A Study of De-immunized DI-Leu16-IL2 Administered Subcutaneously in Participants With B-cell NHL

Sponsor
Alopexx Oncology, LLC (Industry)
Overall Status
Terminated
CT.gov ID
NCT01874288
Collaborator
(none)
24
5
5
35.7
4.8
0.1

Study Details

Study Description

Brief Summary

This dose-escalation study is designed for determining the safety, tolerability, pharmacokinetics (PK), biological, and clinical activity of DI-Leu16-IL2 administered to participants with cluster of differentiation 20 (CD20) positive NHL that have failed standard rituximab-containing therapy.

Condition or Disease Intervention/Treatment Phase
Phase 1/Phase 2

Detailed Description

The participants will be enrolled during dose escalation and during 2 expansion cohorts of up to 12 participants each.

The dose escalation portion of the trial will incorporate a modified accelerated titration design. Therefore, the trial will enroll 3 participants per dose level with a doubling of the dose at each level during the accelerated stage of the study (skipping every other dose level). Once the first instance of any Grade 3 or higher treatment related toxicity (with some notable exceptions) is observed on the first cycle, the accelerated stage will end and the trial will revert to a conventional design using cohorts of 3 or 6 participants (standard 3+3 design), with single step 2 milligrams (mg)/square meter (m^2) increments.

To further explore the clinical efficacy, additional participants (up to 12 per cohort) may be enrolled at the optimal biologic dose (OBD) or maximum tolerated dose (MTD).

At the end of the study, participants may be enrolled into an open-label extension study (AO-101-EXT [NCT02151903]), at the discretion of the investigator.

Study Design

Study Type:
Interventional
Actual Enrollment :
24 participants
Allocation:
Non-Randomized
Intervention Model:
Sequential Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Phase I/II Study of De-immunized DI-Leu16-IL2 Immunocytokine Administered Subcutaneously in Patients With B-cell Non-Hodgkin Lymphoma (NHL)
Actual Study Start Date :
Nov 25, 2013
Actual Primary Completion Date :
Jan 27, 2014
Actual Study Completion Date :
Nov 16, 2016

Arms and Interventions

Arm Intervention/Treatment
Experimental: DI-Leu16-IL2 0.5 mg/m^2

Participants will receive DI-Leu16-IL2 0.5 mg/m^2 subcutaneously (SC) for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles.

Drug: DI-Leu16-IL2
DI-Leu16-IL2 will be administered per dose and schedule specified in the arm.

Experimental: DI-Leu16-IL2 1.0 mg/m^2

Participants will receive DI-Leu16-IL2 1.0 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles.

Drug: DI-Leu16-IL2
DI-Leu16-IL2 will be administered per dose and schedule specified in the arm.

Experimental: DI-Leu16-IL2 2.0 mg/m^2

Participants will receive DI-Leu16-IL2 2.0 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles.

Drug: DI-Leu16-IL2
DI-Leu16-IL2 will be administered per dose and schedule specified in the arm.

Experimental: DI-Leu16-IL2 4.0 mg/m^2

Participants will receive DI-Leu16-IL2 4.0 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles

Drug: DI-Leu16-IL2
DI-Leu16-IL2 will be administered per dose and schedule specified in the arm.

Experimental: DI-Leu16-IL2 6.0 mg/m^2

Participants will receive DI-Leu16-IL2 6.0 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles.

Drug: DI-Leu16-IL2
DI-Leu16-IL2 will be administered per dose and schedule specified in the arm.

Outcome Measures

Primary Outcome Measures

  1. Maximum Tolerated Dose (MTD) of DI-Leu16-IL2 [First 2 cycles of treatment (each cycle = 21 days)]

    The MTD was determined based on toxicities from the first 2 cycles of treatment. The MTD was the highest dose tested with no more than 1 participant out of 6 experienced a dose-limiting toxicity (DLT). All non-hematologic adverse events (AEs) and all hematologic AEs of greater than Grade 3 were considered relevant to determining DLTs. DLTs included absolute lymphocyte count (ALC) Grade 3 and 4 (if ALC does not resolve to baseline grade according to Common Terminology Criteria for Adverse Events (CTCAE) v4 within 5 days post the final injection per cycle of DI-Leu16-IL2), and absolute neutrophil count (ANC) Grade 3 (If ANC does not resolve to at least Grade 2 within 5 days post the final injection per cycle of DI-Leu16-IL2) and Grade 4 (any).

  2. Number of Participants With a DLT [First 2 cycles of treatment (each cycle = 21 days)]

    All non-hematologic AEs and all hematologic AEs of greater than Grade 3 were considered relevant to determining DLTs. DLTs included ALC Grade 3 and 4 (if ALC does not resolve to baseline grade according to CTCAE v4 within 5 days post the final injection per cycle of DI-Leu16-IL2), and ANC Grade 3 (If ANC does not resolve to at least Grade 2 within 5 days post the final injection per cycle of DI-Leu16-IL2) and Grade 4 (any).

  3. Number of Participants With Best Overall Response (BOR) Assessed Per International Workshop for Non-Hodgkin Lymphoma (NHL) Response Criteria [First dose of study drug until first appearance of CR, CRu, PR, SD, or PD (up to 6 months)]

    BOR included complete response (CR), unconfirmed CR (CRu), partial response (PR), stable disease (SD), and progressive disease (PD). CR: 1) Disappearance of all detectable clinical and radiological evidence of disease; 2) lymph nodes (LN) regressed to normal size; 3) other organs (spleen, liver, kidneys) that were enlarged before therapy must have decreased in size; 4) clear bone marrow (BM) infiltrate. CRu: must meet CR criteria 1 and 3, as well as ≥1 of following: residual LN mass >1.5 cm in greatest transverse diameter; individual nodes that were previously confluent regressed by >75% in sum of product diameters (SPD); or indeterminate BM. PR: 6 largest dominant nodes or nodal masses decreased by ≤50% in SPD; no increase in size of other nodes; liver or spleen; splenic and hepatic nodules regressed ≥50% in SPD; and no new disease. SD: less than a PR but not PD. PD: 50% increase from nadir in SPD of any abnormal node for PR or nonresponders and appearance of any new lesion.

  4. Tumor Measurement: Percent Change From Baseline in Sum of Product of Diameters at the End of Study [Baseline, end of study (EOS) (up to approximately 3 years)]

    Sum of product diameters sums the product of the 2 tumor measurements on each lesion. If only 1 measurement was available, it was used as the longest length and the product of the lengths in the sum. Baseline value is the last non-missing measurement prior to receiving study drug injection. None of the participants were considered evaluable in 'DI-Leu16-IL2 0.5 mg/m^2' arm for this outcome measure at the end of study, and therefore, data were not collected for that arm.

  5. Tumor Measurement: Percent Change From Baseline in Sum of Longest Diameters at the End of Study [Baseline, EOS (up to approximately 3 years)]

    Sum of longest diameters is the sum of the longest measured length of each tumor lesion. Baseline value is the last non-missing measurement prior to receiving study drug injection. None of the participants were considered evaluable in 'DI-Leu16-IL2 0.5 mg/m^2' arm for this outcome measure at the end of study, and therefore, data were not collected for that arm.

Secondary Outcome Measures

  1. Number of Participants With Anti-DI-Leu16-IL2 Antibodies [First dose of study drug up to EOS (up to approximately 3 years)]

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  1. Participants with CD20-expressing B-cell NHL that is relapsed or refractory to standard therapy. Chronic lymphocytic leukemia/small lymphocytic lymphoma with peripheral blood leukemia/lymphoma cells and high-grade lymphomas are excluded.

  2. Participants must have received prior rituximab-containing therapy.

  3. Evaluable disease. In the absence of lymphadenopathy, splenomegaly with defects or measurable extra-medullary disease is acceptable.

  4. Participants who have received a prior autologous stem cell transplant are eligible if the transplant occurred >6 months ago.

  5. Participants who have received a prior allogeneic stem cell transplant are eligible if:

  6. The transplant occurred >6 months ago

  7. There is no evidence of active graft versus host disease

  8. Systemic immunosuppressive agents (including corticosteroids) have not been received for at least 8 weeks

  9. Karnofsky performance scale ≥70%

  10. Life expectancy ≥12 weeks

  11. Adequate baseline functions:

  12. Serum creatinine ≤1.5 mg/deciliter (dL)

  13. Total white blood cell (WBC) count ≥3000/microliter (µL) or absolute neutrophil count (ANC) ≥1000/µL

  14. Absolute lymphocyte count ≥0.75 * 10^3/µL

  15. Platelet count ≥75,000/µL

  16. Hematocrit ≥25% or hemoglobin ≥9 grams/100 milliliters (mL)

  17. Alanine aminotransferase (ALT) <2.5 * upper limit of normal (ULN)

  18. Aspartate aminotransferase (AST) <2.5 * ULN

  19. Total bilirubin (TBili) <1.5 * ULN

  20. Sodium, potassium, and phosphorus levels no worse than grade 1

  21. Chest x-ray (CXR) or computed tomography (CT) within 4 weeks prior to Day 1 with no evidence of pulmonary congestion, pleural effusions, pulmonary fibrosis, or significant emphysema. If results are questionable, participants should have additional lung function testing to exclude clinically relevant restriction or obstruction. Participants must have a forced expiratory volume (FEV-1) and diffusing capacity of the lung for carbon monoxide (DLCO) of at least 65% and 50% of expected, respectively.

  22. Electrocardiogram (12-lead ECG) QTc ≤480 millisecond (ms)

  23. Cardiac stress test (for example, stress thallium scan, stress echocardiography) with normal results if participant is suspected to have coronary artery disease.

  24. Participants participating in the study are to use adequate birth control measures (abstinence, oral contraceptives, barrier method with spermicide or surgical sterilization) during the study. Females of childbearing potential must have a negative serum pregnancy test on the days of dosing. A female of childbearing potential is a sexually mature woman who: 1) has not undergone a hysterectomy or bilateral oophorectomy; or 2) has not been naturally postmenopausal for at least 24 consecutive months (that is, has had menses at any time in the preceding 24 consecutive months).

  25. Provide written informed consent prior to any screening procedures

Exclusion Criteria:
  1. Evidence of central nervous system lymphoma or lymphomatous meningitis

  2. Prior treatment with interleukin 2 (IL2) within the last 5 years

  3. Type I hypersensitivity or anaphylactic reactions to murine proteins or to previous infusion of rituximab

  4. Pregnant or lactating female

  5. An immediate need for palliative radiotherapy or systemic corticosteroid therapy

  6. Known intercurrent infections (including hepatitis C virus and human immunodeficiency virus or other conditions), or clinical evidence of these conditions

  7. Actively infected with or chronic carriers of hepatitis B virus as demonstrated by positive hepatitis B core antibody or hepatitis B surface antigen. Participants who are seropositive only, that is, surface antibody positive [HbsAb], are permitted.

  8. Other significant active infection.

  9. Major surgery, chemotherapy, investigational agent, or radiation within 30 days of Day 1

  10. Uncontrolled hypertension (diastolic greater to or equal to 100 millimeters of mercury [mmHg]) or hypotension (systolic less than or equal to 90 mmHg)

  11. History of repeated and clinically relevant episodes of syncope or other paroxysmal, ventricular, or other significant arrhythmias

  12. History of medically significant ascites requiring repetitive paracentesis

  13. Previous diagnosis of autoimmune disease (Exceptions: participants with autoimmune thyroiditis or vitiligo may be enrolled)

  14. Organ transplant recipient

  15. History of prior therapy or a serious, uncontrolled medical disorder that in the Investigator's opinion would impair participation in the study

  16. Known hypersensitivity to Tween-80 or human immunoglobulin

  17. Legal incapacity or limited legal capacity

  18. Participants with bulky lymph nodes (LNs) (≥10 centimeters [cm]) or marked splenomegaly (that is, extending into pelvis or crossing the midline).

  19. Circulating levels of rituximab >75.0 micrograms (µg)/mL

Contacts and Locations

Locations

Site City State Country Postal Code
1 City of Hope Duarte California United States 91010
2 St. Jude Hospital Yorba Linda Fullerton California United States 92835
3 University of Minnesota Minneapolis Minnesota United States 55455
4 Dartmouth-Hitchcock Medical Center Lebanon New Hampshire United States 03756
5 Joe Arlington Cancer Research and Treatment Center Lubbock Texas United States 97410

Sponsors and Collaborators

  • Alopexx Oncology, LLC

Investigators

  • Study Director: Daniel Vlock, MD, Alopexx Oncology, LLC

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

Publications

Responsible Party:
Alopexx Oncology, LLC
ClinicalTrials.gov Identifier:
NCT01874288
Other Study ID Numbers:
  • AO-101
First Posted:
Jun 11, 2013
Last Update Posted:
Nov 24, 2020
Last Verified:
Nov 1, 2020
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Keywords provided by Alopexx Oncology, LLC
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail
Arm/Group Title DI-Leu16-IL2 0.5 mg/m^2 DI-Leu16-IL2 1.0 mg/m^2 DI-Leu16-IL2 2.0 mg/m^2 DI-Leu16-IL2 4.0 mg/m^2 DI-Leu16-IL2 6.0 mg/m^2
Arm/Group Description Participants received DI-Leu16-IL2 0.5 milligrams per square meter (mg/m^2) subcutaneously (SC) for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles. Participants received DI-Leu16-IL2 1.0 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles. Participants received DI-Leu16-IL2 2.0 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles. Participants received DI-Leu16-IL2 4.0 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles. Participants received DI-Leu16-IL2 6.0 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles.
Period Title: Overall Study
STARTED 3 3 9 7 2
Received at Least 1 Dose of Study Drug 3 3 9 7 2
COMPLETED 0 3 4 0 0
NOT COMPLETED 3 0 5 7 2

Baseline Characteristics

Arm/Group Title DI-Leu16-IL2 0.5 mg/m^2 DI-Leu16-IL2 1.0 mg/m^2 DI-Leu16-IL2 2.0 mg/m^2 DI-Leu16-IL2 4.0 mg/m^2 DI-Leu16-IL2 6.0 mg/m^2 Total
Arm/Group Description Participants received DI-Leu16-IL2 0.5 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles. Participants received DI-Leu16-IL2 1.0 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles. Participants received DI-Leu16-IL2 2.0 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles. Participants received DI-Leu16-IL2 4.0 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles. Participants received DI-Leu16-IL2 6.0 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles. Total of all reporting groups
Overall Participants 3 3 9 7 2 24
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
51.3
(12.22)
66.7
(14.84)
64.0
(11.55)
59.6
(9.61)
57.5
(13.44)
60.9
(11.49)
Sex: Female, Male (Count of Participants)
Female
1
33.3%
1
33.3%
6
66.7%
0
0%
2
100%
10
41.7%
Male
2
66.7%
2
66.7%
3
33.3%
7
100%
0
0%
14
58.3%
Tumor Measurement: Sum of Product of Diameters (centimeters (cm)) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [centimeters (cm)]
15.11667
(9.726296)
12.21667
(12.110806)
17.63953
(16.388997)
27.95857
(22.005858)
27.86500
(10.896515)
20.50816
(16.836733)
Tumor Measurement: Sum of Longest of Diameters (cm) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [cm]
6.000
(3.0414)
6.133
(4.3524)
9.462
(5.4068)
11.100
(5.1901)
10.300
(5.6569)
9.161
(4.9829)

Outcome Measures

1. Primary Outcome
Title Maximum Tolerated Dose (MTD) of DI-Leu16-IL2
Description The MTD was determined based on toxicities from the first 2 cycles of treatment. The MTD was the highest dose tested with no more than 1 participant out of 6 experienced a dose-limiting toxicity (DLT). All non-hematologic adverse events (AEs) and all hematologic AEs of greater than Grade 3 were considered relevant to determining DLTs. DLTs included absolute lymphocyte count (ALC) Grade 3 and 4 (if ALC does not resolve to baseline grade according to Common Terminology Criteria for Adverse Events (CTCAE) v4 within 5 days post the final injection per cycle of DI-Leu16-IL2), and absolute neutrophil count (ANC) Grade 3 (If ANC does not resolve to at least Grade 2 within 5 days post the final injection per cycle of DI-Leu16-IL2) and Grade 4 (any).
Time Frame First 2 cycles of treatment (each cycle = 21 days)

Outcome Measure Data

Analysis Population Description
Safety population included all enrolled participants who received at least 1 dose of study drug.
Arm/Group Title DI-Leu16-IL2
Arm/Group Description Participants received assigned doses of DI-Leu16-IL2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles.
Measure Participants 24
Number [mg/m^2]
4.0
2. Primary Outcome
Title Number of Participants With a DLT
Description All non-hematologic AEs and all hematologic AEs of greater than Grade 3 were considered relevant to determining DLTs. DLTs included ALC Grade 3 and 4 (if ALC does not resolve to baseline grade according to CTCAE v4 within 5 days post the final injection per cycle of DI-Leu16-IL2), and ANC Grade 3 (If ANC does not resolve to at least Grade 2 within 5 days post the final injection per cycle of DI-Leu16-IL2) and Grade 4 (any).
Time Frame First 2 cycles of treatment (each cycle = 21 days)

Outcome Measure Data

Analysis Population Description
Safety population included all enrolled participants who received at least 1 dose of study drug.
Arm/Group Title DI-Leu16-IL2 0.5 mg/m^2 DI-Leu16-IL2 1.0 mg/m^2 DI-Leu16-IL2 2.0 mg/m^2 DI-Leu16-IL2 4.0 mg/m^2 DI-Leu16-IL2 6.0 mg/m^2
Arm/Group Description Participants received DI-Leu16-IL2 0.5 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles. Participants received DI-Leu16-IL2 1.0 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles. Participants received DI-Leu16-IL2 2.0 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles. Participants received DI-Leu16-IL2 4.0 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles. Participants received DI-Leu16-IL2 6.0 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles.
Measure Participants 3 3 9 7 2
Count of Participants [Participants]
0
0%
0
0%
0
0%
0
0%
2
100%
3. Primary Outcome
Title Number of Participants With Best Overall Response (BOR) Assessed Per International Workshop for Non-Hodgkin Lymphoma (NHL) Response Criteria
Description BOR included complete response (CR), unconfirmed CR (CRu), partial response (PR), stable disease (SD), and progressive disease (PD). CR: 1) Disappearance of all detectable clinical and radiological evidence of disease; 2) lymph nodes (LN) regressed to normal size; 3) other organs (spleen, liver, kidneys) that were enlarged before therapy must have decreased in size; 4) clear bone marrow (BM) infiltrate. CRu: must meet CR criteria 1 and 3, as well as ≥1 of following: residual LN mass >1.5 cm in greatest transverse diameter; individual nodes that were previously confluent regressed by >75% in sum of product diameters (SPD); or indeterminate BM. PR: 6 largest dominant nodes or nodal masses decreased by ≤50% in SPD; no increase in size of other nodes; liver or spleen; splenic and hepatic nodules regressed ≥50% in SPD; and no new disease. SD: less than a PR but not PD. PD: 50% increase from nadir in SPD of any abnormal node for PR or nonresponders and appearance of any new lesion.
Time Frame First dose of study drug until first appearance of CR, CRu, PR, SD, or PD (up to 6 months)

Outcome Measure Data

Analysis Population Description
Safety population included all enrolled participants who received at least 1 dose of study drug.
Arm/Group Title DI-Leu16-IL2 0.5 mg/m^2 DI-Leu16-IL2 1.0 mg/m^2 DI-Leu16-IL2 2.0 mg/m^2 DI-Leu16-IL2 4.0 mg/m^2 DI-Leu16-IL2 6.0 mg/m^2
Arm/Group Description Participants received DI-Leu16-IL2 0.5 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles. Participants received DI-Leu16-IL2 1.0 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles. Participants received DI-Leu16-IL2 2.0 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles. Participants received DI-Leu16-IL2 4.0 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles. Participants received DI-Leu16-IL2 6.0 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles.
Measure Participants 3 3 9 7 2
CR
0
0%
0
0%
2
22.2%
1
14.3%
0
0%
CRu
0
0%
0
0%
0
0%
0
0%
0
0%
PR
0
0%
1
33.3%
1
11.1%
0
0%
0
0%
SD
2
66.7%
2
66.7%
1
11.1%
2
28.6%
0
0%
PD
1
33.3%
0
0%
4
44.4%
4
57.1%
2
100%
4. Primary Outcome
Title Tumor Measurement: Percent Change From Baseline in Sum of Product of Diameters at the End of Study
Description Sum of product diameters sums the product of the 2 tumor measurements on each lesion. If only 1 measurement was available, it was used as the longest length and the product of the lengths in the sum. Baseline value is the last non-missing measurement prior to receiving study drug injection. None of the participants were considered evaluable in 'DI-Leu16-IL2 0.5 mg/m^2' arm for this outcome measure at the end of study, and therefore, data were not collected for that arm.
Time Frame Baseline, end of study (EOS) (up to approximately 3 years)

Outcome Measure Data

Analysis Population Description
Safety population included all enrolled participants who received at least 1 dose of study drug. Here, 'Overall number of participants analyzed' signifies participants evaluable for this outcome measure.
Arm/Group Title DI-Leu16-IL2 0.5 mg/m^2 DI-Leu16-IL2 1.0 mg/m^2 DI-Leu16-IL2 2.0 mg/m^2 DI-Leu16-IL2 4.0 mg/m^2 DI-Leu16-IL2 6.0 mg/m^2
Arm/Group Description Participants received DI-Leu16-IL2 0.5 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles. Participants received DI-Leu16-IL2 1.0 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles. Participants received DI-Leu16-IL2 2.0 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles. Participants received DI-Leu16-IL2 4.0 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles. Participants received DI-Leu16-IL2 6.0 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles.
Measure Participants 0 3 5 5 2
Mean (Standard Deviation) [percent change]
-31.54881
(60.445273)
-26.37248
(78.719865)
48.83017
(120.291120)
87.98408
(78.864919)
5. Primary Outcome
Title Tumor Measurement: Percent Change From Baseline in Sum of Longest Diameters at the End of Study
Description Sum of longest diameters is the sum of the longest measured length of each tumor lesion. Baseline value is the last non-missing measurement prior to receiving study drug injection. None of the participants were considered evaluable in 'DI-Leu16-IL2 0.5 mg/m^2' arm for this outcome measure at the end of study, and therefore, data were not collected for that arm.
Time Frame Baseline, EOS (up to approximately 3 years)

Outcome Measure Data

Analysis Population Description
Safety population included all enrolled participants who received at least 1 dose of study drug. Here, 'Overall number of participants analyzed' signifies participants evaluable for this outcome measure.
Arm/Group Title DI-Leu16-IL2 0.5 mg/m^2 DI-Leu16-IL2 1.0 mg/m^2 DI-Leu16-IL2 2.0 mg/m^2 DI-Leu16-IL2 4.0 mg/m^2 DI-Leu16-IL2 6.0 mg/m^2
Arm/Group Description Participants received DI-Leu16-IL2 0.5 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles. Participants received DI-Leu16-IL2 1.0 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles. Participants received DI-Leu16-IL2 2.0 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles. Participants received DI-Leu16-IL2 4.0 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles. Participants received DI-Leu16-IL2 6.0 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles.
Measure Participants 0 3 5 5 2
Mean (Standard Deviation) [percent change]
-30.657
(60.3132)
-27.412
(49.2553)
1.398
(43.4731)
28.516
(22.5263)
6. Secondary Outcome
Title Number of Participants With Anti-DI-Leu16-IL2 Antibodies
Description
Time Frame First dose of study drug up to EOS (up to approximately 3 years)

Outcome Measure Data

Analysis Population Description
Due to early termination of study, data for this outcome measure were not collected.
Arm/Group Title DI-Leu16-IL2 0.5 mg/m^2 DI-Leu16-IL2 1.0 mg/m^2 DI-Leu16-IL2 2.0 mg/m^2 DI-Leu16-IL2 4.0 mg/m^2 DI-Leu16-IL2 6.0 mg/m^2
Arm/Group Description Participants received DI-Leu16-IL2 0.5 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles. Participants received DI-Leu16-IL2 1.0 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles. Participants received DI-Leu16-IL2 2.0 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles. Participants received DI-Leu16-IL2 4.0 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles. Participants received DI-Leu16-IL2 6.0 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles.
Measure Participants 0 0 0 0 0

Adverse Events

Time Frame First dose of study drug up to EOS (up to approximately 3 years)
Adverse Event Reporting Description Safety population included all enrolled participants who received at least 1 dose of study drug.
Arm/Group Title DI-Leu16-IL2 0.5 mg/m^2 DI-Leu16-IL2 1.0 mg/m^2 DI-Leu16-IL2 2.0 mg/m^2 DI-Leu16-IL2 4.0 mg/m^2 DI-Leu16-IL2 6.0 mg/m^2
Arm/Group Description Participants received DI-Leu16-IL2 0.5 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles. Participants received DI-Leu16-IL2 1.0 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles. Participants received DI-Leu16-IL2 2.0 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles. Participants received DI-Leu16-IL2 4.0 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles. Participants received DI-Leu16-IL2 6.0 mg/m^2 SC for 3 consecutive days every 3 weeks (21-day cycle) for a total of 4 cycles.
All Cause Mortality
DI-Leu16-IL2 0.5 mg/m^2 DI-Leu16-IL2 1.0 mg/m^2 DI-Leu16-IL2 2.0 mg/m^2 DI-Leu16-IL2 4.0 mg/m^2 DI-Leu16-IL2 6.0 mg/m^2
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/3 (0%) 0/3 (0%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Serious Adverse Events
DI-Leu16-IL2 0.5 mg/m^2 DI-Leu16-IL2 1.0 mg/m^2 DI-Leu16-IL2 2.0 mg/m^2 DI-Leu16-IL2 4.0 mg/m^2 DI-Leu16-IL2 6.0 mg/m^2
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/3 (0%) 2/3 (66.7%) 1/9 (11.1%) 3/7 (42.9%) 1/2 (50%)
Blood and lymphatic system disorders
Anaemia 0/3 (0%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Thrombocytopenia 0/3 (0%) 0/3 (0%) 0/9 (0%) 1/7 (14.3%) 0/2 (0%)
Gastrointestinal disorders
Melaena 0/3 (0%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
General disorders
Pyrexia 0/3 (0%) 0/3 (0%) 0/9 (0%) 2/7 (28.6%) 0/2 (0%)
Immune system disorders
Cytokine release syndrome 0/3 (0%) 0/3 (0%) 0/9 (0%) 0/7 (0%) 1/2 (50%)
Infections and infestations
Abdominal infection 0/3 (0%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Renal and urinary disorders
Renal failure acute 0/3 (0%) 0/3 (0%) 0/9 (0%) 1/7 (14.3%) 0/2 (0%)
Respiratory, thoracic and mediastinal disorders
Dyspnoea 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Other (Not Including Serious) Adverse Events
DI-Leu16-IL2 0.5 mg/m^2 DI-Leu16-IL2 1.0 mg/m^2 DI-Leu16-IL2 2.0 mg/m^2 DI-Leu16-IL2 4.0 mg/m^2 DI-Leu16-IL2 6.0 mg/m^2
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 3/3 (100%) 3/3 (100%) 9/9 (100%) 7/7 (100%) 2/2 (100%)
Blood and lymphatic system disorders
Anaemia 0/3 (0%) 2/3 (66.7%) 6/9 (66.7%) 5/7 (71.4%) 1/2 (50%)
Thrombocytopenia 0/3 (0%) 1/3 (33.3%) 3/9 (33.3%) 1/7 (14.3%) 2/2 (100%)
Neutropenia 0/3 (0%) 1/3 (33.3%) 1/9 (11.1%) 2/7 (28.6%) 0/2 (0%)
Eosinophilia 1/3 (33.3%) 2/3 (66.7%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Febrile neutropenia 0/3 (0%) 0/3 (0%) 0/9 (0%) 1/7 (14.3%) 0/2 (0%)
Cardiac disorders
Tachycardia 0/3 (0%) 1/3 (33.3%) 0/9 (0%) 2/7 (28.6%) 2/2 (100%)
Sinus bradycardia 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 1/7 (14.3%) 0/2 (0%)
Palpitations 0/3 (0%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Sinus tachycardia 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Ear and labyrinth disorders
Cerumen impaction 0/3 (0%) 1/3 (33.3%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Hypoacusis 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Eye disorders
Diplopia 0/3 (0%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Dry eye 0/3 (0%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Eyelid oedema 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Gastrointestinal disorders
Diarrhoea 2/3 (66.7%) 1/3 (33.3%) 5/9 (55.6%) 2/7 (28.6%) 0/2 (0%)
Nausea 1/3 (33.3%) 0/3 (0%) 4/9 (44.4%) 3/7 (42.9%) 1/2 (50%)
Vomiting 1/3 (33.3%) 0/3 (0%) 2/9 (22.2%) 3/7 (42.9%) 1/2 (50%)
Abdominal pain 1/3 (33.3%) 1/3 (33.3%) 3/9 (33.3%) 0/7 (0%) 0/2 (0%)
Constipation 1/3 (33.3%) 0/3 (0%) 2/9 (22.2%) 1/7 (14.3%) 0/2 (0%)
Dyspepsia 2/3 (66.7%) 1/3 (33.3%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Abdominal distension 0/3 (0%) 0/3 (0%) 0/9 (0%) 1/7 (14.3%) 1/2 (50%)
Abdominal pain upper 1/3 (33.3%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Dry mouth 0/3 (0%) 1/3 (33.3%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Lip pain 0/3 (0%) 1/3 (33.3%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Oral Pain 0/3 (0%) 2/3 (66.7%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Colitis 0/3 (0%) 0/3 (0%) 0/9 (0%) 0/7 (0%) 1/2 (50%)
Dysphagia 0/3 (0%) 0/3 (0%) 0/9 (0%) 1/7 (14.3%) 0/2 (0%)
Epigastric discomfort 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Faeces discoloured 1/3 (33.3%) 0/3 (0%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Flatulence 0/3 (0%) 0/3 (0%) 0/9 (0%) 1/7 (14.3%) 0/2 (0%)
Gastritis 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Gingival pain 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Glossodynia 0/3 (0%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Lip swelling 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Rectal haemorrhage 1/3 (33.3%) 0/3 (0%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Stomatitis 1/3 (33.3%) 0/3 (0%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Tongue disorder 0/3 (0%) 0/3 (0%) 0/9 (0%) 1/7 (14.3%) 0/2 (0%)
Toothache 0/3 (0%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
General disorders
Injection site erythema 2/3 (66.7%) 3/3 (100%) 7/9 (77.8%) 6/7 (85.7%) 2/2 (100%)
Injection site pruritus 3/3 (100%) 3/3 (100%) 6/9 (66.7%) 4/7 (57.1%) 1/2 (50%)
Chills 1/3 (33.3%) 1/3 (33.3%) 5/9 (55.6%) 7/7 (100%) 2/2 (100%)
Fatigue 1/3 (33.3%) 3/3 (100%) 4/9 (44.4%) 6/7 (85.7%) 1/2 (50%)
Pyrexia 1/3 (33.3%) 1/3 (33.3%) 5/9 (55.6%) 3/7 (42.9%) 2/2 (100%)
Injection site induration 1/3 (33.3%) 2/3 (66.7%) 4/9 (44.4%) 3/7 (42.9%) 0/2 (0%)
Injection site rash 1/3 (33.3%) 1/3 (33.3%) 3/9 (33.3%) 4/7 (57.1%) 1/2 (50%)
Pain 0/3 (0%) 3/3 (100%) 2/9 (22.2%) 3/7 (42.9%) 1/2 (50%)
Injection site pain 1/3 (33.3%) 2/3 (66.7%) 2/9 (22.2%) 1/7 (14.3%) 1/2 (50%)
Oedema peripheral 0/3 (0%) 2/3 (66.7%) 2/9 (22.2%) 1/7 (14.3%) 1/2 (50%)
Injection site oedema 0/3 (0%) 1/3 (33.3%) 3/9 (33.3%) 0/7 (0%) 1/2 (50%)
Influenza like illness 0/3 (0%) 0/3 (0%) 2/9 (22.2%) 2/7 (28.6%) 0/2 (0%)
Injection site swelling 1/3 (33.3%) 1/3 (33.3%) 1/9 (11.1%) 1/7 (14.3%) 0/2 (0%)
Injection site discolouration 0/3 (0%) 0/3 (0%) 3/9 (33.3%) 0/7 (0%) 0/2 (0%)
Injection site inflammation 1/3 (33.3%) 0/3 (0%) 2/9 (22.2%) 0/7 (0%) 0/2 (0%)
Injection site warmth 1/3 (33.3%) 2/3 (66.7%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Local swelling 0/3 (0%) 0/3 (0%) 2/9 (22.2%) 0/7 (0%) 0/2 (0%)
Asthenia 0/3 (0%) 0/3 (0%) 0/9 (0%) 1/7 (14.3%) 0/2 (0%)
Face oedema 0/3 (0%) 0/3 (0%) 0/9 (0%) 0/7 (0%) 1/2 (50%)
Feeling cold 1/3 (33.3%) 0/3 (0%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Generalised oedema 0/3 (0%) 0/3 (0%) 0/9 (0%) 1/7 (14.3%) 0/2 (0%)
Infusion site haematoma 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Injection site anaesthesia 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Injection site discomfort 1/3 (33.3%) 0/3 (0%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Injection site dryness 1/3 (33.3%) 0/3 (0%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Injection site haemorrhage 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Injection site mass 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Injection site nodule 1/3 (33.3%) 0/3 (0%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Injection site vesicles 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Oedema 0/3 (0%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Thirst 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Immune system disorders
Cytokine release syndrome 0/3 (0%) 0/3 (0%) 0/9 (0%) 1/7 (14.3%) 0/2 (0%)
Hypogammaglobulinaemia 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 1/7 (14.3%) 0/2 (0%)
Allergy to arthropod bite 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Hypersensitivity 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Infections and infestations
Upper respiratory tract infection 0/3 (0%) 1/3 (33.3%) 1/9 (11.1%) 1/7 (14.3%) 0/2 (0%)
Cellulitis 1/3 (33.3%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Rhinitis 0/3 (0%) 1/3 (33.3%) 0/9 (0%) 1/7 (14.3%) 0/2 (0%)
Influenza 0/3 (0%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Nasopharyngitis 0/3 (0%) 0/3 (0%) 0/9 (0%) 1/7 (14.3%) 0/2 (0%)
Oral Candidiasis 0/3 (0%) 0/3 (0%) 0/9 (0%) 1/7 (14.3%) 0/2 (0%)
Otitis media acute 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Respiratory syncytial virus infection 0/3 (0%) 0/3 (0%) 0/9 (0%) 1/7 (14.3%) 0/2 (0%)
Sinusitis 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Urinary tract infection 0/3 (0%) 0/3 (0%) 0/9 (0%) 1/7 (14.3%) 0/2 (0%)
Injury, poisoning and procedural complications
Fall 0/3 (0%) 2/3 (66.7%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Incision site pruritus 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Ligament injury 0/3 (0%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Investigations
Lymphocyte count decreased 0/3 (0%) 0/3 (0%) 4/9 (44.4%) 2/7 (28.6%) 1/2 (50%)
Alanine aminotransferase increased 0/3 (0%) 0/3 (0%) 2/9 (22.2%) 1/7 (14.3%) 2/2 (100%)
Blood alkaline phosphatase increased 0/3 (0%) 0/3 (0%) 2/9 (22.2%) 1/7 (14.3%) 2/2 (100%)
Platelet count decreased 0/3 (0%) 0/3 (0%) 3/9 (33.3%) 2/7 (28.6%) 0/2 (0%)
Blood creatinine increased 0/3 (0%) 1/3 (33.3%) 1/9 (11.1%) 2/7 (28.6%) 0/2 (0%)
Electrocardiogram QT prolonged 0/3 (0%) 0/3 (0%) 2/9 (22.2%) 2/7 (28.6%) 0/2 (0%)
Aspartate aminotransferase increased 0/3 (0%) 0/3 (0%) 2/9 (22.2%) 0/7 (0%) 1/2 (50%)
Weight increased 0/3 (0%) 1/3 (33.3%) 2/9 (22.2%) 0/7 (0%) 0/2 (0%)
White blood cell count decreased 0/3 (0%) 0/3 (0%) 2/9 (22.2%) 1/7 (14.3%) 0/2 (0%)
Eosinophil count increased 0/3 (0%) 0/3 (0%) 0/9 (0%) 2/7 (28.6%) 0/2 (0%)
Neutrophil count decreased 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 1/7 (14.3%) 0/2 (0%)
Weight decreased 0/3 (0%) 1/3 (33.3%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Blood bilirubin increased 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Blood creatine phosphokinase increased 0/3 (0%) 0/3 (0%) 0/9 (0%) 1/7 (14.3%) 0/2 (0%)
Blood glucose increased 0/3 (0%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Blood lactate dehydrogenase increased 0/3 (0%) 0/3 (0%) 0/9 (0%) 1/7 (14.3%) 0/2 (0%)
Blood potassium increased 0/3 (0%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Blood urea increased 0/3 (0%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Cardiac murmur 0/3 (0%) 0/3 (0%) 0/9 (0%) 0/7 (0%) 1/2 (50%)
Electrocardiogram QT interval 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
General physical condition abnormal 0/3 (0%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Glomerular filtration rate decreased 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Haematocrit decreased 0/3 (0%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Haemoglobin decreased 0/3 (0%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
International normalised ratio increased 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Mean cell haemoglobin decreased 0/3 (0%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Neutrophil count increased 0/3 (0%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Protein total increased 0/3 (0%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Metabolism and nutrition disorders
Decreased appetite 0/3 (0%) 1/3 (33.3%) 5/9 (55.6%) 3/7 (42.9%) 1/2 (50%)
Hypoalbuminaemia 0/3 (0%) 0/3 (0%) 2/9 (22.2%) 2/7 (28.6%) 1/2 (50%)
Hypocalcaemia 0/3 (0%) 1/3 (33.3%) 2/9 (22.2%) 1/7 (14.3%) 1/2 (50%)
Hyperglycaemia 0/3 (0%) 1/3 (33.3%) 1/9 (11.1%) 1/7 (14.3%) 0/2 (0%)
Hypomagnesaemia 1/3 (33.3%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 1/2 (50%)
Hyperkalaemia 0/3 (0%) 2/3 (66.7%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Hypokalaemia 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 1/2 (50%)
Hyponatraemia 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 1/7 (14.3%) 0/2 (0%)
Hypophosphataemia 0/3 (0%) 0/3 (0%) 0/9 (0%) 1/7 (14.3%) 1/2 (50%)
Central obesity 0/3 (0%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Dehydration 0/3 (0%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Hypernatraemia 0/3 (0%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Hypoglycaemia 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Tumour lysis syndrome 0/3 (0%) 0/3 (0%) 0/9 (0%) 1/7 (14.3%) 0/2 (0%)
Musculoskeletal and connective tissue disorders
Back pain 0/3 (0%) 1/3 (33.3%) 1/9 (11.1%) 2/7 (28.6%) 1/2 (50%)
Arthralgia 1/3 (33.3%) 0/3 (0%) 0/9 (0%) 2/7 (28.6%) 0/2 (0%)
Muscle spasms 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 1/7 (14.3%) 0/2 (0%)
Muscular weakness 0/3 (0%) 0/3 (0%) 0/9 (0%) 2/7 (28.6%) 0/2 (0%)
Musculoskeletal pain 0/3 (0%) 0/3 (0%) 2/9 (22.2%) 0/7 (0%) 0/2 (0%)
Myalgia 1/3 (33.3%) 0/3 (0%) 0/9 (0%) 1/7 (14.3%) 0/2 (0%)
Bone pain 0/3 (0%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Groin pain 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Pain in extremity 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Pain in jaw 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Acoustic neuroma 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Lymphoma 1/3 (33.3%) 0/3 (0%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Non-hodgkin's lymphoma 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Nervous system disorders
Dizziness 1/3 (33.3%) 2/3 (66.7%) 1/9 (11.1%) 1/7 (14.3%) 1/2 (50%)
Headache 0/3 (0%) 1/3 (33.3%) 2/9 (22.2%) 2/7 (28.6%) 0/2 (0%)
Dysgeusia 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 2/7 (28.6%) 0/2 (0%)
Neuropathy peripheral 0/3 (0%) 0/3 (0%) 2/9 (22.2%) 0/7 (0%) 0/2 (0%)
Ataxia 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Hypoaesthesia 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Memory impairment 0/3 (0%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Neurotoxicity 0/3 (0%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Nystagmus 0/3 (0%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Peripheral sensory neuropathy 0/3 (0%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Somnolence 0/3 (0%) 0/3 (0%) 0/9 (0%) 1/7 (14.3%) 0/2 (0%)
Psychiatric disorders
Insomnia 0/3 (0%) 1/3 (33.3%) 4/9 (44.4%) 1/7 (14.3%) 1/2 (50%)
Anxiety 1/3 (33.3%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Depression 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 1/7 (14.3%) 0/2 (0%)
Depressed mood 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Sleep disorder due to general medical condition, insomnia Type 0/3 (0%) 0/3 (0%) 0/9 (0%) 1/7 (14.3%) 0/2 (0%)
Renal and urinary disorders
Chromaturia 0/3 (0%) 1/3 (33.3%) 1/9 (11.1%) 1/7 (14.3%) 0/2 (0%)
Renal failure acute 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Haematuria 0/3 (0%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Micturition urgency 0/3 (0%) 0/3 (0%) 0/9 (0%) 1/7 (14.3%) 0/2 (0%)
Urine odour abnormal 0/3 (0%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Respiratory, thoracic and mediastinal disorders
Cough 1/3 (33.3%) 2/3 (66.7%) 1/9 (11.1%) 1/7 (14.3%) 2/2 (100%)
Nasal congestion 0/3 (0%) 1/3 (33.3%) 2/9 (22.2%) 1/7 (14.3%) 0/2 (0%)
Dyspnoea 0/3 (0%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 1/2 (50%)
Dyspnoea exertional 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 2/7 (28.6%) 0/2 (0%)
Rhinorrhoea 1/3 (33.3%) 1/3 (33.3%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Sinus congestion 0/3 (0%) 1/3 (33.3%) 1/9 (11.1%) 1/7 (14.3%) 0/2 (0%)
Oropharyngeal pain 0/3 (0%) 0/3 (0%) 0/9 (0%) 2/7 (28.6%) 0/2 (0%)
Dry throat 0/3 (0%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Dysphonia 0/3 (0%) 0/3 (0%) 0/9 (0%) 1/7 (14.3%) 0/2 (0%)
Pleural effusion 0/3 (0%) 0/3 (0%) 0/9 (0%) 0/7 (0%) 1/2 (50%)
Productive cough 0/3 (0%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Rales 0/3 (0%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Upper respiratory tract congestion 0/3 (0%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Skin and subcutaneous tissue disorders
Night sweats 0/3 (0%) 0/3 (0%) 2/9 (22.2%) 2/7 (28.6%) 1/2 (50%)
Pruritus 0/3 (0%) 1/3 (33.3%) 0/9 (0%) 2/7 (28.6%) 1/2 (50%)
Rash 0/3 (0%) 0/3 (0%) 2/9 (22.2%) 2/7 (28.6%) 0/2 (0%)
Dry skin 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 2/7 (28.6%) 0/2 (0%)
Hyperhidrosis 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 2/7 (28.6%) 0/2 (0%)
Rash macular 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 1/7 (14.3%) 0/2 (0%)
Skin hyperpigmentation 1/3 (33.3%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Cold sweat 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Decubitus ulcer 0/3 (0%) 0/3 (0%) 0/9 (0%) 1/7 (14.3%) 0/2 (0%)
Dermatitis contact 0/3 (0%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Drug eruption 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Erythema 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Exfoliative rash 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Pruritus allergic 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Pruritus generalised 0/3 (0%) 0/3 (0%) 0/9 (0%) 1/7 (14.3%) 0/2 (0%)
Rash erythematous 0/3 (0%) 0/3 (0%) 0/9 (0%) 1/7 (14.3%) 0/2 (0%)
Rash maculo-papular 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Rash morbilliform 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Skin hypertrophy 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Surgical and medical procedures
Sinus operation 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 0/7 (0%) 0/2 (0%)
Vascular disorders
Hypotension 0/3 (0%) 1/3 (33.3%) 2/9 (22.2%) 1/7 (14.3%) 1/2 (50%)
Flushing 0/3 (0%) 0/3 (0%) 1/9 (11.1%) 1/7 (14.3%) 0/2 (0%)
Hypertension 1/3 (33.3%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 0/2 (0%)
Capillary leak syndrome 0/3 (0%) 0/3 (0%) 0/9 (0%) 0/7 (0%) 1/2 (50%)
Deep vein thrombosis 0/3 (0%) 1/3 (33.3%) 0/9 (0%) 0/7 (0%) 0/2 (0%)

Limitations/Caveats

Clinical benefit was noted in the earlier portion of the trial; hence, participants were not enrolled in 2 expansion cohorts and the study was terminated early.

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 Chief Medical Officer
Organization Alopexx Oncology, LLC
Phone
Email daniel.vlock@alopexx.com
Responsible Party:
Alopexx Oncology, LLC
ClinicalTrials.gov Identifier:
NCT01874288
Other Study ID Numbers:
  • AO-101
First Posted:
Jun 11, 2013
Last Update Posted:
Nov 24, 2020
Last Verified:
Nov 1, 2020