0/24 (0%) 0 0/18 (0%) 0
    Cytomegalovirus Infection 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Empyema 1/47 (2.1%) 1 0/24 (0%) 0 0/18 (0%) 0
    Infective Thrombosis 1/47 (2.1%) 1 0/24 (0%) 0 0/18 (0%) 0
    Lower Respiratory Tract Infection 1/47 (2.1%) 1 0/24 (0%) 0 0/18 (0%) 0
    Oropharyngeal Candidiasis 1/47 (2.1%) 1 0/24 (0%) 0 0/18 (0%) 0
    Pneumocystis Jiroveci Pneumonia 1/47 (2.1%) 1 0/24 (0%) 0 0/18 (0%) 0
    Pneumonia 3/47 (6.4%) 4 0/24 (0%) 0 0/18 (0%) 0
    Post Procedural Sepsis 1/47 (2.1%) 1 0/24 (0%) 0 0/18 (0%) 0
    Sepsis 2/47 (4.3%) 2 0/24 (0%) 0 1/18 (5.6%) 1
    Septic Shock 1/47 (2.1%) 1 0/24 (0%) 0 0/18 (0%) 0
    Urosepsis 1/47 (2.1%) 1 0/24 (0%) 0 0/18 (0%) 0
    Injury, poisoning and procedural complications
    Infusion Related Reaction 1/47 (2.1%) 1 0/24 (0%) 0 0/18 (0%) 0
    Investigations
    Alanine Aminotransferase Increased 1/47 (2.1%) 1 0/24 (0%) 0 0/18 (0%) 0
    Amylase Increased 0/47 (0%) 0 1/24 (4.2%) 1 0/18 (0%) 0
    Aspartate Aminotransferase Increased 1/47 (2.1%) 1 1/24 (4.2%) 1 0/18 (0%) 0
    Bilirubin Conjugated Increased 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Blood Alkaline Phosphatase Increased 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Blood Bilirubin Increased 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Blood Lactate Dehydrogenase Increased 0/47 (0%) 0 1/24 (4.2%) 1 0/18 (0%) 0
    Lipase Increased 1/47 (2.1%) 1 0/24 (0%) 0 0/18 (0%) 0
    Urine Ketone Body Present 1/47 (2.1%) 1 0/24 (0%) 0 0/18 (0%) 0
    Weight Decreased 1/47 (2.1%) 1 0/24 (0%) 0 0/18 (0%) 0
    Metabolism and nutrition disorders
    Decreased Appetite 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Dehydration 0/47 (0%) 0 1/24 (4.2%) 1 1/18 (5.6%) 1
    Hypercalcaemia 7/47 (14.9%) 7 4/24 (16.7%) 4 2/18 (11.1%) 2
    Hyperglycaemia 1/47 (2.1%) 1 0/24 (0%) 0 0/18 (0%) 0
    Hypoglycaemia 1/47 (2.1%) 1 0/24 (0%) 0 0/18 (0%) 0
    Lactic Acidosis 0/47 (0%) 0 0/24 (0%) 0 2/18 (11.1%) 2
    Tumour Lysis Syndrome 1/47 (2.1%) 1 0/24 (0%) 0 0/18 (0%) 0
    Musculoskeletal and connective tissue disorders
    Back Pain 1/47 (2.1%) 1 0/24 (0%) 0 0/18 (0%) 0
    Flank Pain 1/47 (2.1%) 1 1/24 (4.2%) 1 0/18 (0%) 0
    Mobility Decreased 1/47 (2.1%) 1 0/24 (0%) 0 0/18 (0%) 0
    Muscular Weakness 1/47 (2.1%) 1 0/24 (0%) 0 0/18 (0%) 0
    Pain in Extremity 1/47 (2.1%) 1 0/24 (0%) 0 0/18 (0%) 0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Central Nervous System Lymphoma 1/47 (2.1%) 1 0/24 (0%) 0 0/18 (0%) 0
    Nervous system disorders
    Convulsion 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Headache 0/47 (0%) 0 1/24 (4.2%) 1 0/18 (0%) 0
    Osmotic Demyelination Syndrome 1/47 (2.1%) 1 0/24 (0%) 0 0/18 (0%) 0
    Peripheral Sensorimotor Neuropathy 1/47 (2.1%) 1 0/24 (0%) 0 0/18 (0%) 0
    Presyncope 0/47 (0%) 0 1/24 (4.2%) 1 0/18 (0%) 0
    Tremor 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Psychiatric disorders
    Confusional State 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Renal and urinary disorders
    Renal Failure 1/47 (2.1%) 1 0/24 (0%) 0 0/18 (0%) 0
    Renal Failure Acute 2/47 (4.3%) 2 0/24 (0%) 0 0/18 (0%) 0
    Respiratory, thoracic and mediastinal disorders
    Dyspnoea 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Plerual Effusion 1/47 (2.1%) 1 0/24 (0%) 0 0/18 (0%) 0
    Pneumothorax 1/47 (2.1%) 1 0/24 (0%) 0 0/18 (0%) 0
    Pulmonary Toxicity 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Respiratory Failure 2/47 (4.3%) 2 0/24 (0%) 0 1/18 (5.6%) 1
    Skin and subcutaneous tissue disorders
    Dermatitis Acneiform 0/47 (0%) 0 1/24 (4.2%) 1 0/18 (0%) 0
    Pain of Skin 1/47 (2.1%) 1 0/24 (0%) 0 0/18 (0%) 0
    Pruritis 0/47 (0%) 0 1/24 (4.2%) 1 0/18 (0%) 0
    Skin Hypopigmentation 1/47 (2.1%) 1 0/24 (0%) 0 0/18 (0%) 0
    Skin Ulcer 1/47 (2.1%) 1 0/24 (0%) 0 0/18 (0%) 0
    Other (Not Including Serious) Adverse Events
    KW-0761 Investigator's Choice IC Original Then Crossover to KW-0761
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 45/47 (95.7%) 24/24 (100%) 17/18 (94.4%)
    Blood and lymphatic system disorders
    Anaemia 10/47 (21.3%) 13 3/24 (12.5%) 10 6/18 (33.3%) 11
    Leukocytosis 0/47 (0%) 0 0/24 (0%) 0 2/18 (11.1%) 2
    Leukopenia 3/47 (6.4%) 3 1/24 (4.2%) 1 0/18 (0%) 0
    Neutropenia 4/47 (8.5%) 10 4/24 (16.7%) 8 2/18 (11.1%) 3
    Pancytopenia 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Thrombocytopenia 6/47 (12.8%) 8 3/24 (12.5%) 5 2/18 (11.1%) 3
    Cardiac disorders
    Bradycardia 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Tachycardia 0/47 (0%) 0 0/24 (0%) 0 2/18 (11.1%) 2
    Endocrine disorders
    Hypothyroidism 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Gastrointestinal disorders
    Abdominal Distension 1/47 (2.1%) 1 2/24 (8.3%) 2 2/18 (11.1%) 3
    Abdominal Pain 7/47 (14.9%) 7 2/24 (8.3%) 2 2/18 (11.1%) 2
    Constipation 6/47 (12.8%) 7 5/24 (20.8%) 5 1/18 (5.6%) 1
    Diarrhoea 3/47 (6.4%) 3 7/24 (29.2%) 9 2/18 (11.1%) 2
    Diarrhoea Haemorrhagic 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Dry Mouth 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Gastrooesophageal Reflux Disease 3/47 (6.4%) 3 1/24 (4.2%) 2 0/18 (0%) 0
    Haematochezia 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Nausea 6/47 (12.8%) 7 9/24 (37.5%) 11 0/18 (0%) 0
    Obstruction Gastric 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Vomiting 4/47 (8.5%) 6 7/24 (29.2%) 7 1/18 (5.6%) 1
    General disorders
    Asthenia 0/47 (0%) 0 0/24 (0%) 0 3/18 (16.7%) 3
    Chest Pain 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Chills 0/47 (0%) 0 0/24 (0%) 0 2/18 (11.1%) 2
    Fatigue 5/47 (10.6%) 8 4/24 (16.7%) 4 1/18 (5.6%) 1
    Gait Disturbance 0/47 (0%) 0 0/24 (0%) 0 2/18 (11.1%) 2
    Malaise 0/47 (0%) 0 3/24 (12.5%) 3 0/18 (0%) 0
    Mucosal Inflammation 0/47 (0%) 0 2/24 (8.3%) 2 0/18 (0%) 0
    Oedema Peripheral 8/47 (17%) 8 4/24 (16.7%) 4 3/18 (16.7%) 3
    Pain 3/47 (6.4%) 3 0/24 (0%) 0 1/18 (5.6%) 1
    Pyrexia 4/47 (8.5%) 4 6/24 (25%) 18 3/18 (16.7%) 3
    Infections and infestations
    Aspergillosis 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Candidiasis 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Clostridium Colitis 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Folliculitis 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Haemophilus Infection 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Lower Respiratory Tract Infection 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Lung Infection 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Oral Candidiasis 3/47 (6.4%) 3 1/24 (4.2%) 1 0/18 (0%) 0
    Pneumonia 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Upper Respiratory Tract Infection 3/47 (6.4%) 3 0/24 (0%) 0 1/18 (5.6%) 1
    Urinary Tract Infection 2/47 (4.3%) 2 2/24 (8.3%) 2 0/18 (0%) 0
    Injury, poisoning and procedural complications
    Contusion 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Head Injury 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Infusion Related Reaction 21/47 (44.7%) 23 0/24 (0%) 0 8/18 (44.4%) 8
    Investigations
    Alanine Aminotransferase Increased 3/47 (6.4%) 4 2/24 (8.3%) 12 0/18 (0%) 0
    Amylase Increased 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 2
    Aspartate Aminotransferase Increased 5/47 (10.6%) 5 2/24 (8.3%) 13 2/18 (11.1%) 2
    Bilirubin Conjugated Increased 0/47 (0%) 0 0/24 (0%) 0 2/18 (11.1%) 2
    Blood Alkaline Phosphatase Increased 2/47 (4.3%) 2 3/24 (12.5%) 8 1/18 (5.6%) 1
    Blood Bicarbonate Decreased 3/47 (6.4%) 3 0/24 (0%) 0 0/18 (0%) 0
    Blood Bilirubin Increased 0/47 (0%) 0 0/24 (0%) 0 3/18 (16.7%) 3
    Blood Creatinine Increased 5/47 (10.6%) 5 2/24 (8.3%) 2 1/18 (5.6%) 1
    Blood Lactate Dehydrogenase Increased 6/47 (12.8%) 7 1/24 (4.2%) 1 1/18 (5.6%) 1
    Blood Urea Increased 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Lipase Increased 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 3
    Neutrophil Count Decreased 2/47 (4.3%) 3 4/24 (16.7%) 4 1/18 (5.6%) 2
    Platelet Count Decreased 5/47 (10.6%) 5 2/24 (8.3%) 11 0/18 (0%) 0
    Platelet Count Increased 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Transaminases Increased 0/47 (0%) 0 2/24 (8.3%) 3 0/18 (0%) 0
    Urine Output Decreased 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Weight Decreased 2/47 (4.3%) 2 2/24 (8.3%) 2 0/18 (0%) 0
    Metabolism and nutrition disorders
    Decreased Appetite 4/47 (8.5%) 4 4/24 (16.7%) 4 1/18 (5.6%) 1
    Dehydration 0/47 (0%) 0 0/24 (0%) 0 3/18 (16.7%) 3
    Diabetes Mellitus 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Hypercalcaemia 5/47 (10.6%) 7 4/24 (16.7%) 8 3/18 (16.7%) 3
    Hyperglycaemia 3/47 (6.4%) 4 0/24 (0%) 0 0/18 (0%) 0
    Hyperkalaemia 4/47 (8.5%) 8 1/24 (4.2%) 1 0/18 (0%) 0
    Hypernatraemia 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 3
    Hyperuricaemia 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Hypoalbuminaemia 2/47 (4.3%) 3 2/24 (8.3%) 5 2/18 (11.1%) 5
    Hypokalaemia 4/47 (8.5%) 4 3/24 (12.5%) 5 3/18 (16.7%) 4
    Hypomagnesaemia 4/47 (8.5%) 4 3/24 (12.5%) 7 4/18 (22.2%) 5
    Hyponatraemia 0/47 (0%) 0 0/24 (0%) 0 2/18 (11.1%) 2
    Hypophosphataemia 3/47 (6.4%) 5 3/24 (12.5%) 10 2/18 (11.1%) 2
    Musculoskeletal and connective tissue disorders
    Arthralgia 3/47 (6.4%) 4 1/24 (4.2%) 1 2/18 (11.1%) 2
    Back Pain 3/47 (6.4%) 3 1/24 (4.2%) 1 0/18 (0%) 0
    Bone Pain 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Flank Pain 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Groin Pain 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Muscular Weakness 3/47 (6.4%) 4 1/24 (4.2%) 1 2/18 (11.1%) 2
    Myalgia 0/47 (0%) 0 0/24 (0%) 0 2/18 (11.1%) 3
    Pain in Extremity 6/47 (12.8%) 6 0/24 (0%) 0 1/18 (5.6%) 1
    Nervous system disorders
    Dizziness 5/47 (10.6%) 6 3/24 (12.5%) 3 1/18 (5.6%) 2
    Headache 4/47 (8.5%) 4 7/24 (29.2%) 7 0/18 (0%) 0
    Somnolence 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Psychiatric disorders
    Anxiety 0/47 (0%) 0 2/24 (8.3%) 2 3/18 (16.7%) 3
    Confusional State 3/47 (6.4%) 3 0/24 (0%) 0 2/18 (11.1%) 2
    Hallucination 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Insomnia 5/47 (10.6%) 5 2/24 (8.3%) 2 1/18 (5.6%) 1
    Renal and urinary disorders
    Proteinuria 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Renal Failure Acute 3/47 (6.4%) 3 0/24 (0%) 0 1/18 (5.6%) 1
    Renail Impairment 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Reproductive system and breast disorders
    Sexual Dysfunction 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Respiratory, thoracic and mediastinal disorders
    Acute Pulmonary Oedema 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Atelectasis 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Cough 7/47 (14.9%) 7 2/24 (8.3%) 2 1/18 (5.6%) 1
    Dyspnoea 5/47 (10.6%) 5 3/24 (12.5%) 3 1/18 (5.6%) 1
    Epistaxis 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Lung Disorder 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Pleural Effusion 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Productive Cough 3/47 (6.4%) 3 1/24 (4.2%) 1 0/18 (0%) 0
    Skin and subcutaneous tissue disorders
    Alopecia 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Blood Blister 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Dermatitis Acneiform 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Drug Eruption 9/47 (19.1%) 15 0/24 (0%) 0 4/18 (22.2%) 6
    Dry Skin 3/47 (6.4%) 3 0/24 (0%) 0 1/18 (5.6%) 1
    Ecchymosis 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Hyperhydrosis 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Pruritis 3/47 (6.4%) 3 0/24 (0%) 0 0/18 (0%) 0
    Rash 3/47 (6.4%) 4 0/24 (0%) 0 1/18 (5.6%) 1
    Vascular disorders
    Deep Vein Thrombosis 1/47 (2.1%) 1 2/24 (8.3%) 2 0/18 (0%) 0
    Flushing 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Hypertension 0/47 (0%) 0 0/24 (0%) 0 1/18 (5.6%) 1
    Hypotension 4/47 (8.5%) 4 0/24 (0%) 0 1/18 (5.6%) 1

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

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

    The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 60 days. The sponsor cannot require changes to the communication and cannot extend the embargo.

    Results Point of Contact

    Name/Title Fiona Herr, Associate Director, Medical Communications
    Organization Kyowa Kirin Inc
    Phone 1 (908) 234-1096
    Email medinfo-US@kyowakirin.com
    Responsible Party:
    Kyowa Kirin, Inc.
    ClinicalTrials.gov Identifier:
    NCT01626664
    Other Study ID Numbers:
    • PROTOCOL 0761-009
    First Posted:
    Jun 25, 2012
    Last Update Posted:
    Sep 19, 2018
    Last Verified:
    Mar 1, 2018